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100 Items Comprehensive Exam

100 Items Comprehensive Exam

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Published by mervilyn
Godbless. 10% work and 90% prayer. :)
Godbless. 10% work and 90% prayer. :)

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Published by: mervilyn on Aug 17, 2010
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07/20/2013

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100 items Comprehensive Exam
Choose the BEST answer
1. The nurse enters the room as a 3 year-old is having a generalized seizure. Whichintervention should the nurse do first?
 A) Clear the area of any hazardsB) Place the child on the sideC) Restrain the childD) Give the prescribed anticonvulsant
2. A client has just returned to the medical-surgical unit following a segmental lungresection. After assessing the client, the first nursing action would be to
 A) Administer pain medicationB) Suction excessive tracheobronchial secretionsC) Assist client to turn, deep breathe and coughtD) Monitor oxygen saturation
3. A nurse from the surgical department is reassigned to the pediatric unit. Thecharge nurse should recognize that the child at highest risk for cardiac arrest and isthe least likely to be assiged to this nurse is which child?
 A) Congenital cardiac defectsB) An acute febrile illnessC) Prolonged hypoxemiaD) Severe multiple trauma
4. Which of the following would be the best strategy for the nurse to use whenteaching insulin injection techniques to a newly diagnosed client with diabetes?
 A) Give written pre and post testsB) Ask questions during practiceC) Allow another diabetic to assistD) Observe a return demonstration
5. The nurse is assessing a 2 year-old client with a possible diagnosis of congenitalheart disease. Which of these is most likely to be seen with this diagnosis?
 A) Several otitis media episodes in the last yearB) Weight and height in 10th percentile since birthC) Takes frequent rest periods while playingD) Changing food preferences and dislikes
6. The nurse is reassigned to work at the Poison Control Center telephone hotline.In which of these cases of childhood poisoning would the nurse suggest that parentshave the child drink orange juice?
 A) An 18 month-old who ate an undetermined amount of crystal drain cleanerB) A 14 month-old who chewed 2 leaves of a philodendron plantC) A 20 month-old who is found sitting on the bathroom floor beside an empty bottle of diazepam (Valium)D) A 30 month-old who has swallowed a mouthful of charcoal lighter fluid
 
 
7. A 23 year-old single client is in the 33rd week of her first pregnancy. She tells thenurse that she has everything ready for the baby and has made plans for the firstweeks together at home. Which normal emotional reaction does the nurserecognize?
 A) Acceptance of the pregnancyB) Focus on fetal developmentC) Anticipation of the birthD) Ambivalence about pregnancy
8. Upon examining the mouth of a 3 year-old child, the nurse discovers that the teethhave
 
chalky white-to-yellowish staining with pitting of the enamel. Which of thefollowing
 
conditions would most likely explain these findings?
 A) Ingestion of tetracyclineB) Excessive fluoride intakeC) Oral iron therapyD) Poor dental hygiene
9. Which of the following should the nurse teach the client to avoid when takingchlorpromazine HCL (Thorazine)?
 A) Direct sunlightB) Foods containing tyramineC) Foods fermented with yeastD) Canned citrus fruit drinks
10. The nurse is discussing dietary intake with an adolescent who has acne. Themost appropriate statement for the nurse is
 A) "Eat a balanced diet for your age."B) "Increase your intake of protein and Vitamin A."C) "Decrease fatty foods from your diet."D) "Do not use caffeine in any form, including chocolate."
11. The nurse is caring for a child who has just returned from surgery following atonsillectomy and adenoidectomy. Which action by the nurse is appropriate?
 A) Offer ice cream every 2 hoursB) Place the child in a supine positionC) Allow the child to drink through a strawD) Observe swallowing patterns
12. The nurse is caring for a client with acute pancreatitis. After pain management,which intervention should be included in the plan of care?
 A) Cough and deep breathe every 2 hoursB) Place the client in contact isolationC) Provide a diet high in proteinD) Institute seizure precautions
13. The nurse is caring for a client with trigeminal neuralgia (tic douloureaux). Toassist the client with nutrition needs, the nurse should
 
 
A) Offer small meals of high calorie soft foodB) Assist the client to sit in a chair for mealsC) Provide additional servings of fruits and raw vegetablesD) Encourage the client to eat fish, liver and chicken
14. A client treated for depression tells the nurse at the mental health clinic that herecently purchased a handgun because he is thinking about suicide. The firstnursing action should be to
 A) Notify the health care provider immediatelyB) Suggest in-patient psychiatric careC) Respect the client's confidential disclosureD) Phone the family to warn them of the risk 
15. The initial response by the nurse to a delusional client who refuses to eat becauseof a belief that the food is poisoned is
 A) "You think that someone wants to poison you?"B) "Why do you think the food is poisoned?"C) "These feelings are a symptom of your illness."D) "You’re safe here. I won’t let anyone poison you."
16. A client has just been admitted with portal hypertension. Which nursingdiagnosis would be a priority in planning care?
 A) Altered nutrition: less than body requirementsB) Potential complication hemorrhageC) Ineffective individual copingD) Fluid volume excess
17. The nurse in a well-child clinic examines many children on a daily basis. Whichof the following toddlers requires further follow up?
 A) A 13 month-old unable to walk B) A 20 month-old only using 2 and 3 word sentencesC) A 24 month-old who cries during examinationD) A 30 month-old only drinking from a sippy cup
18. Which of the following conditions assessed by the nurse would contraindicate theuse of benztropine (Cogentin)?
 A) Neuromalignant syndromeB) Acute extrapyramidal syndromeC) Glaucoma, prostatic hypertrophyD) Parkinson's disease, atypical tremors
19. A 15 year-old client with a lengthy confining illness is at risk for altered growthand development of which task?
 A) Loss of controlB) InsecurityC) DependenceD) Lack of trust

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