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1. A nurse is admitting a client who has antisocial per- C. Uses others for personal
sonality disorder. Which of the following client behav- gain
iors should the nurse identify as consistent with this
disorder?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
D. Socially awkward in group situations
2. A nurse is interpreting the cardiac rhythm strip of a
client who was admitted with syncope. Which of the
following images indicates that the client has atrial
fibrillation?
3. A client who has a diagnosis of complete placenta C. Prepare the client for a
previa is admitted to the labor and delivery suite at 36 cesarean section
weeks gestation with contractions 5 min in frequency
and 1 min in duration. Which of the following actions
should the nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
C. Prepare the client for a cesarean section
D. Perform a vaginal exam
4. A charge nurse on a pediatric unit is making assign- A. A 10-year-old client who
ments for a float nurse from the medical unit. Which has pneumonia and is re-
of the following clients is appropriate to assign to the ceiving respiratory treat-
float nurse? ments
A. A 10-year-old client who has pneumonia and is
receiving respiratory treatments
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B. A 4-year-old client who has a Wilms tumor and is
receiving chemotherapy
C. An 8-month-old client who is scheduled for a sur-
gical repair of a ventricular septal defect tomorrow
D. A 14-year-old client who is scheduled for discharge
today following placement of a Harrington rod
5. A nurse notices smoke coming from a client's room A. Notify the facility opera-
and discovers a fire in the wastebasket. After moving tor.
the client to safety, which of the following is the pri-
ority action?
A. Notify the facility operator.
B. Close the fire doors on the unit.
C. Turn off oxygen sources.
D. Put out the fire with the appropriate extinguisher.
6. A nurse is assessing an infant who has water intoxica- A. Generalized edema
tion. Which of the following findings should the nurse
expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit
7. A nurse is discussing the z-track administration of This technique decreases
hydroxyzine with a newly licensed nurse. Which of the risk of subcutaneous in-
the following statements indicates the newly licensed filtration
nurse understands the purpose of the technique?
A. This technique prevents injury to the sciatic nerve
B. This technique decreases the risk of subcutaneous
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infiltration
C. This technique allows a larger amount of medica-
tion to be injected
D. This technique increases the absorption rate of the
drug
8. A nurse is creating a plan of care for a client who C. Monitor the client for 1
has anorexia nervosa. Which of the following inter- hr after meals
ventions should the nurse include in the plan?
A. Encourage the client to gain 2.3 kg per week
B. Weigh the client once per week throughout hospi-
talization
C. Monitor the client for 1 hr after meals
D. Allow the client to choose mealtimes
9. A nurse is planning care for a child who has in- B. Maintain the head at a
creased intracranial pressure with a decrease in level midline position
of consciousness. Which of the following interven-
tions should the nurse include in the plan of care?
A. Perform active range-of-motion exercises
B. Maintain the head at a midline position
C. Suction the airway frequently
D. Perform neurological checks every 4 hrs
10. 10. A nurse is assessing a client who has delirium due A. Hallucinations
to a febrile illness. Which of the following findings
should the nurse expect?
A. Hallucinations
B. Agnosia
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C. Bradycardia
D. Aphasia
11. A nurse is assessing a client who is receiving enteral D. Bounding pulses
feedings via a gastrostomy tube. The nurse should
identify that which of the following findings indicates
fluid overload?
A. Diminished bowel sounds
B. Bradycardia
C. Hypotension
D. Bounding pulses
12. A nurse is caring for a client following an open colec- B. Hyperemesis
tomy. Which of the following findings places the client
at risk for delayed wound healing?
A. INR 1.1
B. Hyperemesis
C. HbA1c 5.6%
D. Uncontrolled pain
13. A home health nurse is reviewing treatment goals B. HbA1c
with a client who has diabetes mellitus. The nurse
should evaluate which of the following laboratory
tests to determine effective long-term management
of blood glucose levels?
A. 3-hr oral glucose tolerance test
B. HbA1c
C. Fasting blood glucose test
D. Urinalysis for ketones
14.