Professional Documents
Culture Documents
Question Number 1 of 40
The nurse is discussing negativism with the parents of a 30 month-old
child. How should the nurse tell the parents to best respond to this
behavior?
The correct response is "C".
A) Reprimand the child and give a 15 minute "time out"
B) Maintain a permissive attitude for this behavior
C) Use patience and a sense of humor to deal with this behavior
D) Assert authority over the child through limit setting
Your response was "B".
The correct answer is C: Use patience and a sense of humor to deal
with this behavior
The nurse should help the parents see the negativism as a normal
growth of autonomy in the toddler. They can best handle the negative
toddler by using patience and humor.
Question Number 2 of 40
A client has been admitted with complaints of lower abdominal pain,
difficulty swallowing, nausea, dizziness, headache and fatigue. The
client is agitated, fearful, tachycardic and complains of being "too sick
to return to work." The client is diagnosed as having somatoform
disorder. In formulating a plan of care, the nurse must consider that
the client's behavior
The correct response is "A".
A) Is controlled by their subconscious mind
B) Is manipulative to avoid work responsibilities
C) Would respond to psychoeducational strategies
D) Could be modified through reality therapy
Your response was "C".
The correct answer is A: Is controlled by their subconscious mind
Question Number 3 of 40
In planning care for a 6 month-old infant, what must the nurse provide
to assist in the development of trust?
The correct response is "C".
A) Food
B) Warmth
C) Security
D) Comfort
Your response was "C".
The correct answer is C: Security
While the infant has many physical needs, it must be touched, loved,
and stimulated to develop security and trust.
Question Number 4 of 40
The nurse is talking by telephone with a parent of a 4 year-old child
who has chickenpox. Which of the following demonstrates appropriate
teaching by the nurse?
Both the mentor and mentee, the nurse manager, initially need to be
open to a positive learning experience. The teacher-coach is the
priority for the outcome of an ideal relationship.
Question Number 22 of 40
The nurse is assessing a client in the emergency room. Which
statement suggests that the problem is acute angina?
The correct response is "A".
A) "My pain is deep in my chest behind my sternum."
B) "When I sit up the pain gets worse."
C) "As I take a deep breath the pain gets worse."
D) "The pain is right here in my stomach area."
Your response was "C". The correct answer is A: "My pain is deep in
my chest behind my sternum."
The pain of angina is usually localized chest pain.
Question Number 23 of 40
An ambulatory client reports edema during the day in his feet and
ankles that disappears while sleeping at night. What is the most
appropriate follow-up question for the nurse to ask?
The correct response is "B".
A) "Have you had a recent heart attack?"
"Do you become short of breath during your normal daily
B)
activities?"
C) "How many pillows do you use at night to sleep comfortably?"
D) "Do you smoke?"
Your response was "C".
The correct answer is B: "Do you become short of breath during your
normal daily activities?"
These are the symptoms of right-sided heart failure, which causes
increased pressure in the systemic venous system. To equalize this
pressure, the fluid shifts into the interstitial spaces causing edema.
Because of gravity, the lower extremities are first affected in an
ambulatory patient. This question would elicit information to confirm
the nursing diagnosis of activity intolerance and fluid volume excess
both associated with right-sided heart failure.
Question Number 24 of 40
Alcohol and drug abuse impairs judgment and increases risk taking
behavior. What nursing diagnosis best applies?
The correct response is "A".
A) Risk for injury
B) Risk for knowledge deficit
C) Altered thought process
D) Disturbance in self-esteem
Your response was "B".
The correct answer is A: Risk for injury
Accidents increase as a result of intoxication. Studies indicate alcohol
as a factor in 50% of motor vehicle fatalities, 53% of all deaths from
accidental falls, 64% of fatal fires, and 80% of suicides
Question Number 25 of 40
While working with an obese adolescent, it is important for the nurse
to recognize that obesity in adolescents is most often associated with
what other behavior?
The correct response is "B".
A) Sexual promiscuity
B) Poor body image
C) Dropping out of school
D) Drug experimentation
Your response was "C".
The correct answer is B: Poor body image
As the adolescent gains weight, there is a lessening sense of self
esteem and poor body image.
Question Number 25 of 40
While working with an obese adolescent, it is important for the nurse
to recognize that obesity in adolescents is most often associated with
what other behavior?
The correct response is "B".
A) Sexual promiscuity
B) Poor body image
C) Dropping out of school
D) Drug experimentation
Your response was "C".
The correct answer is B: Poor body image
As the adolescent gains weight, there is a lessening sense of self
esteem and poor body image.
