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CD-Rom: Practice Examination #1

1. A new mother asks the nurse how often hernewborn should breastfeed. Which of thefollowing responses by the nurse would bebest?

A. “As long as the baby feeds four times a day,he will get enough.”

B. “Newborns may breastfeed continuouslyuntil they stabilize.”

C. “Newborns should breastfed at least every 3hours during the day.”

D. “Newborns should be fed when they cry.”

2. A nurse teaches a client with asthma how touse an inhaler with a spacer. Which of theseclient statements would indicate that teach-ing was ineffective?

A. “I should inhale before using the inhaler.”B. “I should place my lips firmly around the

mouthpiece.”C. “I should hold my breath 8-10 seconds after

using the inhaler.”D. “I should wait 1-2 minutes between puffs.”

3. Which of the following orders should anurse question for a client with glaucomawho is scheduled for surgery?

A. Demerol (meperidine) 50 mg IMB. Atropine sulfate 0.4 mg IMC. Valium (diazepam) 2 mg IMD. Phenergan (promethazine) 25 mg IM

4. A 75-year-old male in the emergency depart-ment appears frightened and withdrawn.The nurse assesses multiple bruises on hisback, abdomen and legs. The best responseby the nurse would be

A. “Let me get your son to join us.”B. “Does your family know how you hurt

yourself?”C. “You don’t have to tell me what happened.”D. “Let’s go to the conference room and talk.”

5. A client asks the nurse how she can preparefor pregnancy. Which of the following com-ments by the nurse would be mostappropriate?

A. “Avoid raw eggs and cats until conception.”B. “Receive immunization against

toxoplasmosis.”C. “Begin an iron supplement of 100 mg daily.”D. “Supplement your diet with 400 mcg of folic

acid.”

6. Which of the following nursing measureswould be appropriate in the care of a clientwho has hepatic encephalopathy?

A. Encourage fluid intake >1500ml/day.B. Administer opiate analgesics on schedule.C. Monitor vital signs for hypertension.D. Observe for changes in behavior.

7. When counseling a client who binge eats, themost appropriate approach for the nurse totake is to

A. encourage the client to tape a picture of her-self on the refrigerator.

B. instruct the client to weigh herself daily. C. have the client keep a journal of activities

and food intake.D. teach the client to eliminate foods with high

calories from her diet.

8. A client is taking the atypical antisychoticmedication, olanzapine (Zyprexa). Which ofthe following client statements indicates thatthe nurse’s teaching about the side effects ofthe medication has been successful?

A. “I will stand up slowly when getting out of bed.”

B. “I will take the medicine on an empty stom-ach.”

C. “I will decrease my fluid intake.” D. “I may have one drink of wine before bed.”

CD Rom: Practice Exam 1

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CD-Rom: Practice Examination 1

9. The nurse admits a client with asthma whoreports taking all of the following medications.Which medication would the nurse suspect asthe possible cause of the asthma attack?

A. Acetylsalicylic acid (aspirin)B. Milk of magnesiaC. Pepcid (famotidine)D. Benadryl (diphenhydramine)

10. A 25-year-old client is admitted to the emer-gency department with a sudden onset ofright lower abdominal pain. Which of thefollowing physician orders should the nursequestion at this time?

A. Apply heating pad to abdomenB. Obtain X-ray of abdomenC. Begin an IV of dextrose 5% in water (D5W)D. Nothing by mouth

11. In which of the following situations has thenurse violated the client’s right of privacy?

A. The nurse informed law enforcement officialsabout the client’s gunshot wound.

B. The nurse turned off the computer after documenting the client’s status.

C. The nurse carried unprotected client information in the elevator.

D. The nurse reported suspected child abuseto law enforcement officials.

12. A hospitalized client with a history of drugabuse is found unresponsive with pinpointpupils after a visit from a friend. The nursewould expect the client to be treated withwhich of the following medications?

A. Dolophine (methadone)B. Valium (diazepam)C. Narcan (naloxone)D. Romazicon (flumazenil)

13. When caring for a client with a femoralvenous catheter, it is essential for the nurse to

A. irrigate the catheter with sterile saline solution to maintain patency.

B. maintain sterile technique when workingwith the catheter.

C. assess the pressure dressing frequently forbleeding.

D. limit the mobility of the affected limb.

14. A 70 year old client, diagnosed with type 2diabetes, has been taking Glucophage (met-formin) 500 mg tid. Which of the followinglaboratory results should the nurse report?

A. Blood urea nitrogen of 15 mg/dlB. Serum albumin level of 3.5 g/dlC. Blood glucose level of 40 mg/dlD. Serum creatinine level of 0.6 mg/dl

15. Which of the following outcomes wouldindicate the most effective response by aschool aged child to asthma medication?

A. Ability to participate in active sports forlonger periods

B. Decrease in allergy skin testing measurementsC. Peak expiratory flow rate within normal limitsD. Ability to eliminate breathing exercises on

weekends and school holidays

16. An elderly client displays interest in alterna-tive therapies, such as acupuncture. Whichof the following interventions by the nursewould be appropriate?

A. Encourage use of more scientifically proventherapies.

B. Identify a conventional therapy that can substitute for the alternative one.

C. Educate the client about the risk and benefits of the alternative therapy.

D. Explain that alternative therapies are not aviable option for older clients.


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17. A client exhibits coughing, sneezing, dyspneaand wheezing. The nurse administers oxygentherapy to the client. Which of the followingoutcome measures would the nurse expect tosee as a result of the oxygen therapy?

A. Improved respiratory rate and rhythmB. Delayed capillary refillC. Absence of painD. Improved cardiac function

18. A client with type 2 diabetes complains ofnausea, vomiting, diaphoresis and headache.Which of the following nursing interven-tions should the nurse carry out first?

A. Withhold the client’s next insulin injection.B. Test the client’s blood glucose level.C. Administer Tylenol (acetaminophen) as

ordered.D. Offer fruit juice, gelatin and chicken

bouillon.

19. A woman in labor is receiving an antibiotic.She suddenly complains of trouble breath-ing, weakness and nausea. The nurse shouldrecognize that these signs are usually indica-tive of impending

A. pulmonary egophony.B. amniotic fluid embolism.C. anaphylaxis.D. bronchospasm.

20. In the absence of a signed release by theclient, the mental health nurse may shareinformation with

A. the client’s family.B. the client’s lawyer.C. other client’s in the therapeutic group.D. those involved in the treatment plan.

21. A client is admitted for overnight observationfollowing a blow to the head during a baseballgame. Which of the following assessmentswarrants immediate nursing action?

A. Widening pulse pressure and bradycardiaB. Narrowing pulse pressure and tachycardiaC. Increasing respiration and irregular pulse

rateD. Narrowing pulse deficit and decreased level

of consciousness

22. The home care nurse recognizes the need toprovide further teaching to the mother of asix year old newly diagnosed with diabeteswhen the mother states

A. “My six year old can exercise with my twelveyear old.”

B. “The prescribed diabetic diet will be healthyfor the whole family.”

C. “I will participate in a diabetic education program.”

D. “My husband’s family has history of diabetes.”

23. The best approach for the mental healthnurse to take when a client thinks his food ispoisoned is to

A. assure the client that all food served on thehospital is safe to eat.

B. obtain an order for a tube feeding for theclient.

C. provide the client with food in unopenedcontainers.

D. tell the client that irrational thinking is detri-mental to good health.

24. The client tells the nurse that she is worriedabout whether her newborn son will feelpain during circumcision. The most appro-priate response by the nurse is

A. “Don’t worry, infants don’t have pain receptors.”

B. “It is normal for you to experience theseconcerns.”

C. “We are not really sure if the infant criesbecause of the cold or pain.”

D. “We’ll give the baby a pacifier to comforthim.”

25. Which of the following nursing interven-tions would be most important fordetermining fluid balance in a client withend-stage renal failure?

A. Monitor urine specific gravityB. Measure fluid intake and outputC. Weigh dailyD. Record frequency of bowel movements


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26. Which of the following actions would thenurse take first when caring for a mentalhealth client from another country?

A. Develop a treatment plan based onAmerican standards of mental health.

B. Determine the client’s beliefs about mental health.

C. Encourage the client to participate in agroup with clients from various cultures.

D. Involve the client’s family in discharge planning.

27. Prior to discharging a fifteen-year-old who isasthmatic, the nursing should include whichof the following measures in the teachingplan?

A. Discussing techniques for weight controlwhile taking steroids

B. Identifying specific environmental triggersC. Maintaining school performance using a

home tutorD. Keeping a record of weekly sputum testing

28. The client delivers a term infant with a 5-minute Apgar score of 9. The client asks thenurse when she will be able to breastfeed herbaby. The nurse should indicate that breast-feeding can begin as soon as the

A. 4-hour transition period is over.B. mother is physically able.C. mother bathes after delivery.D. nurse gets an order from the baby’s doctor.

29. An employee at a chemical plant is splashedin the eye with a chemical. The prioritynursing intervention is to

A. cover the eye with a gauge patch.B. place antibiotic ointment in the eye.C. rinse the eye continuously for 15 minutes.D. read the label on the chemical and call the

emergency center.

30. What nursing action would be most effectivein changing the behavior of a child diag-nosed with attention deficit hyperactivitydisorder (ADHA)?

A. Reward appropriate behaviorB. Sedate the child for acting outC. Use aggressive punishment to control unde-

sired behaviorD. Use lengthy time out session

31. A nurse is at the grocery store and his neigh-bor says, “I heard about that horrible caraccident. They brought all the people to yourhospital. How are they?” The nurse’s bestresponse would be

A. “I’m not able to discuss confidential information.”

B. “Let me check to see if they were admitted.”C. “The doctor said they will be alright.”D. “You should call the hospital and ask.”

