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Question NO 1, A 67-year-old client will be undergoing a coronary arteriography in the morning. Client teaching about post procedure nursing care should include that: A. Bed rest with bathroom privileges will be ordered B. He will be kept NPO for 8–12 hours C. Some oozing of blood at the arterial puncture site is normal D. The leg used for arterial puncture should be kept straight for 8–12 hours Answer: D

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Question NO 2, A client is diagnosed with organic brain disorder. The nursing care should include: A. Organized, safe environment B. Long, extended family visits C. Detailed explanations of procedures D. Challenging educational programs Answer: A

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Question NO 3, A client had a vaginal delivery 3 days ago and is discharged from the hospital on the 2nd day postpartum. She told the RN, “I need to start exercising so that I can get back into shape. Could you suggest an exercise I could begin with?’’ The RN could suggest which one of the following?

A. Push-ups B. Jumping jacks C. Leg lifts D. Kegel exercises Answer: D

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Question NO 4, Following a bicycle accident, a 12-year-old client sustained a complete fracture of the left femur. He was placed in 90-90 skeletal traction with a pin in the distal end of the femur to achieve realignment and immobilization of the left femur. When providing nursing care, it is important for the nurse to remember that: A. The nurse may lift only the weights that are applying traction in order to reposition him in bed B. The client will need special skin care at the pin site according to hospital policy or the physician’s preference C. The traction pull should result in an immediate increase in comfort and reduce the need for pain medication D. The client should be discouraged from participating in self-care activities to avoid the risk of disrupting the traction Answer: B

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Question NO 5, A client who is gravida 1 para 1 vaginally delivered a 7- lb girl. She received a midline episiotomy at delivery.

When assessing the level of her uterus immediately following delivery, the nurse would expect the fundus to be located: A. At the umbilicus B. At the symphysis pubis C. Midway between the umbilicus and the xiphoid process D. Midway between the umbilicus and the symphysis pubis Answer: D

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Question NO 6, A female client has just died. Her family is requesting that all nursing staff leave the room.

The family’s religious leader has arrived and is ready to conduct a ceremony for the deceased in the room, requesting that only family members be present. The nurse assigned to the client should perform the appropriate nursing action, which might include: A. Inform the family that it is the hospital’s policy not to conduct religious ceremonies in client rooms.

B. Refuse to leave the room because the client’s body is entrusted in the nurse’s care until it can be brought to the morgue.

C. Tell the family that they may conduct their ceremony in the client’s room; however, the nurse must attend.

D. Respect the client’s family’s wishes.

Answer: D

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Question NO 7, A 64-year-old client is admitted to the hospital with benign prostatic hypertrophy (BPH). He has a history of adult-onset diabetes and hypertension and is scheduled to undergo a resection of the prostate. When recording his health history, the nurse asks about his chief complaint. The most serious symptom that may accompany BPH is: A. Acute urinary retention B. Hesitancy in starting urination C. Increased frequency of urination D. Decreased force of the urinary stream

Answer: A

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Question NO 8, A client is started on prednisone 2.5 mg po bid. Which of the following instructions should be included in her discharge teaching specific to this medication?

A. Increase your oral intake of fluids to at least 4000 mL every day.

B. Avoid contact with people who have contagious illnesses.

C. Brush your teeth at least 4 times a day with a firm toothbrush.

D. Immediately stop taking the prednisone if you feel depressed.

Answer: B

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Question NO 9, The nurse discovers that a 78-year-old client who received hydralazine (Apresoline) 20 mg 45 minutes ago has a blood pressure of 70/40 mm Hg. The client has been on this dose of the medication for 3 years. Which of the following data is most likely significant in relation to the cause of the low blood pressure?

A. Pedal pulses 11 (weak) B. Twenty-four-hour intake 1000 mL/day for past 2 days C. Serum potassium 3.3 D. Pulse rate 150 bpm Answer: B

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Question NO 10, A couple is experiencing difficulties conceiving a baby. The nurse explains basal body temperature (BBT) by instructing the female client to take her temperature: A. Orally in the morning and at bedtime B. Only one time during the day as long as it is always at the same time of day C. Rectally at bedtime D. As soon as she awakens, prior to any activity Answer: D

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