1. A client hospitalized with severe depression and suicidal ideation

refuses to talk with the nurse. The nurse recognizes that the suici- dal client has difficulty: ❍ A. Expressing feelings of low self-worth

❍ B. Discussing remorse and guilt for actions ❍ C. Displaying dependence on others ❍ D. Expressing anger toward others

2. A client receiving HydroDIURIL (hydrochlorothiazide) is instructed

to increase her dietary intake of potassium. The best snack for the

client requiring increased potassium is: ❍ A. Pear ❍ B. Apple ❍ C. Orange ❍ D. Banana

3. The nurse is caring for a client following removal of the thyroid.

Immediately post-op, the nurse should: ❍ A. Maintain the client in a semi-Fowler’s position with the head and neck supported by pillows ❍ B. Encourage the client to turn her head side to side, to

promote drainage of oral secretions ❍ C. Maintain the client in a supine position with sandbags placed on either side of the head and neck

❍ D. Encourage the client to cough and breathe deeply

every 2 hours, with the neck in a flexed position

Quick Answers: 187 Detailed Answer: 190

Qui✓ck Check

146 Chapter 3

4. A client hospitalized with chronic dyspepsia is diagnosed with

gastric cancer. Which of the following is associated with an

increased incidence of gastric cancer?

❍ A. Dairy products ❍ B. Carbonated beverages ❍ C. Refined sugars ❍ D. Luncheon meats

5. A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial per- sonality disorder. In reviewing the client’s record, the nurse could

expect to find: ❍ A. A history of consistent employment

❍ B. A below-average intelligence ❍ C. A history of cruelty to animals ❍ D. An expression of remorse for his actions

6. The licensed vocational nurse may not assume the primary care

for a client: ❍ A. In the fourth stage of labor ❍ B. Two days post-appendectomy

❍ C. With a venous access device ❍ D. With bipolar disorder

7. The physician has ordered dressings with mafenide acetate

(Sulfamylon) cream for a client with full-thickness burns of the hands and arms. Before dressing changes, the nurse should give priority to: ❍ A. Administering pain medication ❍ B. Checking the adequacy of urinary output

❍ C. Requesting a daily complete blood count

❍ D. Obtaining a blood glucose by finger stick

8. The nurse is teaching a group of parents about gross motor devel- opment of the toddler. Which behavior is an example of the nor- mal gross motor skill of a toddler?

❍ A. She can pull a toy behind her. ❍ B. She can copy a horizontal line. ❍ C. She can build a tower of eight blocks. ❍ D. She can broad-jump.

Quick Answers: 187 Detailed Answer: 190

Qui✓ck Check

Quick Answers: 187 Detailed Answer: 190

Practice Exam 3 and Rationales 147

9. A client hospitalized with a fractured mandible is to be discharged. Which piece of equipment should be kept on the client with a fractured mandible?

❍ A. Wire cutters ❍ B. Oral airway

❍ C. Pliers ❍ D. Tracheostomy set

10. The nurse is to administer digoxin (Lanoxin) elixir to a 6-month- old with a congenital heart defect. The nurse auscultates an apical

pulse rate of 100. The nurse should: ❍ A. Record the heart rate and call the physician ❍ B. Record the heart rate and administer the medication ❍ C. Administer the medication and recheck the heart rate

in 15 minutes ❍ D. Hold the medication and recheck the heart rate in 30 minutes

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