NCLEX-RN Quiz Part 10 (526-600)

NO.526 A male client has burns over 90% of his body after an automobile accident resulting in a fire. He was trapped inside the auto and pulled out by a bystander. After several months in the hospital and over 20 surgeries, discharge planning has begun. Throughout his hospitalization the nursing staff has been aware of psychological changes the client faces after burns over a large portion of his body resulting in disfigurement. The nursing staff can best foster the client's self-esteem by:

A.            Adhering to a strict schedule of diet, exercise, and wound care

B.            Allowing him to go to physical therapy for whirlpool treatment when other clients were not in physical therapy

C.            Following a standardized plan of care for burn clients formulated by a world-renowned burn cente r

D.            Allowing him to plan, assist in, and perform his own care whenever possible

NO.527 A newborn girl's father expresses concern that the newborn does not have good control of her hands and arms. It is important for the father to realize certain neurological patterns that characterize the newborn:

A.            Mild hypotonia is expected in the upper extremities.

B.            Purposeless, uncoordinated movements of the arms are indicative of neurological dysfunction.

C.            Function progresses in a head-to-toe, proximal-distal fashion.

D.            Asymmetrical movement of the extremities is not unusual and will disappear with maturation of the central nervous system.

NO.528 A 5-year-old child is hospitalized for an acute illness. The nurse encourages the family to bring her favorite objects from home. What is the nurse's rationale?

A.            To reduce fear of the unknown

B.            To keep the child calm

C.            To establish a trusting relationship

D.            To prevent or minimize separation anxiety

NO.529 A client has had amniocentesis. One of the tests performed on the amniotic fluid is a lecithin/sphingomyelin (L/S) ratio. The results show a ratio of 1:1. This is indicative of:

A.            Lung immaturity

B.            Intrauterine growth retardation (IUGR)

C.            Intrauterine infection

D.            Neural tube defect

NO.530 The cardiac client who exhibits the symptoms of disorientation, lethargy, and seizures may be exhibiting a toxic reaction to:

A.            Digoxin (Lanoxin)

B.            Lidocaine (Xylocaine)

C.            Quinidine gluconate or sulfate (Quinaglute, Quinidex)

D.            Nitroglycerin IV (Tridil)

NO.531 A 12-year-old girl has been diagnosed with insulindependent diabetes mellitus. Which of these principles would best guide her nutritional management?

A.            Concentrated sweets are taken during increased activity.

B.            Food restriction is imposed to reduce weight.

C.            Caloric distribution should be calculated to fit activity patterns.

D.            Fat requirements are increased owing to the possibility of ketoacidosis.

NO.532 A 28-year-old client comes to the clinic for her first prenatal examination. In relating her obstetrical history, she tells the nurse that she has been pregnant twice before. She had a "miscarriage" with the first pregnancy after 6 weeks. With the second pregnancy, she delivered twin girls at 31 weeks' gestation. One of the twins was stillborn and the other twin died at 4 days of age. Using a five-digit system, the nurse records her as being:

A. 2-0-2-1-0

B. 2-2-2-1-2

C. 3-0-1-1-0

D. 2-1-1-0-0

NO.533 A newborn has been delivered with a meningomyelocele. The nursery nurse should position the newborn:

A.            Prone

B.            Supine

C.            Side lying

D.            Semi-Fowler

NO.534 A client is being discharged from the hospital tomorrow following a colon resection with a left colostomy. The nurse knows that the client understands the discharge teaching about care of her colostomy when she says:

A.            "I know that I am not supposed to irrigate my colostomy."

B.            "My stool will be soft like paste."

C.            "My stoma should be red and slightly raised."

D.            "The skin around my stoma may become irritated from the enzymes in my stool."

NO.535 A client is admitted to the hospital with diabetic ketoacidosis. The emergency room nurse should anticipate the administration of:

A.            Humulin N

B.            Humulin R

C.            Humulin U

D.            Humulin L

NO.536 At 30 weeks' gestation, a client is admitted to the unit in premature labor. Her physician orders that an IV be started with 500 mL D5W mixed with 150 mg of ritodrine stat. The RN prepares the IV solution with the medication. The RN knows that clients receiving the medication ritodrine IV should be observed closely for which one of the following side effects:

A.            Hypoglycemia

B.            Hyperkalemia

C.            Tachycardia

D.            Increase in hematocrit and hemoglobin

NO.537 A 35-year-old client is admitted to the hospital for elective tubal ligation. While the nurse is doing preoperative teaching, the client says, "The anesthesiologist said she was going to give me balanced anesthesia. What exactly is that?" The best explanation for the nurse to give the client would be that balanced anesthesia:

A.            Is a type of regional anesthesia

B.            Uses equal amounts of inhalation agents and liquid agents

C.            Does not depress the central nervous system

D.            Is a combination of several anesthetic agents or drugs producing a smooth induction and minimal complications

NO.538 A 34-year-old client who is gravida 1, para 0 has a history of infertility and conceived this pregnancy while taking fertility drugs. She is at 32 weeks' gestation and is carrying triplets. She is complaining of low back pain and a feeling of pelvic pressure. Her cervical exam reveals a long, closed cervix. The nurse notes that the client is experiencing mild uterine contractions every 7-8 minutes after the nurse has placed her on the fetal monitor. Her condition should indicate that:

A.            Her cervix shows she will likely deliver soon

B.            The nurse should not be alarmed because mild uterine activity is common at 32 weeks' gestation

C.            She may be in preterm labor because this is more common with multiple pregnancies

D.            She most likely has a urinary tract infection (UTI) because this is common with pregnancy

NO.539 Other drugs may be ordered to manage a client's ulcerative colitis. Which of the following medications, if ordered, would the nurse question?

A.            Methylprednisolone sodium succinate (Solu-Medrol)

B.            Loperamide (Imodium)

C.            Psyllium

D.            6-Mercaptopurine

NO.540 Early in her ninth month of pregnancy, a client has been diagnosed as having mild preeclampsia. In counseling her about her diet, the nurse must emphasize the importance of:

A.            Decreasing her sodium intake

B.            Decreasing her fluids

C.            Increasing her carbohydrate intake

D.            Eating a moderate to high-protein diet

NO.541 A 2-day-old infant boy has been diagnosed with an atrial septal defect due to a persistent patent foramen ovale.When explaining the diagnosis to the mother, the nurse includes in the discussion the function of the foramen ovale. In fetal circulation, the foramen ovale allows a portion of the blood to bypass the:

A.            Left ventricle

B.            Pulmonary system

C.            Liver

D.            Superior vena cava

NO.542 When caring for a postoperative cholecystectomy client, the nurse assesses patency and documents drainage of the T-tube. The nurse recognizes that the expected amount of drainage during the first 24 hours postoperatively is:

 A. 50-100 mL

B. 200-300 mL

C. 300-500 mL

D. 1000-1200 mL

NO.543 A 71-year-old client fell and injured her left leg while cooking in the kitchen. Her husband calls the ambulance, and she is taken to the emergency department at a local hospital. X-ray reports confirm that she has an intertrochanteric fracture of the left femur. Her left leg will require skeletal traction initially and then surgery. The nurse knows that this type of traction will be used:

A.            By inserting pins to provide steady pull on the bone

B.            To suspend the leg in a sling without pull on the extremity

C.            Intermittently to place a pull over the pelvis and lower spine

D.            With weights at both ends of the bed to maintain pull on the upper extremity

NO.544 Dietary planning is an essential part of the diabetic client's regimen. The American

Diabetes Association recommends which of the following caloric guidelines for daily meal planning?

