[单项选择]The nurse is providing care for a client who underwent mitral valve replacement. The best example of a measurable client outcome goal is to（）
A. change his own dressing.
B. walk in the hallway.
C. walk from his room to the end of the hall and back before discharge.
D. eat a special diet.

[单项选择]The nurse is providing care for a client with multiple myeloma, a disorder characterized by episodes of remissions and exacerbations. Which of the following resources can best help the client adapt to the disease（）
A. The client’s family.
B. Support group.
C. Pastoral care.
D. Hospice care.

[单项选择]The nurse is providing care to a client with catatonic type of schizophrenia who exhibits extreme negativism. To help the client meet his basic needs, the nurse should（）
A. ask the client which activity he would prefer to do first.
B. negotiate a time when the client will perform activities.
C. tell the client specifically and concisely what needs to be done.
D. prepare the client ahead of time for the activity.

[单项选择]The nurse is providing care for a pregnant client. The client asks the nurse how she can best deal with her fatigue. The nurse should instruct her to（）
A. take sleeping pills for a restful night’s sleep.
B. try to get more rest by going to bed earlier.
C. take her prenatal vitamins.
D. tell her not to worry because the fatigue will go away soon.

[单项选择]The nurse is providing home care to a client with failing vision due to macular degeneration. The nurse is concerned about the client’s safety. Which of the following activities would help to lessen the client’s risk of falling（）
A. Arranging pieces of furniture close together so the client can use them for guidance and support.
B. Encouraging the client to wear a medical identification bracelet that describes the client’s visual deficit.
C. Installing a flashing light to indicate when the phone or doorbell is ringing.
D. Installing handrails in hallways, in bathrooms, and on steps.

[单项选择]The nurse is providing care to a 5-year-old client with a fractured femur whose nursing diagnosis is Imbalanced nutrition: less than body requirements related to impaired physical mobility. Which of the following is most likely to occur with this condition（）
A. Decreased protein catabolism.
B. Increased calorie intake.
C. Increased digestive enzymes.
D. Increased carbohydrate need.

[单项选择]The nurse provides care for a client with chronic obstructive pulmonary disease (COPD). Administering high doses of oxygen may produce what result（）
A. Increased respiratory drive.
B. Diminished respiratory drive.
C. A mismatch between ventilation and perfusion.
D. A profound decrease in partial pressure of arterial carbon dioxide (PaCO₂).

[填空题]This is the nurse who (take) ______ care of me when I was ill in hospital.

[单项选择]The nurse is providing care for a postoperative client who has undergone a small bowel resection. The nurse may use an epidural catheter for which of the following（）
A. Antibiotic therapy.
B. Pain management.
C. Blood transfusion.
D. Anticoagulation.

[单项选择]The nurse is providing care for an immobilized client. For this client, the most appropriate and most effective nursing intervention would be
A. getting the client out of bed and into a chair for 30 minutes, twice daily.
B. avoiding repositioning the client if he’s comfortable.
C. repositioning the client on alternate sides at least every 2 hours.
D. positioning the client with the greatest pressure at the bony prominence.

[单项选择]The nurse is planning care for a client admitted to the psychiatric unit with a diagnosis of paranoid schizophrenia. Which nursing diagnosis should receive the highest priority（）
A. Risk for self- or other-directed violence.
B. Imbalanced nutrition.
C. Ineffective coping.
D. Impaired verbal communication.

[单项选择]The nurse is planning care for a female client diagnosed with acute hepatitis A virus (HAV). What’s the primary mode of transmission for HAV（）
A. Fecal contamination and oral ingestion.
B. Exposure to contaminated blood.
C. Sexual activity with an infected partner.
D. Sharing a contaminated needle or syringe.

[单项选择]It has been argued that an infant under three who is cared for outside the home may suffer because of the separation from his parents. The British psychoanalyst John Bowlby maintains that separation from the parents during the sensitive "attachment" period from birth to three may scar a child’s personality and predispose to emotional problems in later life. Some people have drawn the conclusion from Bowlby’s work that children should not be subjected to day care before the age of three because of the parental separation it entails, and many people do believe this. But there are also arguments against such a strong conclusion.
Firstly anthropologists point out that the secluded love affair between children and parents found in modern societies does not usually exist in traditional societies. For example, we saw earlier that among the Ngoni the father and mother of a child did not rear their infant alone--far from it. But traditional societies are so different from modern societies
A. should not be sent to school
B. should be cared for outside the home
C. will not suffer from parental separation
D. don’t mind who will look after them