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Question 1 of 30
1. Question
A client with renal failure is prescribed a low-potassium diet. Which food choice would be best for this client?
Correct
One cup of rice is considered a low-potassium food. The other choices contain higher amounts of potassium.
Incorrect
One cup of rice is considered a low-potassium food. The other choices contain higher amounts of potassium.
Hint
Choose the food that is lowest in potassium.
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Question 2 of 30
2. Question
An appropriate nursing intervention for the client with borderline personality disorder is:
Correct
Clients with borderline personality disorder frequently suffer from depression and suicidal thinking and should be assessed for risk of self-injury.
Incorrect
Clients with borderline personality disorder frequently suffer from depression and suicidal thinking and should be assessed for risk of self-injury.
Hint
Focus on safety and assessment for self-injury.
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Question 3 of 30
3. Question
Which of the following is an expected finding in the assessment of a client with bulimia nervosa?
Correct
Erosion of tooth enamel caused by frequent self-induced vomiting is an expected finding in bulimia nervosa.
Incorrect
Erosion of tooth enamel caused by frequent self-induced vomiting is an expected finding in bulimia nervosa.
Hint
Think about the effects of repeated self-induced vomiting.
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Question 4 of 30
4. Question
Assuming that all have achieved normal cognitive and emotional development, which child is at greatest risk for accidental poisoning?
Correct
The four-year-old is at greater risk for accidental poisoning because of increased mobility, manual dexterity, and curiosity.
Incorrect
The four-year-old is at greater risk for accidental poisoning because of increased mobility, manual dexterity, and curiosity.
Hint
Consider mobility, curiosity, and manual dexterity.
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Question 5 of 30
5. Question
Which term describes the play activity of the preschool-aged child?
Correct
Play of the preschool-aged child is described as associative.
Incorrect
Play of the preschool-aged child is described as associative.
Hint
Recall the typical play pattern of the preschool child.
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Question 6 of 30
6. Question
The nurse is ready to begin an exam on a nine-month-old infant who is sitting quietly on his mother’s lap. Which should the nurse do first?
Correct
While the infant is quiet, the nurse should begin by listening to the heart and lungs.
Incorrect
While the infant is quiet, the nurse should begin by listening to the heart and lungs.
Hint
Begin with the least disturbing part of the examination.
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Question 7 of 30
7. Question
In terms of cognitive development, a three-year-old would be expected to:
Correct
A three-year-old is expected to use magical thinking.
Incorrect
A three-year-old is expected to use magical thinking.
Hint
Consider the characteristic thinking of the preschool child.
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Question 8 of 30
8. Question
Which of the following describes the language development of a two-year-old?
Correct
A two-year-old can combine three to four words.
Incorrect
A two-year-old can combine three to four words.
Hint
Think about typical two-year-old expressive language.
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Question 9 of 30
9. Question
A client receiving urokinase (uPA) for deep vein thrombosis is noted to have dark brown urine in the urine collection bag. Which action should the nurse take immediately?
Correct
Urokinase is a thrombolytic agent, and dark brown or rust-colored urine suggests bleeding. The nurse should withhold the medication and notify the physician immediately.
Incorrect
Urokinase is a thrombolytic agent, and dark brown or rust-colored urine suggests bleeding. The nurse should withhold the medication and notify the physician immediately.
Hint
Dark brown or rust-colored urine may indicate bleeding during thrombolytic therapy.
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Question 10 of 30
10. Question
Which of the following can occur with the frequent use of calcium-based antacids?
Correct
Frequent use of calcium-based antacids can cause constipation.
Incorrect
Frequent use of calcium-based antacids can cause constipation.
Hint
Recall the common gastrointestinal effect of calcium-based antacids.
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Question 11 of 30
11. Question
Which statement made by the student nurse indicates the need for further teaching regarding the administration of heparin?
Correct
The nurse should not aspirate when administering heparin. This statement indicates a need for further teaching.
Incorrect
The nurse should not aspirate when administering heparin. This statement indicates a need for further teaching.
Hint
Recall whether aspiration is recommended for heparin injections.
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Question 12 of 30
12. Question
To correctly assess the oxygen saturation level of an adult client, the pulse oximeter should not be placed on the:
Correct
The pulse oximeter should not be placed on the extremity with a noninvasive BP cuff.
Incorrect
The pulse oximeter should not be placed on the extremity with a noninvasive BP cuff.
Hint
Avoid a site where the blood pressure cuff can interfere with the pulse oximeter.
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Question 13 of 30
13. Question
While caring for an elderly patient with hypertension, the nurse notes BP 140/40, pulse 120, respirations 36. The nurse’s initial action should be to:
Correct
The initial action is to notify the physician for additional orders.
Incorrect
The initial action is to notify the physician for additional orders.
Hint
Recognize the combination of widened pulse pressure, tachycardia, and tachypnea.
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Question 14 of 30
14. Question
The nurse is preparing a client with an axillopopliteal bypass graft for discharge. The client should be taught to avoid:
Correct
The client with an axillopopliteal bypass graft should avoid sitting in a straight chair because this can occlude the femoral artery graft.
Incorrect
The client with an axillopopliteal bypass graft should avoid sitting in a straight chair because this can occlude the femoral artery graft.
Hint
Avoid positions that can occlude the graft.
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Question 15 of 30
15. Question
Antithrombotic stockings should be applied:
Correct
The best time to apply antithrombotic stockings is in the morning before the client arises.
