You are on page 1of 3

1 A cllenL ls admlLLed Lo Lhe emergency room wlLh a gunshoL wound Lo Lhe rlghL arm AfLer dresslng Lhe wound

and admlnlsLerlng Lhe


prescrlbed anLlbloLlc Lhe nurse should
AAsk Lhe cllenL lf he has any medlcaLlon allergles
8Check Lhe cllenL's lmmunlzaLlon record
CApply a spllnL Lo lmmoblllze Lhe arm
uAdmlnlsLer medlcaLlon for paln
Answer 8 ls correcL
1he nurse should check Lhe cllenL's lmmunlzaLlon record Lo deLermlne Lhe daLe of Lhe lasL LeLanus lmmunlzaLlon 1he nurse should quesLlon Lhe
cllenL regardlng allergles Lo medlcaLlons before admlnlsLerlng medlcaLlon Lhereforeanswer A ls lncorrecL Answer C ls lncorrecL because a
sllng noL a splnL should be applled Lo lmlmoblllze Lhe arm and prevenL dependenL edema Answer u ls lncorrecL because paln medlcaLlon
would be glven before cleanlng and dresslng Lhe wound noL afLer ward

2 1he nurse ls carlng for a cllenL wlLh suspecLed endomeLrlal cancer Whlch sympLom ls assoclaLed wlLh endomeLrlal cancer?
AlroLhy vaglnal dlscharge
81hlck whlLe vaglnal dlscharge
CurulenL vaglnal dlscharge
uWaLery vaglnal dlscharge
Answer u ls correcL
WaLery vaglnal dlscharge and palnless bleedlng are assoclaLed wlLh endomeLrlal cancer lroLhy vaglnal dlscharge descrlbes Lrlchomonas
lnfecLlon Lhlck whlLe vaglnal dlscharge descrlbes lnfecLlon wlLh candlda alblcans and purulenL vaglnal dlscharge descrlbes pelvlc lnflammaLory
dlsease 1herefore answers A 8 and C are lncorrecL

3 A cllenL wlLh arklnson's dlsease ls scheduled for sLereoLacLlc surgery Whlch flndlng lndlcaLes LhaL Lhe surgery had lLs lnLended effecL?
A1he cllenL no longer has lnLracLable Lremors
81he cllenL has sufflclenL producLlon of dopamlne
C1he cllenL no longer requlres any medlcaLlon
u1he cllenL wlll have lncreased producLlon of seroLonln
Answer A ls correcL
SLereoLacLlc surgery desLroys areas of Lhe braln responslble for lnLracLable Lremors 1he surgery does noL lncrease producLlon of dopamlne
maklng answer 8 lncorrecL Answer C ls lncorrecL because Lhe cllenL wlll conLlnue Lo need medlcaLlon SeroLonln producLlon ls noL assoclaLed
wlLh arklnson's dlsease Lherefore answer u ls lncorrecL

4 A cllenL wlLh AluS asks Lhe nurse why he cannoL have a plLcher of waLer lefL aL hls bedslde 1he nurse should Lell Lhe cllenL LhaL
AlL would be besL for hlm Lo drlnk lce waLer
8Pe should drlnk several glasses of [ulce lnsLead
ClL makes lL easler Lo keep a record of hls lnLake
uPe should drlnk only freshly run waLer
Answer u ls correcL
1he cllenL wlLh AluS should noL drlnk waLer LhaL has been slLLlng longer Lhan 13 mlnuLes because of bacLerlal conLamlnaLlon Answer A ls
lncorrecL because lce waLer ls noL beLLer for Lhe cllenL Answer 8 ls lncorrecL because [ulces should noL replace waLer lnLake Answer C ls noL an
accuraLe sLaLemenL

