This action might not be possible to undo. Are you sure you want to continue?
The nurse anticipates that the first physician‟s order will include: a. Ordering an MRI b. Administering a steroid medication, such as Decadron c. Giving thiamine 100 mg IM STAT d. Ordering an EEG 2. Which of the following statements, if made by a four year old child whose brother just died of cancer, would be age-appropriate? a. “I know i will never see my mother again.” b. “I‟m glad my mother isn‟t crying anymore.” c. “I can‟t wait to go get pizza with my brother.” d. “i know where my brother is buried.” 3. A patient who has AIzheimer‟s disease is told by the nurse to brush his teeth. He shouts angrily, “Tomato soup!” Which of the following actions by the nurse would be correct? a. Focusing on the emotional reaction b. Clarifying the meaning of his statement c. Giving him step-by-step directions d. Doing the procedure for him 4. A nurse should teach a patient who is taking chlorpromazine (Thorazine) to avoid: a. Exposure to the sun b. Swimming in a chlorinated pool c. Drinking fluids high in sodium d. Eating foods such as chocolate and aged cheese 5. in caring for a psychotic patient who is experiencing hallucinations, which of the following interventions is considered critical? a. Setting fewer limits in order to allow for more expressions of feeling b. Maintaining constant observation. c. Providing more frequent opportunities for interaction with others. d. Constantly negating the patient‟s hallucinatory Ideations. 6. A 22-year-old client is being admitted with a diagnosis of brief psychotic disorder. Two weeks ago, his girlfriend broke off their engagement and cancelled the wedding. Given the Diagnosis and Statistical Manual of Mental Disorders, edition, text‟ revised (DSM-IV-TR) criteria for this disorder the nurse expects to find which of the following data during the interview with the client? a. Current treatment for pneumonia b. Regular use of alcohol and marijuana c. Evidence of delusions and hallucinations d. A history of chronic depression 7. A set of monozygotic twins who are 23 years old have begun attending groups at mental health center. One twin is diagnosed with schizophrenia. Her twin has no diagnoses but has been experiencing significant anxiety since becoming engaged. In counseling the engaged twin, it would be crucial to include which of the following tacts? a. Her future children will be at risk for developing schizophrenia b. She may have a predisposition for schizophrenia c. One of her parents may develop schizophrenia later in life d. It is unlikely that she wil! develop schizophrenia, at her age
A nurse is assessing a client to determine the distress experienced after binge eating. “At first there is no weight loss. A nurse is talking to a client with bulimia nervosa about the complications of Laxative abuse. It‟s hard to face this type of problem in a person you love. “This is a serious problem even though there is no weight loss. “How can my child have an eating disorder when she isn‟t underweight?” Which of the following responses is best? a. Electrolyte Imbalance d. Swollen glands c. Loss of taste b. Hypoglycemia c. Which of the following findings is expected based on laboratory test results? a. Hemoglobin a 11. Ageusia b. Seductive 10.” b. Dental problems d. Hypokalemia d.” c. Which of the following complications of bulimia nervosa Is life threatening? a. Antisocial b. A parent with a daughter with bulimia nervosa asks a nurse. Hemoglobin S c. A client tells the nurse that her co-workers are sabotaging the computer. Which of the following types of behavior is expected from a client diagnosed with paranoid personality disorder? a. Which of the following complications should be included? a. Histrionic c. When the nurse asks questions. The nurse finding that which of the following values is elevated? a. This behavior shows personality traits associated with which of the following personality disorders? a.8.” 12. Hemoglobin C d. Hypersensitive d. Schizotypal 9. the client becomes argumentative. Which of the following symptoms are typical after bingeing? a. A nurse is assessing an adolescent girl recently diagnosed with an eating disorder and symptoms of bulimia nervosa. Yellow skin 14. Amenorrhea b. Headache . Hemoglobin F b. Hypocalcemia b. Exploitative c. Paranoid d. A nurse is reviewing the serum laboratory test results for a client with sickle cell anemia. “A person with bulimia nervosa can maintain a normal weight. Malabsorption of nutrients 15. Bradycardia c. Eccentric b. it comes later In the disease. Hypophosphatemia 13.” d.
