1. The primary goal of therapy for a client with pulmonary edema and heart failure?
A Enhance comfort
B Improve respiratory status
C Peripheral edema decreased
D Increase cardiac output
Answer: D Increase cardiac output
2. In adults, Normal endotracheal suction pressure?
A. 40-90 mm of Hg
B. 70-140 mm of Hg
C. 130- 180 mm of Hg
D. 180-320 mm of Hg
Answer: B. 70-140 mm of Hg
3. The nurse is assessing the reflexes of a newborn. The nurse assesses which of the following reflexes by placing a finger in the newborn’s mouth?
A. Moro reflex
B. Sucking reflex
C. Rooting reflex
D. Babinski reflex
Answer: B. Sucking reflex
4. The nurse is to collect a sputum specimen from a client. The best time to collect this specimen is:
A. in the morning, as soon as the client awakens.
B. anytime during the day.
C. early in the evening.
D. before bedtime.
Answer: A. in the morning, as soon as the client awakens.
5. An obese client has returned to the unit after receiving sedation and electroconvulsive therapy. The nurse requests assistance moving the client from the stretcher to the bed. There are 2 people available to assist. Which of the following is the best method of transfer for this patient?
A. Carry lift.
B. Lift sheet transfer.
C. Sliding board.
D. Hydraulic lift.
Answer:C. Sliding board.
6. Which type of nursing intervention does the nurse perform when she administers oral care to a client?
A. Supervisory.
B. Educational.
C. Psychomotor.
D. Maintenance.
Answer:D. Maintenance.
7.The nurse is caring for a client with pneumonia. The physician orders 600 mg of ceftriaxone (Rocephin) oral suspension to be given once per day. The medication label indicates that the strength is 150 mg/5ml. How many milliliters of medication should the nurse pour to administer the correct dose?
A. 2.5 ml
B. 4 ml
C. 10 ml
D. 20 ml
Answer: D. 20 ml
8. The nurse is preparing to administer an I.M. injection in a client with a spinal cord injury that has resulted in paraplegia. Which of the following muscles is best site for the injection in this case?
A. Deltoid.
B. Dorsal gluteal.
C. Vastus lateralis.
D. Ventral gluteal.
Answer: A. Deltoid.
9. A dull percussion is noted over the symphysis pubis , it may indicate
A. Prostatitis
B. Distended Bladder
C. Peritonitis
D. Pelvic inflammatory disease
Answer: B. Distended Bladder
10. When caring for a patient who has intermittent claudication, a cardiac/vascular nurse advises the patient to:
A. apply graduated compression stockings before getting out of bed.
B. elevate the legs when sitting.
C. refrain from exercise.
D. walk as tolerated.
Answer: D. walk as tolerated.
11. The client is brought to the emergency department due to drug poisoning. Which of the following nursing interventions is most effective in the management of the client’s condition?
a) Gastric lavage
b) Activated charcoal
c) Cathartic administration
d) Milk dilution
Answer:B Activated charcoal
12. A nurse is assessing a group of clients. The nurse knows that which of the following clients is at risk for fluid volume deficit?
a) Client diagnosed with liver cirrhosis.
b) Client with diminished kidney function.
c) Client diagnosed with congestive heart failure.
d) Client attached to a colostomy bag.
Answer: d) Client attached to a colostomy bag.
13. Best time to check IOP?
A. Early morning
B. After noon
C. Late evening
D. At noon
Answer: A. Early morning
14. A client says to the nurse "I know that I'm going to die." Which of the following responses by the nurse would be best?
A. "We have special equipment to monitor you and your problem."
B. "Don't worry. We know what we're doing and you aren't going to die."
C. "Why do you think you're going to die?"
D. "Oh no, you're doing quite well considering your condition."
Answer: ?
15. World Cancer day is ...?
A. January 30
B. December 1
C. February 4
D. March 7
Answer: C. February 4
A Enhance comfort
B Improve respiratory status
C Peripheral edema decreased
D Increase cardiac output
Answer: D Increase cardiac output
2. In adults, Normal endotracheal suction pressure?
A. 40-90 mm of Hg
B. 70-140 mm of Hg
C. 130- 180 mm of Hg
D. 180-320 mm of Hg
Answer: B. 70-140 mm of Hg
3. The nurse is assessing the reflexes of a newborn. The nurse assesses which of the following reflexes by placing a finger in the newborn’s mouth?
A. Moro reflex
B. Sucking reflex
C. Rooting reflex
D. Babinski reflex
Answer: B. Sucking reflex
A. in the morning, as soon as the client awakens.
B. anytime during the day.
C. early in the evening.
D. before bedtime.
Answer: A. in the morning, as soon as the client awakens.
5. An obese client has returned to the unit after receiving sedation and electroconvulsive therapy. The nurse requests assistance moving the client from the stretcher to the bed. There are 2 people available to assist. Which of the following is the best method of transfer for this patient?
A. Carry lift.
B. Lift sheet transfer.
C. Sliding board.
D. Hydraulic lift.
Answer:C. Sliding board.
6. Which type of nursing intervention does the nurse perform when she administers oral care to a client?
A. Supervisory.
B. Educational.
C. Psychomotor.
D. Maintenance.
Answer:D. Maintenance.
7.The nurse is caring for a client with pneumonia. The physician orders 600 mg of ceftriaxone (Rocephin) oral suspension to be given once per day. The medication label indicates that the strength is 150 mg/5ml. How many milliliters of medication should the nurse pour to administer the correct dose?
A. 2.5 ml
B. 4 ml
C. 10 ml
D. 20 ml
Answer: D. 20 ml
8. The nurse is preparing to administer an I.M. injection in a client with a spinal cord injury that has resulted in paraplegia. Which of the following muscles is best site for the injection in this case?
A. Deltoid.
B. Dorsal gluteal.
C. Vastus lateralis.
D. Ventral gluteal.
Answer: A. Deltoid.
9. A dull percussion is noted over the symphysis pubis , it may indicate
A. Prostatitis
B. Distended Bladder
C. Peritonitis
D. Pelvic inflammatory disease
Answer: B. Distended Bladder
10. When caring for a patient who has intermittent claudication, a cardiac/vascular nurse advises the patient to:
A. apply graduated compression stockings before getting out of bed.
B. elevate the legs when sitting.
C. refrain from exercise.
D. walk as tolerated.
Answer: D. walk as tolerated.
11. The client is brought to the emergency department due to drug poisoning. Which of the following nursing interventions is most effective in the management of the client’s condition?
a) Gastric lavage
b) Activated charcoal
c) Cathartic administration
d) Milk dilution
Answer:B Activated charcoal
12. A nurse is assessing a group of clients. The nurse knows that which of the following clients is at risk for fluid volume deficit?
a) Client diagnosed with liver cirrhosis.
b) Client with diminished kidney function.
c) Client diagnosed with congestive heart failure.
d) Client attached to a colostomy bag.
Answer: d) Client attached to a colostomy bag.
13. Best time to check IOP?
A. Early morning
B. After noon
C. Late evening
D. At noon
Answer: A. Early morning
14. A client says to the nurse "I know that I'm going to die." Which of the following responses by the nurse would be best?
A. "We have special equipment to monitor you and your problem."
B. "Don't worry. We know what we're doing and you aren't going to die."
C. "Why do you think you're going to die?"
D. "Oh no, you're doing quite well considering your condition."
Answer: ?
15. World Cancer day is ...?
A. January 30
B. December 1
C. February 4
D. March 7
Answer: C. February 4
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