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NCLEX-PN Exam Dumps - National Council Licensure Examination(NCLEX-PN)

Question # 4

Which of the following should not be included in the teaching for clients who take oral iron preparations?

A.

Mix the liquid iron preparation with antacids to reduce GI distress.

B.

Take the iron with meals if GI distress occurs.

C.

Liquid forms should be taken with a straw to avoid discoloration of tooth enamel.

D.

Oral forms should be taken with juice, not milk.

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Question # 5

The best lab test to diagnose disseminated intravascular coagulation (DIC) is:

A.

platelet count.

B.

protime (PT).

C.

partial thromboplastin time (PTT).

D.

D-dimer.

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Question # 6

Hazards of improper splinting include:

A.

aggravation of a bone or joint injury.

B.

reduced distal circulation.

C.

delay in transport of a client with a lifethreatening injury.

D.

all of the above.

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Question # 7

The sexually transmitted disease, sometimes referred to as the silent STD, that is more common than gonorrhea and a leading cause of PID is:

A.

genital herpes.

B.

trichomoniasis.

C.

syphilis.

D.

chlamydia.

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Question # 8

Which of the following statements is correct regarding rape?

A.

Most rapes are reported.

B.

Legally, a woman can be raped by her spouse.

C.

Prosecution and conviction for rape is easy.

D.

The most common location of rape is the victim’s own home.

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Question # 9

In managing nausea related to Morphine epidural analgesia, the nurse should administer:

A.

Indocin

B.

Codeine

C.

Motrin

D.

Compazine

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Question # 10

The nurse assesses a client for physiological risk factors for falls. The nurse should conclude that the client is not at risk if which of the following is discovered?

A.

history of dizziness

B.

need for wheelchair due to reduced mobility

C.

weakness and fatigue noted when climbing stairs

D.

intact recent and remote memory

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Question # 11

Ten-year-old Jackie is admitted to the hospital with a medical diagnosis of Rheumatic Fever. She relates a history of “a sore throat about a month ago.” Bed rest with bathroom privileges is prescribed. Which of the following nursing assessments should be given the highest priority when assessing Jackie’s condition?

A.

her response to being hospitalized

B.

the presence of a macular rash on her trunk

C.

her cardiac status

D.

the presence of polyarthritis and pain in her joints

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Question # 12

The charge nurse on a cardiac unit tells you a patient is exhibiting signs of right-sided heart failure. Which of the following would not indicate right-sided heart failure?

A.

Nausea

B.

Anorexia

C.

Rapid weight gain

D.

SOB (shortness of breath)

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Question # 13

A client has been taking a drug (Drug A) that is highly metabolized by the cytochrome p-450 system. He has been on this medication for 6 months. At this time, he is started on a second medication (Drug B) that is an inducer of the cytochrome p-450 system. You should monitor this client for:

A.

increased therapeutic effects of Drug A.

B.

increased adverse effects of Drug B.

C.

decreased therapeutic effects of Drug A.

D.

decreased therapeutic effects of Drug B.

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Question # 14

A nurse is caring for a retired MD. The MD asks the question, “What type of cells secrete insulin?” The correct answer is:

A.

alpha cells

B.

beta cells

C.

CD4 cells

D.

helper cells

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Question # 15

A nurse doing a home health visit consults with a male patient that has a diagnosis of CAD and COPD. The patient is currently taking Ventolin, Azmacort, Aspirin, and Theophylline. The patient complains of upset stomach, nausea and feeling uncomfortable. The nurse should:

A.

Contact the patient’s physician immediately

B.

Recommend the patient position himself in right sidelying.

C.

Recommend the patient schedule a doctor’s visit the next day.

D.

Recommend a hold on the drug-Azmacort

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Question # 16

During the health screening of an adolescent, which finding by the nurse requires further teaching?

A.

The client started her first menses 2 years ago.

B.

The client states she is currently on birth control pills.

C.

The client states she recently lost 5 pounds.

D.

The client states she is experiencing growing pains.

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Question # 17

A newborn baby exhibits a reflex that includes: hand opening, abducted and extended extremities following a jarring motion. Which of the following correctly identifies the reflex?

A.