pulse 84. oriented. b. “My parents never hug me or say I‟ve done anything right. Pain d.E. fractured pelvis. d. The three assessment factors included in this scale are: a. Lifetime dependency on hormone replacement c. oriented and eager to return to her job as an executive assistant to the hospital director. He had a mild contusion. Following hypophysectomy. Discuss the difficulties the family has in social situations. A client with anorexia nervosa tells a nurse she always feels fat. Eye opening. an unusual complication c. The need to drink many fluids to replace those lost d. c. 22.” Which of the following Interventions is the best to use with this family? a. She calls the nurse to her room to express her concern about the frequency of urination she is experiencing. The most likely cause of her chief complaint this morning is a. myocardial contusion. Ms.evaluate the level of consciousness in the neurological and neurological patients. His vital signs BP 120/80. pupil size. is a 24-year old woman admitted to the neurosurgery floor 2 days following a hypophysectomy for a pituitary tumor. The onset of diabetes mellitus. J. A client with anorexia nervosa tells a nurse. Sore throat 16. Chronic anxiety d. The nurse will monitor J. as well as the feeling of weakness that began this morning. motor response d. verbal response. The need to undergo repeat surgical procedures 21. motor response J. A decrease in postoperative stress causing polyuria b. response to pain. and temperature 99 F orally. response to pain. Mental Illness b. Help the family convey a positive attitude toward the client.E. respirations 12. Eye opening. A frequent complication of the hypophysectomy 20. She is alert. but is alert and oriented. motor responses b. and fractured right femur. Teach the family principles of assertive behavior.K. is an 18-year old freshman admitted to the ICU following a motor vehicle accident in which he sustained multiple trauma including a ruptured spleen. Address the dynamics of the disorder. Which of the following difficulties are frequently found in families with a member who has bulimia nervosa? a. Encourage her to look at herself in a mirror. d. motor response c. Explore the family‟s ability to express affection appropriately. She is alert.c. 18. The Glasgow coma scale is used to . Multiple losses c. patients require extensive teaching regarding this major alteration in their lifestyle a. Abnormal distribution of body hair b. Pupil size. Substance abuse 17. An expected result of the removal of the pituitary gland d. c. Talk about how important the client is. b. for the following signs and symptoms: . Talk about how she‟s different from her peers. and eager to return to her job as an executive to the hospital director. verbal response. Which of the following interventions is the best for this client? a. 19.
the nurse would do which of the following? a. Given the above Information. Monitoring vita i signs b. bradycardia.. and intermittent positive pressure breathing q2h d. a 34-year old white female. Infection has increased her insulin needs 26. The nurse received the lab results from the blood sample drawn in ER. Provide a cane for support d. chest pain and oliguria 23. passive leg exercises daily. petechiae. petechiae b. fatigue. respiratory exercises b. insulin administration increase WBC count d. respiratory exercises. Administer analgesia after walking c. respiratory therapy for intermittent positive pressure breathing therapy c. Assessing pedal pulses and feet 25.E. Lab results are within normal limits. To assist with the body‟s response to stress 27. Later that evening. is admitted via the emergency room complaining of abdominal pain. teach use of overhead trapeze. Ms. She is a diabetic who been managed at 30 U NPH insulin every AM and a 1200-calorie ADA diet. Assessing neurological status d. Skin care q2h. However. Change in the level of consciousness. Skin care/bathe daily. Skin care and position q2h. and severe leg pain d. Her glucose is now-100. Skin care and position q2h and prn. diaphoresis. When ambulating a client following surgical removal of a protruded intervertebral lumbar disc. To provide calories to offset the patient being NPO b.000. anorexia. Results were not avaiIable upon transfer to the unit. J is scheduled for surgery in the morning. respiratory exercises. muscle cramping. bradycardia. and nausea. no action Is necessary b. Her glucose in ER 700 mg/dL. Regular insulin 30 U was given and a repeat glucose were drawn. 24. Change in level of consciousness. Her diabetes is out of control c. Appropriate nursing interventions for J. To prevent a hypoglycemic reaction c. Obtaining blood glucose results c. which nursing activities should be highest priority? a. Immobilize the head and neck . tachycardia. use pressure relief devices Ms. maintain alignment of extremities. To prevent a fluid volume deficit d. tachycardia.a. What conclusion can the nurse draw basing on this information? a. The physician has written the following orders: NPO after midnight At 6 AM starting IVF of D5W to be infused at 250 ml/hr 15 U NPH insulin at 6AM Draw FBS prior to initiating iV fluids The statement that best describe the rationale for these orders Is: a. A diagnosis of appendicitis is made and Ms. tachypnea. teach use of overhead trapeze. Maintain proper body alignment b. her WBC count is 25. would be a. J. Onset of chest pain. Loss of consciousness. nausea and vomiting c. J‟s abdominal pain increased in intensity.
