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1. A nurse is assessing a preschooler who Abdominal Pain
has a urinary tract infection (UTI). Which
of the following findings should the nurse Rat: The nurse should expect a preschooler
expect? who has a UTI to experience abdominal
pain. Other manifestations include consti-
1. Diarrhea pation, dysuria, foul-smelling urine, and
fever.
2. Abdominal pain
3. Increased thirst
4. Skin rash
2. A nurse is counseling a client who has a Fruits and Veggies
family history of colorectal cancer about
management of nutrition to help prevent Rat: To help reduce the risk of cancers of
gastrointestinal (GI) cancers. Which of the the GI system, the nurse should instruct the
following images indicates a food or bever- client to consume at least 2.5 cups of fruits
age the nurse should encourage the client and vegetables per day.
to include liberally in his diet?
3. A nurse is preparing to extinguish a small Slide the pin on top of the fire extinguisher
fire in a clients room. Which of the follow- straight out.
ing actions should the nurse take when us-
ing the fire extinguisher? Rat: The nurse should pull the pin on the
top of the fire extinguisher to allow for use
1. Aim the fire extinguisher at the top of the to extinguish the fire.
flames.
2. Pump the handles of the fire extinguish-
er up and down three times.
3. Sweep the fire extinguisher in a circular
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motion until the fire is extinguished.
4. Slide the pin on top of the fire extinguish-
er straight out.
4. A nurse is caring for a child who has celi- Oatmeal with raisins
ac disease. Which of the following items
should the nurse remove from the child's Rat: Celiac disease is the intolerance to di-
meal tray? etary gluten, which is a protein in wheat,
rye, oats, and barley. This intolerance caus-
1. Corn-flake cereal es diarrhea, weight loss, abdominal pain,
2. Orange juice and fatigue. Therefore, the nurse should
3. Scrambled eggs remove oatmeal from the child's meal tray.
4. Oatmeal with raisins
5. A nurse at a providers office is counseling "Sleep in the location of your home where
a client who reports insomnia. Which of you feel your rest best"
the following statements should the nurse
make to include the clients preferences Rat: The nurse should encourage the client
into a sleep promotion plan? to sleep wherever she feels she gets the
most rest, whether it be a bed, couch, or
1. "If alcoholic beverages are desired, con- chair.
sume them in the early evenings"
2. "Sleep in the location of your home
where you feel your rest best"
3. "Turn on a favorite television show just
before going to bed"
4. "Allow your sleep and wake times to vary
depending on how you feel each day"
6. A nurse is assessing the spiritual well- "It's wrong because my dad said I can't kick
being and development of a preschooler. her."
The nurse asks the preschooler, "Why is it
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wrong to kick our baby sister?" Which of Rat: The nurse should expect the
the following responses should the nurse preschooler to be motivated to choose
expect? right from wrong because of rules taught
to him by his parents. The nurse should un-
1. "It's not wrong because she made me derstand that, even though the preschool-
mad." er might know the rules, he is not yet able
2. "It's wrong because my dad said I can't to understand the rationale for the rules.
kick her."
3. "It's wrong to kick her because the gods
won't like it."
4. "It's wrong because she would get hurt
and be sad."
7. A nurse in a long term care facility is Compare a list of the client's current med-
admitting a new client following a brief ications with the ones he will take in
stay in acute care. In adherence with the long-term care.
Joint Commission National Patient Safe-
ty Goals regarding medication administra- Rat: The Joint Commission National Patient
tion, which of the following actions should Safety Goals regarding medication recon-
the nurse take? ciliation includes maintaining and commu-
nicating accurate client medication infor-
A. Inform the client that he will not be re- mation. The nurse should complete a med-
ceiving the medications he took prior to his ication reconciliation to identify and re-
hospitalization. solve any discrepancies by comparing the
B. Compare a list of the client's current client's list of current medications with the
medications with the ones he will take in medications he will take in the long-term
long-term care. care facility and addressing any duplica-
C. Eliminate any over-the-counter products tions, omissions, or interactions.
from the client's current medication list.
D. Omit the medication indications when
listing the client's medication dose infor-
mation.
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8. A nurse is caring for a client who is 2 days Administer a beta-blocking medication to
postoperative following an above-the-knee the client
amputation. The client states he is experi-
encing a dull, burning pain in the leg that Rat: The nurse should administer a
was amputated. Which of the following ac- beta-blocking medication to the client.
tions should the nurse take to treat the This classification of medication has been
client's neuropathic pain? shown to relieve the phantom limb pain
manifestations of constant dull and burn-
A. Inform the client that phantom limb pain ing type pain.
is not real.
B. Administer a beta-blocking medication
to the client.
C. Place the client on a soft mattress.
D. Loosen the bandage on the client's resid-
ual limb.
9. A nurse is teaching the parent of a tod- "I can give her watermelon pieces after I
dler about home injury prevention. When remove the seeds."
discussing snacks, which of the following
statements by the parent indicates an un- Rat: The nurse should inform the parent
derstanding of the teaching? that toddlers can easily choke on seeds
from fruits, such as watermelon seeds or
1. "I can offer her grapes as long as I peel cherry pits, because of their round shape
them first." and size. Removing the seeds and cutting
2. "I can give her watermelon pieces after I the watermelon into pieces provides the
remove the seeds." toddler with a nutritious snack that does
3. "I should give her popcorn that is not increase the toddler's risk of foreign
air-popped and without salt or butter." body obstruction.
4. "I should cut hot dogs into thin, round
slices before giving them to her."
10.