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A) digoxin (Lanoxin)
B) diltiazam (Cardizem)
C) nitroglycerine ointment
D) metoprolol (Toprol XL)
The correct answer is A: digoxin (Lanoxin) Digoxin increases ventricular irritability and increases the risk of ventricular
fibrillation following cardioversion. The other medications do not increase ventricular irritability
2. Which of these clients, who all have the findings of a board-like abdomen, would the nurse suggest that the
health care provider examine first?
A) An elderly client who stated that "My awful pain in my right side suddenly stopped about 3 hours ago."
B) A pregnant woman of 8 weeks newly diagnosed with an ectopic pregnancy
C) A middle-aged client admitted with diverticulitis and has taken only clear liquids for the past week
D) A teenager with a history of falling off a bicycle and did not hit the handle bars
The correct answer is A: An elderly client who stated that "My awful pain in my right side suddenly stopped about 3 hours
ago." This client has the highest risk for hypovolemic and septic shock since the appendix has most likely ruptured as
based on the history of the pain suddenly stopping over three hours ago. Being elderly there, is less reserve for the body
to cope with shock and infection over long periods. The others are at risk for shock also. However, given that they fall in
younger age groups, they would more likely be able to tolerate an inbalance in circulation. A common complication of
falling off a bicycle is hitting the handle bars in the upper abdomen often on the left, resulting in a ruptured spleen.
3. The nurse manager informs the nursing staff at morning report that the clinical nurse specialist will be
conducting a research study on staff attitudes toward client care. All staff are invited to participate in the study if
they wish. This affirms the ethical principle of
A) Anonymity
B) Beneficence
C) Justice
D) Autonomy
The correct answer is D: Autonomy Individuals must be free to make independent decisions about participation in
research without coercion from others.
4. Which statement made by a nurse about the goal of total quality management or continuous quality
improvement in a health care setting is correct?
A) “It is to observe reactive service and product problem solving."
B) Improvement of the processes in a proactive, preventive mode is paramount.
C) A chart audits to finds common errors in practice and outcomes associated with goals.
D) A flow chart to organize daily tasks is critical to the initial stages.
The correct answer is B: Improvement of the processes in a proactive, preventive mode is paramount. Total quality
management and continuous quality improvement have a major goal of identifying ways to do the right thing at the right
time in the right way by proactive problem-solving.
5. A client with chronic obstructive pulmonary disease (COPD) and a history of coronary artery disease is
receiving Aminophylline, 25mg/hour. Which one of the following findings by the nurse would require immediate
intervention?
6. When teaching a client about the side effects of fluoxetine (Prozac), which of the following will be included?
7. The nurse is preparing to administer a tube feeding to a post-operative client. To accurately assess for
agastostomy tube placement, the priority is to
11. The nurse is assessing a comatose client receiving gastric tube feedings. Which of the following
assessments requires an immediate response from the nurse?
The most common problem associated with enteral feedings is atelectasis. Maintain client at 30 degrees during feedings and monitor
for signs of aspiration. Check for tube placement prior to each feeding or every 4 to 8 hours if continuous feeding
12. The nurse is talking with the family of an 18 months-old newly diagnosed with retinoblastoma. A priority in
communicating with the parents is
Question Number 13 of 40
The nurse is performing an assessment on a client who is cachectic and has developed an enterocutaneous fistula
following surgery to relieve a small bowel obstruction. The client's total protein level is reported as 4.5. Which of the
following would the nurse anticipate?
The correct answer is D: Two anti-tuberculosis drugs Resistance of the tubercle bacilli often occurs to a single
antimicrobial agent. Therefore, therapy with multiple drugs over a long period of time helps to ensure eradication of the
organism.
Question Number 20 of 40
While assessing the vital signs in children, the nurse should know that the apical heart rate is preferred until the radial
pulse can be accurately assessed at about what age?
Question Number 33 of 40
An 18 month-old child is on peritoneal dialysis in preparation for a renal transplant in the near future. When the nurse
obtains the child's health history, the mother indicates that the child has not had the first measles, mumps, rubella (MMR)
immunization. The nurse understands that which of the following is true in regards to giving immunizations to this child?
The correct response is "B".
A) Live vaccines are withheld in children with renal chronic illness
B) The MMR vaccine should be given now, prior to the transplant
C) An inactivated form of the vaccine can be given at any time
D) The risk of vaccine side effects precludes giving the vaccine
Your response was "D". The correct answer is B: The MMR vaccine should be given now, prior to the transplant MMR is a
live virus vaccine, and should be given at this time. Post-transplant, immunosuppressive drugs will be given and the
administration of the live vaccine at that time would be contraindicated because of the compromised immune system.
Question Number 34 of 40
A nurse admits a client transferred from the emergency room. The client, diagnosed with a myocardial infarction, is
complaining of substernal chest pain, diaphoresis and nausea. The first action by the nurse should be
Question Number 37 of 40
Which of the following drugs should the nurse anticipate administering to a client before they are to receive
electroconvulsive therapy?
The correct response is "C".
A) Benzodiazephines
B) Chlorpromazine (Thorazine)
C) Succinylcholine (Anectine)
D) Thiopental sodium (Pentothal Sodium)
Your response was "B". The correct answer is C: Succinylcholine (Anectine) Succinylcholine is given intravenously to
promote skeletal relaxation
Question Number 38 of 40
A client taking isoniazide (INH) for tuberculosis asks the nurse about side effects of the medication. The client should be
instructed to immediatley report which of these?
The correct response is "B".
A) Double vision and visual halos
B) Extremity tingling and numbness
C) Confusion and lightheadedness
D) Sensitivity of sunlight
Your response was "B". The correct answer is B: Extremity tingling and numbness Peripheral neuropathy is the most
common side effect of INH and should be reported to the health care provider; it can be reversed.
Question Number 39 of 40
The nurse is planning care for an 8 year-old child. Which of the following should be included in the plan of care?
The correct response is "A".
A) Encourage child to engage in activities in the playroom
B) Promote independence in activities of daily living
C) Talk with the child and allow him to express his opinions
D) Provide frequent reassurance and cuddling
Your response was "B". The correct answer is A: Encourage child to engage in activities in the playroom According to
Erikson, the school age child is in the stage of industry versus inferiority. To help them achieve industry, the nurse should
encourage them to carry out tasks and activities in their room or in the playroom
Question Number 40 of 40
During a situation of pain management, which statement is a priority to consider for the ethical guidelines of the nurse?
The correct response is "A".
A) The client's self-report is the most important consideration
B) Cultural sensitivity is fundamental to pain management
C) Clients have the right to have their pain relieved
D) Nurses should not prejudge a client's pain using their own values
Your response was "A". The correct answer is A: The client''s self-report is the most important consideration Pain is a
complex phenomenon that is perceived differently by each individual. Pain is whatever the client says it is. The other
statements are correct but not the priority.