circulatory. One point in at least three areas” respiratory.for a total score of 5. intravenous administration of calcium b. 34. Discontinue the medication for a few weeks c. Which of the following actions should the nurse tell the patient to expect during her one-year follow-up? a. which of the following would be the nurse‟s priority action? a. Switch to a stronger dosage of the medication. Combine the spray with an oral decongestant. c. After a client signs the form. the client experiences hemorrhage. the client asks the nurse. Teaching preoperative moving. At 16 weeks gestation. ” The blood supply to the brain has decreased causing permanent brain damage. Inserting a bladder catheter to urine output. An ultrasound confirmed a hydatidiform molar pregnancy. Use the spray more frequently d.” 30. 29. Two points each in each of the five areas for a total score of 10. no fetal heart rate was detected during assessment of a pregnant patient. coughing. “I think you should ask the doctor. “When will this hotel bring me some food?” After confirming that the client is confused. Wash the radiation site vigorously with soap and water to remove dead cells. 32.” d. Creation of a tracheostomy d. b. c. Which of the following statements would be the nurse‟s response to a family member asking questions about a client‟s transient ischemic attack (TIA)? a. b. Reporting that the consent has been obtained from a confused client. a client complains of dysphagia and skin texture changes. Following a thyroidectomy. Apply coo! compresses to the radiation site to reduce edema. Would you like me to call him for you?” b. giving informed consent for surgery and the physician !eaves the room. A client using an over-the counter nasal decongestant spray reports unrelieved and worsening nasal congestion. and consciousness – for a total of 3 c.above. Administering preoperative medication immediately . d. insertion of an oral airway c.28. at the radiation site. b. A total score for the five areas of 7 or. “TIA means a transient ischemic attack. Oral contraceptives will not be prescribed because they will increase the risk‟ of cancer . 31. d. indicates that the client has fulfilled minimal criteria for discharge from the PACU? a. The nurse should instruct the client to do which of the following? a. Eat a diet high in protein and calories to optimize tissue repair. One point In each of the five areas . Intravenous administration of thyroid hormone 33. Pregnancy will be restricted for another year d.exercises. b. d. and promote healing? a. Which of the following point scores on the post anesthesia chart. and deep-breathing. Multiple serum chorionic gonadotropin levels will be drawn b. Which of the following instructions would be most appropriate to suggest to minimize the risk of complications.” c. The nurse would prepare for which of the following emergency interventions? a. An Intrauterine device will be used to decrease vaginal bleeding c. While receiving radiation therapy for the treatment of breast cancer. “It Is a temporary interruption in the blood flow to the brain. Drink warm fluids throughout the day to relieve discomfort in swallowing.
9 mEq/L The physician says to give the medication. Apply pressure by pinching the anterior portion of the for five to ten minutes b. Which of the following questions would be most important for the nurse to ask? a. but if you want the medication given. Notify the physician d. During the night. When a woman is 10 weeks pregnant which of the following hematology test results would need further Investigation? a. Regular insulin (Humulin R) c. Complete a nursing assessment of the patient 38. “Did you feel fluttering in your chest” . Enunciating each word .000/cu mm c. Apply ice compresses to the patient‟s forehead and back of the neck 36. “When did you eat your last meal?” c.” d. The staff nurse calls a physician regarding an order to administer digoxin (Lanoxin) to a patient with a pulse of 55 and a serum potassium level of 2. Which of the following nursing actions is most appropriate to control the bleeding? a. Thirty minutes after the nurse removes a nasogastric tube that has been In place for seven days.” 37. “I‟m sorry. A nurse is taking history from a patient who has just been admitted to the hospital withl an acute myocardia! infarction. Varying voice intonations d. Which of the following techniques would a nurse use when interviewing a 94-year-old patient? a.” c. Semi-Lente Insulin (Semiterd) 41. A patient who is receiving total parenteral nutrition has an elevated blood glucose eve! and is to be administered intravenous insulin. platelet count of 200. Restrain the patient with a Posey jacket b. Which of the following actions is the most appropriate Initial nursing response? a. c.” b.200. you will have to give it yourself. Insulin zinc suspension (Lente) d.000/ cu mm 39. as ordered . 40. white blood cell count of 15. Pack the nostrils with gauze and keep the gauze in place for four to five days d. The staff nurse‟s best response would be a. Reinforcing the words with pictures . “I‟ll give the medication but you will still be responsible if anything happens to the patient. “Have you experienced a pounding headache?” d. the patient experiences epistaxis (nosebleed). Medicate the patient with haloperidol (Haldol) as ordered. Hemoglobin level of 9 mg/dL b. shift report. “At what time did the pain start?” b. “I will not give this medication. Using a low-pitched voice b. Isophane insulin (NPH) b. Which of the following types of insulin should a nurse has available? a. the charge nurse learns that an elderly patient has become very confused and is shouting obscenities and undressing himself. „”I think we should discuss this with the nursing supervisor.35.slowly c.000/cu mm d. Place the patient in a sitting position with the neck hyperextended c. red blood cell count of 4.