32. A nurse is making a home health visit andfinds the client experiencing right lowerquadrant abdominal pain, which hasdecreased in intensity over the last day. Theclient also has a rigid abdomen and a tem-perature of 103.6ºF. The nurse shouldintervene by

A. administering Tylenol (acetaminophen) forthe elevated temperature.

B. advising the client to increase oral fluids.C. asking the client when she last had a bowel

movement.D. notifying the physician.

33. An obese woman complains of intense heart-burn and asks the nurse to explain thereason for her problem. The nurse’s expla-nation should be based on which of thefollowing statements?

A. Cardiac sphincter tone is decreased.B. Cardiac sphincter tone is increased.C. Gastric emptying time is increased.D. Dietary protein is inadequately digested.

34. A client is transferring to a chair for the firsttime following a posterior spinal fusion. Toassist the client, the nurse should first

A. secure a mechanical lift to transfer the clientfrom bed to chair.

B. have the client roll on his side, bend hisknees, and sit up with assistance withoutbending his trunk.

C. pull the client to a sitting position using hisarms and turn him to dangle on the side ofthe bed.

D. call physical therapy to supervise the trans-fer of the client.


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35. The most appropriate approach for the staff totake with the client who demonstrate manipu-lative aggressive behavior is to

A. allow the client’s favorite nurse to be her pri-mary counselor.

B. sedate the client with medication at signs ofaggression.

C. set clear limits on the client’s behavior.D. tell the client that his behavior is disruptive

to other clients.

36. An insulin dependent diabetic client ispreparing a mixed dose of insulin. Thenurse is satisfied with the client’s perform-ance when he

A. Injects air into the bottle of short actinginsulin first.

B. injects air into the bottle of delayed acting insulin first.

C. fills both syringes with the prescribed insulindosage.

D. withdraws the delayed action insulin beforewithdrawing the short acting insulin.

37. A 65-year-old male is admitted to your unit.He says, “My wife and I have not been apartfor 45 years”. Your best response would be

A. “It must be difficult for you to be separatedfrom her.”

B. “Your wife will be able to visit you every day.”C. “You’ll be fine once you get adjusted to the

hospital routine.”D. “Your time in the hospital will pass very

quickly.”

38. The nurse is providing care for a client withexpressive and receptive aphasia. Which ofthe following measures represents the mostappropriate means of communication whenproviding care to this client?

A. Stand directly in front of the client whilespeaking.

B. Clearly print all necessary information for theclient to read.

C. Communicate all essential information exclu-sively with the client’s wife.

D. Use non-verbal communication when pro-viding client care.

39. Nurses have a legal responsibility to reportsuspected or actual cases of abuse in whichof the following situations?

A. Child abuseB. Employee abuseC. Martial abuseD. Spouse abuse

40. A 21-year-old female presents to the emer-gency department for treatment of bronchitis.During her discharge from the hospital, shesays, “I don’t have any food for my baby”. Thenurse’s best response would be

A. “How old is your baby?”B. “I’m sorry but there’s really nothing the

hospital can do about that.”C. “Let’s discuss some alternatives for you.”D. “You should talk with your family about

getting some assistance.”

41. A client recently diagnosed with lung cancersays to the nurse, “I’m still going to smoke”.The nurse’s best response to this clientwould be

A. “I can’t believe you would still want to smoke.”B. “When did you start smoking?”C. “Let’s talk more about this.”D. “I’m sure your family will be upset.”

42. The nursing supervisor observes a nursingassistant hit a client. The supervisor’s bestresponse to the assistant would be

A. “You should not ever do that.”B. “We need to discuss this.”C. “I have to tell the boss.”D. “I can’t believe your did that.”

43. When maintaining accurate records in situa-tions of suspected abuse, the nurse shoulddocument

A. an interpretation of the client’s statementsregarding the abuse.

B. a body map to indicate size, color, areas andtypes of injuries.

C. a description of the suspected abuser.D. generalized statements about the events

leading up to the abuse.


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44. The spouse of a hearing impaired clientrequests that the nurse allow her husband tohave his compact disc player on because heenjoys classical music. The nurse shouldcomply with the spouse’s request because

A. the wife is denying the fact that her husband cannot hear.

B. the vibrations of the music be felt by thehusband.

C. it is important to fulfill all family requests.D. it is the client’s wishes that are important.

45. A 35-year-old female admitted to the hospitalis 5’6” and weighs 210 pounds. During theclient’s discharge planning a priority nurs-ing intervention would be to

A. help the client identify ways to decease dailycaloric intake.

B. Inform the client of the chronic diseasesrelated to obesity.

C. refer the client to a psychologist.D. discuss the client’s weight problem with the

family.

46. Which of the following statements bestreflects client readiness for smoking cessation?

A. “My doctor told me last year that I shouldquit.”

B. I have been trying to quit for 2 years.C. “My mother died of lung cancer.”D. “I have been exercising and trying to cut

back.”

47. Magnesium sulfate is administered intra-venously to treat a client’s pregnancyinduced hypertension. The nurse shouldmonitor the client for which of the follow-ing adverse effects?

A. HyperreflexiaB. HyperventilationC. Decreased plateletsD. Decreased respiratory rate

48. A 72-year-old female is getting ready to bedischarged from the hospital. She tells thenurse that it is difficult for her to chew food.The nurse’s best response would be

A. “Let me help you cut the food into small bites.”

B. “Don’t you like the food?”C. “I’ll order you a soft diet.”D. “Let me look at your mouth and gums.”

49. The supervisor observes a new graduatenurse suctioning a client. Which of the fol-lowing techniques requires an intervention?

A. Suction is applied when the catheter is withdrawn.

B. Suction is applied when the catheter isinserted.

C. Suction is applied for 10 seconds.D. Suction is applied while rotating the catheter

360 degrees.

50. At a community health class on cancer riskreduction, the nurse should instruct the groupthat men at risk for testicular cancer are thosein which of the following age ranges?

A. 12-14 years B. 15-35 years C. 36-50 years D. Over 50 years of age

51. The nurse should anticipate that a clientbrought to the emergency room withmethadone intoxication will be given whichof the following medications?

A. Proventil (albuterol)B. Valium (diazepam) C. Narcan (naloxone)D. Demerol (meperidine)


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52. Which of the following statements, if made bya client who has chronic paranoid schizo-phrenia, would indicate a correctunderstanding of the discharge instructionsfor antipsychotic medications?

A. “I will take this medication daily.”B. “I will take the medication when I start to

feel anxious.”C. “I will need to take this medication for at

least six months.”D. “I won’t need as much medication after I

leave the hospital.”

53. An amniotomy is conducted on a client inlabor. The nurse should monitor the clientfor which of the following adverse effects?

A. Fetal heart rate decelerationB. Fetal heart rate accelerationC. Leaking of copious amount of clear fluidD. Little or no amniotic fluid

54. Which of the following recommendationsshould the nurse make to a pregnant adoles-cent who has an aversion to milk?

A. “It’s important to drink milk during pregnancyeven though you don’t like it.”

B. “Milk products are not necessary as long asyou take a daily 1200 mg calcium supplement.”

C. “Adequate protein intake can be achievedby eating 2 eggs everyday.”

D. “Adequate calcium intake can be achievedby eating a cup of spinach everyday.”

55. The nurse is about to remove sutures on anArabic male recovering from a colon resec-tion. The client’s son, daughter and wife arewith him. The nurse should realize that inthe client’s culture

A. family members participate in the client’scare.

B. only a male family member may remain inthe room during treatment procedures.

C. a male nurse is the only acceptable careprovider.

D. all family members have to approve any procedures.

56. A 2-day postoperative client suddenlybecomes diaphoretic, dusky and short ofbreath. The nurse’s immediate responseshould be to

A. transfer the client to the cardiac intensivecare unit.

B. begin cardiopulmonary resuscitation.C. administer oxygen.D. lower the head of the bed.

57. A client who has a fractured hip is admittedto the hospital. The client’s hygiene is poorand her clothing is soiled. The nursing assis-tant says, “Isn’t this disgusting? I can’tbelieve anyone would take such poor care ofherself.” The nurse’s most appropriateresponse would be

A. “Let’s get her cleaned up.”B. “You sound upset.”C. “I totally agree. This is awful.”D. “Not everyone is as fortunate as we are.”

58. A one-week-old breastfed infant is voiding 3times a day. The mother asks the nurse ifthis is normal. The best response by thenurse is

A. “If the baby looks healthy, there should beno problem.”

B. “It is expected that the newborn will have atleast 6 wet diapers a day.”

C. “Maybe your milk supply is low.”D. “Wet diapers normally vary greatly among

newborns. There is no set number of voidsconsidered normal.”

59. During an initial home visit post-hospitaliza-tion, the nurse note that the client has ahistory of recent stroke with residual leftsided hemiparesis, slight aphasia, diminishedgag reflex and emotional liability. The clientoutcome of highest priority is ability to

A. communicate effectively.B. perform activities of daily living (ADLs) with

assistance.C. ambulate with assistance.D. swallow liquids and solids without

aspiration.


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60. Which of the following statements made by aclient during a teaching session about osteo-porosis management indicates the need forfurther instruction?

A. “I drink about 6 cups of tea a day, so I needto reduce my caffeine intake.”

B. “I need to eat more seafood and driedbeans.”

C. “I will have to limit the amount of walkingthat I do.”

D. I will talk to my doctor about the pros andcons of hormone replacement therapy.

61. The nurse is assigned to a client with a diag-nosis of terminal cancer and an order forcomfort measures only. Which of the follow-ing nursing interventions would have thehighest priority for this client?

A. Performing a body systems assessmentB. Measuring oxygen saturation levelC. Assessing pain statusD. Repositioning for comfort

62. A client has been taking Zoloft (sertraline)for three months. Which of the followingclient statements indicates a need for furthereducation?

A. I am taking my medication every week.B. I take my medication with breakfast.C. I am eating more cheese and fresh fruit in

my diet.D. I enjoyed drinking several beers with my

friends last night.

