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Which of the following clients should refrain from therapy with the thiazide diuretic hydrochlorothiazide (HCTZ)?

A.

a client with renal impairment

B.

a client with hypertension

C.

a client with diabetes mellitus, type II

D.

a client with renal calculi (kidney stones)

The nurse uses prioritization to determine all the following except:

A.

time allotment for certain tasks.

B.

appropriate interventions.

C.

treatment procedures.

D.

the need for client education.

Which of the following vaccines are not part of the regular schedule of immunizations for children?

A.

DTaP

B.

MMR

C.

Hib

D.

hepatitis A

Mrs. Peterson complains of difficulty falling asleep, awakening earlier than desired, and not feeling rested. She attributes these problems to leg pain that is secondary to her arthritis. What is the most appropriate nursing diagnosis for her?

A.

Sleep Pattern Disturbances (related to arthritis)

B.

Fatigue (related to leg pain)

C.

Knowledge Deficit (regarding sleep hygiene measures)

D.

Sleep Pattern Disturbances (related to chronic leg pain)

The physician’s role in case management includes all of the following except:

A.

participating in interdisciplinary planning for clients.

B.

serving as the expert for resource utilization.

C.

consulting with the case management team to facilitate timely orders as needed.

D.

contributing to the documentation of a client’s needs for services.

To improve overall health, the nurse should place highest priority on assisting a client to make lifestyle changes for which of the following habits?

A.

drinking a six-pack of beer each day

B.

eating an occasional chocolate bar

C.

exercising twice a week

D.

using relaxation exercises to deal with stress

A client asks the nurse if all donor blood products are cross-matched with the recipient to prevent a transfusion reaction. Which of the following always requires cross-matching?

A.

packed red blood cells

B.

platelets

C.

plasma

D.

granulocytes

Some drugs are excreted into bile and delivered to the intestines. Prior to elimination from the body, the drug might be absorbed. This process is known as:

A.

hepatic clearance.

B.

total clearance.

C.

enterohepatic cycling.

D.

first-pass effect.

In the process of an annual physical exam, a client is diagnosed with Benign Prostatic Hypertrophy (BPH). This client is likely to have a consult with which type of physician?

A.

gynecologist

B.

physiatrist

C.

urologist

D.

proctologist

American families are having difficulty adequately performing their vital health care function. What are the basic reasons for this difficulty?

A.

structure of the health care system and family structure

B.

psychological factors for men and women seeking health care

C.

conditions being labeleddisabilitiesand seen as too time consuming

D.

health care organizations (HMOs) and disconnected families

Which of the following symptoms is most characteristic of a client with cancer of the lungs?

A.

exertional dyspnea

B.

persistent changing cough

C.

air hunger; dyspnea

D.

cough with night sweats

How many temporary teeth should the nurse expect to find in a 5-year-old client’s mouth?

A.

up to 10

B.

up to 15

C.

up to 20

D.

up to 32

The nurse is working with families who have been displaced by a fire in an apartment complex. What is the priority intervention during the initial assessment?

A.

Provide a liaison to meet housing needs.

B.

Attentively listen when clients describe their feelings.

C.

Offer nurturing support for clients who are confused by the events.

D.

Provide structure for clients exhibiting moderate to severe anxiety.

The nurse acts as an advocate for the nursing profession by performing all of the following activities except:

A.

encouraging political involvement by nurses with their legislators.

B.

acting as a first-aid provider for a children’s athletic team.

C.

precepting newly licensed nurses in the work situation.

D.

encouraging as many persons to become nurses as possible.

A client has sustained a hyphema. What intervention should the nurse take?

A.

Have the client wear ear protectors in the future.

B.

Keep the client at bed rest, typically with the head of the bed propped up.

C.

Apply atropine eye drops.

D.

Apply an ice pack to the site of injury.