Incorrect
The best time to apply antithrombotic stockings is in the morning before the client arises.
Hint
Apply stockings before dependent positioning increases peripheral edema.
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Question 16 of 30
16. Question
Which client should the nurse assess first?
Correct
A client admitted one hour ago with rales and shortness of breath should be seen first because respiratory interventions may be required.
Incorrect
A client admitted one hour ago with rales and shortness of breath should be seen first because respiratory interventions may be required.
Hint
Prioritize the client with an immediate breathing concern.
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Question 17 of 30
17. Question
The most suitable roommate for a client with a femoral popliteal bypass graft is the client with:
Correct
A client with hypothyroidism poses little infection risk.
Incorrect
A client with hypothyroidism poses little infection risk.
Hint
Choose the roommate who poses the least infection risk.
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Question 18 of 30
18. Question
Which statement regarding sodium warfarin would require further teaching?
Correct
A client taking sodium warfarin should not take aspirin or NSAIDs because they further increase bleeding risk.
Incorrect
A client taking sodium warfarin should not take aspirin or NSAIDs because they further increase bleeding risk.
Hint
Identify the statement that increases bleeding risk.
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Question 19 of 30
19. Question
Following repair of an abdominal aneurysm, which finding would require further investigation?
Correct
Urinary output of 20 mL/hr is inadequate and may indicate reduced renal perfusion.
Incorrect
Urinary output of 20 mL/hr is inadequate and may indicate reduced renal perfusion.
Hint
Pay close attention to renal perfusion and urine output.
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Question 20 of 30
20. Question
Which is not a factor for the nurse to consider during bowel and bladder retraining for a client with paraplegia?
Correct
Sexual function is not a factor to consider; dietary history, mobility, and fluid intake are important.
Incorrect
Sexual function is not a factor to consider; dietary history, mobility, and fluid intake are important.
Hint
Identify the factor unrelated to bowel and bladder retraining.
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Question 21 of 30
21. Question
Which statement is correct when measuring a client for crutches?
Correct
Approximately three inches should exist between the axilla and the top of the crutch.
Incorrect
Approximately three inches should exist between the axilla and the top of the crutch.
Hint
Recall the recommended distance between the axilla and crutch.
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Question 22 of 30
22. Question
Which portion of the brain is responsible for changes in the client’s vision following a cerebrovascular accident?
Correct
The occipital lobe is responsible for vision.
Incorrect
The occipital lobe is responsible for vision.
Hint
Recall which cerebral lobe is responsible for vision.
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Question 23 of 30
23. Question
A client with a hemorrhagic stroke has a temperature of 103°F that does not respond to efforts to reduce it. Damage to which structure is the most likely explanation?
Correct
Damage to the hypothalamus can cause an elevated temperature because it helps regulate body temperature.
Incorrect
Damage to the hypothalamus can cause an elevated temperature because it helps regulate body temperature.
Hint
Identify the structure responsible for temperature regulation.
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Question 24 of 30
24. Question
A client with chronic renal failure is prescribed a low-protein diet. The rationale is that:
Correct
Protein increases production of nitrogenous wastes and the workload on the kidneys.
Incorrect
Protein increases production of nitrogenous wastes and the workload on the kidneys.
Hint
Consider how protein intake affects nitrogenous waste production.
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Question 25 of 30
25. Question
IV heparin should be administered using a/an:
Correct
IV heparin should be administered using an infusion controller because too rapid an infusion can result in hemorrhage.
Incorrect
IV heparin should be administered using an infusion controller because too rapid an infusion can result in hemorrhage.
Hint
Use a device that controls the rate of a high-alert anticoagulant infusion.
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Question 26 of 30
26. Question
The blood pressure cuff width should be ____% of the circumference of the extremity.
Correct
The blood pressure cuff width should be 40% of the circumference of the extremity.
Incorrect
The blood pressure cuff width should be 40% of the circumference of the extremity.
Hint
Recall the standard cuff-width measurement.
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Question 27 of 30
27. Question
Which diet would the nurse expect for a patient with nephrotic syndrome?
Correct
A moderate-protein diet, along with low sodium and low saturated fat, is expected.
Incorrect
A moderate-protein diet, along with low sodium and low saturated fat, is expected.
Hint
Consider the protein and sodium needs in nephrotic syndrome.
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Question 28 of 30
28. Question
A client with an abdominal aortic aneurysm is admitted in preparation for surgery. Which finding should be reported to the doctor?
Correct
A WBC count of 14,000/cu mm should be reported because it indicates infection.
Incorrect
A WBC count of 14,000/cu mm should be reported because it indicates infection.
Hint
Identify the finding suggesting infection.
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Question 29 of 30
29. Question
A patellar deep tendon reflex graded 3+ indicates that the reflex is:
Correct
A 3+ reflex is stronger than normal; 1+ is hypoactive, 2+ normal, and 4+ hyperactive.
Incorrect
A 3+ reflex is stronger than normal; 1+ is hypoactive, 2+ normal, and 4+ hyperactive.
Hint
Recall the deep tendon reflex grading scale.
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Question 30 of 30
30. Question
Atropine sulfate 0.4 mg IM is ordered. The medication is supplied as 0.8 mg/mL. How much should the nurse prepare?
Correct
0.4 mg ÷ 0.8 mg/mL = 0.5 mL.
Incorrect
0.4 mg ÷ 0.8 mg/mL = 0.5 mL.
Hint
Use volume = desired dose ÷ dose on hand.