63. The home health nurse assists a client withacquired immune deficiency syndrome(AIDS) to assess for pseudomembranous can-didiasis by observing for

A. white plaques on oral surfaces.B. cracking and erythema of the nares.C. red, painful lesions in the outer ear canal.D. conjunctivitis of either or both eyes.

64. To facilitate swallowing by a dysphagicclient, the nurse should use which of the fol-lowing techniques at mealtime?

A. Have the client eat in a brightly lit, stimulating dining room.

B. Offer the client only room temperature foodsC. Encourage the client to alternate thickened

liquids and solids in small amounts.D. Encourage the client to hyperextend his

neck when swallowing.

65. A client is admitted to the emergency depart-ment following an automobile accident. Theclient has four fractured ribs and a right-sided pneumothorax. Which of the followingrespiratory assessment findings would thenurse expect to find?

A. Crackles on the right chest and a respiratoryrate of 8 breaths/minute.

B. Diminished breath sounds on the right andpain on inspiration.

C. Bilateral rhonchi and pink frothy sputum.D. Dry cough and wheezing on the right side of

the chest.

66. The clinic nurse should monitor which ofthe following tests to evaluate the over-alltherapeutic compliance of a diabetic clientwith a normal serum hemoglobin?

A. Fasting serum glucoseB. Glycosylated hemoglobinC. Urine glucose and ketone levelsD. Routine serum chemistry profile

67. A registered nurse and an unlicensed assis-tive personal (UAP) are assigned to a medicalsurgical unit. Which of the following tasksmay be delegated by the nurse to the UAP?

A. Administering a stool softener to the clientB. Adjusting the rate of the intravenous solution

of dextrose and waterC. Assisting a blind client with his mealD. Obtaining initial vital signs on a client return-

ing from the recovery room


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68. Which of the following physical assessmentfindings should indicate to the nurse that aclient who received a renal transplant onemonth ago is experiencing acute organ rejection?

A. Distended abdomenB. Pink, sensitive incisional lineC. Lower extremity edemaD. Tenderness in lower abdomen

69. Which of the following breathing patternswould indicate to the nurse that a client withchronic asthma has improved respiratorystatus?

A. A rate of exhalation twice that of inhalationB. A rate of inhalation twice that of exhalationC. Slow, shallow inhalationD. Slow, shallow exhalation

70. When administering methylprednisolone(Solu-Medrol) to a client with IDDM (insulindependent diabetes mellitus) the nurse wouldexpect the client’s insulin requirement to

A. increase.B. decrease.C. remain stable.D. fluctuate widely.

71. A client with a thought disorder approachesthe nurse and states, “I’m an Easter egg”. Thenurse’s best response would be

A. “No, you’re not an Easter egg.”B. “Tell me what you’re thinking when you

say that.”C. “O.K., but you still need to attend groups.”D. “How long have you been feeling that way?”

72. Which of the following statements would bemost appropriate for the nurse to makewhen teaching a client with human papillo-ma virus (HPV)?

A. “You may need to be treated again.”B. “You may resume your normal level of activity.”C. “You should have a pap smear.”D. “You need to continue your medication until

symptoms subside.”

73. The nurse is teaching a hypertensive clientabout management of the disease. Which ofthese client statements indicates the greatestneed for further instruction?

A. “I can continue swimming 3 times a week.”B. “I drink alcohol only on weekends.”C. “I will visit an eye doctor yearly.”D. “Relaxation for me is going to the movies.”

74. The most appropriate action for the nursefrom geriatric care unit to take when askedto report for a shift in the surgical intensivecare unit would be to

A. refuse the assignment immediately.B. notify the state board of nurse examiners.C. accept responsibility only for tasks for which

the nurse is qualified.D. say nothing and comply with the request.

75. The nurse should instruct a client preparingfor eye surgery that which of these activitieswill be restricted post-operatively?

A. Bending with the knees flexedB. Bending from the waistC. Keeping the head in a neutral positionD. Lying flat

76. The nurse is caring for a gravely ill youngwoman in the intensive care unit who hasrequested that the “pyramid” brought in byher family be placed under her bed. The bestaction by the nurse would be to

A. comply with the client’s wishes.B. ask the family to take it home because it will

be in the way.C. put it on the window ledge because of the

equipment needed in the room.D. hang it from an intravenous pole to keep it

away from medical equipment.

77. A new mother is worried that her baby willhave trouble breathing while breastfeeding.The nurse should instruct the mother that thesafest way to breastfeed is to

A. depress the breast tissue around the baby’snose.

B. pull the nipple out of the baby’s mouth andlet him breathe periodically.

C. raise the baby’s hips slightly to change theangle of the head for breathing.

D. make sure only the baby’s cheeks touch thebreast, not the nose and chin.


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78. A client who was in a motor accident onemonth ago has been having flashbacks ofthe event. The nurse’s priority interventionduring a flashback would be to

A. engage the client in alternate activities.B. initiate behavioral modification techniques.C. stay with the client.D. teach progressive relaxation exercises.

79. A new mother is breastfeeding her infantwho is making loud clicking noises at thebreast. The best intervention by the nursewould be to

A. gently pull the baby off the breast and reposition.

B. listen for audible swallowing.C. observe to make sure the entire areola is in

the baby’s mouth.D. not intervene with the breastfeeding

process.

80. Four clients are admitted to the hospital fol-lowing a car accident. Which of the followingclients should the nurse assess first?

A. A 27 year old complaining of a headache.B. An 18 year old with a compound fracture of

the right arm.C. A 25 year old with blood on both pant legs.D. A 20 year old with epistaxis.

81. A client who just returned to his room after atransurethral prostatectomy (TURP) has con-tinuous three-way bladder irrigation. Thenurse notes that the drainage is dark redwithout clots. Which of the following actionsshould the nurse take?

A. Increase the rate of irrigation.B. Notify the physician.C. Continue to monitor the drainage.D. Irrigate the catheter manually.

85. Which of these discharge instructions shouldthe nurse give to a client taking atorvastatin(Lipitor)?

A. “Wear sunglasses and use sunscreen whenyou are outdoors.

B. “You must take the medication with a meal.C. “You may experience some minor muscle

cramps.D. “Taking fat-soluble vitamins will promote

absorption of the drug.

86. The nurse caring for a client with an obses-sive compulsive disorder should encouragethe client to

A. abruptly stop the ritualistic behavior.B. decrease the amount of time spent with fam-

ily members who exacerbate the behavior.C. increase the amount of time spent

practicing the ritualistic behavior.D. use thought- stopping behavior that allows

that client to yell “ stop” when the behaviorcomes to mind.

87. Which of the following interventions shouldbe added to the nursing care plan for a clientwho has difficulty swallowing after a stroke?

A. Avoid salty foodsB. Thicken liquids before feedingC. Elevate head of bed 360 degreesD. Place food in center of mouth

88. A nurse making a home visit to a client witha central line discovers a possible occlusion.Which of the following actions would thenurse implement initially before notifyingthe physician?

A. Infuse a thrombolytic agentB. Change the client’s positionC. Have an X-ray takenD. Flush the line with sterile water

89. Which information is most important for thenurse to include in a teaching plan for aclient with a laryngectomy?

A. Contact a self-help group after dischargeB. Protect the airway from dustC. Purchase special steroid cream for the

stomaD. Maintain an upright position while eating and

drinking


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90. A client’s infant is scheduled to have a cir-cumcision. He is crying inconsolably and themother appears distraught. The nurseshould explain to the mother that the infant

A. is probably hungry since he hasn’t eaten fora few hours.

B. is probably frightened because babies sensedanger.

C. wants attention like most babies.D. probably needs to be swaddled more tightly.

91. Which of these laboratory findings wouldindicate that simvastatin (Zocor) is havingthe desired effect?

A. Lowered high density lipoproteins (HDL)B. Decreased triglyceridesC. Elevated alanine aminotransferase (ALT)D. Increased aspartate aminotransferase (AST)

92. The nurse suspects a client has been smok-ing crack cocaine when she observes whichof the following assessment findings?

A. Euphoria and dilation of the pupilB. Red eyes and increased appetiteC. Drowsiness and constricted pupilsD. Depressed appetite and hallucinations

93. A psychotic client is pacing, kicking the walland talking loudly to himself. The best nurs-ing response to this behavior would be to

A. place the client in restraints immediately.B. approach the client and tell him that his

behavior is inappropriate and needs to stop.C. offer the client a choice of talking about

what’s upsetting him or spending somequiet time in his room.

D. tell the client that if he doesn’t stop kickingthe wall, you will put him in restraints.

94. During the nursing history, a client states, “Ihave anemia”. The nursing care plan shouldinclude measures to

A. promote hydration.B. prevent infection.C. alleviate fatigue.D. protect skin integrity.

95. Which of the following nursing actionsshould be included in the care plan for aclient with acute hypercalcemia?

A. Monitor vital signs every hourB. Administer pain medication every 4 hoursC. Encourage fluid intake to >2000ml/dayD. Assess for numbness and tingling of

extremities

96. The physician orders interferon alfa-2b for aclient with hepatitis C. The nurse shouldassess the client for which of these sideeffects of the medication?

A. ConstipationB. BradycardiaC. InsomniaD. Fatigue

97. Which of the following would be a nursingpriority for discharge planning of the agingclient?

A. Educating the client and family to removethrow rugs from the client’s apartment

B. Speaking loudly to be certain that the clientcan hear you

C. Encouraging the client to switch to a softdiet with fruit

D. Recommending a low cholesterol diet todecrease risk of heart disease.

98. The best position for the client who is admit-ted with risk of increased intracranialpressure from a concussion would be

A. Trendelenburg.B. Semi-fowler's.C. Sim’s lateral.D. Supine.

99. A client sustains a life-threatening headinjury in a motor vehicle accident and isadmitted to the hospital. The client’s wifeapproaches the nurse and asks, “Is he goingto die?” The nurses best response would be

A. We won’t let that happen. I know how muchhe means to you.”

B. I will get the physician to talk to you as soonas possible.”

C. He is very ill, and we’re doing the best wecan for him.

D. His condition is very serious and I willarrange for you to see him.


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100. Which of the following post-procedureinstructions should be included in the teach-ing plan for a client undergoing anarteriogram of the lower extremities?

