[单项选择]Which of the following would the nurse interpret as indicating that a child is receiving too much intravenous fluid too rapidly（）
A. Marked increase in abdominal girth.
B. Evidence of protein in the urine.
C. Dark amber colored urine.
D. Moist crackles in the lung fields.

[单项选择]Which of the following symptoms would the nurse most likely observe in a client with cholecystitis from cholelithiasis
A. Black stools.
B. Decreased white blood cell count.
C. Nausea after ingestion of high-fat foods.
D. Elevated temperature of 103°F(39.4℃).

[单项选择]Which of the following measures would the nurse take into consider to help minimize joint pain in a child with rheumatic fever（　）
A. Massaging the affected joints.
B. Applying ice to the affected joints.
C. Limiting movement of the affected joints.
D. Encouraging progressive weight bearing.

[单项选择]Which of the following functions would the nurse expect to be unrelated to the placenta（）
A. Production of estrogen and progesterone.
B. Detoxification of some drugs and chemicals.
C. Exchange site for food, gases, and waste.
D. Production of maternal antibodies.

[单项选择]Which of the following concepts would the nurse incorporate into the plan of care for a 4-year-old child to psychologically prepare the child for cardiac catheterization（）
A. Anxiety decreases when a preschooler is protected from learning about unpleasant events.
B. Preschoolers are unable to understand the procedure.
C. Little psychological preparation can be given to preschoolers.
D. Preparation is a joint responsibility of the physician, parents, and nurse.

[单项选择]Which of the following methods would the nurse use to feed an infant after surgical repair of cleft lip（）
A. Gastric gavage.
B. Intravenous fluids.
C. Rubber-tipped medicine dropper.
D. Bottle with a lamb’s nipple.

[单项选择]Which of following would lead the nurse to suspect that a client’s labor is moving quickly and that the physician should be notified（）
A. An increased sense of rectal pressure.
B. An increase in fetal heart rate variability.
C. A decrease in intensity of contractions.
D. Episodes of nausea and vomiting.

[单项选择]Which of the following would lead the nurse to suspect that a neonate with an infection is developing septic shock（）
A. Axillary temperature is 99.8°F(37.7℃).
B. Blood pressure is 45/25 mmHg.
C. Heart rate during sleep is 205 beats per minute.
D. Respiratory rate while awake is 32 breaths per minute.

[单项选择]Which of the following nurse responses would be endorsed by the American Nurses Association（　）
A. A nurse promises a dying patient that he will do everything possible to keep her comfortable but that he cannot administer an injection or overdose to cause her death.
B. A nurse tells a dying patient who is on a ventilator that under no condition can he be removed from the ventilator because this is active euthanasia and it is expressly forbidden by the Code for Nurses.
C. After exhausting every intervention in her bag of tricks to keep a dying patient comfortable the nurse says, "I think you are now at a point where I’m prepared to do what you’ve been asking me. Let’s talk about when and how you want to die. "
D. In response to a patient who asks for assistance in committing suicide a nurse replies, "I’m personally opposed to assisted suicide but I’ll find you a colleague who can help you. /

[单项选择]Which of the following would the nurse expect to assess as presumptive signs of pregnancy
A. Amenorrhea and quickening.
B. A positive pregnancy test and a fetal outline.
C. Braxton Hicks contractions and Hegar’s sign.
D. Uterine enlargement and Chadwick’s sign.

[单项选择]Which of the following would the nurse expect to include in the plan of care for a client with diabetes who is in labor
A. Measuring urine output every 4 hours.
B. Monitoring blood glucose levels every hour.
C. Administering insulin subcutaneously every 4 hours.
D. Checking deep tendon reflexes every 2 hours.

[单项选择]Which of the following would the nurse teach the mother of a child with leukemia who has an absolute neutrophil count of 900/mm³（）
A. The child should wear gloves when in contact with others.
B. The child should stay away from crowds of people.
C. The child should eat raw fruits and vegetables.
D. Anyone in direct contact with the child must wear a gown and mask.

[单项选择]Which of the following would the nurse expect to find in a client diagnosed with hyperparathyroidism（）
A. Hypocalcemia.
B. Hypercalcemia.
C. Hyperphosphatemia.
D. Hypophosphaturia.

[单项选择]Which of the following would the nurse do for a 4-year-old girl who has just had a lumbar puncture（）
A. Administer narcotic analgesic for insertion site pain.
B. Encourage the parents to hold the child.
C. Ensure the child lies flat for at least 8 hours.
D. Place a sandbag over the puncture site for 3 hours.

[单项选择]Which of the following activities should the nurse discourage the client with a peptic ulcer（）
A. Chewing gum.
B. Smoking cigarettes.
C. Eating chocolate.
D. Taking acetaminophen (Tylenol).

[单项选择]Which of the following techniques should the nurse use in working with individual depressed patients She should（　）
A. Be aggressively cheerful
B. Indicate the patient’s good prognosis
C. Push the patient toward making decisions
D. Always give elaborate encouragement

[单项选择]Which of the following describes how the nurse interprets a neonate’s Apgar score of 8 at 5 minutes（）
A. A neonate who is in good condition.
B. A neonate who is mildly depressed.
C. A neonate who is moderately depressed.
D. A neonate who needs additional oxygen to improve the Apgar score.

[单项选择]Which of the following should be the nurse’s initial action immediately following the birth of the neonate（）
A. Aspirating mucus from the neonate’s nose and mouth.
B. Drying the infant to stabilize the neonate’s temperature.
C. Promoting parental bonding.
D. Identifying the neonate.