NCLEX-RN Quiz Part 12 (676-750)

NO.676 To prevent transmission of bacterial meningitis, the nurse would instruct an infected baby's mother to:

A.            Avoid touching the baby while in the room.

B.            Stay outside of the baby's room.

C.            Wear a gown and gloves and wash her hands before and after leaving the room.

D.            Wear a mask while in the room.

NO.677 A 65-year-old client who has a new colostomy is preparing for discharge from the hospital. As part of the instructions on colostomy care, the nurse explains to the client that to regulate the bowel, colostomy irrigation should be performed at the same time each day. The best time is:

A.            After meals

B.            Before meals

C.            Every 2 hours

D.            At bedtime  

NO.678 Which of the following would indicate the need for further teaching for the client with COPD? The client verbalizes the need to:

A.            Eat high-calorie, high-protein foods

B.            Take vitamin supplementation

C.            Eliminate intake of milk and milk products

D.            Eat small, frequent meals

NO.679 To prevent thrombophlebitis in a client on complete bed rest, the nursing care plan should include:

A.            Dangle the client's legs over the edge of the bed every shift.

B.            Massage the client's calves briskly every shift.

C.            Keep the client's legs extended and discourage any movement.

D.            Have the client tighten and relax leg muscles several times daily.

NO.680 A long-term goal for the nurse in planning care for a depressed, suicidal client would be to:

A.            Provide him with a safe and structured environment.

B.            Assist him to develop more effective coping mechanisms.

C.            Have him sign a "no-suicide" contract.

D.            Isolate him from stressful situations that may precipitate a depressive episode.

NO.681 The nurse assesses a client's monitor strip and finds the following: uterine contractions every 3-4 minutes, lasting 60-70 seconds; FHR baseline 134-146 bpm, with accelerations to 158 bpm with fetal movement. Which nursing intervention is appropriate?

A.            Notify physician of nonreassuring FHR pattern.

B.            Turn the client to her left side.

C.            Start IV for fetal distress and administer O2 at 6-8 liters by mask.

D.            Evaluate to see if the monitor strip is reassuring.

NO.682 The nurse provides a male client with diet teaching so that he can help prevent constipation in the future. Which food choices indicate that this teaching has been understood?

A.            Omelette and hash browns

B.            Pancakes and syrup

C.            Bagel with cream cheese

D.            Cooked oatmeal and grapefruit half

NO.683 A male client is admitted to the medical-surgical unit from the emergency room with a diagnosis of acute pancreatitis. The nurse performs the admission nursing assessment. He is NPO with IV fluids infusing at 100 mL/hour. He is experiencing excruciating abdominal pain. Based on an analysis of these data, which nursing diagnosis would receive the highest priority?

A.            Pain related to stimulation of nerve endings associated with obstruction of the pancreatic tract

B.            Fluid volume deficit related to vomiting and nasogastric tube drainage

C.            Knowledge deficit related to treatment regimen

 D.           Altered nutrition: less than body requirements, related to inadequate intake associated with current anorexia, nausea, vomiting, and digestive enzyme loss

NO.684 A 7-year-old girl has been diagnosed with juvenile arthritis and has been placed on daily aspirin. Which statement made by the parent indicates a need for further teaching?

A.            "My daughter takes her aspirin with her meals."

B.            "Her gums have been bleeding frequently. Maybe she is brushing too hard."

C.            "I give her aspirin on a regular schedule every day."

D.            "One sign of aspirin toxicity can be ringing in the ears."

NO.685 A client experiencing delusions states, "I came here because there were people surrounding my house that wanted to take me away and use my body for science." The best response by the nurse would be:

A.            "Describe the people surrounding your house that want to take you away."

B.            "I need more information on why you think others want to use your body for science."

C.            "There were no people surrounding your house, your relatives brought you here, and no one really wants your body for science."

D.            "I know that must be frightening for you; let the staff know when you are having thoughts that trouble you."

