, 2018 Exam 1 and
Rationales
1. A client with a diagnosis of passive-aggressive personality disorder
is seen at the local mental health clinic. A common characteristic
of
persons with passive-aggressive personality disorder is:
❍ A. Superior intelligence
❍ B. Underlying hostility
❍ C. Dependence on others
❍ D. Ability to share feelings
2. The client is admitted for evaluation of aggressive behavior and
diagnosed with antisocial personality disorder. A key part of the
care of such clients is:
❍ A. Setting realistic limits
❍ B. Encouraging the client to express remorse for behavior
❍ C. Minimizing interactions with other clients
❍ D. Encouraging the client to act out feelings of rage
3. An important intervention in monitoring the dietary compliance of
a client with bulimia is:
❍ A. Allowing the client privacy during mealtimes
❍ B. Praising her for eating all her meal
❍ C. Observing her for 1–2 hours after meals
❍ D. Encouraging her to choose foods she likes and to eat
in moderation
4. Assuming that all have achieved normal cognitive and emotional
development, which of the following children is at greatest risk for
accidental poisoning?
❍ A. A 6-month-old
❍ B. A 4-year-old
❍ C. A 12-year-old
❍ D. A 13-year-old
,2 Chapter 1
5. Which of the following examples represents parallel play?
❍ A. Jenny and Tommy share their toys.
❍ B. Jimmy plays with his car beside Mary, who is playing with
her doll.
❍ C. Kevin plays a game of Scrabble with Kathy and Sue.
❍ D. Mary plays with a handheld game while sitting in her
mother’s lap.
6. The nurse is ready to begin an exam on a 9-month-old infant. The child
is sitting in his mother’s lap. Which should the nurse do first?
❍ A. Check the Babinski reflex
❍ B. Listen to the heart and lung sounds
❍ C. Palpate the abdomen
❍ D. Check tympanic membranes
7. In terms of cognitive development, a 2-year-old would be expected to:
❍ A. Think abstractly
❍ B. Use magical thinking
❍ C. Understand conservation of matter
❍ D. See things from the perspective of others
8. Which of the following best describes the language of a 24-month-old?
❍ A. Doesn’t understand yes and no
❍ B. Understands the meaning of words
❍ C. Able to verbalize needs
❍ D. Asks “why?” to most statements
9. A client who has been receiving urokinase has a large bloody bowel move-
ment. Which action would be best for the nurse to take immediately?
❍ A. Administer vitamin K IM
❍ B. Stop the urokinase
❍ C. Reduce the urokinase and administer heparin
❍ D. Stop the urokinase and call the doctor
, 2018 Exam 1 and Rationales
10. The client has a prescription for a calcium carbonate compound to neu-
tralize stomach acid. The nurse should assess the client for:
❍ A. Constipation
❍ B. Hyperphosphatemia
❍ C. Hypomagnesemia
❍ D. Diarrhea
11. Heparin has been ordered for a client with pulmonary embolis. Which
statement, if made by the graduate nurse, indicates a lack of understand-
ing of the medication?
❍ A. “I will administer the medication 1-2 inches away from the
umbilicus.”
❍ B. “I will administer the medication in the abdomen.”
❍ C. “I will check the PTT before administering the medication.”
❍ D. “I will need to aspirate when I give Heparin.”