ATNR reflex

B.

Startle reflex

C.

Grasping reflex

D.

Moro reflex

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Question # 18

After securing the client’s safety from a faulty electric bed, the nurse should take which action?

A.

Discuss the matter with the client’s significant others.

B.

Document the incident in the client’s record in detail.

C.

Notify the physician.

D.

Prepare an incident report.

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Question # 19

The physician wants to know if a client is tolerating his total parenteral nutrition. Which of the following laboratory tests is likely to be ordered?

A.

triglyceride level

B.

liver function tests

C.

a glucose tolerance test

D.

a complete blood count

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Question # 20

A nurse who is assessing the health-related physical fitness of a client as part of a health assessment should focus on which of the following aspects of the assessment?

A.

agility

B.

speed

C.

body composition

D.

risk factors

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Question # 21

Which instruction should be given in a health education class regarding testicular cancer?

A.

All males should perform a testicular exam after the age of 30.

B.

Testicular exams should be performed on a daily basis.

C.

Reddening or darkening of the scrotum is a normal finding.

D.

Testicular exams should be performed after a warm bath or shower.

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Question # 22

When working with multicultural populations, the nurse should consider all of the following when planning care for a client with an altered sexuality pattern except:

A.

some members of the Hispanic and Native- American cultures are very open when discussing sexuality.

B.

some cultures view the postpartum period as a state of impurity.

C.

some women in the African-American culture view childbearing as a validation of their femaleness.

D.

some Native-American women believe monthly menstruation maintains physical well-being and harmony.

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Question # 23

An Rh-negative woman with previous sensitization has delivered an Rh-positive fetus. Which of the following nursing actions should be included in the client’s care plan?

A.

emotional support to help the family deal with feelings of guilt about the infant’s condition

B.

administration of MICRhoGam to the woman within 72 hours of delivery

C.

administration of Rh-immune globulin to the newborn within 1 hour of delivery

D.

lab analysis of maternal Direct Coombs’ test

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Question # 24

Which of the following is true concerning human immunodeficiency virus (HIV)?

A.

HIV infection involves CD4 receptor protein on the surface of helper T-cells.

B.

The presence of circulating antibodies that neutralize HIV is evidence that the individual has immunity-HIV.

C.

HIV replication occurs extracellularly.

D.

DNA replication

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Question # 25

Which of the following is a predisposing factor for cancer of the tongue?

A.

tobacco use

B.

obesity

C.

sun exposure

D.

eating sweets

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Question # 26

A 14 year-old boy has been admitted to a mental health unit for observation and treatment. The boy becomes agitated and starts yelling at nursing staff members. What should the nurse first response be?

A.

Create an atmosphere of seclusion for the boy according to procedures.

B.

Remove other patients from the area via wheelchairs for added speed.

C.

Ask the patient, “What is making you mad?”

D.

Ask the patient, “Why are you doing this, have you thought about what yourparents might say?”

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Question # 27

Which of the following motions is identified with the corresponding action?

(Action- Turning palm of hand over to face in the anterior direction, dorsum of the hand is pointed downward toward the floor.)

A.

Pronation

B.

Supination

C.

Abduction

D.

Adduction

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Question # 28

Pressure ulcers usually occur:

A.

when clients are left in one position in bed for extended periods of time.

B.

when clients are underweight.

C.

when clients are overweight.

D.

only in underweight and overweight clients.

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Question # 29

Which of the following methods of contraception is able to reduce the transmission of HIV and other STDs?

A.

intrauterine device (IUD)

B.

Norplant

C.

oral contraceptives

D.

vaginal sponge

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Question # 30

A client is taking the fluoroquinolone Ciprofloxin for acute prostatitis. After a few doses of the agent, he develops severe muscle pain. The most likely cause of the adverse reaction is:

A.

electrolyte imbalance.

B.

impending tendon rupture.

C.

calcium deposits.

D.

antibiotic-associated colitis.

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Question # 31

What do the following ABG values indicate: pH 7.38, PO2 78 mmHg, PCO2 36mmHg, and HCO3 24 mEq/L?