Smoke cigars instead c. your team leader tells you that Mr. Acetaminophen (Tyienol) c. When discussing his smoking habits with Mr. Vistaril b. Dyspnea and coughing 48. slow pulse c. 2 b. Martinelli. When you report on duty.correct concerning this test a. He is admitted for possible gastric ulcer.” . Fatigue d. Spasm of the neck muscles developed in a patient who is taking phenothiazine (Nemazine). “What would you do if you were out of the hospital?” b. Weak. Distended neck veins d. 6. The liquid antibiotic comes in a concentration of 125 mg/5ml. Acetylsalicylic acid (Aspirin) d. The patient Is fasting 12 hours prior to test b. Smoke low-tar. Cold sensitivity c. If the antibiotic were to be given three times each day. 5 c. A new staff nurse is on an orientation tour with the head nurse. “I can‟t do anything about that. Gastric contents are aspirated via a tube c. is to receive 750 mg of an antibiotic in a 24-hour period. A client approaches her and says. He is a heavy smoker. Please try to get me out.8. You should know which of the following Is not. As the nurse preparing Ivlr. Pallor b. “I don‟t belong here. “I am a. Dyspnea only on exertion 47. Chew gum instead 45. Smoke only right after meals d.” The staff nurse‟s best response would be: a. MartineHi accidentally received 1000 ml of fluids in 2 hours and that you are to be alert for signs of circulatory overload. 10 43. Various position changes are necessary during the test 46. An infant who weighs 11 lbs. “I think you should talk to the head nurse about that.‟ d.25 d. the nurse should advise him to: a. Martinelii for gastric analysis. filter cigarettes b.42. You would not find which of the following assessments in a patient with severe anemia? a. new staff member. Martinelli had an Hgb of 9. Benztropine mesyiate (Cogentin) Mr. Which of the following medications should the nurse administer? a. moist gurgling respirations b. Anthony Malailinelii is a 54-year old truck driver. and I‟m on a tour. Which of the following signs would not be likely to occur? a. Smoking for 8 hours prior to test is not allowed d. how many ml would the nurse administer with each dose? a. Mr.” c. 44. I‟ll come back and talk with you later.
