1. The nurse should expect a patient who has chronic renal failure to be
given epoetin alfa (Epogen) to
a) Elevate the WBC count
b) Enhance the maturation of thrombocytes
c) Increase the production of platelets
d) Stimulate the synthesis of red blood cells
2. When planning care for a 14-year-old female who is
pregnant, a nurse
should recognize that the adolescent is at risk
of
a)
Glucose intolerance
b)
Fatal chromosomal abnormalities
c)
Incompetent cervix
d) Iron deficiency anemia
3. A nurse is planning a community education presentation
about testicular
cancer. The target group should be men aged
a)
20 to 34 years
b)
40 to 49 years
c)
50 to 64 years
d)
65 years and older
4. When teaching the care givers of a patient who has
dementia of the
Alzheimer type, a nurse should stress the importance of
a)
Increased stimuli
b)
A predictable environment
c)
Restricted activities
d)
Independent decision making
5. To help a mother anticipate the safety needs of her nine
year old son who
is learning to ride a bicycle, the nurse would
teach that
a)
A helmet will reduce the risk of head injury
b)
The child must never ride without a friend nearby
c)
A formal course of instruction is recommended
d)
The child must ride on the side walk
6. A patient with cholelithiasis and obstruction of the
common bile duct would
most likely exhibit which of the following
manifestation?
a)
Straw-colored urine
b)
Yellow sclera
c)
Dark brown stools
d)
Bright red tongue
7. Which nursing diagnosis would receive priority for a
pre-eclampic woman
who is six hours post delivery?
a)
High risk for injury
b)
Sleep pattern disturbance
c)
Altered parenting
d) Constipation
8. A patient says to the nurse �if you give me a
cigarette, I�ll go to group
therapy�, which of the following
responses by the nurse would be
therapeutic?
a)
�here are your cigarettes�
b)
�all patients on this unit are expected to go to the group therapy�
c)
�you can have one cigarette, then you must go
to group therapy�
d)
�other patients do not ask me for special treatment, why are you
the only one�?
9. Which of the following blood values on the laboratory
report should a nurse
expect when assessing a patient who has
emphysema?
a)
PCo2, 52
mm Hg
b)
PH 7.48
c)
Po2, 94 mm Hg
d)
Hco3, 21 meq/2
10. A six-month-old infant is suspected of having
intussusception. A nurse
should expect the child to undergo which
of the following procedures?
a)
Colonoscopy
b)
Rectal biopsy
c)
Barium enema
d) Cholangiography
11. Which of the following conditions would a nurse
recognize as contributing
to the development of respiratory
acidosis?
a)
Emphysema
b)
Hyperventilation
c)
Diarrhea
d)
Achalasia
12. Which of the following outcomes observed by the nurse
during the drain
cycle of peritoneal dialysis should be reported
immediately to the
physician?
a)
Clear yellow output
b)
Cloudy output
c)
Patient complaint of slight cramping
d)
A drain output of 50cc less than instilled
13. Which of the following foods should be removed from the
dietary tray of a
patient who has hepatic encephalopathy?
a)
Pasta
b)
Spinach
c)
Fresh fruit
d)
Eggs
14. Which of the following nursing measures would be most
appropriate in the
care of the patient who has acute eiptaxis?
a)
Tilt the patient�s head back
b)
Place the patient�s head between his legs
c)
Pinch the nose and have the patient lean forward
d)
Place warm compresses on the patient�s nasal bridge
15. Which of the following findings would a nurse identify
as indicative of
septic shock in a patient?
a)
Bradycardia
b)
Flushed appearance
c)
Cool, clammy skin
d)
S3
gallop
16. The nurse should instruct a patient who is to receive
digoxin (Lanoxin) to
report development of which of the following
side effects?
a)
Ringing in the ears
b)
Loss of appetite
c)
Signs of bruising
d) Sensitivity to sunlight
17. A seven-year-old girl is to begin her first
immunization schedule.
According to recommended guidelines, which
of the following vaccines is
not needed?
a)
Polio
b)
Measles
c)
Pertussis
d) Mumps
18. Which of the following instructions should a nurse give
to a patient who
has a history of venous leg ulcers in order to
prevent recurrence?
a)
�Sit with your legs dependent whenever possible�
b)
�Use warm compresses on your legs in the evening�
c)
�Examine your legs for areas of redness everyday�
d)
�Keep your legs flexed when standing for long period�
19. Nursing care for a patient who has polycythemia vera
would focus on
preventing?
a)
Dysrhythmias
b)
Hypotension
c)
Thrombosis
d)
Decubitus ulcers
20. Which of the following actions would a nurse take first
when caring for a
patient experiencing a cardiac arrest?
a)
Initiate cardiac monitoring
b)
Provide intravenous access
c)
Establish an open airway
d) Obtain a pulse oximetry reading
21. Which of the following manifestation would a nurse
expect to identify
when assessing a patient who has atrial
fibrillation?
a)
Pounding headache
b)
Visual disturbances
c)
Irregular radial pulse
d)
Elevated blood pressure
22. When caring for a patient who is on a mechanical
ventilator, the nurse
should monitor the patient for which of the
following complications?
a)
Flail chest
b)
Pleural effusion
c)
Pneumothorax
d)
Pulmonary embolus
23. While a patient who has Hodgkin�s disease is
receiving chemotherapy, it is
important to assess the patient for
symptoms of
a)
Thrombus formation
b)
Ascites
c)
Infection
d)
Splenomegaly
24. A woman who is in pre-term labor is receiving magnesium
sulphate for
which of the following purposes?
a)
To enhance fetal lung maturity
b)
To prevent seizures
c)
To improve urine output
d)
To control uterine contraction patterns