[单项选择]A client with hepatitis C develops liver failure and GI hemorrhage. The blood products that would most likely bring about hemostasis in the client are（）
A. whole blood and albumin.
B. platelets and packed red blood cells.
C. fresh frozen plasma and whole blood.
D. cryoprecipitate and fresh frozen plasma.

[单项选择]A client with acute respiratory failure is intubated and placed on mechanical ventilation. Which intervention is most appropriate when suctioning the client（）
A. Insert the suction catheter while applying suction.
B. Apply suction until all the secretions have been removed.
C. Use the same catheter to first suction the mouth, then the endotraeheal tube.
D. Preoxygenate with 100% oxygen before suctioning.

[单项选择]The nurse is assessing a client with heart failure. The breath sounds commonly auscultated in clients with heart failure are（）
A. tracheal.
B. fine crackles.
C. coarse crackles.
D. friction rubs.

[单项选择]A client with heart failure develops pink frothy sputum, coarse crackles, and restlessness. Which of the following actions should the nurse take first（）
A. Check the client’s blood pressure.
B. Place the client in high Fowler’s position.
C. Calculate the client’s fluid balance.
D. Notify the physician.

[单项选择]A client in acute renal failure is admitted to the nephrology unit. The period of oliguria in these clients usually lasts about t0 days. Which of the following assessments of kidney function would the nurse make during the oliguric phase（）
A. No urine output; kidneys in a state of suppression.
B. Urine output of 30 to 60 mL/hr.
C. Urine output of less than 400 to 600 mL in 24 hours.
D. Urine output directly related to the amount of IV fluids infused.

[单项选择]A client with a history of heart failure is examined in the outpatient department to investigate the recent onset of peripheral edema and increased shortness of breath. Physical　findings include bilateral crackles, a third heart sound (S₃), distended neck veins, elevated blood pressure, and pitting edema of the ankles. The nurse documents the severity of pitting edema as +1. What is the best description of this type of edema（）
A. Barely detectable depression when the thumb is released from the swollen area; normal foot and leg contours.
B. Detectable depression of less than 5 mm when the thumb is released from the swollen area; normal foot and leg contours.
C. A 5-to 10-mm depression when the thumb is released from the swollen area; foot and leg swelling.
D. A depression of more than 1 cm when the thumb is released from the swollen area; severe foot and leg swelling.

[单项选择]Pericardiocentesis is performed on a client with cardiac tamponade. This procedure would be deemed effective if（）
A. aspirated blood clots rapidly.
B. blood pressure decreases.
C. blood pressure increases.
D. heart sounds become muffled.

[单项选择]A client with left-sided heart failure complains of increasing shortness of breath and is agitated and coughing up pink-tinged, foamy sputum. The nurse should recognize these as signs and symptoms of（）
A. right-sided heart failure.
B. acute pulmonary edema.
C. pneumonia.
D. cardiogenic shock.

[单项选择]A. Teacher and student. B. Manager and client.
C. Manager and staff. D. Patient and doctor.

[单项选择]A client with heart failure loses 3.2 kg while hospitalized. Approximately how many pounds has the client lost（　）
A. 1 pound.
B. 3 pounds.
C. 5 pounds.
D. 7 pounds.

[填空题]

A．light
B．leave
C．failure
D．feel

[填空题]

A.secure
B.pure
C.failure
D.cure

[单项选择]A. Failure to rest during the day. C. Vigorous exercise in the evening.
B. Lack of sleep on weekends. D. Eating cheese before going to bed.

[单项选择]An adolescent client immobilized in a spica cast complains of having trouble breathing after meals. Which of the following actions would be best（）
A. Encourage the client to drink more between meals.
B. Teach the adolescent purse&lip breathing.
C. Give the client a laxative after meals.
D. Offer the client small feedings several times a day.

[单项选择]The employer of a client on the psychiatric unit calls the nursing station inquiring about the client’s progress. The nurse doesn’t know if the client has given consent to allow the staff to give information out to callers on the phone. Which of the following would be the nurse’s best response（）
A. "I’m not permitted to discuss her progress. "
B. "I’ll give you the name and telephone number of her physician. "
C. "I’ll have her call you. "
D. "I can’t confirm whether your employee is a client here. "

[单项选择]A. It was a failure. B. Lucy is too shy. C. I drank a lot. D. It was cold.

[单项选择]A client has had a total gastrectomy for gastric cancer. Which one of the following is the most appropriate expected outcomes about nutrition（　）
A. The client will learn to self-administer enteral feedings every 4 hours.
B. The client will maintain adequate nutrition through oral or parenteral feedings.
C. The client will regain any weight lost within 4 weeks of the surgical procedure.
D. The client will eat three full meals a day without experiencing gastric complications.

[单项选择]A client is taking spironolactone (Aldactone) to control her hypertension. Her serum potassium level is 6 mEq/L. For this client, the nurse’s priority would be to assess her（）
A. neuromuscular function.
B. bowel sounds.
C. respiratory rate.
D. electrocardiogram (ECG) results.

[简答题] The Values of Failure

[单项选择]A. It was a failure. B. Lucy is too shy. C. I drank a lot. D. It was cold.