1. An infant weighs 7 pounds at birth. The expected weight by 1 year should

Be:

A. 10 pounds

B. 12 pounds

C. 18 pounds

D. 21 pounds

Answer D: A birth weight of 7 pounds would indicate 21 pounds in 1 year, or triple his birth

weight. Answers A, B, and C therefore are incorrect.

2. A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due to

this tumor’s location?

A. Hemiplegia

B. Aphasia

C. Nausea

D. Bone pain

Answer D: Sarcoma is a type of bone cancer; therefore, bone pain would be expected. Answers A,

B, and C are not specific to this type of cancer and are incorrect.

3. A client arrives in the emergency room with a possible fractured femur. The nurse should

anticipate an order for:

A. Trendelenburg position

B. Ice to the entire extremity

C. Buck’s traction

D. An abduction pillow

Answer C: The client with a fractured femur will be placed in Buck’s traction to realign the leg and

to decrease spasms and pain. The Trendelenburg position is the wrong position for this client, so

answer A is incorrect. Ice might be ordered after repair, but not for the entire extremity, so answer

B is incorrect. An abduction pillow is ordered after a total hip replacement, not for a fractured

femur; therefore, answer D is incorrect.

4. Which action by the novice nurse indicates a need for further teaching?

A. The nurse fails to wear gloves to remove a dressing.

B. The nurse applies an oxygen saturation monitor to the ear lobe.

C. The nurse elevates the head of the bed to check the blood pressure.

D. The nurse places the extremity in a dependent position to acquire a peripheral blood sample.

Answer A: The nurse who fails to wear gloves to remove a contaminated dressing needs further

instruction. Answers B, C, and D are incorrect because they indicate an understanding of the

correct method of completing these tasks.