单选题The community health nurse develops a health education program about preventing the transmission of hepatitis B. The nurse evaluates that the teaching has been effective when the community residents identify which of the following activities to be high risk for acquiring hepatitis B? A. Sharing needles for drug use. B. Ingestion of contaminated seafood. C. Frequent use of marijuana. D. Ingestion of large amounts of acetaminophen (Tylenol).
单选题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.
单选题Shortly after being admitted to the coronary care unit with an acute myocardial infarction (MI), a client reports midsternal chest pain radiating down the left arm. The nurse notices that the client is restless and slightly diaphoretic, and measures a temperature of 99. 6°F (37.6℃), a heart rate of 102 beats/minute; regular, slightly labored respirations at 26 breaths/minute; and a blood pressure of 150/90mmHg. Which nursing diagnosis takes highest priority? A. Risk for imbalanced body temperature. B. Decreased cardiac output. C. Anxiety. D. Acute pain.
单选题"Why do you always complain about the night nurse? She is a nice woman and a fine nurse, and has five kids to support. You're wrong when you say she is noisy and uncaring. " This example reflects which nontherapeutic technique? A．Requesting an explanation B．Defending C．Disagreeing D．Advising
单选题During a shock state, the renin-angiotensin-aldosterone system exerts which effect on renal function? A. Decreased urine output, increased reabsorption of sodium and water. B. Decreased urine output, decreased reabsorption of sodium and water. C. Increased urine output, increased reabsorption of sodium and water. D. Increased urine output, decreased reabsorption of sodium and water.
单选题A client admitted for a hysterectomy has a secondary diagnosis of Ménière s disease. Which of the following nursing interventions should the nurse include in the client's plan of care to decrease the effects of tinnitus? A. Reduce the amount of glucose and cholesterol in the diet. B. Encourage the client to listen to the radio with earphones. C. Encourage a weight-reduction diet. D. Administer antihypertensive medications as ordered.
单选题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.
单选题What is the nurse's most important role in caring for a client with a mental health disorder? A. To offer advice. B. To know how to solve the client's problems. C. To establish trust and rapport. D. To set limits with the client.
单选题A client with hepatitis A expresses concern that his friends may also acquire hepatitis. Which of the following is most commonly used for prophylactic treatment of people exposed to hepatitis A? A. Penicillin. B. Sulfadiazine (Microsulfon). C. Immune serum globulin. D. Interferon.
单选题At an outpatient clinic, a client asks the nurse how she can prepare
for pregnancy. Which of the following responses by the nurse would be best?
A. "Begin an iron supplement of 100 mg daily. "
B. "Supplement your diet with 400 meg of folio acid. "
C. "Avoid raw eggs and cats until conception. "
D. "Receive immunization against toxoplasmosis. "
单选题The most common side effects of regular Methadone use include A．Nausea, fatigue, and extreme hunger B．Seizures, hoarseness, and electrolyte imbalance C．Lightheadedness, euphoria, hypotension, and urinary retention D．Weakness, hypertension, and sedation
单选题A breast-feeding neonate will turn his head toward the mother's breast in a natural instinct to find food. What is the name of this reflex? A. Tonic neck reflex. B. Moro's reflex. C. Grasp reflex. D. Rooting reflex.
单选题When selecting a room for a client with the diagnosis of bipolar disorder, manic phase, who is hyperactive and talking nonstop in a loud demanding voice, the nurse recognizes that a most important factor would be that the A．Room have a pleasant view B．Atmosphere be quiet and restful C．Location be close to the nurses'station D．Roommates have similar behavioral responses
单选题A client with a myocardial infarction (MI) develops pulmonary crackles and dyspnea. A chest X-ray shows evidence of pulmonary edema. The specific type of MI the client had is most probably A. anterior. B. posterior. C. lateral. D. inferior.
单选题A mother brings her 15-month-old male child to the ambulatory care clinic for well-child care. He's crying and pulling at his left ear, which appears erythematous. Which of the following actions should the nurse take first? A. Ask the mother to leave the room because her anxiety is increasing the child's distress. B. Examine the ear with the child supine because this aids visualization of the tympanic membrane. C. Examine the affected ear last in order to minimize distress early in the examination. D. Examine the left ear first in order to assess what may be physically wrong with the child.
单选题Which assessment would the nurse perform to validate that the membranes are ruptured? A. Observe for a pink, mucus vaginal discharge. B. Test the leaking fluid with nitrazine paper. C. Assess the client's temperature, pulse, and blood pressure. D. Send a urine specimen from the client to be cultured.
单选题Which of the following signs and symptoms would alert the nurse to possible internal bleeding in a client who has undergone pulmonary lobectomy? A. Increased blood pressure and decreased pulse and respiratory rates. B. Sanguineous drainage from the chest tube at a rate of 50 mL per hour during the past 3 hours. C. Restlessness and shortness of breath. D. Urine output of 180 mL during the past 3 hours.
单选题The nurse is working in a support group for clients with acquired
immunodeficiency syndrome (AIDS). Which point is most important for the nurse to
stress?
A. Avoiding the use of recreational drugs and alcohol.
B. Refraining from telling anyone about the diagnosis.
C. Following safer-sex practices.
D. Telling potential sex partners about the diagnosis, as required by
law.
单选题The nurse suspects that a 68-year-old client has digoxin toxicity. The nurse should assess for A. hearing loss. B. vision changes. C. decreased urine output. D. gait instability.
单选题A 58-year-old client on a mental health unit has lost control, despite having been properly medicated, and is threatening to harm himself and others. He has been placed in four- point restraints. Which nursing measure should be taken next? A. Release one restraint every 15 minutes. B. Have a staff member stay with the client at all times. C. Leave the client alone to reduce his sensory stimulation and allow him to regain control. D. Restrict fluids until the restraint period is over.