[单项选择]The nurse assesses the client's burned right arm and notes increasing edema, absence of a radial pulse, and decreased sensation in the fingers. What should be the nurse's priority response
A. Document findings and recheck in 1 hour.
B. Elevate extremity on one pillow.
C. Implement passive range-of-motion exercises.
D. Notify the physician immediately.

[单项选择]The nurse assesses the client to determine the cause of autonomic dysreflexia. Which of the following is the most common stimulus for an autonomic dysreflexia episode
A. Rising intracranial pressure.
B. Bowel distention.
C. Bladder distention.
D. Anxiety.

[单项选择]The nurse assesses a client with urticaria. The nurse understands that urticaria is another name for
A. hives.
B. a toxin.
C. a tubercle.
D. a virus.

[单项选择]The nurse assesses the client's urinary stoma regularly for edema. Which of the following signs and symptoms might indicate excessive stomal edema
A. Elevated temperature.
B. Urine output below 30 mL/hour.
C. Urine dribbling from the stoma.
D. Complaints of discomfort around the stoma.

[单项选择]When bandaging the burned client's hand, the nurse should pay more attention about which of the following
A. The bandage is free of elastic.
B. The bandage material is moistened with sterile normal saline solution.
C. The hand and finger surfaces do not touch.
D. The hand and fingers are not elevated above heart level.

[单项选择]The head nurse is observing a new graduate nurse instill eye drops into a client's eyes. The head nurse evaluates that the new graduate is using appropriate technique when which of the following steps is incorporated into the procedure

[单项选择]The nurse is teaching a student nurse in a mental health unit about how to establish a therapeutic nurse-client relationship. Which of the following is of prior importance in the therapeutic nurse-client relationship

[单项选择]A client asks the nurse what PSA is. The nurse should reply that it stands for
A. prostate-specific antigen, used to screen for prostate cancer.
B. protein serum antigen, used to determine protein levels.
C. pneumococcal strep antigen, a bacteria that causes pneumonia.
D. papanicolaou-specific antigen, used to screen for cervical cancer.

[单项选择]The nurse administers a preoperative intramuscular medication at the ventrogluteal site. The nurse will inject the medication into which muscle
A. Rectus femoris.
B. Gluteus maximus.
C. Gluteus minimus.
D. Vastus lateralis.

[单项选择]The nurse is administering sublingual nitroglycerin (Nitrostat) to the client. Immediately afterward, the client may experience which of the following symptoms
A. Nervousness or paresthesia.
B. Throbbing headache or dizziness.
C. Drowsiness or blurred vision.
D. Tinnitus or diplopia.

[单项选择]Yesterday evening the old wooden house was burned and the mother died trying to _____ her child from the fire.
A. hide
B. rescue
C. help
D. prevent

[单项选择]The nurse is administering total parenteral nutrition (TPN) to a client who underwent surgery for gastric cancer. What is a major complication of TPN ？ （）
A. Hyperglycemia.
B. Extreme hunger.
C. Hypotension.
D. Hypoglycemia.

[单项选择]Which nursing diagnosis would the nurse anticipate as having the highest priority for the client with gestational diabetes in labor

[单项选择]The nurse is reviewing discharge instructions with a client after an uncomplicated delivery. Which of the following symptoms is LEAST important in characterizing postpartum depression
A. Crying easily and feeling despondent.
B. Loss of appetite and anxiety.
C. Altered body image.
D. Difficulty sleeping and poor concentration.

[单项选择]The nurse is providing breast cancer education at a community facility. The American Cancer Society recommends that women get mammograms （）.
A. yearly after age 40.
B. after the birth of the first child and every 2 years thereafter.
C. after the first menstrual period and annually thereafter.
D. every 3 years between ages 20 and 40 and annually thereafter.

[单项选择]The nurse administers racemic epinephrine to a child. Ten minutes after administration, the nurse should be alert for （）.
A. respiratory distress.
B. profound tachycardia.
C. signs of improved oxygenation.
D. diminished cyanosis.

[单项选择]Which assessment would the nurse perform to validate that the membranes are ruptured

[单项选择]The nurse teaches a client about the relationship between body position and gastroesophageal reflux. Which of the following statements by the client would indicate that he understands measures to avoid problems with reflux while sleeping
A. "I can elevate the head of the bed 4 to 6 inches. "
B. "I can elevate the foot of the bed 4 to 6 inches. "
C. "I can sleep on my back without a pillow under my head. "
D. "I can sleep on my stomach with my head turned to the left. "

[单项选择]One nurse strongly believes that all psychiatric medication is a form of chemical mind control. When the client's wife asks about the efficacy of antidepressant medications, which of the following courses of action would be best for this nurse to take

[单项选择]The nurse is instructing an unlicensed assistant on how to collect a urine specimen from an indwelling catheter. Which of the following statements indicates that the assistant understands the instructions
A. "I will empty the catheter drainage bag, have the client drink some water, and an hour later collect the urine that drains into the bag. "
B. "I will get a sterile syringe and remove urine from the catheter through the collection port to place in the specimen container. "
C. "I should collect urine from the catheter drainage bag at the end of the shift and place it in the specimen container. "
D. "I will disconnect the drainage tube from the catheter and let urine run from the catheter into the specimen container. "