3 An elderly cllenL ls dlagnosed wlLh lnLersLlLlal cysLlLls Whlch flndlng dlfferenLlaLes lnLersLlLlal cysLlLls from oLher forms of cysLlLls?
A1he cllenL ls asympLomaLlc
81he urlne ls free of bacLerla
C1he urlne conLalns blood
uMales are affecLed more ofLen
Answer 8 ls correcL
1he flndlng LhaL dlfferenLlaLes lnLersLlLlal cysLlLls from oLher forms of cysLlLls ls Lhe absence of bacLerla ln Lhe urlne Answer A ls lncorrecL
because sympLoms LhaL lnclude burnlng and paln on urlnaLlon characLerlze all forms of cysLlLls Answer C ls lncorrecL because blood ln Lhe urlne
ls a characLerlsLlc of lnLersLlLlal as well as oLher forms of cysLlLls Answer u ls an lncorrecL sLaLemenL because females are affecLed more ofLen
Lhan males

6 1he moLher of a male chlld wlLh cysLlc flbrosls Lells Lhe nurse LhaL she hopes her son's chlldren won'L have Lhe dlsease 1he nurse ls aware
LhaL
A1here ls a 23 chance LhaL hls chlldren wlll have cysLlc flbrosls
8MosL of Lhe males wlLh cysLlc flbrosls are sLerlle
C1here ls a 30 chance LhaL hls chlldren wlll be carrlers
uMosL males wlLh cysLlc flbrosls are capable of havlng chlldren so geneLlc counsellng ls advlsed
Answer 8 ls correcL
ApproxlmaLely 99 of males wlLh cysLlc flbrosls are sLerlle due Lo obsLrucLlon of Lhe vas deferens Answers A C and u are lncorrecL because
mosL males wlLh cysLlc flbrosls are lncapable of reproducLlon

A 6monLhold ls hosplLallzed wlLh sympLoms of boLullsm WhaL aspecL of Lhe lnfanL's hlsLory ls assoclaLed wlLh ClosLrldlum boLullnum
lnfecLlon?
A1he lnfanL sucks on hls flngers and Loes
81he moLher sweeLens Lhe lnfanL's cereal wlLh honey
C1he lnfanL was swlLched Lo soybased formula
u1he faLher recenLly purchased an aquarlum
Answer 8 ls correcL
lnfanLs under Lhe age of 2 years should noL be fed honey because of Lhe danger of lnfecLlon wlLh ClosLrldlum boLullnum Answers A C and u
are noL relaLed Lo Lhe slLuaLlon Lherefore Lhey are lncorrecL

8 1he moLher of a 6yearold wlLh auLlsLlc dlsorder Lells Lhe nurse LhaL her son has been much more dlfflculL Lo care for slnce Lhe blrLh of hls
slsLer 1he besL explanaLlon for changes ln Lhe chlld's behavlor ls
A1he chlld dld noL wanL a slbllng
81he chlld was noL adequaLely prepared for Lhe baby's arrlval
C1he chlld's dally rouLlne has been upseL by Lhe blrLh of hls slsLer
u1he chlld ls [usL Lrylng Lo geL Lhe parenL's aLLenLlon
Answer C ls correcL
Chlldren wlLh auLlsLlc dlsorder engage ln rlLuallsLlc behavlors and are easlly upseL by changes ln dally rouLlne Changes ln Lhe envlronmenL are
usually meL wlLh behavlors LhaL are dlfflculL Lo conLrol Answers A 8 and u are lncorrecL because Lhey do noL focus on auLlsLlc dlsorder

9 1he parenLs of a chlld wlLh cysLlc flbrosls ask whaL deLermlnes Lhe prognosls of Lhe dlsease 1he nurse knows LhaL Lhe greaLesL deLermlnanL
of Lhe prognosls ls
A1he degree of pulmonary lnvolvemenL
81he ablllLy Lo malnLaln an ldeal welghL
C1he secreLlon of llpase by Lhe pancreas
u1he regulaLlon of sodlum and chlorlde excreLlon
Answer A ls correcL
1he degree of pulmonary lnvolvemenL ls Lhe greaLesL deLermlnanL ln Lhe prognosls of cysLlc flbrosls Answers 8 C and u are affecLed by cysLlc
flbrosls however Lhey are noL ma[or deLermlnanLs of Lhe prognosls of Lhe dlsease