A.

metabolic alkalosis

B.

homeostasis

C.

respiratory acidosis

D.

respiratory alkalosis

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Question # 32

Which sign might the nurse see in a client with a high ammonia level?

A.

coma

B.

edema

C.

hypoxia

D.

polyuria

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Question # 33

Which of the following lab values would indicate symptomatic AIDS in the medical chart? (T4 cell count per deciliter)

A.

Greater than 1000 cells per deciliter

B.

Less than 500 cells per deciliter

C.

Greater than 2000 cells per deciliter

D.

Less than 200 cells per deciliter

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Question # 34

The kind of man who beats a woman is:

A.

from a minority culture in a low-income group.

B.

from a majority culture in a middle-income group.

C.

one who was never allowed to compete as a child.

D.

from any walk of life, race, income group, or profession.

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Question # 35

Which of the following diseases or conditions is least likely to be associated with increased potential for bleeding?

A.

metastatic liver cancer

B.

gram-negative septicemia

C.

pernicious anemia

D.

iron-deficiency anemia

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Question # 36

Teaching about the need to avoid foods high in potassium is most important for which client?

A.

a client receiving diuretic therapy

B.

a client with an ileostomy

C.

a client with metabolic alkalosis

D.

a client with renal disease

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Question # 37

A client with dumping syndrome should ___________ while a client with GERD should ___________.

A.

sit up 1 hour after meals; lie flat 30 minutes after meals

B.

lie down 1 hour after eating; sit up at least 30 minutes after eating

C.

sit up after meals; sit up after meals

D.

lie down after meals; lie down after meals

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Question # 38

Erythropoietin used to treat anemia in clients with renal failure should be given in conjunction with:

A.

iron, folic acid, and B12.

B.

an increase of protein in the diet.

C.

vitamins A and C.

D.

an increase of calcium in the diet.

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Question # 39

When teaching a client about anti-retroviral therapy for human immunodeficiency virus (HIV), the PN should emphasize:

A.

when started, therapy must not be interrupted to prevent viral resistance.

B.

when started, therapy must not be interrupted to prevent opportunistic infection.

C.

therapy should be interrupted for one day each month to prevent toxicity.

D.

therapy should be interrupted for one week every three months to prevent toxicity.

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Question # 40

A contraindication for topical corticosteroid use in a client with atopic dermatitis (eczema) is:

A.

parasite infection.

B.

viral infection.

C.

fungal infection.

D.

spirochete infection.

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Question # 41

Which of the following is not a reason for pelvic ultrasonography?

A.

to measure uterine size

B.

to detect multiple pregnancies

C.

to measure renal size

D.

to detect foreign bodies

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Question # 42

Which statement best describes electrolytes in intracellular and extracellular fluid?

A.

There is a greater concentration of sodium in extracellular fluid and potassium in intracellular fluid.

B.

There is an equal concentration of sodium and potassium in extracellular fluid.

C.

There is a greater concentration of potassium in extracellular fluid and sodium in intracellular fluid.

D.

There is an equal concentration of sodium and potassium between intracellular and extracellular fluid.

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Question # 43

A preschooler has successfully completed the test item “counts 5 blocks” on the Denver II test. This pass is evidence of which of the following developmental concepts?

A.

centration

B.

causality

C.

C.nonreversibility

D.

D.conservation

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Question # 44

Paula is a 32-year-old woman seeking evaluation and treatment of major depressive symptoms. A major nursing priority during the assessment process includes which of the following?

A.

meaning of current stressors

B.

possibility of self-harm

C.

motivation to participate in treatment

D.

presence of alcohol or other drug use

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Question # 45

Which of the following symptoms is most characteristic of a client with cancer of the lungs?

A.

exertional dyspnea

B.

persistent changing cough

C.

air hunger; dyspnea

D.

cough with night sweats

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Question # 46

While performing a physical assessment on a 6-month-old infant, the nurse observes head lag. Which of the following nursing actions should the nurse perform first?

A.

Ask the parents to allow the infant to lay on her stomach to promote muscle development.

B.

Notify the physician because a developmental or neurological evaluation is indicated.

C.

Document the findings as normal in the nurse’s notes.

D.

Explain to the parents that their child is likely to be mentally retarded.