NO.686 A 14-year-old client has a history of lying, stealing, and destruction of property. Personal items of peers have been found missing. After group therapy, a peer approaches the nurse to report that he has seen the 14- year-old with some of the missing items. The best response of the nurse is to

A.            Request that he explain to the group why he took personal items from peers

B.            Approach him when he is alone to inquire about his involvement in the incident

C.            Imply to him that you doubt his involvement in the incident and request his denial

D.            Confront him openly in group and request an apology

NO.687 Pregnant women with diabetes often have problems related to the effectiveness of insulin in controlling their glucose levels during their second half of pregnancy. The nurse teaches the client that this is due to:

A.            Decreased glomerular filtration and increased tubular absorption

B.            Decreased estrogen levels

C.            Decreased progesterone levels

D.            Increased human placental lactogen levels

NO.688 A 70-year-old client is almost finished receiving her second unit of packed red blood cells. The client, who weighs 80 lb, has started complaining of being short of breath and now has crackles in the bases of her lungs. After slowing or stopping the transfusion, the most appropriate initial nursing action would be to:

A.            Raise the client's head and place her feet in a dependent position

B.            Notify the physician

C.            Place the client on 2 liters of O2 via nasal cannula

D.            Administer furosemide (Lasix) 20 mg IV push

NO.689 A client suspected of having anorexia nervosa is placed on bed rest with an IV infusion and a high-carbohydrate liquid diet. Within 72 hours, the results of her lab work show a return to normal limits. She is transferred to the psychiatric service for further treatment. A behavior modification plan is initiated. Three days after her transfer, the client tells the nurse, "I haven't exercised in 6 days. I won't be eating lunch today." This statement by her most likely reflects:

A.            Her lack of internal awareness about the outcome of the behavior

B.            Increased knowledge about personal exercise plans

C.            A manipulative technique to trick the nurse into allowing her to miss a meal

D.            A true desire to stay fit while in the hospital

NO.690 When assessing a child with diabetes insipidus, the nurse should be aware of the cardinal signs of:

A.            Anemia and vomiting

B.            Polyuria and polydipsia

C.            Irritability relieved by feeding formula

D.            Hypothermia and azotemia

NO.691 Succinylcholine chloride (Anectine) is ordered prior to electroconvulsive therapy treatment for depressed clients. The nurse explains that the purpose of the drug is to:

A.            Relax muscles

B.            Relieve anxiety

C.            Reduce secretions

 D.           Act as an anesthetic

NO.692 The physician orders medication for a client's unpleasant side effects from the haloperidol. The most appropriate drug at this time is:

A.            Lorazepam

B.            Triazolam (Halcion)

C.            Benztropine

D.            Thiothixene

NO.693 A male client has experienced low back pain for several years. He is the primary support of his wife and six children. Although he would qualify for disability, he plans to continue his employment as long as possible. His back pain has increased recently, and he is unable to control it with non-steroidal anti-inflammatory agents. He refuses surgery and cannot take narcotics and remain alert enough to concentrate at work. His physician has suggested application of a transcutaneous electrical nerve stimulation (TENS) unit. Which of the following is an appropriate rationale for using a TENS unit for relief of pain?

A.            TENS units have an ultrasonic effect that relaxes muscles, decreases joint stiffness, and increases range of motion.

B.            TENS units produce endogenous opioids that affect the central nervous system with analgesic potency comparable to morphine.

C.            TENS units work on the gate-control theory of pain; biostimulation therapy of large fibers block painful stimuli.

D.            TENS units prevent muscle spasms, decrease the potential for further injury, and minimize pressure on joints.

NO.694 Which of the following signs and symptoms indicates a tension pneumothorax as compared to an open pneumothorax?

A.            Ventilation-perfusion (V./Q.) mismatch

B.            Hypoxemia and respiratory acidosis

C.            Mediastinal tissue and organ shifting

D.            Decreased tidal volume and tachypnea

NO.695 Often children are monitored with pulse oximeter. The pulse oximeter measures the:

A.            O2 content of the blood

B.            Oxygen saturation of arterial blood

C.            PO2

D.            Affinity of hemoglobin for O2

NO.696 A female client has been diagnosed with chronic renal failure. She is a candidate for either peritoneal dialysis or hemodialysis and must make a choice between the two. Which information should the nurse give her to help her decide?

A.            Hemodialysis involves less time to filter the blood; but the client must consider travel time, distance, and inconvenience.

B.            Hemodialysis involves more time to filter the blood than does peritoneal dialysis.

C.            Peritoneal dialysis has almost no complications and is less time consuming than hemodialysis. Therefore it is preferred.

D.            Peritoneal dialysis requires that a home health nurse prepare and administer the treatments.

NO.697 A male client is started on IV anticoagulant therapy with heparin. Which of the following laboratory studies will be ordered to monitor the therapeutic effects of heparin?