A.            50% complex carbohydrate, 20%-25% protein, 20%-25% fat

B.            45% complex carbohydrate, 25%-30% protein, 30%-35% fat

C.            70% complex carbohydrate, 20%-30% protein, 10%-20% fat

D.            60% complex carbohydrate, 12%-15% protein, 20%-25% fat

NO.545 A mother came to the pediatric clinic with her 17- month-old child. The mother would like to begin toilet training. What should the nurse teach her about implementing toilet training?

A.            Take two or three favorite toys with the child.

B.            Have a child-sized toilet seat or training potty on hand.

C.            Explain to the child she is going to "void" and "defecate."

D.            Show disapproval if she does not void or defecate.

NO.546 A 72-year-old client with a new colostomy is being evaluated at the clinic today for constipation. When discussing diet with the client, the nurse recognizes that which one of the following foods most likely caused this problem?

A.            Fried chicken

B.            Eggs

C.            Tapioca

D.            Cabbage

NO.547 A client hospitalized with a medical diagnosis of adjustment disorder versus personality disorder states, "Nobody cares about the clients." The nurse's most effective response would be:

A.            "How can you say that I don't care? We just met."

B.            "What makes you think the nurses don't care?"

C.            "You will feel differently about us in a few days."

D.            "You seem angry. Tell me more about how you feel."

NO.548 A 15-year-old client was diagnosed as having cystic fibrosis at 8 months of age. He is in the hospital for a course of IV antibiotic therapy and vigorous chest physiotherapy. He has a poor appetite. The nurse can best help him to meet the desired outcome of consuming a prescribed number of calories by:

A.            Including the client in planning sessions to select the type of meal plan and foods for his diet

B.            Working with the nutritionist to devise a diet with significantly increased calories

C.            Selecting foods for the client's diet that are high in calories and instituting a strict calorie count

D.            Constantly providing him with chips, dips, and candies, because the number of calories consumed is more important than the quality of foods

NO.549 Nursing assessment of early evidence of septic shock in children at risk includes:

A.            Fever, tachycardia, and tachypnea

B.            Respiratory distress, cold skin, and pale extremities

C.            Elevated blood pressure, hyperventilation, and thready pulses

D.            Normal pulses, hypotension, and oliguria

NO.550 A 2-year-old boy is in the hospital outpatient department for observation after falling out of his crib and hitting his head. The nurse calls the physician to report:

A.            Evidence of perineal irritation

B.            Pulse fell from 102 to 96

 C.           Pulse increased from 96 to 102

D.            Temperature rose to 102_F rectally

NO.551 A 7-year-old child is brought to the ER at midnight by his mother after symptoms appeared abruptly. The nurse's initial assessment reveals a temperature of 104.5F (40.3C), difficulty swallowing, drooling, absence of a spontaneous cough, and agitation. These symptoms are indicative of which one of the following?

A.            Acute tracheitis

B.            Acute spasmodic croup

C.            Acute epiglottis

D.            Acute laryngotracheobronchitis

NO.552 At 38 weeks' gestation, a client is in active labor. She is using her Lamaze breathing techniques. The RN is coaching her breathing and encouraging her to relax and work with her contractions. Which one of the following complaints by the client will alert the RN that she is beginning to hyperventilate with her breathing?

A.            "I am cold."

B.            "I have a backache."

C.            "I feel dizzy."

D.            "I am nauseous

NO.553 At 16 weeks' gestation, a pregnant client is admitted to the maternity unit to have a McDonald procedure (cerclage) done. She tells the RN who is admitting her to the unit that her physician had explained what this procedure was, but that she did not understand. The RN explains to the client that the purpose for this procedure is to:

A.            Reinforce an incompetent cervix

B.            Repair the amniotic sac

C.            Evaluate cephalopelvic disproportion

D.            Dilate the cervix

NO.554 While the nurse is taking a male client's blood pressure, he makes flirtatious remarks to her. The nurse will handle this effectively if she:

A.            Politely tells the client, "Keep your hands off "

B.            Ignores the remarks and hopes he will not try it again

C.            Confronts the remarks but attempts not to reject the client

D.            Leaves the room in order to compose herself

NO.555 A 74-year-old obese man who has undergone open reduction and internal fixation of the right hip is 8 days postoperative. He has a history of arthritis and atrial fibrillation. He admits to right lower leg pain, described as "a cramp in my leg." An appropriate nursing action is to:

A.            Assess for pain with plantiflexion

B.            Assess for edema and heat of the right leg

C.            Instruct him to rub the cramp out of his leg

 D.           Elevate right lower extremity with pillows propped under the knee

NO.556 During his hospitalization, a 3-year-old child has become unusually aggressive in his play activities. His parents report this change in behavior to the primary nurse. How could the nurse explain the child's change in behavior?

A.            Deep-seated feelings of hostility

B.            A lack of interest in socializing

C.            Usual behavior for this child

D.            A coping response

NO.557 The nurse knows that children are more susceptible to respiratory tract infections owing to physiological differences. These childhood differences, when compared to an adult, include:

A.            Fewer alveoli, slower respiratory rate

B.            Diaphragmatic breathing, larger volume of air

C.            Larger number of alveoli, diaphragmatic breathing

D.            Rounded shape of chest, smaller volume of air

NO.558 A parent told the public health nurse that her 6-year-old son has been taking tetracycline for a chronic skin condition. The parent asked if this could cause any problems for the child. What should the nurse explain to the parent?

A.            Giving tetracycline to a child younger than 8 years may cause permanent staining of his teeth.

B.            If you give tetracycline with milk, it may be absorbed readily.

 C.           The medication should be given to adults, not children.

D.            Secondary infections of chronic skin disorders do not respond to antibiotics.

NO.559 A client has begun to exhibit signs of alcohol withdrawal. Her blood pressure has risen from 120/60 to 190/100, pulse is increased from 88 to 110 bpm, and she is irritable and agitated and has gross motor tremors of the hands. The nurse notifies the doctor. The nurse can anticipate that the doctor will order which of the following?

A.            An opiate such as propoxyphene napsylate (Darvocet)

B.            A benzodiazepine such as chlordiazepoxide (Librium)

C.            A tricyclic antidepressant such as amitriptyline (Elavil)

D.            A phenothiazine such as chlorpromazine (Thorazine)

NO.560 A 4-year-old child is being discharged from the hospital after being treated for severe croup. Which one of the following instructions should the nurse give to the child's mother for the home treatment of croup?

A.            Take him in the bathroom, turn on the hot water, and close the door.

B.            Give him a dose of antihistamine.

C.            Give large amounts of clear liquids if drooling occurs.

D.            Place him near a cool mist vaporizer and encourage crying.

NO.561 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

NO.562 For the past several months, an elderly female client with Alzheimer's disease has experienced paranoia; hallucinations; and aggressive, disruptive behavior. The family is utilizing haloperidol as needed to control her behavior. On nursing assessment, you note that the client demonstrates involuntary movements of the tongue and fingers. This may most likely indicate:

A.            Tardive dyskinesia, which may be a side effect of antipsychotic medication

B.            Early symptoms of Parkinson's disease

C.            A more advanced stage of Alzheimer's disease than previously experienced by the client

D.            The need to change her medication from haloperidol to another antipsychotic drug to lessen symptoms

NO.563 The following nursing diagnosis is written for a comatose client with cirrhosis of the liver and secondary splenomegaly-High risk for injury: Increased susceptibility to bleeding related to:

A.            Increased absorption of vitamin K

B.            Thrombocytopenia due to hypersplenism

C.            Diminished function of the Kupffer cells

D.            Increased synthesis of the clotting factors

NO.564 Which of the following blood gas parameters primarily reflects respiratory function?

