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A newborn has been delivered. An Apgar score is given. What does this scoring system indicate?

A.

heart rate, respiratory effort, color, muscle tone, reflex irritability

B.

heart rate, bleeding, cyanosis, edema

C.

bleeding, reflex, edema

D.

respiratory effort, heart rate, seizures

Metformin (Glucophage) is administered to clients with type II diabetes mellitus. Metformin is an example of:

A.

an antihyperglycemic agent.

B.

a hypoglycemic agent.

C.

an insulin analogue.

D.

a pancreatic alpha cell stimulant.

Which type of dressing is recommended to place over a site when a chest tube is removed by the physician?

A.

transparent dressing

B.

colloidal dressing

C.

petrolatum gauze

D.

nonadherent dressing

What is the primary goal of family education?

A.

symptom reduction

B.

improved quality of life

C.

increased knowledge about mental illness

D.

improved caregiving skills

A paraplegic client is in the hospital to be treated for an electrolyte imbalance. Which level of care is the client currently receiving?

A.

primary prevention

B.

secondary prevention

C.

tertiary prevention

D.

health promotion

A nurse is screening patients for immunizations. Which of following is not a contraindication for immunization?

A.

Seizures

B.

Fever > 3 days

C.

Malignancy >3 months

D.

Illness >6 months

A nurse is reviewing a patient’s serum glucose levels. Which of the following scenarios would indicate abnormal serum glucose values for a 30 year-old male.

A.

70 mg/dl

B.

55 mg/dl

C.

110 mg/dl

D.

100 mg/dl

A patient is currently having a petit mal seizure in the clinic on the floor. Which of the following criteria has the highest priority in this situation?

A.

Provide a safe environment free of obstructions in the immediate area

B.

Call a code

C.

Contact the patient’s physician

D.

Prevent excessive movement of the extremities

A nurse has been instructed to place an IV line in a patient that has active TB and HIV. The nurse should wear which of the following safety equipment?

A.

Sterile gloves, mask, and goggles

B.

Surgical cap, gloves, mask, and proper shoewear

C.

Double gloves, gown, and mask

D.

Goggles, mask, gloves, and gown

A thirty-seven year-old female in room 307 has a diagnosis of acquired immune deficiency syndrome (AIDS). Which of the following situations requires nurse intervention?

A.

A certified nursing assistant states, “The patient in 307 is not wearing glovesshaving her legs.”

B.

A nursing assistant at the nursing station states, “The patient in 307 has arespiratory rate of 16.”

C.

A nursing student in the cafeteria states, “Dr.Jones told the patient in room307 that she was going to die.”

D.

A certified nursing assistant states, “Dr. Jones hasn’t made rounds thismorning.”

A small amount of bubbling is seen in the water seal of a pleural drainage system when a client coughs. What should the nurse do?

A.

Consider it a normal finding.

B.

Check the system for leaks.

C.

Clamp the chest tube.

D.

Change the drainage system.

A nurse is returning phone calls in a pediatric clinic. Which of the following reports most requires the nurse’s immediate attention and phone call?

A.

A 8 year-old boy has been vomiting and appears to have slower movements and has a history of an atrio-ventricular shunt placement.

B.

A 10 year-old girl feels a dull pain in her abdomen after doing sit-ups in gym class.

C.

A 7 year-old boy has been having a low fever and headache for the past 3 days that has history of an anterior knee wound.

D.

A 7 year-old girl that had a cast on her right ankle is complaining of itching.

The nurse belongs to a professional nursing organization that provides social, educational, and political venues for nurses. The nurse has been active in this organization for almost two years, during which time she meets and works with nurses from several different nursing agencies and health care institutions to achieve a variety of

goals, including obtaining advice regarding a personal career choice. This is an example of:

A.

professional nurturing.

B.

networking.

C.

mentoring.

D.

collegiality.

A man expresses surprise that his wife has become very withdrawn during hospitalization for pneumonia. Which response helps the husband understand how some people cope with hospitalization?

A.

“Hospitalization might cause a crisis. Has your wife had to cope with problems before this?”

B.

“Some people react that way. She will be more talkative when she feels better.”

C.

“Your wife might be feeling concern that she cannot fulfill her normal roles.”

D.

“This is typical behavior for someone who is as ill as your wife.”

A month after receiving a blood transfusion, an immunocompromised client develops fever, liver abnormalities, a rash, and diarrhea. The nurse should suspect this client has:

A.

nothing related to the blood transfusion.

B.

graft-versus-host disease (GVHD).

C.

myelosuppression.

D.

an allergic response to a recent medication.