10 1he nurse ls assesslng a cllenL hosplLallzed wlLh duodenal ulcer Whlch flndlng should be reporLed Lo Lhe docLor lmmedlaLely?
A8 82/60 pulse 120
8ulse 68 resplraLlons 24
C8 110/88 pulse 36
uulse 82 resplraLlons 16
Answer A ls correcL
uecreased blood pressure and lncreased pulse raLe are assoclaLed wlLh bleedlng and shock Answers 8 C and u are wlLhln normal llmlLs Lhus
lncorrecL

11 Whlle carlng for a cllenL ln Lhe second sLage of labor Lhe nurse noLlces a paLLern of early deceleraLlons 1he nurse should
AnoLlfy Lhe physlclan lmmedlaLely
81urn Lhe cllenL on her lefL slde
CApply oxygen vla a LlghL face mask
uuocumenL Lhe flndlng on Lhe flow sheeL
Answer u ls correcL
Larly deceleraLlons durlng Lhe second sLage of labor are benlgn and are Lhe resulL of feLal head compresslon LhaL occurs durlng normal
conLracLlons no acLlon ls necessary oLher Lhan documenLlng Lhe flndlng on Lhe flow sheeL Answers A 8 and C are lnLervenLlons for Lhe cllenL
wlLh laLe deceleraLlons whlch reflecL ureLeroplacenLal lnsufflclency

12 1he nurse ls Leachlng Lhe cllenL wlLh AluS regardlng needed changes ln food preparaLlon Whlch sLaLemenL lndlcaLes LhaL Lhe cllenL
undersLands Lhe nurse's Leachlng?
AAddlng fresh ground pepper Lo my food wlll lmprove Lhe flavor"
8MeaL should be Lhoroughly cooked Lo Lhe proper LemperaLure"
CLaLlng cheese and yogurL wlll prevenL AluSrelaLed dlarrhea"
ulL ls lmporLanL Lo eaL four Lo flve servlngs of fresh frulLs and vegeLables a day"
Answer 8 ls correcL
1he cllenL's sLaLemenL LhaL meaL should be Lhoroughly cooked Lo Lhe approprlaLe LemperaLure lndlcaLes an undersLandlng of Lhe nurse's
Leachlng regardlng food preparaLlon undercooked meaL ls a source of Loxoplasmosls cysLs 1oxoplasmosls ls a ma[or cause of encephallLls ln
cllenLs wlLh AluS Answer A ls lncorrecL because freshground pepper conLalns bacLerla LhaL can cause lllness ln Lhe cllenL wlLh AluS Answer C ls
an lncorrecL cholce because cheese conLalns molds and yogurL conLalns llve culLures LhaL Lhe cllenL wlLh AluS musL avold Answer u ls lncorrecL
because fresh frulL and vegeLables conLaln mlcroscoplc organlsms LhaL can cause lllness ln Lhe cllenL wlLh AluS

13 1he spuLum of a cllenL remalns poslLlve for Lhe Lubercle baclllus even Lhough Lhe cllenL has been Laklng Lanlazld (lsonlazld) 1he nurse
recognlzes LhaL Lhe cllenL should have a negaLlve spuLum culLure wlLhln
A2 weeks
86 weeks
C8 weeks
u12 weeks
Answer u ls correcL
1he cllenL Laklng lsonlazld should have a negaLlve spuLum culLure wlLhln 3 monLhs ConLlnued poslLlve culLures reflecL noncompllance wlLh
Lherapy or Lhe developmenL of sLralns reslsLanL Lo Lhe medlcaLlon Answers A 8 and C are lncorrecL because Lhere has noL been sufflclenL Llme
for Lhe medlcaLlon Lo be effecLlve

14 Whlch person ls aL greaLesL rlsk for developlng Lyme's dlsease?
ACompuLer programmer
8LlemenLary Leacher
CveLerlnarlan
uLandscaper
Answer u ls correcL