A. Nothing by mouth for at least 2 hours afterthe procedure

B. Increased fluid intake for the first 4 hoursafter the procedure

C. Conduct full range of motion exercises ofthe affected limb

D. Remove pressure dressing after 1 hour

101. Which of these assessment findings in a clienton long-term corticosteroid therapy wouldindicate a complication of this regimen?

A. Reduction in heightB. Plantar flexionC. HypertensionD. Joint tophi or crystal deposits

102. Which of these observations would be mostimportant when caring for a client who hasbeen using cocaine?

A. Elevated blood pressureB. AnorexiaC. HallucinationsD. Irritability

103. A client who has recently been prescribedchlorpromazine (Thorazine) complains ofblurred vision and sensitivity to light.Nursing interventions should include

A. instructing the client to wear sunglasses.B. stopping the medication and notifying the

physician.C. scheduling an eye exam for the client.D. documenting the client’s somatic

complaints.

104. When the nurse teaches an elderly clientabout antihypertensive medications, it isimportant to include measures to prevent

A. fluid retention.B. orthostatic hypotension.C. weight gain.D. constipation.

105. A post partum mother who is a Jehovah’sWitness refuses a blood transfusion. Afterexplaining the rationale for the transfusion,the nurse should

A. have the client sign a release from liabilitydocument.

B. persuade the client to accept the bloodtransfusion.

C. administer the blood transfusion as ordered.D. tell the client that the physician must decide

the treatment options.

106. Which of the following statements by aclient who has had a cataract removedwould indicate a correct understanding ofthe nurse’s after-care instructions?

A. “I have to cancel my hairdresser appointment.”

B. “My daughter will be coming over to vacuum for a while.”

C. I will not have to cancel my golf game.D. I will be able to cook something for tonight.

107. Which of the following medical orders for aclient admitted with a diagnosis of pancreati-tis would the nurse question?

A. Complete blood count (CBC) now and in the AM

B. Morphine 1 mg IM q 4 hours prn painC. Prepare for insertion of central venous lineD. Maintain NPO status

108. A client who is postpartum and breastfeed-ing asks the nurse if lactation can beconsidered a contraception method. Thenurse should indicate that contraception isan outcome in which of the following cir-cumstances?

A. Fulltime or nearly fulltime breastfeedingB. Regular menstrual periodsC. Intercourse occurs less frequently than one

time per weekD. Infant uses a pacifier


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109. A newly delivered 28-week infant will betransported to a regional care center for criti-cal care. Which of the following is consideredessential before the infant is transported?

A. The nurse should explain all equipment tothe mother.

B. The mother should be allowed to see andtouch her baby.

C. The mother should breast feed the infant.D. The clergy visitation should be completed.

110. The emergency department nurse hastriaged 4 clients. Which client should begiven priority treatment?

A. The 18-year-old with an impaled knife in theabdomen.

B. The 40-year-old with sinus tachycardia andcomplaining of nausea, vomiting and diarrhea times 3 days.

C. The 39-year-old with an obvious fracture ofthe right femur who is complaining of severepain.

D. The 22-year-old stung by a wasp andexhibiting stridor.

111. A client brought to the emergency depart-ment appears very anxious and tearful. Thenurse’s best response would be

A. “I’m sure you have been in the hospitalbefore.”

B. “There is really nothing to worry about.”C. “I know this is frightening for you.”D. “The hospital really isn’t so bad.”

112. A client with bipolar disorder who is onlithium is ataxic and tremulous and vomited2 hours ago. The nurse’s first priority wouldbe to

A. hold the next dose of lithium carbonate.B. take the client’s blood pressure in the supine

position.C. request a neurological consult.D. assess for delirium tremens.

113. When teaching a community group about therisks of developing breast cancer, the nurseshould identify which of the following condi-tions as putting individuals at greatest risk?

A. Cigarette smokeB. Late menarcheC. Familial historyD. High caffeine intake

114. Which of the following findings would thenurse expect to see in a client diagnosedwith metabolic acidosis?

A. HypercalcemiaB. HypernatremiaC. HyperkalemiaD Hypermagnesemia

115. A client in the emergency department who hasbeen vomiting asks, “May I have some warmtea and toast to settle my stomach. I think it isbetter now” The laboratory results are normal.The nurse’s best response would be

A. “It is not good for you to eat or drink now.”B. “Let me check to see.”C. “You don’t seem well enough yet.”D. “That would not be a problem.”

116. A client admitted to the emergency depart-ment following a motor vehicle accident isalert and oriented and frequently requestingwater. His blood pressure is 92/58, heart ratethready at 126 beats/minute, and his respira-tions shallow at 28/min. Skin pallor is noted.Which of the following interventions shouldthe nurse perform first?

A. Insert an indwelling catheter to record hourlyurinary output

B. Provide sedation to relieve apprehensionC. Administer oxygen at 6 liters by maskD. Administer whole unmatched blood

117. A client is eating food from other clients’trays. The nurse’s best response is

A. “Why are you eating food from those trays?”B. “You must leave the others alone.”C. “You really shouldn’t be doing that.”D. “Come with me and I will find you

something to eat.”


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118. A client is attempting a trial of labor after aprevious cesarean section. After 6 hours ofnormal labor, there is a sudden change inthe contraction pattern, fetal bradycardiaand a marked change in abdominal contour.The nurse should suspect which of the fol-lowing conditions?

A. Abruptio placentaB. Complete cervical dilationC. Uterine ruptureD. Fetal demise

119. An elderly client previously awake, alert, and oriented tells you, “The president toldme I should go and see about this leg’’. Themost important nursing intervention at thetime is to

A. do nothing as this is a normal alteration inthe hospitalized elderly.

B. obtain an order for a CAT (computerizedaxial tomography) scan of the brain.

C. re-orient the client to reality.D. assess the client’s neurological status.

120. A pregnant client received butorphanol(Stadol) during labor and subsequently deliv-ered an apneic infant. Positive pressureventilation with 100% oxygen has been inef-fective. Which of the following measuresshould the nurse anticipate the infant receiv-ing next?

A. Administering naloxone hydrochloride(Narcan)

B. Giving dopamine (Intropin) by continuousinfusion

C. Positioning the infant onto the abdomenD. Providing packed red blood cells.

121. A newly admitted client with the suspecteddiagnosis of pulmonary tuberculosis (TB) isscheduled for a chest x-ray. Which of the fol-lowing nursing actions should be taken?

A. Clarify the order with the physicianB. Request that a portable x-ray be done in the

client’s roomC. Instruct transport personnel to wear masksD. Instruct the client to wear a mask

122. A client is receiving warfarin (Coumadin).Which of the following client statementsindicates that the nurse’s medication instruc-tions were effective?

A. “I will double up for missed dosages.”B. “I will use a soft bristled toothbrush.”C. “I will eat more green leafy vegetables.”D. “I can take over the counter drugs for cold

symptoms.”

123. Which of the following nursing measureswould be most effective when communicatingwith a client who is mechanically ventilatedby way of an oral endotracheal tube?

A. Write questions you wish to ask the client ona note pad

B. Ask open-ended questions so that clientneeds can be fully understood

C. Use an alphabet board to allow the client tospell out needs

D. Allow the client to mouth words to decreasefrustration

124. A client complains of left sided chest painduring a dressing change. Which of the fol-lowing actions should the nurse implementimmediately?

A. Stop the procedure and administer oxygenB. Complete the dressing change and

elevate the head of the bedC. Stop the procedure and administer pain

medicationD. Complete the dressing change and notify

the physician

125. Which of the following laboratory valueswould indicate to the nurse a serious compli-cation for the client who has had a radiologyprocedure using contrast dye?

A. Hemoglobin 12-18 gm/dlB. Sodium 137meg/dlC. Creatinine 1.0 mg/dlD. Blood urea nitrogen 30 mg/dl


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126. A client is court ordered to take psychiatricmedications. Medication administration pro-cedures for this client should include

A. giving the client 8 oz of juice to take with themedication

B. leaving the medication in the client’s roomfor self-administration

C. crushing the medication prior to administration

D. checking inside the client’s mouth afteradministration

127. A client with a chest tube connected to wallsuction is being repositioned when electricalpower is suddenly interrupted. Which of thefollowing actions should the nurse carry out first?

A. Clamp the chest tube close to the chest wallB. Reassure the client and wait for the power

to returnC. Milk the chest tube to prevent clot formationD. Reposition the client on the chest tube site

and apply pressure

128. A newborn died from an intraventricularhemorrhage. Which of the followingresponses would be most appropriate forthe nurse to make to the mother?

A. “Well at least your baby is with God nowand is not suffering from brain damage.”

B. “Would you like for me to be with you whileyour hold your baby?”

C. “I know that it does not seem possible rightnow, but you can get pregnant again.”

D. “Just try to think about how wonderful yourpregnancy was.”

129. After signing the surgery permit a clientstates, “If I have to be completely put tosleep, I don’t want surgery”. Which of thefollowing responses by the nurse is mostappropriate?

A. “You agreed to this when you talked to thedoctor.”

B. “Let me call your family and you can talkabout this together.”

C. “The anesthesiologist is on the area. I willrequest that he talk to you.”

D. “I will page your doctor and he will talk withyou some more.”

130. When caring for a client who has sustained aclosed head injury, which of the followingvital sign changes should the nurse reportimmediately?

A. Temperature change from 36.5° to 37° CB. Heart rate change from 82/min to 88/minC. Respiratory rate change from 12/min to

16/minD. Blood pressure change from 110/70 to

130/60.

