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Published by ja

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Published by: ja on Sep 19, 2008
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Question Number 1 of 40
 A child and his family were exposed to Mycobacterium tuberculosis about 2 months ago, to confirm the presence or absence of an infection, it is
important for all family members to have aA) Chest x-rayB) Blood cultureC) Sputum cultureD) PPD intradermal testYour response was
.The correct answer is D: PPD intradermal testThe administration of the PPD intradermal test determines the presence of the infection with the Mycobacteriumtuberculosis organism. It is effective at 3 to 6 weeks after the initial infection.
Question Number 2 of 40
 A 4 month-old child taking digoxin (Lanoxin) has a blood pressure of 92/78; resting pulse of 78; respirations 28 and apotassium level of 4.8 mEq/L. The client is irritable and has vomited twice since the morning dose of digoxin. Whichfinding is most indicative of digoxin toxicity?
.A) BradycardiaB) LethargyC) IrritabilityD) VomitingYour response was
.The correct answer is A: BradycardiaThe most common sign of digoxin toxicity in children is bradycardia (heart rate below 100 in an infant).
Question Number 3 of 40
 Which finding would be the
most characteristic of an acute episode of reactive airway disease?
A) Auditory gurglingB) Inspiratory laryngeal stridor C) Auditory expiratory wheezingD) Frequent dry coughingYour response was
.The correct answer is C: Wheezing on expirationIn an acute episode of reactive airway disease, breathing is likely to be characterized by wheezing on expiration. Thissound is made as air is forced through the narrowed passages and often is heard by the naked ear without a stethoscope.
Question Number 4 of 40
 A client has been admitted for meningitis. In reviewing the laboratory analysis of cerebrospinal fluid (CSF), the nursewould expect to noteA) High proteinB) Clear color C) Elevated sed rateD) Increased glucoseYour response was
.The correct answer is A: High protein A positive CSF for meningitis would include presence of protein, a positive bloodculture, decreased glucose, cloudy color with an increased opening pressure, and an elevated white blood cell count.
Question Number 5 of 40
At a routine health assessment, a client tells the nurse that she is planning a pregnancy in the near future. She asks aboutpre-conception diet changes. Which of the statements made by the nurse is best?A) "Include fibers in your daily diet."B) "Increase green leafy vegetable intake."C) "Drink a glass of milk with each meal."D) "Eat at least 1 serving of fish weekly."Your response was
.The correct answer is B: "Increase green leafy vegetable intake." Folic acid sources should be included in the diet and arecritical in the pre-conceptual and early gestational periods to foster neural tube development and prevent birth defectssuch as spina bifida.
Question Number 6 of 40
 A Hispanic client confides in the nurse that she is concerned that staff may give her newborn the "evil eye." The nurseshould communicate to other personnel that the appropriate approach is to
.A) Touch the baby after looking at himB) Talk very slowly while speaking to himC) Avoid touching the childD) Look only at the parentsYour response was
.The correct answer is A: Touch the baby after looking at him In many cultures, an "evil eye" is cast when looking at aperson without touching him. Thus, the spell is broken by touching while looking or assessing.
Question Number 7 of 40
 During the care of a client with Legionnaire's disease, which finding would require the nurse's
attention?A) Pleuritic pain on inspirationB) Dry mucus membranes in the mouthC) A decrease in respiratory rate from 34 to 24D) Decrease in chest wall expansionYour response was
.The correct answer is D: Decrease in chest wall expansionThe respiratory status of a client with this acute bacterial pneumonia known as Legionnaires'' disease is critical. Note thatall of these findings would be of a concern. The task is to select the priority concern. Chest wall expansion reflects apossible decrease in the depth and effort of respirations. Further findings of restlessness may indicate hypoxemia. If theseoccurred the client may then need mechanical ventilation. Option A is expected with such infections of the lung. Option Bindicates dehydration which may result in thick sputum which is most difficult to cough up. Option C is a desired effect of therapy.
Question Number 8 of 40
 A newly appointed nurse manager is having difficulties with time management. Which advice from an experiencedmanager should the new manager do initially?A) Set daily goals and establish priorities for each hour and each day.B) Ask for additional assistance when you feel overwhelmed.C) Keep a time log of your day in hourly blocks for at least 1 week.D) Complete each task before beginning another activity in selected instances.Your response was
.The correct answer is C: Keep a time log of your day in hourly blocks for at least 1 week. Apply the nursing process totime management in that assessment of the current activities is the initial step. A baseline is established for activities andtime use so that needed changes can be pinpointed
Question Number 9 of 40
 Which of these statements by the nurse is incorrect if the nurse has the goal to reinforce information about cancers to agroup of young adults?A)You can reduce your risk of this serious type of stomach cancer by eating lots of fruits and vegetables, limiting allmeat, and avoiding nitrate-containing foods.
B) Prostate cancer is the most common cancer in American men with results to threaten sexuality and life.C) Colorectal cancer is the second-leading cause of cancer-related deaths in the United States.D)Lung cancer is the leading cause of cancer deaths in the United States. Yet it's the most preventable of allcancers.Your response was
. The correct answer A. It is recommended that only red meat be limited for the prevention of stomach cancer. All of the other statements are correct information.
Question Number 10 of 40
 The nurse is caring for a 4 year-old child with a greenstick fracture. In explaining this type of fracture to the parents, the
response by the nurse should be thatA) A child's bone is more flexible and can be bent 45 degrees before breakingB) Bones of children are more porous than adults and often have incomplete breaksC) Compression of porous bones produces a buckle or torus type breakD) Bone fragments often remain attached by a periosteal hingeYour response was
.The correct answer is B: Bones of children are more porous than adults and often have incomplete breaksThe pliable bones of growing children are more porous than those of the adult, which allows them to bend, buckle, andbreak in a "greenstick" manner. A greenstick fracture occurs when a bone is angulated beyond the limits of bending. Thecompressed side bends and the tension side fails, causing an incomplete fracture.
Question Number 11 of 40
 Which tasks, if delegated by the new charge nurse to a unlicensed assistive personnel (UAP), would require interventionby the nurse manager?
.A) To help an elderly client to the bathroom.B) To empty a foley catheter bag.C) To bathe a woman with internal radon seeds.D) To feed a 2 year-old with a broken arm.Your response was
.The correct answer is C: To bathe a woman with internal radon seeds. A client with internal radiation is complex care andnot suitable to be assigned to a UAP. Additionally, the client would not receive a complete bath because of the radiationrisks
Question Number 12 of 40
 An 82 year-old client is prescribed eye drops for treatment of glaucoma. What assessment is needed before the nursebegins teaching proper administration of the medication?A) Determine third party payment plan for this treatmentB) The client’s manual dexterityC) Proximity to health care servicesD) Ability to use visual assistive devicesYour response was
. The correct answer is B: The client’s manual dexterity Inability to self administer eye drops is acommon problem among the elderly due to decreased finger dexterity.
Question Number 13 of 40
 The nurse would teach a client with Raynaud's phenomenon that it is
important toA) Stop smokingB) Keep feet dryC) Reduce stressD) Avoid caffeineYour response was
.The correct answer is A: Stop smoking The most important teaching for this client is to stop smoking. The question isasking what is the most important teaching. The others tend to be done less frequently than smoking and are less of athreat.
Question Number 14 of 40
 The nurse is assessing a newborn the day after birth. A high pitched cry, irritability and lack of interest in feeding arenoted. The mother signed her own discharge against medical advice. What intervention is appropriate nursing care?

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