A.            PCO2

B.            CO2 content of the blood

C.            HCO3

D.            Base excess

NO.565 A primigravida is at term. The nurse can recognize the second stage of labor by the client's desire to:

A.            Push during contractions

B.            Hyperventilate during contractions

C.            Walk between contractions

D.            Relax during contractions

NO.566 A gravida 2 para 1 client delivered a full-term newborn 12 hours ago. The nurse finds her uterus to be boggy, high, and deviated to the right. The most appropriate nursing action is to:

A.            Notify the physician

B.            Place the client on a pad count

C.            Massage the uterus and re-evaluate in 30 minutes

D.            Have the client void and then re-evaluate the fundus

NO.567 A 25-year-old lawyer who is married with three young children works long hours in an effort to become a partner in the law firm. Following a recent hospitalization for a bleeding ulcer, he was referred for therapy to treat this psychophysiological disorder. On meeting with the therapist, he informed him or her that he was a busy man and did not have much time for this "psych stuff." When guiding the client to ventilate his feelings, the therapist can expect him to express feelings of:

A.            Guilt

B.            Shame

C.            Despair

D.            Anger

NO.568 The client will be more comfortable and the results more accurate when the nurse prepares the client for Leopold's maneuvers by having her:

A.            Empty her bladder

B.            Lie on her left side

C.            Place her arms over her head

D.            Force fluids 1 hour prior to procedure

O.569 A male client is scheduled for a liver biopsy. In preparing him for this test, the nurse should:

A.            Explain that he will be kept NPO for 24 hours before the exam

B.            Practice with him so he will be able to hold his breath for 1 minute

C.            Explain that he will be receiving a laxative to prevent a distended bowel from applying pressure on the liver

D.            Explain that his vital signs will be checked frequently after the test

NO.570 A female client at 30 weeks' gestation is brought into the emergency department after falling down a flight of stairs. On examination, the physician notes a rigid, boardlike abdomen; FHR in the 160s; and stable vital signs. Considering possible abdominal trauma, which obstetric emergency must be anticipated?

A.            Abruptio placentae

B.            Ectopic pregnancy

C.            Massive uterine rupture

D.            Placenta previa

NO.571 When assessing a female child for Turner's syndrome, the nurse observes for which of the following symptoms?

A.            Tall stature

B.            Amenorrhea

C.            Secondary sex characteristics

D.            Gynecomastia

NO.572 A 27-year-old male client is admitted to the acute care mental health unit for observation. He has recently lost his job, and his wife told him yesterday that she wants a divorce. The client is placed on suicide precautions. In assessing suicide potential, the nurse should pay close attention to the client's:

A.            Level of insight

B.            Thought processes

C.            Mood and affect

D.            Abstracting abilities

NO.573 A client has been admitted to the nursing unit with the diagnosis of severe anemia. She is slightly short of breath, has episodes of dizziness, and complains her heart sometimes feels like it will "beat out of her chest." The physician has ordered her to receive 2 U of packed red blood cells. The most important nursing action to be taken is:

A.            Starting an 18-gauge IV infusion

B.            Having the consent form on the chart

C.            Administering the correct blood product to the correctclient

D.            Transfusing the blood in a 2-hour time frame

NO.574 A 19-year-old client fell off a ladder approximately 3 ft to the ground. He did not lose consciousness but was taken to the emergency department by a friend to have a scalp laceration sutured. The nurse instructs the client to:

A.            Clean the sutured laceration twice a day with povidone- iodine (Betadine)

B.            Remove his scalp sutures after 5 days

C.            Return to the hospital immediately if he develops confusion, nausea, or vomiting

D.            Take meperidine 50 mg po q4-6h prn for headache

NO.575 When a client arrives on the labor and delivery unit, she informs the nurse that she has been having contractions for the last 5 hours. Now the pain is constant and not cyclical as it was earlier.

The nurse considers the possibility of uterine rupture. Which of the following symptoms would be consistent with a uterine rupture?

A.            A large gush of clear fluid from the vagina

B.            Systolic hypertension

C.            Abdominal rigidity

D.            Increased fetal movements

NO.576 Which of the following changes in blood pressure readings should be of greatest concern to the nurse when assessing a prenatal client?