131. A client expresses to the nurse that he doesnot understand why the surgery the physi-cian is proposing is necessary. The mostappropriate nursing measure at this timewould be to

A. explain the procedure to the client.B. describe to the client the benefits of the

surgery.C. ask the physician to re-discuss the

surgery with the client.D. ask the family to explain the surgery and its

benefits to the client.

132. A pregnant client infected with the humanimmunodeficiency virus (HIV) asks the nurseif anything can reduce the risk of transmissionto her baby. The nurse should recommendwhich of the following interventions?

A. Douching every day during the last month ofpregnancy

B. Receiving the HIV vaccinationC. Taking zidovudine (ZVD) during pregnancyD. Separating the mother and child for

1 month postpartum


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133. A client experiencing an acute asthmaticattack has received 3 albuterol aerosol treat-ments. Which of the following outcomesshould the nurse expect?

A. Increased forced expiratory volume (FEV)B. Decreased forced expiratory (FEV)C. Increased inspiratory capacity (IC)D. Decreased inspiratory capacity (IC)

134. During an appointment at the health clinic aclient is diagnosed with gonorrhea.Appropriate nursing education should focuson which of the following areas?

A. Partner notificationB. Douching techniquesC. Use of vaginal suppositoriesD. Need for immediate hospitalization

135. The nurse is monitoring a client with thediagnosis of meningitis. Which of the follow-ing observations should the nurse reportimmediately?

A. Nuchal rigidityB. Seizure activityC. FeverD. Headache

136. To which of the following assessment datashould the nurse give highest priority for aclient admitted to the emergency room in ahepatic coma?

A. Neurological statusB. Airway adequacyC. Ammonia levelsD. Gastrointestinal bleeding

137. The nurse is teaching a wellness promotioncourse to male college students. The nurseshould indicate the importance of doing testic-ular self-examination at which time?

A. Monthly after a warm bath or showerB. Whenever they experience pain in or

itching of the scrotumC. Every other month until the age of 40, than

monthlyD. Weekly at the same time of day

138. The nurse counsels a client who has beenprescribed a loop diuretic to supplement herdiet with foods high in

A. sodiumB. potassiumC. calciumD. magnesium

139. An appropriate postpartal resource forbreastfeeding mothers is the

A. birthing center.B. community prenatal class.C. Lamaze class.D. La Leche league.

140. A client presents to the emergency depart-ment with complaints of substernal chestpain. Which standing order should the triagenurse initiate first?

A. Administer oxygen at 4 liters per minuteB. Administer nitroglycerin 1/150 grains

sublinguallyC. Start an intravenous line with D5W to keep

the vein openD. Administer morphine 2 mg as an

intravenous bolus

141. Following a laparoscopic cholecystectomythe nurse find the client crying and moan-ing. The most appropriate nursingintervention at this time would be to

A. go to the nurse’s station and obtain theclient’s pain medication.

B. evaluate the client’s abdomen and incisionsites for indications of complications.

C. assess the client’s pain using a pain scale.D. ask the client if she would like to have her

pain medication.

142. The nurse should be aware that a client issusceptible to spontaneous bleeding if takingwhich of the following herbs with an anticoagulant?

A. Black cohoshB. Gingko bilobaC. Chamomile teaD. Valerian root


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143. Which of the following laboratory resultswould the nurse expect to observe in a clientwith metabolic alkalosis?

A. Ph 7.48; pCO2 43; HCO3 33B. Ph 7.31; CO2 44; HCO3 20C. Ph 7.16; CO2 57; HCO3 25D. Ph 7.18; CO2 41; HCO3 14

144. A client who has been deaf since early child-hood is admitted for same day surgery.Which of the following actions would be themost appropriate for the nurse conductingthe discharge planning?

A. Ask for an interpreter who can sign during the teaching sessions

B. Give the client reference material to read onher own

C. Ask the unit manager to conduct the teach-ing session

D. Call a colleague who signs and ask her howto proceed

145. As the charge nurse is making staff assign-ments, a nurse colleague says, “I knew it. I’vehad the same assignment for the last 2 days.”The charge nurse’s most appropriateresponse would be

A. “I can’t believe you are reacting this way.”B. “I can’t do anything about this now.”C. “I’m sorry you feel that way.”D. “Let’s see how we can adjust your

assignment.”

146. A physician ordered naloxone (Narcan) 4mg IV stat for an infant who weighs 4 kg.Which of the following measures is appro-priate for the nurse to take at this time?

A. Give the drug as orderedB. Hold the drug until the infant’s

respirations have stabilizedC. Question the physician about the orderD. Recheck the infant’s weight

147. The nurse instructs a client with osteoporo-sis about exercises that will improve hercondition. Which of the following clientstatements indicates a need for furtherinstructions?

A. “I will start walking a little more each day.”B. “I will use my stationary bike at least three

times day.”C. “I will walk up and down the steps instead of

taking the elevator.”D. “I will enroll in a deep water exercise class.”

148. A xylocaine (Lidocaine) IV drip of 2.0 mg perminute is ordered for the client with fre-quent premature ventricular contractions.The nurse has available an IV of 20mg ofLidocaine in 500 ml of D5W. How manyml/hr should the nurse administer?

A. 60B. 45C. 30D. 15

149. The physician prescribes fluoxetine(Prozac). Before starting this medication, itis most important for the nurse to ask theclient if he takes which of the followingherbs?

A. St. John’s wortB. Valerian rootC. Black cohoshD. Chamomile tea

150. A client has been admitted to the hospitalwith acute pancreatitis. The nurse shouldanticipate that the physician will orderwhich of the following analgesics?

A. Meperidene hydrochloride (Demerol)B. Morphine sulfate (MS Contin)C. Hydrocodone (Vicodin)D. Hydromorphone (Dilaudid)


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151. A primipara asks the nurse how long it willtake for her to really feel as if she is a moth-er. How should the nurse best respond?

A. “Not until you have had your second baby.”B. “It does vary but it would be normal if it took

almost a year.”C. “It will take a couple of years for it to all

come together.”D. “It will happen when you have mastered

feeding, bathing, and diapering.”

152. A client tells the nurse, “I don’t know whythe doctor prescribed this medication. I can’tpossibly pay for this”. The nurse’s mostappropriate response would be?

A. “I am so sorry. There really isn’t much I can do.”

B. “Here, let me give you some free samples.”C. “Let me contact social services. Maybe they

can help.”D. “Let’s call your family so you can borrow the

money from them.”

153. The nurse caring for a terminally ill clientshould be aware that a do not resuscitate(DNR) order is unacceptable if the order

A. has been written in the record.B. is periodically updated.C. was given verbally over the phone.D. included family participation in the decision.

154. Which nursing measure will have the great-est priority in planning care for a client withacute hepatitis C?

A. Decreasing fluid intakeB. Providing a low carbohydrate dietC. Providing rest periodsD. Promoting social interaction

155. A client has a peripherally inserted centralvenous catheter (PICC) for long-term antibi-otic therapy. Prior to initial use the nursemust first

A. assess for blood return in all ports.B. ensure patency by flushing.C. verify PICC placement with chest x-ray.D. obtain a complete blood count (CBC).

156. Which of the following clients presenting tothe emergency department simultaneouslyshould be triaged as needing immediateattention?

A. A 22 year old in labor who has contractions 6minutes apart

B. A 36 year old complaining of chest discomfortand ecchymosis over the sternum following amotor vehicle accident

C. A 50 year old wearing tin foil wrap and com-manding people to travel to “una” as theuniverse has dictated

D. A 44 year old who is 3 days post cholecys-tectomy presenting with a temperature of103°F and purulent drainage from the incision

157. A new mother asks the postpartum nursehow she will know when she should breast-feed her newborn. The best response by thenurse would be

A. “Mothers should rely on their instincts,which are usually correct.”

B. “Babies should be fed when it is most con-venient for mother and infant.”

C. “The newborn requires feeding when he getsirritable and makes kicking movements.”

D. “Early feeding clues are infant hand tomouth movements.”

158. A client has been prescribed furosemide(Lasix) daily. A nursing priority for clienteducation is

A. informing the client that he may experiencesome dizziness while on the medication.

B. telling the client to stop the medicationimmediately if he feels joint discomfort.

C. instructing the client on the importance oftaking the medication every day, even if hedoes not feel well.

D. teaching the client to take the medication atbedtime.


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159. A client who develops neutropenia followingchemotherapy should be assessed by thenurse for which of these complications?

A. BleedingB. InfectionC. AlopeciaD. Anorexia

160. The nurse should be aware that which of thefollowing therapies is most effective in pro-ducing behavioral change in a school-agedclient who has a conduct disorder?

A. Therapeutic playB. Dramatic playC. Antipsychotic drug therapyD. Rewards for appropriate behavior

161. The nurse should give the client taking war-farin (Coumadin) which of theseinstructions?

A. “Avoid taking any Vitamin E supplements.”B. “Be sure to eat lots of green leafy

vegetables.”C. “Don’t drink milk because it will inactivate

your medication.”D. “You should take extra Vitamin C.”

162. A client who had a cesarean birth asks thenurse when she can begin eating solid foodagain. The nurse should provide solid foodwhen the client

A. is able to ambulate unassisted.B. requests more substantial meals.C. has bowel sounds present.D. is able to pass flatus.

163. An 81-year-old fractured her ankle and istold by the physician that she will need touse a walker for safe ambulation. The clientsays to the nurse, “Well, why can’t I usecrutches?” The nurse’s best response to theclient is

A. “I knew you wouldn’t like the walker, but it isnecessary.”

B. “You could probably use crutches. Let me ask.”

C. “Crutches would not be good for you at your age.”

D. “The walker will provide better support for you.”

164. An elderly client 2 days post-operative for atotal hip replacement is noted to be restlessand irritable. Respirations are 22/min, pulse104 beats/min and pulse oximetry 90%. Thenurse should suspect which of the followingcomplications?

