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Q:1-The physician has ordered Stadol (butorphanol) for a postoperative client. The nurse knows that the medication is having its intended effect if the client:
Mark one answer:

Is asleep 30 minutes after the injection
Asks for extra servings on his meal tray
Has an increased urinary output
States that he is feeling less nauseated

Q:2-The mother of a child with cystic fibrosis tells the nurse that her child makes “snoring” sounds when breathing. The nurse is aware that many children with cystic fibrosis have:
Mark one answer:

Choanal atresia
Nasal polyps
Septal deviations
Enlarged adenoids

Q:3-A client is hospitalized with hepatitis A. Which of the client’s regular medications is contraindicated due to the current illness?
Mark one answer:

Prilosec (omeprazole)
Synthroid (levothyroxine)
Premarin (conjugated estrogens)
Lipitor (atorvastatin)

Q:4-The nurse has been teaching the role of diet in regulating blood pressure to a client with hypertension. Which meal selection indicates that the client understands his new diet?
Mark one answer:

Cornflakes, whole milk, banana, and coffee
Scrambled eggs, bacon, toast, and coffee
Oatmeal, apple juice, dry toast, and coffee
Pancakes, ham, tomato juice, and coffee

Q:5-An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse’s discharge teaching?
Mark one answer:

The child should not play on his rocking horse.
Applying warm compresses to decrease pain.
Diapering should be avoided for 1–2 weeks.
The child will need a special diet to promote healing.

Q:6-An obstetrical client calls the clinic with complaints of morning sickness. The nurse should tell the client to:
Mark one answer:

Keep crackers at the bedside for eating before she arises
Drink a glass of whole milk before going to sleep at night
Skip breakfast but eat a larger lunch and dinner
Drink a glass of orange juice after adding a couple of teaspoons of sugar

Q:7-The nurse has taken the blood pressure of a client hospitalized with methicillin-resistant staphylococcus aureus. Which action by the nurse indicates an understanding regarding the care of clients with MRSA?
Mark one answer:

The nurse leaves the stethoscope in the client’s room for future use.
The nurse cleans the stethoscope with alcohol and returns it to the exam room.
The nurse uses the stethoscope to assess the blood pressure of other assigned clients.
The nurse cleans the stethoscope with water, dries it, and returns it to the nurse’s station.

Q:8-The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. The nurse can reinforce the physician’s teaching by telling the parents that:
Mark one answer:

The medication will be needed only during times of rapid growth.
The medication will be needed throughout the child’s lifetime.
The medication schedule can be arranged to allow for drug holidays.
The medication is given one time daily every other day.

Q:9-A client with diabetes mellitus has a prescription for Glucotrol XL (glipizide). The client should be instructed to take the medication:
Mark one answer:

At bedtime
With breakfast
Before lunch
After dinner

Q:10-The nurse is caring for a client admitted with suspected myasthenia gravis. Which finding is usually associated with a diagnosis of myasthenia gravis?
Mark one answer:

Visual disturbances, including diplopia
Ascending paralysis and loss of motor function
Cogwheel rigidity and loss of coordination
Progressive weakness that is worse at the day’s end

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