b. c.” Which of the following nursing interventions would be most appropriate? a. Sexual intercourse shouldn‟t be different for you. After a spinal cord injury. Substance abuse 51. Remain calm and don‟t emotionally respond to the client‟s manipulative actions. the nurse concludes that the client has developed: a. Refer the couple to a sex therapist.” Which of the following situations or conditions would the nurse explore in the assessment? a. decreased physical symptoms 53. A client tells the nurse she is having her menstrual period every 2 weeks and it lasts for 1 week. you may consider contraception if you don‟t want to become pregnant. “I no longer have enough energy to make love to my husband. After a spinal cord injury. Help the client eliminate the intense desire to have everything in life turn out perfectly. 54. From these symptoms and his history. Improved self-esteem d. menororrhagia . d. Which of the following conditions is best defined by this menstrual pattern? a. Suggest methods and measures that facilitate sexual activity.. The nurse assessing this client observes that he demonstrates a shuffling gait. Dystonia d.49. b. Hypoactive behavior d. A client with antisocial personality disorder is trying to manipulate the healthcare team. women usually are unable to conceive a child. Fewer panic attacks b. A client with antisocial personality disorder is beginning to practice several socially acceptable behaviors in the group setting. Which of the following outcomes will result from this change? a. Advise the woman to seek a gynecologic consult c. Tell the client. Distracted easily c. Which of the following discharge instructions would be most accurate to provide to a female client who has suffered a spinal cord injury at the C4 level? a. d. menstruation usually stops. He has been on long-term phenothiazines (Thorazine). Tardive dyskinesia b. Dyspareunia c. Oligorrhagia d. b. Parkinsonism c. he will understand. After a spinal cord injury. 52. c. women usually remain fertile. “if you talk this over with your husband. 55.A client with chronic obstructive pulmonary disease (COPD) tells the nurse. Akathisia 50. 400 mg/day. d. Which of the following strategies is important for the staff to use? a. Help the client verbalize underlying feelings of hopelessness and learn coping skills. A client with antisocial personality disorder tells a nurse “Life has been full of problems since childhood. Acceptance of reality c. Birth defects b. Focus on how to teach the client more effective behaviors for meeting basic needs. therefore. Amenorrhea b. A 50 year-old male client has a history of many hospitalizations for schizophrenic disorder. drooling and exhibits general dystonic symptoms.
verbal response. b. b. c. 29. d. 2.Answers & Rationale 1. a. 8.” 30. Eat a diet high in protein and calories to optimize tissue repair. d. a. 31. c. Exposure to the sun b. 18. Maintaining constant observation. Maintain proper body alignment 28. Discontinue the medication for a few weeks 32. Hypersensitive 10. Lifetime dependency on hormone replacement 21. c. b. c. Electrolyte Imbalance 14. Reporting that the consent has been obtained from a confused client. Pain 16. Creation of a tracheostomy 33. An expected result of the removal of the pituitary gland 20. Evidence of delusions and hallucinations b. Infection has increased her insulin needs 26. b. Multiple losses 17. d. Giving thiamine 100 mg IM STAT c. motor response 22. c. ”A person with bulimia nervosa can maintain a normal weight. maintain alignment of extremities.” 12. a. Paranoid c. Malabsorption of nutrients 15. 9. ”I can‟t wait to go get pizza with my brother.” c. 6.above. c. b. petechiae 23. Obtaining blood glucose results 25. tachycardia. Address the dynamics of the disorder. Explore the family‟s ability to express affection appropriately. b. Hypokalemia 13. 5. c. c. Giving him step-by-step directions a. tachypnea. Skin care and position q2h and prn. Hemoglobin S 11. respiratory exercises 24. c. b. A total score for the five areas of 7 or. Eye opening. c. 19. a. c. To prevent a hypoglycemic reaction 27. 7. ”It Is a temporary interruption in the blood flow to the brain. 4. 3. a. . Change in the level of consciousness. She may have a predisposition for schizophrenia c.
c. d. 55.34. Apply pressure by pinching the anterior portion of the for five to ten minutes 36.” 49. medical surgical nursing msnbc practice test book. 52.” 37. d. d. 54. Substance abuse 51. b. d. I‟ll come back and talk with you later. After a spinal cord injury.25 43. Multiple serum chorionic gonadotropin levels will be drawn 35. Using a low-pitched voice 40. Remain calm and don‟t emotionally respond to the client‟s manipulative action s. a. nursing diagnosis for substance abuse . a. Suggest methods and measures that facilitate sexual activity. a. a. you may consider contraception if you don‟t want to become pregnant. b. Tardive dyskinesia 50. Various position changes are necessary during the test 46. Dyspnea only on exertion 47. ”I will not give this medication. and I‟m on a tour. a. Smoke only right after meals 45. nursing care plan for abnormal gait. Weak. 6. c. c. Improved self-esteem 53. ”At what time did the pain start?” 42. b. a. c. d. surgical ward nurse interview questions. ”I am a. slow pulse 48. Complete a nursing assessment of the patient 38. a. new staff member. d. b. Hemoglobin level of 9 mg/dL 39. women usually remain fertile. therefore. sample questions for tracheostomy care. Which of the following is an expected outcome for a client with pulmonary disease?. menorrhagia aspirin nursing interventions. c. Benztropine mesyiate (Cogentin) 44. Regular insulin (Humulin R) 41.