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Question # 47

A couple from the Philippines living in the United States is expecting their first child. In providing culturally competent care, the nurse must first:

A.

review their own cultural beliefs and biases.

B.

respectfully request that the couple utilize only medically approved health care providers.

C.

realize that the clients have to learn their new country’s accepted medical practices.

D.

study family dynamics to understand the male and female gender roles in the clients’ culture.

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Question # 48

What significant event occurs in the orientation phase of a nurse-client relationship?

A.

establishment of roles

B.

identification of transference phenomenon

C.

placement of the client within the client’s family structure

D.

client agreement that the nurse has the authority in the relationship

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Question # 49

The nurse should teach parents of small children that the most common type of first-degree burn is:

A.

scalding from hot bath water or spills.

B.

contact with hot surfaces such as stoves and fireplaces.

C.

contact with flammable liquids or gases resulting in flash burns.

D.

sunburn from lack of protection and overexposure.

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Question # 50

In an obstetrical emergency, which of the following actions should the nurse perform first after the

baby delivers?

A.

Place extra padding under the mother to absorb blood from the delivery.

B.

Cut the umbilical cord using sterile scissors.

C.

Suction the baby’s mouth and nose.

D.

Wrap the baby in a clean blanket to preserve warmth.

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Question # 51

In a disaster situation, the nurse assessing a diabetic client on insulin assesses for all of the following except:

A.

diabetic signs and symptoms.

B.

nutritional status.

C.

bleeding problems.

D.

availability of insulin.

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Question # 52

On first meeting, a new nurse manager makes eye contact, smiles, initiates conversation about the previous work experience of nurses, and encourages active participation by nurses in the dialogue. Her behavior is an example of:

A.

aggressiveness.

B.

passive aggressiveness.

C.

passiveness.

D.

assertiveness.

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Question # 53

A hospitalized client has just been informed that he has terminal cancer. He says to the nurse, “There must be some mistake in the diagnosis.” The nurse determines that the client is demonstrating which of the following?

A.

denial

B.

anger

C.

bargaining

D.

acceptance

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Question # 54

A nurse is planning a brief treatment program for a client who was raped. A realistic, short-term goal is to:

A.

identify all psychosocial problems.

B.

eliminate the client’s enticing behaviors.

C.

resolve feelings of trauma and fear.

D.

verbalize feeling about the event.

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Question # 55

A 4-year-old client is unable to go to sleep at night in the hospital. Which nursing intervention best promotes sleep for the child?

A.

turning out the room light and closing the door

B.

tiring the child during the evening with play exercises

C.

identifying the child’s home bedtime rituals and following them

D.

encouraging visitation by friends during the evening

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Question # 56

Social support systems include of the following except:

A.

call-in help lines.

B.

emotional assistance provided by others.

C.

community support groups.

D.

use of coping skills and verbalization for anger management.

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Question # 57

High uric acid levels can develop in clients who are receiving chemotherapy. This can be caused by:

A.

the inability of the kidneys to excrete the drug metabolites.

B.

rapid cell catabolism.

C.

toxic effects of the prophylactic antibiotics that are given concurrently.

D.

the altered blood pH from the acid medium of the drugs.

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Question # 58

Fat emulsions are frequently administered as a part of total parenteral nutrition. Which statement is true regarding fat emulsions?

A.

They have a high energy-to-fluid-volume ratio.

B.

Even though hypertonic, they are well tolerated.

C.

They are a basic solution secondary to the addition of sodium hydroxide (NaOH).

D.

The pH is alkaline, making them compatible with most medications.

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Question # 59

Which of the following observations is most important when assessing a client’s breathing?

A.

presence of breathing and pulse rate

B.

breathing pattern and adequacy of breathing

C.

presence of breathing and adequacy of breathing

D.

patient position and adequacy of breathing

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Question # 60

The focus of a nurse case manager is:

A.

nursing care needs at discharge.

B.

the comprehensive care needs of the client for continuity of care.

C.

client education needs upon discharge.

D.

financial resources for needed care.

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Question # 61

Rehabilitation services begin:

A.

when the client enters the health care system.

B.

after the client requests rehabilitation services.

