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A nurse reviews the assessment findings of four different clients with burns. Which client most
likely has chemical burns?
1 Client A
2 Client B
3 Client C
4 Client D
3
A client visits a primary healthcare provider with a report of burning and a sharp pain in the sole
of the foot that intensifies in the morning. Which abnormal condition does the nurse anticipate in
the client?
1 Torticollis
2 Pes planus
3 Tenosynovitis
4 Plantar fasciitis
4
A nurse in an outpatient mental health setting has been assigned to care for a new client who has
been found to have an antisocial personality disorder. What does the nurse expect to observe in
the client during the assessment?
1 Pays great attention to detail and demonstrates a high level of anxiety
,2 Has scars from self-mutilation and a history of many negative relationships
3 Displays charm, has an above-average intelligence, and tends to manipulate others
4 Demonstrates suspiciousness, avoids eye contact, and engages in limited conversation
3
A nurse is assessing a newborn with suspected retention of a fetal structure that will result in a
congenital heart defect. Which fetal structures should undergo change after birth? Select all that
apply.
1 Mitral valve
2 Foramen ovale
3 Pulmonary veins
4 Ductus arteriosus
5 Pulmonary arteries
2,4
The nurse is caring for a client who is admitted to the hospital with early heart failure. Which
client statement indicates a clinical manifestation that is uniquely related to heart failure?
1 "I see spots before my eyes."
2 "I am tired at the end of the day."
3 "I feel bloated when I eat a large meal."
4 "I have trouble breathing when I climb a flight of stairs."
4
The nurse is verbally interviewing and taking a history of a client who was admitted to the
hospital. Which phase of the nursing process is being used in this situation?
,1 Planning
2 Evaluation
3 Assessment
4 Diagnosis
3
A 42-year-old client undergoes amniocentesis during the 16th week of gestation because of
concern about Down syndrome. Which additional information about the fetus will examination
of the amniotic fluid reveal at this time?
1 Lung maturity
2 Type 1 diabetes
3 Cardiac anomaly
4 Neural tube defect
4
During a follow-up office visit, an older client who has been undergoing treatment for the last 5
months for osteomyelitis notes perianal itching and diarrhea. Which other finding does the nurse
correlate with this information?
1 Whitish-yellow lesions in the oral cavity
2 Presence of glucose and ketones in urine
3 Flexion contracture of the lower extremities
4 Overgrowth of genital wart-like lesions
1
A nurse is assessing growth and development in a 6-month-old infant. What behaviors does the
nurse expect the infant to demonstrate?
, 1 Sitting alone, displaying pincer grasp, and waving bye-bye
2 Pulling up to a standing position, releasing a toy by choice, and playing peek-a-boo
3 Crawling, transferring a toy from one hand to the other, and displaying fear of strangers
4 Turning over completely, sitting momentarily without support, and reaching to be picked up
4
At which stage of development should the nurse anticipate that pediatric clients will begin to
show differences in play activities that are related to gender?
1 Preschool
2 Adolescence
3 Late school-age
4 Early school-age
3
After surgery a 2-month-old infant is returned to the pediatric unit with an intravenous infusion
running and a nasogastric tube in place. What is the initial nursing action?
1 Assessing the infant's status
2 Giving the infant a mild sedative
3 Connecting the nasogastric tube to wall suction
4 Placing the intravenous tubing through an infusion pump
1
A client with a skin infection on the hand reports itching near the site of infection. Upon
assessment, the nurse notices serpiginous patches with elevated borders. What could be the
possible diagnosis?