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[单项选择]A client with three children who is still in her childbearing years is admitted for surgical repair of a prolapsed bladder. The nurse would find that the client understood the surgeon’s preoperative teaching when the client states（）
A. "If I should become pregnant again, the child would be delivered by cesarean delivery. "
B. "If I have another child, the procedure may need to be repeated. "
C. "This surgery may render me incapable of conceiving another child. "
D. "This procedure is accomplished in two separate surgeries. "
[单项选择]A client who received general anesthesia returns from surgery. Postoperatively, which nursing diagnosis takes highest priority for this client（）
A. Acute pain related to surgery.
B. Deficient fluid volume related to blood and fluid loss from surgery.
C. Impaired physical mobility related to surgery.
D. Risk for aspiration related to anesthesia.
[单项选择]A client who recently had a cerebrovascular accident requires a cane to ambulate. When teaching about cane use, the rationale for holding a cane on the uninvolved side is to（）
A. prevent leaning.
B. distribute weight away from the involved side.
C. maintain stride length.
D. prevent edema.
[单项选择]An elderly female client, who is quite confused and often does not recognize her children, is admitted to a nursing home. The client appears slovenly in attire, often soiling her clothing with feces and urine. The nurse can best manage this problem by（ ）
A. Putting the client into orientation therapy
B. Toileting the client at least once every 2 hours
C. Supervising the client’s bathroom activities closely
D. Explaining to the client how offensive her behavior is to others
[单项选择]The nurse is teaching a client who receives nitrates for the relief of chest pain. Which of the following instructions should the nurse emphasize（）
A. Repeat the dose of sublingual nitroglycerin every 15 minutes for three doses.
B. Store the drug in a cool, well-lit place.
C. Lie down or sit in a chair for 5 to 10 minutes after taking the drug.
D. Restrict alcohol intake to two drinks per day.
[单项选择]While assessing a client who complained of lower abdominal pressure, the nurse notes a firm mass extending above the symphysis pubis. The nurse suspects（）
A. a urinary tract infection.
B. renal calculi.
C. an enlarged kidney.
D. a distended bladder.
[单项选择]The nurse is evaluating a client who is complaining of shortness of breath. The client’s respiratory rate is 26 breaths per minute so the nurse documents that he is tachypneic. The nurse understands that tachypnea means（）
A. frequent bowel sounds.
B. heart rate greater than 100 beats/minute
C. hyperventilation.
D. respiratory rate greater than 20 breaths/minute
[单项选择]The nurse is caring for a client who exhibits signs of somatization. Which of the following statements is most relevant（）
A. Clients with somatization are cognitively impaired.
B. Anxiety rarely coexists with somatization.
C. Somatization exists when medical evidence supports the symptoms.
D. Clients with somatization often have lengthy medical records.
[单项选择]The nurse is caring for a comatose client who has suffered a closed head injury. What intervention should the nurse implement to prevent increases in intracranial pressure (ICP) （）
A. Suction the airway every hour and as needed.
B. Elevate the head of the bed 15 to 30 degrees.
C. Turn the client and change his position every 2 hours.
D. Maintain a well-lit room.
[单项选择]A client who was found huddled in her apartment by the police is admitted to the clinic. The client stares toward one corner of the room and seems to be responding to something not visible to others. She appears hyperalert and scared. Which of the following conclusion by the nurse is most appropriate according to the situation（ ）
A. Nothing is wrong because the client isn’t a threat to society.
B. The client is malingering.
C. The client may be hallucinating.
D. The client is suicidal.
[单项选择]The nurse is caring for a client who is experiencing sinus bradycardia with a pulse rate of 40 beats/minute. His blood pressure is 80/50 mmHg and he complains of dizziness. Which medication would be used to treat his bradycardia（）
A. Atropine.
B. Dobutamine (Dobutrex).
C. Bretylium (Bretylol).
D. Lidocaine (Xylocaine).
[单项选择]The nurse is caring for a client who has hemoconcentration after fluid loss. Which IV fluids would be the most appropriate fluid replacement therapy for this client（）
A. Distilled water.
B. Dextrose 5% in water (D5W) only.
C. DSW with 40 mEq of potassium chloride.
D. Dextrose 10% in saline.
[单项选择]The nurse is giving instructions to a client who is going home with a cast on his leg. Which point is most critical（）
A. Using crutches properly.
B. Exercising joints above and below the cast, as ordered.
C. Avoiding walking on a leg cast without the physician’s permission.
D. Reporting signs of impaired circulation.
[单项选择]The nurse is caring for a client who complains of chronic pain. Given this complaint, why would the nurse simultaneously evaluate both general physical and psychosocial problems（）
A. Depression is commonly characterized by pain disorders and somatic complaints.
B. Combining evaluations will save time and allow for quicker delivery of health care.
C. Most insurance plans won’t cover evaluation of both as separate entities.
D. The physician doesn’t have the training to evaluate for psychosocial considerations.
[单项选择]A client who survived an airplane crash has a diagnosis of posttraumatic stress disorder (PTSD). He has a history of nightmares, depression, hopelessness, and alcohol abuse. Which option offers the client the most lasting relief for his symptoms（）
A. The opportunity to verbalize memories of trauma to a sympathetic listener.
B. Family support.
C. Prescribed medications taken as ordered.
D. Alcoholics Anonymous (AA) meetings.
[单项选择]When caring for a client who is having her second baby, the nurse can anticipate the client’s labor will be which of the following（）
A. Shorter than her first labor.
B. About half as long as her first labor.
C. About the same length of time as her first labor.
D. A length of time that can’t be determined based on her first labor.
[单项选择]The nurse is caring for a client who recently underwent a total hip replacement. The nurse should（）
A. ease the client onto a low toilet seat.
B. allow the client’s legs to be crossed at the knees when out of bed.
C. use soft chairs when the client is sitting out of bed.
D. limit client hip flexion when sitting.
[单项选择]After 5 days of hospitalization, the client who is receiving morphine sulfate for pain control asks for more pain medication with increasing frequency and exhibits increased anxiety and restlessness. His physical condition is stable. What is the probable cause of his behavior（）
A. His morphine dosage is too high.
B. His coping mechanisms are exhausted.
C. He is becoming addicted to the narcotic.
D. He has developed tolerance to his narcotic dosage.
[单项选择]A hospitalized client who has a living will is being fed through a nasogastric (NG) tube. During a bolus feeding, the client vomits and begins choking. Which of the following actions is most appropriate for the nurse to take（）
A. Clear the client’s airway.
B. Make the client comfortable.
C. Start eardiopulmonary resuscitation.
D. Stop the feeding and remove the NG tube.