A. Post-operative hemorrhageB. Pulmonary embolismC. Acute infectionD. Drug reaction

165. A client who has been diagnosed with osteo-porosis should be discouraged from ingestingwhich of the following substance?

A. MilkB. CoffeeC. Collard greensD. Sardines

166. Which of the following statements, if madeby a client who has active tuberculosis, indi-cates that client teaching has been effective?

A. “The other nurse told me that everyone living with me will have to take these pillsfor 6 months.”

B. “My doctor will also order penicillin.”C. “I’m glad that I won’t be contagious after I

start taking the pills.”D. “My next skin test is scheduled to be done

in 3 months.”

167. When caring for a client with an arteriove-nous (AV) fistula, the nurse should be awarethat the priority assessment would be

A. pulses distal to the fistula site.B. neurovascular status of the extremity

distal to the fistula.C. auscultation of a bruit over the fistula.D. a feeling of warmth over the fistula.


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168. The nurse is assessing a male client who hada Foley catheter inserted 1 day ago. Theclient says, “This is so painful. I don’t think Ican tolerate it any longer”. The nurse’s pri-ority intervention would be to

A. inspect the penis and catheter drainage system.

B. notify the physician of the client’s complaint.C. remind the client that it has only been

1 day since insertion of the catheter.D. reassure the client that it is normal to feel

this way.

169. A client admitted to a psychiatric unit wastaking methadone prior to admission. Whichof the following actions should the nursetake first?

A. Tell the client that methadone cannot beadministered on the psychiatric unit.

B. Call the physician for a methadone order.C. Contact the out-patient methadone clinic to

verify the client’s treatment regime.D. Tell the client that other medications will be

used on the unit.

170. The nurse assigned to a terminally ill clientwill require additional instructions if the nurse

A. uses the clients own language with reference to death.

B. facilitates transition of care from cure focusto palliation.

C. tells the client everything will be all right.D. uses guided imagery for client pain relief.

171. The nurse is caring for a client following cra-nial surgery. The nurse should be aware thatwhich of the following signs is an early indi-cation of increasing intracranial pressure?

A. HypertensionB. TachycardiaC. Muscular rigidityD. Vomiting

172. The nurse is triaging clients in the emer-gency department. Which of the followingclients should be evaluated first?

A. A 65 year old with abdominal painB. A 15 year old with a lacerated legC. A 2 year old with a 2-day history of diarrheaD. A 30 year old with shortness of breath

173. Which of the following client assignmentswould be appropriate for a charge nurse togive to a licensed practical nurse (LPN)?

A. A 52 year old client admitted last evening witha diagnosis of hepatic encephalopathy

B. A 45 year old client who is 2 days post openreduction, internal fixation of the left femur

C. An 18 year old client admitted 4 hours agowith infective endocarditis

D. A 39 year old client who is 1 day post statusasthmaticus

174. A breastfed infant develops colic each timethe mother eats ice cream. The nurse shouldinstruct the mother that the most likelycause of the colic is that the

A. breast milk consistency is too thick.B. infant is receiving too much calcium in the

breast milk.C. infant does not like the taste of the breast

milk.D. infant is reacting to the milk protein.

175. The nurse is preparing a client for dischargeand self-care. The client will be takingfurosimide (Lasix) 40 mg po BID. The clientshould be instructed to monitor for symp-toms of hypokalemia, which include

A. fatigue and leg cramps.B. bruising and sore throat. C. constipation and photosensitivity.D. skin rash and visual disturbances.


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176. When entering a room to assess a newclient, the nurse identifies that the client hasbrought with him a copy of the Torah. Tofurther assess his spirituality, an appropriatestatement would be

A. “Would you like me to call a rabbi to see you?”

B. “Would you like me to read the Torah to youduring your stay?”

C. “Are there any particular religious practices that are important to you?”

D. “Would you like me to call the hospital chaplain to see you?”

177. A pregnant client tells the nurse that she isafraid her baby will have a spinal cord defectbecause her friend’s baby did. Which of thefollowing response by the nurse would bemost appropriate?

A. “I’m sure that the doctor would have toldyou if anything were wrong with your baby.”

B. “There is a test to see if you are at highrisk.”

C. “You are not at risk until late in your pregnancy.”

D. “Perhaps you should consider amniocenteses.”

178. The culturally sensitive nurse should ques-tion which of the following menu selectionsserved to her Islamic client?

A. Poached salmon, rice, green salad and teaB. Beef stew, potatoes, carrots and milkC. Ham steak, potato salad and apple pieD. Broiled lamb chops, buttered noodles and

coffee

179. The nurse should be aware that an autopsymust be conducted in which of the followingcases?

A. A client who has died within 48 hours ofadmission to the hospital

B. A client who has died within 96 hours of dis-charge from the hospital

C. A child who has diedD. A client who has died in his home

180. The nurse answers a call light for a clientwith preterm premature rupture of mem-branes. The client cries, “The baby iscoming.” The nurse’s first action should be to

A. perform a sterile speculum exam.B. call for the primary care provider.C. inspect the introitus.D. call the neonatal team.

181. A client is admitted to the emergent depart-ment following ingestion of five tablets ofValium. Arterial blood gas analysis reveals aph of 7.13; PO2 of 80; a pCO2 of 50; and anHCO3 of 25. The nurse would interpret theresults as

A. respiratory acidosis.B. metabolic acidosis.C. respiratory alkalosis.D. metabolic alkalosis.

182. The nurse is assigned to the following fourclients. Which client should the nurse assessfirst?

A. A 50 year old receiving chemotherapy with atemperature of 101°F

B. A 46 year old 2 days postoperative an opencholecystectomy

C. A 52 year old newly diagnosed diabeticcomplaining of blurred vision

D. A 40 year old ready for discharge to a reha-bilitation center

183. The nurse is teaching a college student whowas treated for seasonal affective disorder(SAD). The nurses should inform the studentthat the symptoms might return at which ofthe following times?

A. When school ends in JuneB. During exposure to higher levels of

sunlight in AugustC. When sunlight decreases in MarchD. When the holiday season ends in December


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184. A client is being discharged to home with aperipherally inserted central venous catheter(PICC). Which of the following outcome cri-teria is most important for this client?

A. The client will verbalize the purpose of thePICC line

B. The client will wear a Medic-alert braceletindicating use of the catheter

C. The client will flush the catheter daily withheparin

D. The PICC insertion site will remain free ofinfection

185. A 15-year-old female is being evaluated inthe emergency room for a fracture of herleft arm. She says, “I tripped and fell.” Youobserve what appears to be cigarette burnson her arm. The most important nursingintervention is to

A. tell nursing colleagues that you are certainthis child is abused.

B. ask the social worker to come and talk withthe girl.

C. notify the proper authorities right away.D. perform a complete physical assessment.

186. A client with angina who is taking nitroglyc-erin sustained-release (Nitrong) asks why hecan’t take Viagra for his erectile dysfunction.Which of the following information shouldbe included in the nurse’s response?

A. The Viagra will interfere with the effectiveness of the nitrogylcerine.

B. The nitroglycerine may prevent the Viagrafrom working.

C. Taken together the medications may causefatal hypotension.

D. When taken at the same time, neither one iseffective.

187. A client with multiple IV sites is to beginreceiving total parental nutrition (TPN). Themost appropriate IV access site would be theperipherally inserted central venous (PICC)catheter in the

A. femoral vein.B. cephalic vein.C. basilic vein.D. subclavian vein.

188. A client adds all of the following foods toher diet after nursing instruction on the roleof nutrition in the prevention of osteoporo-sis. Which food choice indicates a correctunderstanding of the teaching?

A. Tofu (soy bean curd)B. Broiled chickenC. Roast beefD. Fruit juice

189. A client in a health clinic reports smokingmarijuana 2 hours ago and continues to havea heart rate of 200 beats per minute. Whichof the following interventions is mostimportant for the nurse to take?

A. Conduct neurovascular checks every 30 minutes

B. Increase IV fluids to 100 cc/hourC. Keep client awakeD. Administer oxygen at 2L/min

190. When caring for a client with a tunneledcentral venous catheter, which of the follow-ing manifestations requires immediateintervention by the nurse?

A. Redness at the catheter siteB. Tenderness along the track of the catheterC. A loose dressingD. A small amount of blood in the dressing

191. A client falls while ambulating in the hospitalhallway. After assessing the client and notify-ing the physician, the nurse should first

A. accompany the client for follow-up x-ray.B. complete an incident report.C. re-assign the client to a room closer to the

nurse’s station.D. document the event in the client’s care plan.


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192. The nurse can best help a client and familymembers to communicate with each other by

A. reminding the family to maintain a positiveattitude in the presence of the client.

B. having the chaplain talk with the family.C. providing non-judgmental feedback as they

express their emotions.D. limiting visiting hours to ensure adequate

rest for the client.

193. A client is prescribed alendronate(Fosomax). The nurse should include whichof the following information in the client’steaching plan?

A. Take the medication 2 hours after you eatdinner.

B. The medication must be taken 1 hour afterlunch.

C. Take over-the-counter Zantac for stomachupsets.

D. Remain upright for 30 minutes after takingthe medication.

194. What would the nurse’s best response be to aclient following the 12-step program for anaddiction to huffing gasoline?

A. “Developing will power is the best thing foryou to do.”

B. “You’ll be glad to get your life back in order.”C. “Just try to stay away from huffing one day

at a time.”D. “Huffing can really destroy your life.”

195. A client arrives in the emergency depart-ment complaining of severe headache. Onexamination the nurse notes a skull depres-sion surrounded by dried blood over thetemporal area. The nurse should recognizethis finding as

A. blunt force trauma.B. penetration trauma.C. primary trauma.D. acceleration trauma.

196. When preparing to admit a surgical clientwho has just had a tracheostomy, the nursewould need to have which of the followingequipment available?

