Term 1 of 99
167. An adult male is admitted to the emergency department after falling from a ladder. While
waiting to have a computed tomography (CT) scan, he requests something for a severe headache.
When the nurse offers him a prescribed dose of acetaminophen, he asks for something stronger.
Which intervention should the nurse implement?
- Request that the CT scan be done immediately
- Review the client's history for use of illicit drugs
- Assess client's pupils for their reaction to light
- Explain the reason for using only non-narcotics
Term 2 of 99
189. A client refuses to ambulate, reporting abdominal discomfort and bloating caused by "too
much gas buildup" the client's abdomen is distended. Which prescribed PRN medication should
the nurse administer?
- Hydrocodone/Acetaminophen (Lortab)
- Simethicone (Mylicon)
- Promethazine (Phenergan)
- Nalbupine (Nubain)
,Term 3 of 99
190. The public nurse health received funding to initiate primary prevention program in the
community. Which program the best fits the nurse's proposal?
- Case management and screening for clients with HIV
- Regional relocation center for earthquake victims
- Vitamin supplements for high-risk pregnant women
- Lead screening for children in low-income housing
Term 4 of 99
170. An increased number of elderly persons are electing to undergo a new surgical procedure
which cures glaucoma. What effect is the nurse likely to note because of this increases in
glaucoma surgeries?
- Decrease morbidity in the elderly population
- Decrease prevalence of glaucoma in the population
- Increase mortality in the elderly population
- Increased incidence of glaucoma in the population
,Definition 5 of 99
b- Interacts with a flat affect
c- Avoids eye contact
d- Has a disheveled appearance
Rationale: Observed finding are objective and include the client's appearance, such as flat affect,
lack of eyes contact, and disheveled appearance. A and E are subject only the client can express
verbally.
185. The nurse is planning a class for a group of clients with diabetes mellitus about blood
glucose monitoring. In teaching the class as a whole, the nurse should emphasize the need
to check glucose levels in which situation?
a- Prior to exercising
b- Immediately after meals
c- Before going to bed
d- During acute illness
102. The nurse is teaching a client how to perform colostomy irrigations. When observing
the client's return demonstration, which action indicated that the client understood the
teaching?
a- Turns to left the side to instill the irrigating solution into the stoma
b- Keeps the irrigating container less than 18 inches above the stoma
c- Instills 1,200 ml of irrigating solution to stimulate bowel evacuation
d- Inserts irrigating catheter deeper into stoma when cramping occurs
152. The nurse is interacting with a female client who is diagnosed with postpartum
depression. Which finding should the nurse document as objective signs of depression?
(Select all that apply)
a- Report feeling sad
, b- Interacts with a flat affect
c- Avoids eye contact
d- Has a disheveled appearance
e- Express suicidal thoughts
161. The nurse is evaluating a client's symptoms, and formulates the nursing diagnosis, "high
risk for injury due to possible urinary tract infection." Which symptoms indicate the need for
this diagnosis?
a- Hematuria and proteinuria
b- Azotemia and anorexia
c- Fever and dysuria
d- Straining on urination and nocturia
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