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1. A client hospitalized with severe depression and suicidal ideation
refuses to talk with the nurse. The nurse recognizes that the suici- dal client has difficulty: â A. Expressing feelings of low self-worth
â B. Discussing remorse and guilt for actions â C. Displaying dependence on others â D. Expressing anger toward others
2. A client receiving HydroDIURIL (hydrochlorothiazide) is instructed
to increase her dietary intake of potassium. The best snack for the
client requiring increased potassium is: â A. Pear â B. Apple â C. Orange â D. Banana
3. The nurse is caring for a client following removal of the thyroid.
Immediately post-op, the nurse should: â A. Maintain the client in a semi-Fowler’s position with the head and neck supported by pillows â B. Encourage the client to turn her head side to side, to
promote drainage of oral secretions â C. Maintain the client in a supine position with sandbags placed on either side of the head and neck
â D. Encourage the client to cough and breathe deeply
every 2 hours, with the neck in a flexed position
Quick Answers: 187 Detailed Answer: 190
Quick Answers: 187 Detailed Answer: 190
Quick Answers: 187 Detailed Answer: 190
Qui✓ck Check
146 Chapter 3
4. A client hospitalized with chronic dyspepsia is diagnosed with
gastric cancer. Which of the following is associated with an
increased incidence of gastric cancer?
â A. Dairy products â B. Carbonated beverages â C. Refined sugars â D. Luncheon meats
5. A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial per- sonality disorder. In reviewing the client’s record, the nurse could
expect to find: â A. A history of consistent employment
â B. A below-average intelligence â C. A history of cruelty to animals â D. An expression of remorse for his actions
6. The licensed vocational nurse may not assume the primary care
for a client: â A. In the fourth stage of labor â B. Two days post-appendectomy
â C. With a venous access device â D. With bipolar disorder
7. The physician has ordered dressings with mafenide acetate
(Sulfamylon) cream for a client with full-thickness burns of the hands and arms. Before dressing changes, the nurse should give priority to: â A. Administering pain medication â B. Checking the adequacy of urinary output
â C. Requesting a daily complete blood count
â D. Obtaining a blood glucose by finger stick
8. The nurse is teaching a group of parents about gross motor devel- opment of the toddler. Which behavior is an example of the nor- mal gross motor skill of a toddler?
â A. She can pull a toy behind her. â B. She can copy a horizontal line. â C. She can build a tower of eight blocks. â D. She can broad-jump.
Quick Answers: 187 Detailed Answer: 190
Qui✓ck Check
Quick Answers: 187 Detailed Answer: 190
Quick Answers: 187 Detailed Answer: 190
Quick Answers: 187 Detailed Answer: 190
Quick Answers: 187 Detailed Answer: 190
Practice Exam 3 and Rationales 147
9. A client hospitalized with a fractured mandible is to be discharged. Which piece of equipment should be kept on the client with a fractured mandible?
â A. Wire cutters â B. Oral airway
â C. Pliers â D. Tracheostomy set
10. The nurse is to administer digoxin (Lanoxin) elixir to a 6-month- old with a congenital heart defect. The nurse auscultates an apical
pulse rate of 100. The nurse should: â A. Record the heart rate and call the physician â B. Record the heart rate and administer the medication â C. Administer the medication and recheck the heart rate
in 15 minutes â D. Hold the medication and recheck the heart rate in 30 minutes
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