A. 130/88 to 144/92

B. 136/90 to 148/100

C. 150/96 to 160/104

D. 118/70 to 130/88

NO.577 A female client with major depression stated that "life is hopeless and not worth living." The nurse should place highest priority on which of the following questions?

A.            "How has your appetite been recently?"

B.            "Have you thought about hurting yourself?"

C.            "How is your relationship with your husband?"

D.            "How has your depression affected your daily livingactivities?"

NO.578 In counseling a client, the nurse emphasizes the danger signals during pregnancy. On the next visit, the client identifies which of the following as a danger signal that should be reported immediately?

A.            Backache

B.            Leaking of clear yellow fluid from breasts

C.            Constipation with hemorrhoids

D.            Visual changes

NO.579 A client has just been transferred to the floor from the labor and delivery unit following delivery of a stillborn term infant. She is very despondent. When the nurse attempts to take her vital signs, she responds in anger, stating, "You leave me alone. You don't care anything about me. It's people like you who let my baby die." The nurse's best course of action is to:

A.            Quietly leave her room, allowing her more private time to deal with her loss.

B.            Tell her that what happened was for the best and that she is still young and can have other children.

C.            Tell her how sorry you are, and let her know that her child is now a little angel in heaven.

D.            Tell her how sorry you are about the loss of her baby, and acknowledge her anger as being a normal stage of grief. Assure her that you are there to help her in any way you can.

NO.580 A client in active labor asks the nurse for coaching with her breathing during contractions. The client has attended Lamaze birth preparation classes. Which of the following is the best response by the nurse?

A.            "Keep breathing with your abdominal muscles as long as you can."

B.            "Make sure you take a deep cleansing breath as the contractions start, focus on an object, and breathe about 16-20 times a minute with shallow chest breaths."

C.            "Find a comfortable position before you start a contraction. Once the contraction has started, take slow breaths using your abdominal muscles."

D.            "If a woman in labor listens to her body and takes rapid, deep breaths, she will be able to deal with her contractions quite well."

NO.581 When the nurse is evaluating lab data for a client 18-24 hours after a major thermal burn, the expected physiological changes would include which of the following?

A.            Elevated serum sodium

B.            Elevated serum calcium

C.            Elevated serum protein

D.            Elevated hematocrit

NO.582 A physician's order reads: Administer KCl 10% oral solution 1.5 mL. The KCl bottle reads 20 mEq/15 mL.

What dosage should the nurse administer to the infant?

A.            1 mEq

B.            1.13 mEq

C.            2 mEq

D.            Not enough information to calculate

NO.583 Prenatal clients are routinely monitored for early signs of pregnancy-induced hypertension (PIH). For the prenatal client, which of the following blood pressure changes from baseline would be most significant for the nurse to report as indicative of PIH?

A. 136/88 to 144/93

B. 132/78 to 124/76

C. 114/70 to 140/88

D. 140/90 to 148/98

NO.584 When teaching a mother of a 4-month-old with diarrhea about the importance of preventing dehydration, the nurse would inform the mother about the importance of feeding her child:

A.            Fruit juices

B.            Diluted carbonated drinks

C.            Soy-based, lactose-free formula

D.            Regular formulas mixed with electrolyte solutions

NO.585 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

NO.586 A 17-year-old pregnant client who is gravida 1, para 0, is at 36 weeks' gestation. Based on the nurse's knowledge of the maternal physiological changes in pregnancy, which of these findings would be of concern?

