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Signs and symptoms of an allergy attack include which of the following?

A. Wheezing on inspiration
B. Increased respiratory rate
C. Circumoral cyanosis
D. Prolonged expiration

Answer: D

Which classification of drugs is contraindicated for the client with hypertrophic cardiomyopathy?

A. Positive inotropes
B. Vasodilators
C. Diuretics
D. Antidysrhythmics

Answer: A

A client confides to the nurse that he tasted poison in his evening meal. This would be an example of what type of hallucination?

A. Auditory
B. Gustatory
C. Olfactory
D. Visceral

Answer: B

A six-month-old infant has been admitted to the emergency room with febrile seizures. In the teaching of the parents, the nurse states that:

A. Sustained temperature elevation over 103F is generally related to febrile seizures
B. Febrile seizures do not usually recur
C. There is little risk of neurological deficit and mental retardation as sequelae to febrile seizures
D. Febrile seizures are associated with diseases of the central nervous system


Answer: C

Hypoxia is the primary problem related to near-drowning victims. The first organ that sustains irreversible
damage after submersion in water is the:

A. Kidney (urinary system)
B. Brain (nervous system)
C. Heart (circulatory system)
D. Lungs (respiratory system)

Answer: B

Which of the following activities would be most appropriate during occupational therapy for a client with bipolar disorder?

A. Playing cards with other clients
B. Working crossword puzzles
C. Playing tennis with a staff member
D. Sewing beads on a leather belt

Answer: C

Diabetes during pregnancy requires tight metabolic control of glucose levels to prevent perinatal mortality.
When evaluating the pregnant client, the nurse knows the recommended serum glucose range during pregnancy is:

A. 70 mg/dL and 120 mg/dL
B. 100 mg/dL and 200 mg/dL
C. 40 mg/dL and 130 mg/dL
D. 90 mg/dL and 200 mg/dL

Answer: A

When teaching a sex education class, the nurse identifies the most common STDs in the United States as:

A. Chlamydia
B. Herpes genitalis
C. Syphilis
D. Gonorrhea

Answer: A

The nurse assists a client with advanced emphysema to the bathroom. The client becomes extremely short of breath while returning to bed. The nurse should:

A. Increase his nasal O2 to 6 L/min
B. Place him in a lateral Sims‘ position
C. Encourage pursed-lip breathing
D. Have him breathe into a paper bag

Answer: C

Clinical manifestations seen in left-sided rather than in right-sided heart failure are:

A. Elevated central venous pressure and peripheral edema
B. Dyspnea and jaundice
C. Hypotension and hepatomegaly
D. Decreased peripheral perfusion and rales

Answer: D

In assessing cardiovascular clients with progression of aortic stenosis, the nurse should be aware that there is
typically:

A. Decreased pulmonary blood flow and cyanosis
B. Increased pressure in the pulmonary veins and pulmonary edema
C. Systemic venous engorgement
D. Increased left ventricular systolic pressures and hypertrophy

Answer: D

When administering phenytoin (Dilantin) to a child, the nurse should be aware that a toxic effect of phenytoin
therapy is:

A. Stephens-Johnson syndrome
B. Folate deficiency
C. Leukopenic aplastic anemia
D. Granulocytosis and nephrosis

Answer: A

The nurse should know that according to current thinking, the most important prognostic factor for a client with
breast cancer is:

A. Tumor size
B. Axillary node status
C. Client‘s previous history of disease
D. Client‘s level of estrogen-progesterone receptor assays

Answer: B

Which of the following should be included in discharge teaching for a client with hepatitis C?

A. He should take aspirin as needed for muscle and joint pain.
B. He may become a blood donor when his liver enzymes return to normal.
C. He should avoid alcoholic beverages during his recovery period.
D. He should use disposable dishes for eating and drinking.

Answer: C

The initial treatment for a client with a liquid chemical burn injury is to:

A. Irrigate the area with neutralizing solutions
B. Flush the exposed area with large amounts of water
C. Inject calcium chloride into the burned area
D. Apply lanolin ointment to the area

Answer: B

The nurse would expect to include which of the following when planning the management of the client with Lyme disease?

A. Complete bed rest for 6–8 weeks
B. Tetracycline treatment
C. IV amphotericin B
D. High-protein diet with limited fluids

Answer: B

The primary reason for sending a burn client home with a pressure garment, such as a Jobst garment, is that the
garment:

A. Decreases hypertrophic scar formation
B. Assists with ambulation
C. Covers burn scars and decreases the psychological impact during recovery
D. Increases venous return and cardiac output by normalizing fluid status

Answer: A