1. A nurse on a mental health unit is admitting a client who has posttraumatic stress disorder.
Which of the following findings should the nurse expect?
A. Talks continuously about the event
B. Preoccupied with having a serious illness
C. Has difficulty concentrating on a task
D. Experiences frequent grandiose thoughts
2. A nurse is administering a scheduled medication to a client. The client reports that the
medication appears different than what they take home. Which of the following responses
should the nurse make?
A. "Did the doctor discuss with you that there was a change in this medication? "
B. "Do you know why this medication is being prescribed for you?"
C. "I will call the pharmacist now to check on this medication "
D. "I recommend that you take this medication as prescribed"
3. A nurse is assessing a client who is in skeletal traction for a fractured left tibia. The nurse
should Identify that which the following findings indicates altered tissue perfusion of the
affected extremity?
A. Purulent drainage at the site
B. Faint pedal pulse of left leg
C. Pain with movement of the left great toe
D. Warm skin temperature distal to pin site
4. A nurse is providing teaching to an adolescent who has peptic ulcer disease. Which of the
following statements by the client indicates an understanding of the teaching?
A. "I will decrease my daily protein intake to 15 grams per day"
B. "I will use ibuprofen as needed to control abdominal pain"
C. "I will take sucralfate with meals three times per"
D. "I will avoid food and beverages that contain caffeine"
5. A nurse is caring for a client who is in the advanced stage of amyotrophic lateral sclerosis
(ALS). Which of the following referrals is the nurse's priority?
A. Occupational therapist
B. Social worker
C. Speech-language pathologist
D. Psychologist
6. A nurse administers digoxin 0.125 mg PO to an adult client. For which of the following
findings should the nurse notify the provider?
C. Digoxin level 1 ng/mL ** normal levels 0.5- 2.0
D. Apical pulse 58/ min
7. A nurse is updating the plan of care for a client who has an exacerbation of psoriasis. Which
of the following interventions should the nurse include in the plan?
A. Discontinue ultraviolet light therapy if lesions become itchy
B. Cover lesions with an occlusive dressing after applying a corticosteroid.
C. Scrub external lesions with a pumice stone
D. Instruct the client to add rubbing alcohol to bath water
8. A nurse is verifying a record of informed consent for a client who scheduled for surgery.
Which of the following actions should the nurse take?
A. Provide Information on the informed consent form about the benefits of the surgery
B. Confirm the client's signature is authentic
C. Inform the client about the condition that requires treatment
D. Explain the procedure to the client before verifying informed consent.???
9. A nurse is caring for a client who requests the creation of a living will. Which of the
following actions should the nurse take?
A. Schedule a meeting between the hospital ethics committee and client
B. Determine the client's preferences about postmortem care
C. Evaluate the client's understanding of life sustaining measures
D. Request a conference with the client's family
10. A nurse in an emergency department caring for a toddler who has burns following a house
fire. Which of the following actions should the nurse take first?
A. Administer antibiotics prophylactically to prevent sepsis.
B. Determine the location and depth of the burns.
C. Calculate fluid replacement based on vital signs and urinary output.
D. Check the mouth for soot and smoky breath. ABC’S
11. A nurse is caring for an older adult client who has prescriptions for multiple medications.
Which of the following factors should the nurse identify as an age-related change that
increases the risk for adverse effects from medications?
A. Prolonged medication half-life
B. Increased medication elimination
C. Decreased medication sensitivity
D. Rapid gastric emptying
12. A nurse is caring for a client who is in a seclusion room following violent behavior. The
client continues to display aggressive behavior. Which of the following actions should the
nurse take?
A. Express sympathy for the client's situation.
B. Confront the client about this behavior.
C. Speak assertively to the client.
D. Stand within 30 cm (1 fu of the client when speaking with them.
13. A nurse is reviewing the medical record of a client who is requesting combination oral
contraceptives. Which of the following conditions in the client's history is a contraindication
to the use of combination oral contraceptives?
A. Hypocalcemia
B. Diverticulosis
C. Hyperthyroidism
D. Thrombophlebitis
14. A nurse is creating a plan of care for a female client who has recurrent urinary tract
infections. Which of the following interventions should the nurse include in the plan?
A. Wear loose-fitting underwear.
B. Take a bubble bath after intercourse
C. Drink four 240 mL (8 oz) glasses of water each day
D. Void every to 6 hr during the day. NO
15. A nurse is consulting a pharmacological reference about medication compatibility prior to
administering warfarin to a client. Which of the following medications should the nurse
identify as being incompatible with warfarin?
A. Magnesium hydroxide
B. Naproxen NSAID’S
C. Lisinopril
D. Propranolol
16. A nurse in an emergency department is caring for a client following a motor-vehicle crash.
The client's Glasgow coma scale rating is 15. Which of the following findings should the nurse
expect?
A. The withdraws from pain.
B. The client is oriented times three.
C. The dent is unable to obey commands non.
D. The client opens eyes to sound.
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