A. Nasal oxygen set-upB. Oral suctionC. Intravenous infusion D. Oral airway

197. Which of these medication orders for aclient who has asthma should the nursequestion?

A. Acetaminophen (Tylenol)B. Timolol (Timoptic)C. Cromolyn (Nasalcrom)D. Prednisone

198. A large number of family members are gath-ered at the bedside of a terminally illHispanic client in a semi-private room.Recognizing the family’s cultural response todeath and dying, the nurse should

A. restrict visitors to two at a time in the client’sroom.

B. move the client to a private room to allowfamily to be with the client.

C. have security limit the members of the familywho can visit at one time

D. ask the family members to show greateremotional control around the client.

199. The client in labor describes intense pain inher back during contractions. The best sup-portive measure by the nurse is to

A. instruct the client in breathing techniques.B. apply counter pressure to the client’s back.C. place a cool cloth on the mothers’ forehead.D. offer the client the option of epidural

anesthesia.

200. A client taking indomethacin (Indocin SR)for rheumatoid arthritis is cautioned toreport which of the following side effects ofthe medication?

A. DepressionB. Gastrointestinal disturbancesC. Joint swellingD. Floaters in the field of vision


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201. The best indicator of the effectiveness ofpain control while a client is receiving painmedication by patient-controlled analgesia(PCA) is the client

A. sleeping for long intervals.B. being free from grimacing.C. awakening to voice command.D. stating pain has reduced in severity.

202. Tissue plasminogen activator (t-PA) isordered for clients diagnosed with acutemyocardial Infarction. Which of the follow-ing clients would be an acceptable candidatefor t-PA?

A. A 42 year old being followed by a physician forhypertension control

B. A 56 year old with a past medical history ofstatus asthmaticus

C. An 80-year-old who is 3 weeks post hipreplacement

D. A 38 year old with a medical history ofthrombocytopenia

203. A client is admitted to the emergency depart-ment with an acute myocardial Infarction.Tissue plasminogen activator (t-PA) isordered. Which of the following signs indi-cates a complication of this therapy?

A. Shortness of breathB. Increased blood pressureC. VomitingD. Epistaxis

204. A client keeps her insulin in the refrigeratorin the summer because her house is not air-conditioned. When the nurse removes theNPH insulin from the refrigerator, the vialwas frozen. Which of the following actionsshould the nurse take?

A. Place the insulin vial in a container of warmwater

B. Put the insulin in the microwave on thedefrost setting

C. Discard the vial and replace it with another for the needed dose

D. Gently rotate the vial in the palms of thehands to mix it as it thaws

205. A client at 28 weeks gestation is admitted tothe hospital for sudden onset of copiousvaginal bleeding. To which of the followingmeasures should the nurse give priority?

A. Assessment of fatal heart tonesB. Evaluation of maternal blood lossC. Determination of fetal presentationD. Assessment of cervical dilatation

206. A client the nurse has been working with forover a week approaches her and states,“You’re a terrible nurse and you don’t knowwhat you are doing.” The nurse’s bestresponse would be

A. “You seem angry”B. “Why do you think I’m a terrible nurse?”C. “Have I done something wrong?”D. “I do not like to be spoken to that way!”

207. A client with pleural effusion has a chesttube inserted and connected to a closedchest drainage system. Which of the follow-ing findings would require immediatenursing intervention?

A. Continuous bubbling in the drainage chamberB. Straw colored drainage in the tubingC. Tenderness at the insertion siteD. Movement of fluid in the tubing during the

respiratory cycle

208. A nurse observes a colleague taking all of thefollowing actions when caring for a clientwith a peripherally inserted ventral venouscatheter (PICC). Which action would thenurse intervene to stop?

A. Changing the dressing over the PICC lineB. Drawing a sample of blood from the

PICC lineC. Taking a blood pressure on the same arm as

the PICC lineD. Flushing the PICC line with saline followed by

heparinized saline


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209. A nurse is instructing a client who had a gas-tric resection about measures to preventdumping syndrome. Which of the followinginstructions related to fluid intake would thenurse give to the client?

A. Drink fluids with mealsB. Take fluids one hour before and one hour

after mealsC. Drink fluids between mealsD. Drink fluids upon arising and again before

going to bed

210. A client receiving a dopamine infusion com-plains of severe pain and burning at theinfusion site. The nurse’s immediate actionshould be to

A. decrease the infusion rate until the pain isrelieved.

B. apply dry heat to the area for 10 minutes.C. discontinue the infusion and notify the

physician.D. stop the infusion and ice pack the affected

site for 5 minutes.

211. Entering the client’s room, the nurse observesthe client to be cyanotic, cool to touch anddiaphoretic. Which of the following actionsshould the nurse carry out first?

A. Use verbal and tactile stimuliB. Apply oxygen at 10L/min via maskC. Assess heart and lung soundsD. Call for help

212. A client tells the nurse, “No matter what I do,I fail.” A nurse familiar with cognitive thera-py would recommend that the client

A. take a long walk to escape her thoughts.B. begin journaling about her dysfunctional,

self-deprecating thoughts.C. request an increase in her antidepressant

medication.D. discuss flooding techniques with her

therapist.

213. A nurse observes a colleague taking all thefollowing actions. Which action should thenurse intervene to stop?

A. Cutting a scored pill in halfB. Crushing Calan SR (verapamil SR)C. Crushing digoxinD. Removing the wrapper of a unit dose med-

ication at the client’s bedside

214. The nurse is conducting a teaching sessionwith a client who has a pulmonary catheter(Swan-Ganz). The nurse would explain to theclient that the information obtained fromthe pulmonary catheter measurements isindicative of the client’s

A. intracranial pressure.B. hemodynamic status.C. respiratory function.D. fluid balance.

215. The following order is written for a clientwith deep vein thrombosis: Heparin 20,000units in 1000ml D5W to infuse at 1000 unitsof heparin per hour. How many ml of D5Wsolution should be administered per hour?

A. 20 B. 42C. 50 D. 66

216. The nurse enters the room of a client who isin labor and lying supine without a pillow inthe bed. The initial nursing response thatbest supports maternal-fetal well being is to

A. give the client a pillow.B. observe the client’s fetal monitor.C. assist the client to turn on her side.D. raise the head of the client’s bed.

217. While administering IV diazepam (Valium)through a primary IV port, the nurse noticesthe formation of a white precipitant in theIV tubing. The nurse’s immediate actionshould be to

A. stop the primary IV and bolus the remaining Valium.

B. increase the primary IV rate and stop theValium until the tubing is clean.

C. stop the administration of both infusions.D. stop the primary infusion and clear the tub-

ing with sterile normal saline.


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218. When caring for a client with upper airwaytrauma resulting from smoke and heat inhala-tion, the nurse should assess for

A. hoarseness and stridor.B. post nasal drainage.C. stomatitis of the oral mucosa.D. hyperemia of the face and arms.

219. A nurse is assigned to care for all the follow-ing clients. Which client should the nurseassess first?

A. A post-operative client who returned fromthe PACUL (Post Anesthesia Care Unit) onehour ago following a sub-total thyroidectomy.The client has stable vital signs and con-trolled pain.

B. A client admitted from the emergencydepartment one hour ago with acuteabdominal pain and hypertension. The clientis to go to the operating room in an hour foran exploratory laparotomy.

C. A client with unstable atrial fibrillation admit-ted 24 hours ago. The client is on telemetryand has a low but stable blood pressure.

D. A client with pneumonia admitted 48 hoursago who has a pending discharge to homeorder.

220. A client tells the mental health nurse thatshe can no longer tolerate her medication’sside effects and has quit taking the medicine.The nurse’s best response would be

A. “That’s your right. You don’t have to take themedicine.”

B. “Tell me more about the medicine’s sideeffects and how you’re feeling now.”

C. “You have to take your medicine. It’s the law.”

D. “It must not have been the best medicine foryou, so it is a good decision.”

221. For dietary planning, the nurse wouldexpect the client of Asian- American heritageto choose primarily from which of the following food groups?

A. Milk and dairy productsB. Breads, starches and cerealsC. Meats and poultryD. Vegetables and fruits

222. A client with long-term substance abuserequests pain medication immediately follow-ing surgery. Which of the following actionsby the nurse would be most appropriate?

A. Reposition the client, provide a back ruband dim the lights

B. Administer the non-narcotic pain reliever asordered

C. Administer the benzodiazepine to decreasesymptoms

D. Administer narcotic pain reliever as ordered

223. A nurse is instructing a client about the cor-rect use of a metered dose inhaler. Which ofthe following instructions should the nursestress?

A. “Hold your breath for 10 seconds afteradministering a dose.”

B. “Administer 2 puffs with each inhalation.”C. “Do not shaking the inhaler before use.”D. “Activate the inhaler while breathing in

slowly through your nose.”

224. Following an esophagogastroduodenoscopy(EGD), the nurse should assess the client forwhich of the following manifestations?

A. Zollinger-Ellison syndromeB. Epigastric painC. Bell’s palsyD. Hypertension

225. Which of the following changes in fetal heartrate should the nurse recognize as indicativeof potential abruptio placenta in the first fewhours after a client has sustained trauma in amotor vehicle accident?

A. Early decelerationsB. Variable decelerationsC. Late decelerationsD. Accelerations


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226. The teaching plan for a client who is takingalendronate sodium (Fosomax) shouldinclude which of the following instructions?

A. Take the medication with foodB. Sit up for at least 30 minutes after

drinking fluidsC. Avoid dark green, leafy vegetablesD. Increase vitamin C in the diet

227. A visitor approaches the nurse in the hall-way and demands to know what is going onwith his mother. The nurse is not assigned tocare for the visitor’s mother. The nurse’sbest response would be

A. “Let me help you find out about your mother.”B. “Your mother is not my client.”C. “I don’t know anything about your mother.”D. “There’s no need to be so upset. I am sure

someone will help you.”

228. The nurse should instruct a Chinese clientwho is pregnant about alternatives for whichof the following food groups?

A. Cereals and breadsB. Fruits and vegetablesC. Meats and fishD. Milk and cheese

229. An Orthodox Jewish man in the intensivecare unit is dying. Which of these statementsby the nurse would indicate sensitivity to hiscultural/ religious beliefs?