Question Number 26 of 40
The nurse is providing instructions for a client with pneumonia. What is
the most important information to convey to the client?
The correct response is "D".
A) "Take at least 2 weeks off from work."
B) "You will need another chest x-ray in 6 weeks."
C) "Take your temperature every day."
D) "Complete all of the antibiotic even if your findings decrease."
Your response was "B".
The correct answer is D: "Complete all of the antibiotic even if your
findings decrease."
To avoid a recurrence of the pneumonia the client must complete the
prescribed doses at the prescribed dosing intervals
Question Number 27 of 40
The nurse is teaching a client with metastatic bone disease about
measures to prevent hypercalcemia. It would be important for the
nurse to emphasize
The correct response is "C".
A) The need for at least 5 servings of dairy products daily
B) Restriction of fluid intake to less than 1 liter per day
C) The importance of walking as much as possible
D) Early recognition of findings associated with tetany
Your response was "B".
The correct answer is C: The importance of walking as much as
possible
Mobility must be emphasized to prevent demineralization and
breakdown of bones.
Question Number 28 of 40
The emergency room nurse admits a child who experienced a seizure
at school. The father comments that this is the first occurrence, and
denies any family history of epilepsy. What is the best response by
the nurse?
The correct response is "B".
A) "Do not worry. Epilepsy can be treated with medications."
B) "The seizure may or may not mean your child has epilepsy."
C) "Since this was the first convulsion, it may not happen again."
D) "Long term treatment will prevent future seizures."
Your response was "C".
The correct answer is B: "The seizure may or may not mean your child
has epilepsy."
There are many possible causes for a childhood seizure. These include
fever, central nervous system conditions, trauma, metabolic
alterations and idiopathic (unknown).
Question Number 29 of 40
A nurse admits a 3 week-old infant to the special care nursery with a
diagnosis of bronchopulmonary dysplasia. As the nurse reviews the
birth history, which data would be most consistent with this
diagnosis?
The correct response is "D".
A) Gestational age assessment suggested growth retardation
B) Meconium was cleared from the airway at delivery
C) Phototherapy was used to treat Rh incompatibility
D) The infant received mechanical ventilation for 2 weeks
Your response was "B".
The correct answer is D: The infant received mechanical ventilation for
2 weeks
Bronchopulmonary dysplasia is an iatrogenic disease caused by
therapies such as use of positive-pressure ventilation used to treat
lung disease
Question Number 30 of 40
The nurse should initiate discharge planning for a client
The correct response is "C".
When the client or family demonstrate readiness to learn self
A)
care modalities
B) When informed that a date for discharge has been determined
C) Upon admission to the emergency room
D) When the client's condition is stabilized on the assigned unit
Your response was "C".
The correct answer is C: Upon admission to the emergency room
With decreased lengths of stay, discharge plans must be incorporated
into the initial plan of care upon admission to an emergency room or
hospital unit.
Question Number 31 of 40
The nurse sees a substance abusing client occasionally in the
outpatient clinic. In evaluating the client's progress, the nurse
recognizes that the most revealing resistant behavior is
The correct response is "B".
A) Recurring crises
B) Continuing drug use
C) Rationalizing comments
D) Missing appointments
Your response was "B".
The correct answer is B: Continuing drug use
Continuing to use the drug demonstrates lack of commitment to the
treatment program. This fact must be understood by the nurse as part
of the disease of addiction.
Question Number 32 of 40
While caring for a toddler with croup, which initial sign of croup
requires the nurse's immediate attention?
The correct response is "A".
A) Respiratory rate of 42
B) Lethargy for the past hour
C) Apical pulse of 54
D) Coughing up copious secretions
Your response was "B".
The correct answer is A: Respiratory rate of 30
Signs of impending airway obstruction include increased respiratory
rate and pulse; substernal, suprasternal and intercostal retractions;
flaring nares; and increased restlessness or aggitation
Question Number 33 of 40
The nurse is caring for a pre-adolescent client in skeletal Dunlop
traction. Which nursing intervention is appropriate for this child?
The correct response is "A".
A) Make certain the child is maintained in correct body alignment.
B) Be sure the traction weights touch the end of the bed.
C) Adjust the head and foot of the bed for the child's comfort
D) Release the traction for 15-20 minutes every 6 hours prn.
Your response was "B".
The correct answer is A: Make certain the child is maintained in correct
body alignment.
Observe for correct body alignment with emphasis on alignment of
shoulders, hips and legs.