12. The nurse is caring for a client with peripheral vascular disease. To correct-
ly assess the oxygen saturation level, the monitor may be placed on the:
❍ A. Hip
❍ B. Ankle
❍ C. Earlobe
❍ D. Chin
13. While caring for a client with hypertension, the nurse notes the following
vital signs: BP of 140/20, pulse 120, respirations 36, temperature
100.8°F. The nurse’s initial action should be to:
❍ A. Call the doctor
❍ B. Recheck the vital signs
❍ C. Obtain arterial blood gases
❍ D. Obtain an ECG
14. The nurse is preparing a client with an axillo-popliteal bypass graft for
discharge. The client should be taught to avoid:
❍ A. Using a recliner to rest
❍ B. Resting in supine position
❍ C. Sitting in a straight chair
❍ D. Sleeping in right Sim’s position
Rationales
1. A client with a diagnosis of passive-aggressive personality disorder
is seen at the local mental health clinic. A common characteristic
of
persons with passive-aggressive personality disorder is:
❍ A. Superior intelligence
❍ B. Underlying hostility
❍ C. Dependence on others
❍ D. Ability to share feelings
2. The client is admitted for evaluation of aggressive behavior and
diagnosed with antisocial personality disorder. A key part of the
care of such clients is:
❍ A. Setting realistic limits
❍ B. Encouraging the client to express remorse for behavior
❍ C. Minimizing interactions with other clients
❍ D. Encouraging the client to act out feelings of rage
3. An important intervention in monitoring the dietary compliance of
a client with bulimia is:
❍ A. Allowing the client privacy during mealtimes
❍ B. Praising her for eating all her meal
❍ C. Observing her for 1–2 hours after meals
❍ D. Encouraging her to choose foods she likes and to eat
in moderation
4. Assuming that all have achieved normal cognitive and emotional
development, which of the following children is at greatest risk for
accidental poisoning?
❍ A. A 6-month-old
❍ B. A 4-year-old
❍ C. A 12-year-old
❍ D. A 13-year-old
,2 Chapter 1
5. Which of the following examples represents parallel play?
❍ A. Jenny and Tommy share their toys.
❍ B. Jimmy plays with his car beside Mary, who is playing with
her doll.
❍ C. Kevin plays a game of Scrabble with Kathy and Sue.
❍ D. Mary plays with a handheld game while sitting in her
mother’s lap.
6. The nurse is ready to begin an exam on a 9-month-old infant. The child
is sitting in his mother’s lap. Which should the nurse do first?
❍ A. Check the Babinski reflex
❍ B. Listen to the heart and lung sounds
❍ C. Palpate the abdomen
❍ D. Check tympanic membranes
7. In terms of cognitive development, a 2-year-old would be expected to:
❍ A. Think abstractly
❍ B. Use magical thinking
❍ C. Understand conservation of matter
❍ D. See things from the perspective of others
8. Which of the following best describes the language of a 24-month-old?
❍ A. Doesn’t understand yes and no
❍ B. Understands the meaning of words
❍ C. Able to verbalize needs
❍ D. Asks “why?” to most statements
9. A client who has been receiving urokinase has a large bloody bowel move-
ment. Which action would be best for the nurse to take immediately?
❍ A. Administer vitamin K IM
❍ B. Stop the urokinase
❍ C. Reduce the urokinase and administer heparin
❍ D. Stop the urokinase and call the doctor
, 2018 Exam 1 and Rationales
10. The client has a prescription for a calcium carbonate compound to neu-
tralize stomach acid. The nurse should assess the client for:
❍ A. Constipation
❍ B. Hyperphosphatemia
❍ C. Hypomagnesemia
❍ D. Diarrhea
11. Heparin has been ordered for a client with pulmonary embolis. Which
statement, if made by the graduate nurse, indicates a lack of understand-
ing of the medication?
❍ A. “I will administer the medication 1-2 inches away from the
umbilicus.”
❍ B. “I will administer the medication in the abdomen.”
❍ C. “I will check the PTT before administering the medication.”
❍ D. “I will need to aspirate when I give Heparin.”
12. The nurse is caring for a client with peripheral vascular disease. To correct-
ly assess the oxygen saturation level, the monitor may be placed on the:
❍ A. Hip
❍ B. Ankle
❍ C. Earlobe
❍ D. Chin
13. While caring for a client with hypertension, the nurse notes the following
vital signs: BP of 140/20, pulse 120, respirations 36, temperature
100.8°F. The nurse’s initial action should be to:
❍ A. Call the doctor
❍ B. Recheck the vital signs
❍ C. Obtain arterial blood gases
❍ D. Obtain an ECG
14. The nurse is preparing a client with an axillo-popliteal bypass graft for
discharge. The client should be taught to avoid:
❍ A. Using a recliner to rest
❍ B. Resting in supine position
❍ C. Sitting in a straight chair
❍ D. Sleeping in right Sim’s position