A. “I’m sorry but visiting hours are over nowand your visitors will have to leave.”

B. “Shall I call the rabbi to perform last rites foryou?”

C. “Would you like an autopsy performed afteryour death?”

D. “Do you want us to call the rest of your family to be here with you?”

230. A client says to the nurse, “My doctor toldme they are going to do some kind of test onme. I really didn’t understand it.” Thenurse’s best response would be

A. “Tell me your concerns.”B. “In the future tell your doctor he needs to

speak more loudly.”C. “I would not worry about it too much. There

is no pain involved.”D. “I’m sure you will be fine once you see what

they are doing.”

231. It is necessary for a nurse in the long termcare facility to take telephone orders from aphysician. Which of the following nursingactions would be considered incorrect inthis situation?

A. Repeating the full order back to the physician

B. Calling the pharmacy to question a dosagethe physician has ordered

C. Asking the physician to repeat an order thatis not clear

D. Using full words when writing the orderinstead of abbreviations

232. The nurse is giving discharge instructions toan Asian-American client who smiles andnods her head as she listens. The nurseshould interpret this behavior to mean thatthe client

A. agrees to follow the instructions.B. is happy to be going home to her extended

family.C. is demonstrating culturally-appropriate

behavior.D. understands the instructions.

233. A Chinese immigrant failed to come to herfirst scheduled newborn check-up. From acultural perspective, which of the followingrationales for this behavior is most plausible?

A. Travel in cars is not permitted for 3 monthsafter birth

B. The baby’s face cannot be exposed for 14days after birth

C. The mother and baby cannot leave thehouse for 40 days after birth

D. There is a fear of evil spirits if the baby istouched by persons other than family for 2months after birth


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234. A client is admitted to the emergency depart-ment with a knife handle protruding fromher chest wall. The nurse’s immediate actionshould be to

A. remove the knife and dress the wound.B. administer pain medication and oxygen.C. assess breath and heart sounds.D. obtain the history and notify law

enforcement.

235. The physician has written an order for 8 mgof morphine sulfate, q 4 hours PRN, subcuta-neous (SQ) to relieve pain. The nurse should

A. give the medication as ordered.B. ask the physician to order the IV route.C. do not give the medication as ordered.D. use complementary methods for pain

control

236. A nurse observes a colleague taking all of thefollowing actions when charting. Whichaction should the nurse discuss with the colleague?

A. Crossing out a documentation error with oneline and placing the word ‘error’ and his initials above the line

B. Crossing out documentation with one lineand placing the word error and his nameabove the line

C. Erasing an entry and placing his initialsabove the area

D. Writing on every line and leaving no blankspaces

237. The nurse sees a new mother placing anamulet on her baby’s gown. The nurse’saction should be to

A. remove the amulet and return it to the mother.B. ask the mother to remove the amulet until

discharge.C. allow the amulet to remain on the gown.D. move the amulet to the side of the crib.

238. A client dies in the emergency departmentfollowing a physical assault. To maintainlegal integrity, the nurse’s most importantresponsibility is to

A. notify the medical examiner of the client’sdeath.

B. document activities of law enforcement andstaff.

C. remove invasive lines from the client.D. pack up all client belongings.

239. Which assessment finding, if identified in a70 year old client who has a fractured leftfemur, would require immediate follow-upby the nurse?

A. Urinary output of 50 cc/hrB. Change in mental statusC. Pain in the left femurD. Redness at the incision site

240. The nurse is planning discharge teaching fora client who was treated for a new onset ofangina. The physician has written the fol-lowing prescriptions for the client. Whichmedication should the nurse question?

A. Viagra (sildenafil)B. Cardizem (diltiazem)C. Lopressor (metaprolol)D. Transderm (nitroglycerin)

241. Which of the following statements by thenurse would be most appropriate when thenurse is asked to obtain consent from an 18-year-old undergoing major surgery?

A. “I will have to speak with the parents forconsent to operate.”

B. “I will have to ask the client to read and signthe informed consent.”

C. “The client’s physician should obtain theconsent for surgery.”

D. “There is no need for consent since theclient is 18 years of age.”


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242. A client is admitted with a closed head injuryand clear fluid draining from the left earcanal. Which of the following nursing inter-ventions would be most appropriate for thisclient?

A. Apply a sterile dressing over the ear andsecure with tape

B. Observe and document the color of the eardrainage

C. Reposition the client to the right side to prevent further drainage

D. Gently insert a sterile dressing into the earand secure with sterile tape

243. A client in active labor who has epiduralanesthesia complains of discomfort in herlower abdomen. Then nurse’s first responseshould be to

A. call the anesthetist to reposition the epidural.B. call the midwife to prepare for delivery.C. turn the woman on to her side.D. palpate the area over the symphysis pubis.

244. A client is instructed in how to use a patientcontrolled analgesia (PCA) pump followingsurgery. Which of the following statementsby the client would indicate a correct under-standing of use?

A. “I will push the medication button when mypain begins to increase again.”

B. “I will ask my wife to push the medicationbutton while I am sleeping so that I don’thave pain.”

C. “I will push the medication button when mypain becomes too severe.”

D. “I will call the nurse when the pain begins tomake me uncomfortable.”

245. Which of the following explanations shouldthe nurse give to a client regarding livingwills?

A. “They are mandated as a requirement ofadmission to a hospital.”

B. “They allow you to direct your care in theevent of a terminal illness or irreversiblecondition.”

C. “They are legally binding on all caregivers”D. “They allow an individual identified by you to

make decisions for your care.”

246. The nurse is conducting a physical assessmenton a patient diagnosed with trichomoniasis.Which of these observations of vaginal dis-charge would be the most significant?

A. Frothy green dischargeB. Scanty white dischargeC. Thick creamy dischargeD. Thin grayish-white discharge

247. A nurse is instructing the client about theside effects of the drug rofecoxib (Vioxx).Which of the following instructions wouldthe nurse stress?

A. “Call your physician if your ankles swell.”B. “Take this medication on an empty stomach.”C. “Take aspirin if you develop a headache.”D. “Store the tablets away from sunlight.”

248. A client is dead on arrival (DOA) to theemergency room following a single car acci-dent. The nurse’s first action should be to

A. identify family members.B. close off the room to visitors.C. inform the Medical Examiner.D. transport the body to the morgue.

249. A pregnant client reports vaginal leaking ofclear fluid. Which of the following assess-ments should the nurse carry out first?

A. Test the fluid with Nitrazine paperB. Sterile vaginal examC. Sterile speculum examD. Test for ferning

250. A client with Alzheimer’s disease becomesextremely agitated. Which of the followinginitial nursing measures should be imple-mented to calm the client?

A. Brighten the lightsB. Raise the side railsC. Ambulate the clientD. Play soft music


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1 C

2 A

3 B

4 D

5 D

6. D

7 C

8 D

9 A

10 A

11 C

12 C

13 B

14 D

15 C

16 C

17 A

18 B

19 C

20 D

21 A

22 A

23 C

24 B

25 C

26 B

27 B

28 B

29 C

30 A

31 A

32 D

33 A

34 B

35 C

36 B

37 A

38 D

39 A

40 C

41 C

42 B

43 B

44 B

45 A

46 D

47 D

48 D

49 B

50 B

51 C

52 A

53 A

54 B

55 A

56 C

57 B

58 B

59 B

60 B

61 D

62 C

63 C

64 D

65 A

66 B

67 C

68 B

69 B

70 C

71 D

72 A

73 A

74 B

75 A

76 B

77 C

78 B

79 A

80 C

81 C

82 B

83 A

84 A

85 A

86 D

87 A

88 B

89 B

90 A

91 B

92 A

93 B

94 C

95 C

96 D

97 A

98 B

99 D

100 B

101 A

102 A

103 A

104 B

105 A

106 D

107 B

108 A

109 B

110 D

111 C

112 A

113 C

114 C

115 B

116 C

117 D

118 C

119 D

120 A

121 D

122 B

123 C

124 A

125 D

126 D

127 B

128 B

129 D

130 D

131 C

132 C

133 A

134 A

135 B

136 B

137 A

138 B

139 D

140 A

141 C

142 B

143 A

144 A

145 D

146 C

147 D

148 C

149 A

150 A

151 B

152 C

153 C

154 C

155 C

156 B

157 D

158 A

159 B

160 D

161 A

162 D

163 D

164 B

165 B

166 A

167 C

168 A

169 C

170 C

171 C

172 D

173 B

174 D

175 A

176 C

177 B

178 C

179 A

180 C

181 A

182 A

183 C

184 D

185 D

186 C

187 D

188 A

189 D

190 B

191 B

192 C

193 D

194 C

195 A

196 B

197 B

198 B

199 B

200 B

201 D

202 B

203 D

204 C

205 B

206 A

207 A

208 C

209 C

210 C

211 A

212 B

213 B

214 B

215 C

216 C

217 C

218 A

219 B

220 B

221 D

222 D

223 A

224 B

225 C

226 B

227 A

228 D

229 D

230 A

231 B

232 C

233 C

234 C

235 B

236 C

237 C

238 B

239 B

240 A

241 B

242 B

243 D

244 A

245 B

246 A

247 A

248 A

249 C

250 D


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CD-Rom: Answers Practice Examination 1Correct Answers for CGFNS CD-Rom Practice Examination 1The following letters are the correct answers for each of the questions in the Practice Examination.

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152

153

154

155

156

157

158

159

160

161

162

163

164

165

166

167

168

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180

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182

183

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185

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191

192

193

194

195

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200

201

202

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205

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207

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211

212

213

214

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216

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218

219

220

221

222

223

224

225

226

227

228

229

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233

234

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250

test1

Documents

following client statements

nurse question

nurse suspect

cd rom

following orders

following responses

following comments

following medications