C.

after the client’s physical condition stabilizes.

D.

when the client is discharged from the hospital.

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Question # 62

A chemical reaction between drugs prior to their administration or absorption is known as:

A.

a drug incompatibility.

B.

a side effect.

C.

an adverse event.

D.

an allergic response.

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Question # 63

A wrong committed by one person against another (or against the property of another) that might result in a civil trial is:

A.

a tort.

B.

a crime.

C.

a misdemeanor.

D.

a felony.

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Question # 64

Using clichés in therapeutic communication leads the client toward:

A.

viewing the nurse as human.

B.

accepting himself as human.

C.

self-disclosing.

D.

feeling discounted.

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Question # 65

The nurse is working with families who have been displaced by a fire in an apartment complex. What is the priority intervention during the initial assessment?

A.

Provide a liaison to meet housing needs.

B.

Attentively listen when clients describe their feelings.

C.

Offer nurturing support for clients who are confused by the events.

D.

Provide structure for clients exhibiting moderate to severe anxiety.

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Question # 66

The nurse uses prioritization to determine all the following except:

A.

time allotment for certain tasks.

B.

appropriate interventions.

C.

treatment procedures.

D.

the need for client education.

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Question # 67

A serious complication of a total hip replacement is displacement of the prosthesis. What is the primary sign of displacement?

A.

pain on movement and weight bearing

B.

hemorrhage

C.

affected leg appearing 1–2 inches longer

D.

edema in the area of the incision

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Question # 68

Referral for client education in the community can be accomplished through all of the following except:

A.

community agencies such as the American Heart Association.

B.

parish nurses.

C.

home health care agencies.

D.

unlicensed massage therapists.

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Question # 69

When medications have an additive, synergistic, or antagonistic effect on a tissue, a ________ reaction has occurred.

A.

pharmaceutical

B.

pharmacodynamic

C.

pharmacokinetic

D.

drug incompatibility

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Question # 70

In the process of an annual physical exam, a client is diagnosed with Benign Prostatic Hypertrophy (BPH). This client is likely to have a consult with which type of physician?

A.

gynecologist

B.

physiatrist

C.

urologist

D.

proctologist

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Question # 71

The power a nurse exerts when he or she works to accomplish goals and effect change in an agency or in policy is considered what type of power?

A.

political

B.

personal

C.

positional

D.

professional

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Question # 72

A client has just returned from surgery where a femoral-popliteal bypass was performed. The nurse has assessed the client and is unable to feel a pulse at either the dorsalis pedis or the posterior tibial sites of the left foot. The foot feels warm and the color is pink. What action should the nurse perform next to prevent ischemia?

A.

Notify the physician immediately.

B.

Obtain a Doppler device to check for pulses, and notify the physician if they are still absent.

C.

Wait 30 minutes and recheck the pulses.

D.

Document the finding.

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Question # 73

A neighbor telephones the nurse to tell her that her child has erythema infectiosum and asks for information. The nurse knows that another name for the disorder is:

A.

Kawasaki disease.

B.

rheumatic disease.

C.

lupus erythematosus.

D.

fifth disease.

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Question # 74

The nurse can best communicate to a client that he or she has been listening by:

A.

restating the main feeling or thought the client has expressed.

B.

making a judgment about the client’s problem.

C.

offering a leading question such as, “And then what happened?”

D.

saying, “I understand what you’re saying.”

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Question # 75

The nurse is caring for a dying client who has persistently requested that the nurse “help her to die and be in peace.” According to the Code of Ethics for Nurses, the nurse should:

A.

Ask the client whether she has signed the advance directives document.

B.

Tell the client that he or she will ask another nurse to care for her.

C.

Instruct the client that only a physician can legally assist a suicide.

D.

Try to make the client as comfortable as possible, but refuse to assist in death.

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Question # 76

The orientation nurse educator reviewing the biohazard legend with a class of new employees states that the emblem is affixed to containers whenever:

A.

there is presence of blood and body fluids.

B.

there is the need for droplet precaution.

C.

there is contact isolation.

D.

there is the potential for airborne transmission.

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Question # 77

A day care center has asked the nurse to provide education for parents regarding safety in the home. What type of preventive care does this represent?