Question Number 34 of 40
When counseling a 6 year old who is experiencing enuresis, what must
the nurse understand about the pathophysiological basis of this
disorder?
The correct response is "A".
A) Has no clear etiology
B) May be associated with sleep phobia
C) Has a definite genetic link
D) Is a sign of willful misbehavior
Your response was "A".
The correct answer is A: Has no clear etiology
Although predictive factors associated with enuresis have been
identified, no clear etiology has been determined.
Question Number 35 of 40
A nurse has just received a medication order which is not legible.
Which statement best reflects assertive communication?
The correct response is "B".
"I cannot give this medication as it is written. I have no idea of
A)
what you mean."
"Would you please clarify what you have written so I am sure I
B)
am reading it correctly?"
"I am having difficulty reading your handwriting. It would save
C)
me time if you would be more careful."
"Please print in the future so I do not have to spend extra time
D)
attempting to read your writing."
Your response was "B".
The correct answer is B: "Would you please clarify what you have
written so I am sure I am reading it correctly?"
Assertive communication respects the rights and responsibilities of
both parties. This statement is an honest expression of concern for
safe practice and a request for clarification without self-depreciation. It
reflects the right of the professional to give and receive information
Question Number 36 of 40
Following surgery for placement of a ventriculoperitoneal (VP) shunt as
treatment for hydrocephalus, the parents question why the infant has
a small abdominal incision. The best response by the nurse would be
to explain that the incision was made in order to
The correct response is "A".
A) Pass the catheter into the abdominal cavity
B) Place the tubing into the urinary bladder
C) Visualize abdominal organs for catheter placement
D) Insert the catheter into the stomach
Your response was "B".
The correct answer is A: Pass the catheter into the abdominal cavity
The preferred procedure in the surgical treatment of hydrocephalus is
placement of a ventriculoperitoneal shunt. This shunt procedure
provides primary drainage of the cerebrospinal fluid from the ventricles
to an extracranial compartment, usually the peritoneum. A small
incision is made in the upper quadrant of the abdomen so the shunt
can be guided into the peritoneal cavity.
Question Number 37 of 40
The nurse is caring for a 10 month-old infant who is has oxygen via
mask. It is important for the nurse to maintain patency of which of
these areas?
The correct response is "B".
A) Mouth
B) Nasal passages
C) Back of throat
D) Bronchials
Your response was "B".
The correct answer is B: Nasal Passages
Infants, from birth to 1 year of age, are obligatory nose breathers.
Ashwill, J., Droske, S. and James, S. (2002). Nursing Care of Children:
Principles and Practice. (2nd Edition). Philadelphia: Saunders.
Question Number 38 of 40
Delirium tremens could best be described as
The correct response is "C".
Disorganized thinking, feelings of terror and non-purposeful
A)
behavior
A generalized shaking of the body accompanied by repetitive
B)
thoughts
An excited state accompanied by disorientation, hallucination
C)
and tachycardia
D) Single or multiple jerks caused by rapid contracting muscles
Your response was "C".
The correct answer is C: An excited state accompanied by
disorientation, hallucination and tachycardia During DTS, the person
experiences confusion, disorientation, hallucinations, tachycardia,
hypertension, extreme tremors, agitation, diaphoresis and fever.
Question Number 39 of 40
A child is sent to the school nurse by a teacher who has a written note
that Fifth’s disease is suspected. Which characteristic would the nurse
expect to find?
The correct response is "B".
A) Macule that rapidly progresses to papule and then vesicles
Erythema on the face, primarily on cheeks giving a "slapped
B)
face" appearance
Discrete rose pink macules will appear first on the trunk and
C)
fade when pressure is applied
Koplick spots appear first followed by a rash that appears first
D)
on the face and spreads downward
Your response was "A".
The correct answer is B: Erythema on the face, primarily on cheeks
giving a "slapped face" appearance
Fifth disease is also refered to it as parvovirus infection or erythema
infectiosum. Some people may call it slapped-cheek disease because
of the face rash that develops resembling slap marks. It is also
commonly called fifth disease because it was fifth of a group of once-
common childhood diseases that all have similar rashes. The other 4
diseases are measles, rubella, scarlet fever and Dukes'' disease.
Persons won’t know that a child has parvovirus infection until the rash
appears, and by that time, the child is no longer contagious.
Question Number 40 of 40
Parents of a 6 month-old breast fed baby ask the nurse about
increasing the baby's diet. Which of the following should be added
first?
The correct response is "A".
A) Cereal
B) Eggs
C) Meat
D) Juice
Your response was "B".
The correct answer is A: Cereal