A.            Complaints of dyspnea

B.            Edema of face and hands

C.            Pulse of 65 bpm at 8 weeks, 73 bpm at 36 weeks

D.            Hematocrit 39%

NO.587 A client calls the prenatal clinic to schedule an appointment. She states she has missed three menstrual periods and thinks she might be pregnant. During her first visit to the prenatal clinic, it is confirmed that she is pregnant. The registered nurse (RN) learns that her last menstrual period began on June 10. According to Nagele's rule, the estimated date of confinement is:

A.            March 17

B.            June 3

C.            August 30

D.            January 10

NO.588 A male client tells his nurse that he has had an ulcer in the past and is afraid it is "flaring up again." The nurse begins to ask him specific questions about his symptoms. The nurse knows that a symptom that might indicate a serious complication of an ulcer is:

A.            Pain in the middle of the night

B.            A bowel movement every 3-5 days

C.            Melena

 D.           Episodes of nausea and vomiting

NO.589 During burn therapy, morphine is primarily administered IV for pain management because this route:

A.            Delays absorption to provide continuous pain relief

B.            Facilitates absorption because absorption from muscles is not dependable

C.            Allows for discontinuance of the medication if respiratory depression develops

D.            Avoids causing additional pain from IM injections

NO.590 The physician has prescribed metoclopramide (Reglan). When assessing the client, the nurse would expect to find which of the following responses?

A.            Increase in gastric secretions

B.            Increase in peristalsis

C.            Disorientation

D.            Drowsiness

NO.591 A female client presents to the obstetric-gynecology clinic for a pregnancy test, the result which turns out to be positive. Her last menstrual period began December 10, 1993. Using Nagele's rule, the nurse estimates her date of delivery to be:

 A.           September 17, 1994

B.            September 10, 1994

C.            September 3, 1994

D.            August 17, 1994

NO.592 The nurse writes the following nursing diagnosis for a client in acute renal failure-Impaired gas exchange related to:

A.            Decreased red blood cell production

B.            Increased levels of vitamin D

C.            Increased red blood cell production

D.            Decreased production of renin

NO.593 A 4 days postpartum client who is gravida 3, para 3, isexamined by the home health nurse during her first postpartum home visit. The nurse notes that she has a pink vaginal discharge with a serosanguineous consistency. The nurse would most accurately chart the client's lochia as:

A.            Rubra

B.            Rosa

C.            Serosa

D.            Alba

NO.594 A client with a head injury asks why he cannot have something for his headache. The nurse's response is based on the understanding that analgesics could:

 A.           Counteract the effects of antibiotics

B.            Elevate the blood pressure

C.            Mask symptoms of increasing intracranial pressure

D.            Stimulate the central nervous system

NO.595 A 55-year-old client is admitted with a diagnosis of renal calculi. He presented with severe right flank pain, nausea, and vomiting. The most important nursing action for him at this time is:

A.            Intake and output measurement

B.            Daily weights

C.            Straining of all urine

D.            Administration of O2 therapy

NO.596 A client is having a vertical partial laryngectomy, and the nurse is planning his postoperative care. A priority postoperative nursing diagnosis for a client having a vertical partial laryngectomy would be:

A.            Activity intolerance

B.            Ineffective airway clearance

C.            High risk for infection

D.            Altered oral mucous membrane

NO.597 The therapeutic blood-level range for lithium is:

A. 0.25-1.0 mEq/L

B. 0.5-1.5 mEq/L

C. 1.0-2.0 mEq/L

D. 2.0-2.5 mEq/L

NO.598 A 19-month-old child is admitted to the hospital for surgical repair of patent ductus arteriosus. The child is being given digoxin. Prior to administering the medication, the nurse should:

A.            Not give the digoxin if the pulse is_60

B.            Not give the digoxin if the pulse is_100

C.            Take the apical pulse for a full minute

D.            Monitor for visual disturbances, a side effect of digoxin

NO.599 In the coronary care unit, a client has developed multifocal premature ventricular contractions. The nurse should anticipate the administration of:

A.            Furosemide

B.            Nitroglycerin

C.            Lidocaine

D.            Digoxin

NO.600 A female client is exhibiting signs of respiratory distress. Which of the following signs indicate a possible pneumothorax?

A.            Crackles or rales on the affected side

B.            Bradypnea and bradycardia

C.            Shortness of breath and sharp pain on the affected side

 D.           Increased breath sounds on the affected side