Reference no: EM133916192

Questions

1. Which statement would most likely be made by a Mexican client with pain?

1. "Enduring pain is a part of God's will."

2. "This pain is killing me."

3. "I've got to see a doctor right away."

4. "I can't go on in pain like this any longer."

2. When assessing a child receiving tobramycin sulfate, which findings would indicate that the child is experiencing adverse effects? Select all that apply.

1. Increased blood pressure.

2. Weight gain.

3. Rash.

4. Fever.

5. Ringing in the ears.

6. Decreased heart rate.

3. A client has received an overdose of sym-pathomimetic agents. The nurse should assess the client for which of the following late signs of an overdose? Select all that apply.

1. Hypotension.

2. Bradycardia.

3. Seizures.

4. Profound pyrexia.

5. Hypertension.

4. A nulliparous client says that she and her husband plan to use a diaphragm with spermicide to prevent conception. Which of the following should the nurse include as the action of spermicides when teaching the client?

1. Destruction of spermatozoa before they enter the cervix.

2. Prevention of spermatozoa from entering the uterus.

3. A change in vaginal pH from acidic to alkaline.

4. Slowing of the movement of the migrating spermatozoa.

5. A client has been diagnosed with multi-infarct (or vascular) dementia (MID). When preparing a teaching plan for the client and family, which of the following should the nurse indicate as the most critical factor for slowing MID?

1. Administering anticoagulants such as warfarin (Coumadin).

2. Administering benzodiazepines such as lorazepam (Ativan) to decrease choreiform movements.

3. Managing related symptoms such as depression.

4. Managing the symptoms by increasing dopamine availability.

6. A 7-year-old has been diagnosed with bacterial meningitis. Which of the following should receive chemoprophylaxis?

1. All children at the school.2.

2. All household contacts and close contacts.

3. The entire community.

4. Household contacts only.

7. A client with a history of peptic ulcer disease is admitted to the hospital. Initial assessment reveals that his blood pressure is 96/60 mm Hg, his pulse rate is 120 bpm, and he has vomited coffee-ground material. Based on this assessment, what is the nurse's priority action?

1. Administer an antiemetic.

2. Prepare to insert a nasogastric (NG) tube.

3. Collect data regarding recent client stressors.4.

4. Place the client in a modified Trendelenburg position.

8. The nurse instills 5 mL of normal saline before suctioning a client's tracheostomy tube. The instillation is effective when:

1. The secretions are thinned.

2. The client coughs.

3. There is minimal friction when the catheter is passed into the tracheostomy tube.

4. There is humidification for the respiratory tract.

9. A client has had a cardiac catheterization. The left femoral dressing has a moderate amount of bloody drainage, and the client has severe pain in that area. The nurse should first:

1. Assess the airway.

2. Administer oxygen.

3. Apply pressure to the site.

4. Assess the pulse in the left extremity.

10. The father of an 18-month-old with no previous illness, who has been admitted to a surgery center for repair of an inguinal hernia, tells the nurse that his child is having trouble breathing. The father does not think the child choked. After telling the clerk to call the rapid response team, the nurse should do which of the following? Place in order from first to last.

1. Notify the surgeon.

2. Start an intravenous infusion.

3. Assess the effectiveness of the abdominal thrusts.

4. Perform the abdominal thrust maneuver.

5. Listen for breath sounds.

11. The nurse makes a home visit to a primiparous client and her neonate at 1 week after a vaginal birth. Which of the following findings should be reported to the primary care provider?

1. A scant amount of maternal lochia serosa.

2. The presence of a neonatal tonic neck reflex.

3. A nonpalpable maternal fundus.

4. Neonatal central cyanosis.

12. A client with emphysema is receiving continuous oxygen therapy. Depressed ventilation is likely to occur unless the nurse ensures that the oxygen is administered in which of the following ways?

1. Cooled.

2. Humidified.

3. At a low flow rate.

4. Through nasal cannula.

13. The nurse assesses for euphoria in a client with multiple sclerosis, looking for which of the following characteristic clinical manifestations?

1. Inappropriate laughter.

2. An exaggerated sense of well-being.

3. Slurring of words when excited.

4. Visual hallucinations.

14. Which of the following assessment finding is expected in a client with bacterial pneumonia?

Increased fremitus.

Bilateral expiratory wheezing.

Resonance on percussion.

Vesicular breath sounds.

15. A primiparous client who is breast-feeding develops endometritis on the third postpartum day. Which of the following instructions should the nurse give to the mother?

The neonate will need to be bottle-fed for the next few days.

The condition typically is treated with IV antibiotic therapy.

The client's uterus may become "boggy," requiring frequent massage and oxytocics.

The client needs to remain in bed in a side-lying position as much as possible.

16. Which of the following examples should the nurse use to describe bulimia to a group of parents at a local community center?

An adolescent male who uses calorie-counting to maintain his weight in the desirable range for his height.

A college-age male who uses regular exercise to be able to eat and drink what he wants without gaining weight.

A middle-aged female who uses diet pills occasionally to help her lose small amounts of weight.

A college-age female who binges and then purges to prevent weight gain.