A.

primary

B.

secondary

C.

tertiary

D.

health promotion

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Question # 78

The nurse’s first action upon discovery of an electrical fire should be which of the following?

A.

Disconnect the electrical power if it can be performed safely.

B.

Smother the source with an object such as a blanket.

C.

Saturate the source with water or other readily available liquid.

D.

Activate the fire alarm immediately.

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Question # 79

The ethical principle of keeping professional promises or obligations is:

A.

veracity.

B.

autonomy.

C.

fidelity.

D.

beneficence.

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Question # 80

Acute hyphema is associated with what type of injury?

A.

orthopedic

B.

eye

C.

insect sting or snakebite

D.

gynecological trauma

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Question # 81

Elderly persons with pernicious anemia should be instructed:

A.

to increase their dietary intake of foods high in B12.

B.

that they do not need to return for follow-up for at least a month after initiation of treatment.

C.

that oral B12 is safer and less expensive than parenteral replacement.

D.

that diarrhea can be a transient side effect of B12 injections.

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Question # 82

The anemias most often associated with pregnancy are:

A.

folic acid and iron deficiency.

B.

folic acid deficiency and thalassemia.

C.

iron deficiency and thalassemia.

D.

thalassemia and B12 deficiency.

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Question # 83

In infants and children, the side effects of firstgeneration over-the counter (OTC) antihistamines, such as diphenhydramine (Benedryl) and hydroxyzine (Atarax), can include:

A.

Reye’s syndrome.

B.

cholinergic effects.

C.

paradoxical CNS stimulation.

D.

nausea and diarrhea.

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Question # 84

A client with cirrhosis of the liver presents with ascites. The physician is to perform a parancentesis. For safety, the nurse should ask the client to:

A.

drink 1000 cc prior to the procedure to affect fluid loss.

B.

eat foods low in fat.

C.

empty his bladder prior to the procedure.

D.

assume the prone position.

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Question # 85

Which of the following microorganisms is easily transmitted from client to client on the hands of health care workers?

A.

mycobacterium tuberculosis

B.

clostridium tetani

C.

staphylococcus aureus

D.

human immunodeficiency virus

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Question # 86

The nurse is teaching parents of a newborn about feeding their infant. Which of the following instructions should the nurse include?

A.

Use the defrost setting on microwave ovensto warm bottles.

B.

When refrigerating formula, don’t feed the baby partially used bottles after 24 hours.

C.

When using formula concentrate, mix two parts water and one part concentrate.

D.

If a portion of one bottle is left for the next feeding, go ahead and add new formula to fill it.

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Question # 87

When a client informs the nurse that he is experiencing hypoglycemia, the nurse provides immediate intervention by providing:

A.

one commercially prepared glucose tablet.

B.

two hard candies.

C.

4–6 ounces of fruit juice with 1 teaspoon of sugar added.

D.

2–3 teaspoons of honey.

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Question # 88

All of the following should be performed when fetal heart monitoring indicates fetal distress except:

A.

increase maternal fluids.

B.

administer oxygen.

C.

decrease maternal fluids.

D.

turn the mother.

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Question # 89

What is the primary nutritional deficiency of concern for a strict vegetarian?

A.

vitamin C

B.

vitamin B12

C.

vitamin E

D.

magnesium

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Question # 90

Which of the following is an appropriate nursing goal for a client at risk for nutritional problems?

A.

provide oxygen

B.

promote healthy nutritional practices

C.

treat complications of malnutrition

D.

increase weight

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Question # 91

Which of the following conditions is mammography used to detect?

A.

pain

B.

tumor

C.

edema

D.

epilepsy

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Question # 92

When obtaining a health history on a menopausal woman, which information should a nurse recognize as a contraindication for hormone replacement therapy?

A.

family history of stroke

B.

ovaries removed before age 45

C.

frequent hot flashes and/or night sweats

D.

unexplained vaginal bleeding

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Question # 93

Which of the following neurological disorders is characterized by writhing, twisting movements of the face and limbs?

A.

epilepsy

B.

Parkinson’s

C.

muscular sclerosis

D.

Huntington’s chorea

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Question # 94

A client comes to the clinic for assessment of his physical status and guidelines for starting a weight-reduction diet. The client’s weight is 216 pounds and his height is 66 inches. The nurse identifies the BMI (body mass index) as:

A.

within normal limits, so a weight-reduction diet is unnecessary.

B.

lower than normal, so education about nutrient-dense foods is needed.

C.

indicating obesity because the BMI is 35.

D.

indicating overweight status because the BMI is 27.

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Question # 95

A woman asks, “How much alcohol can I safely drink while pregnant?” The nurse’s best response is:

A.

“The amount of alcohol that is safe during pregnancy is unknown.”

B.

“Consuming one or two beers or glasses of wine a day is considered safe for a healthy pregnant woman.”

C.

“Drinking three or more drinks on any given occasion is the only harmful type of drinking during pregnancy.”

D.

“You can have a drink to help you relax and get to sleep at night.”

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Question # 96

A spinal change occurring with pregnancy that alters mobility is:

A.

scoliosis.

B.

kyphosis.

C.

lordosis.

D.

ankylosing spondylitis.

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Question # 97

With a breech presentation, the nurse must be particularly alert for which of the following?

A.

quickening

B.

ophthalmia neonatorum

C.

pica

D.

prolapsed umbilical cord

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Question # 98

When a woman is receiving postpartum epidural morphine, the nurse should plan to observe for which of the following side effects to occur within the first 3 hours?

A.

nausea and vomiting

B.

itching

C.

urinary retention

D.

somnolence

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Question # 99

Which of the following diseases places a client at risk for developing cirrhosis?

A.

type I diabetes

B.

alcoholism

C.

leukemia

D.

glaucoma

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Question # 100

The nurse should make which of the following responses when questioned by a client about the role of leptin in the body?

A.

It increases food intake in clients, thereby promoting obesity.

B.

It assists in the regulation of steroids.

C.

It increases the total fat mass of people who are obese.

D.

It might decrease the total fat mass in the bodies of people who are obese.

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Question # 101

In administering NSAID adjunctive therapy to an elderly client with cancer, the nurse must monitor:

A.

BUN and creatinine.

B.

creatinine and calcium.

C.

Hgb and Hct.

D.

BUN and CFT.

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Question # 102

In a disaster, triage situation, the nurse should be least concerned with which of the following regarding a client in crisis?

A.

ability to breathe

B.

pallor or cyanosis of the skin

C.

number of accompanying family members

D.

motor function

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Question # 103

The chemotherapeutic agent 5-fluorourcacil (5-FU) is ordered for a client as an adjunct measure to surgery. Which statement about chemotherapy is true?

A.

It is a local treatment affecting only tumor cells.

B.

It is a systemic treatment affecting both tumor and normal cells.

C.

It has not yet been proved an effective treatment for cancer.

D.

It is often the drug of choice because it causes few, if any, side effects.

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Question # 104

One of the major functions of the kidneys in maintaining normal fluid balance is:

A.

the manufacture of antidiuretic hormone.

B.

the regulation of calcium and phosphate balance.

C.

the regulation of the pH of the extracellular fluid.

D.

the control of aldosterone levels.

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Question # 105

Which type of diet should the nurse provide to help a client who has major burns maintain a positive nitrogen balance?

A.

high protein

B.

high carbohydrate

C.

low carbohydrate

D.

low protein

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Question # 106

A female client complains to the nurse at the health department that she has fatigue, shortness of breath, and lightheadedness. Her history reveals no significant medical problems. She states that she is always on a fad diet without any vitamin supplements. Which tests should the nurse expect the client to have first?

A.

peptic ulcer studies

B.

complete blood count, including hematocrit and hemoglobin

C.

genetic testing

D.

hemoglobin electrophoresis

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Question # 107

Increased cortisol levels might be found in a client with which condition?

A.

Cushing’s syndrome

B.

Addison’s disease

C.

renal failure

D.

congestive heart failure

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Question # 108

Pain tolerance in an elderly client with cancer should:

A.

Stay the same.

B.

Decrease.

C.

Increase.

D.

Cancer should have no effect on pain tolerance for an elderly client.

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