A.            Partial thromboplastin time

B.            Hemoglobin

C.            Red blood cell (RBC) count

D.            Prothrombin time

NO.698 Which of the following findings would be abnormal in a postpartal woman?

A.            Chills shortly after delivery

B.            Pulse rate of 60 bpm in morning on first postdelivery day

C.            Urinary output of 3000 mL on the second day after delivery

D.            An oral temperature of 101F (38.3C) on the third day after delivery

NO.699 The priority nursing goal when working with an autistic child is:

A.            To establish trust with the child

B.            To maintain communication with the family

C.            To promote involvement in school activities

D.            To maintain nutritional requirements

 NO.700 A cardinal symptom of the schizophrenic client is hallucinations. A nurse identifies this as a problem in the category of:

A.            Impaired communication

B.            Sensory-perceptual alterations

C.            Altered thought processes

D.            Impaired social interaction

NO.701 A 40-year-old client has lived for 8 years with an abusive spouse. She married her husband in her senior year of high school after becoming pregnant. Shortly after the baby was born, he began to physically abuse her. She has attempted to leave him several times, but she has always returned. She is unable to support herself financially, and her husband threatens to kill her if she leaves him. This time, her husband has beaten her so badly she cannot stop the bleeding from the gash above her eye. She admits her husband caused her injury. In assessing a person after experiencing spousal abuse, which need has the highest priority?

A.            Assess the level of anxiety, coping responses, and support systems.

B.            Assess the history of physical abuse.

C.            Assess suicide potential.

D.            Assess drug and alcohol use.

NO.702 When assessing fetal heart rate status during labor, the monitor displays late decelerations with tachycardia and decreasing variability. What action should the nurse take?

A.            Continue monitoring because this is a normal occurrence.

B.            Turn client on right side.

C.            Decrease IV fluids.

D.            Report to physician or midwife.

NO.703 Which of the following lab data is representative of a client with aplastic anemia?

A.            Hemoglobin 9.2, hematocrit 27, red blood cells 3.2 million

B.            White blood cells 4000, erythrocytes 2.5 million, thrombocytes 100,000

C.            White blood cells 3000, hematocrit 27, red blood cells 2.8 million

D.            Red blood cells 1 million, white blood cells 1500, thrombocytes 16,000

NO.704 Prior to administering digoxin to a client with congestive heart failure, the nurse needs to assess:

A.            Respiratory rate for 1 minute

B.            Radial pulse for 1 minute

C.            Radial pulse for 2 minutes

D.            Apical pulse for 1 minute

NO.705 A client who has been diagnosed with anorexia nervosa refuses to eat lunch. The most therapeutic response by the nurse to her refusal is:

A.            "Okay, missing one meal won't hurt."

B.            "You'll have to eat lunch, or we'll force-feed you."

C.            "It's not appropriate for you to try to manipulate the staff into granting your wishes."

D.            "We will not allow you to starve yourself. You may choose to eat voluntarily or be fed."

NO.706 A type I diabetic client delivers a male newborn. The newborn is 45 minutes old. What is the primary nursing goal in the nursery during the first hours for this newborn?

A.            Bonding

B.            Maintain normal blood sugar

C.            Maintain normal nutrition

D.            Monitor intake and output

NO.707 A pregnant client complains of varicosities in the third trimester. Which of the following activities should she be advised to avoid?

A.            Sitting with legs crossed at ankles

B.            Wearing thromboembolic disease (TED) stockings

C.            Wearing support pantyhose

D.            Wearing knee-high stockings

NO.708 A client admitted with a diagnosis of possible myocardial infarction is admitted to the unit from the emergency room. The nurse's first action when admitting the client will be to:

A.            Obtain vital signs

B.            Connect the client to the cardiac monitor

C.            Ask the client if he is still having chest pain

D.            Complete the history profile

NO.709 A client has renal failure. Today's lab values indicate he has an elevated serum potassium. What additional priority information does the nurse need to obtain?

A.            Evaluation of his level of consciousness

B.            Evaluation of an electrocardiogram

C.            Measurement of his urine output for the past 8 hours

D.            Serum potassium lab values for the last several days

NO.710 The medication that best penetrates eschar is:

A.            Mafenide acetate (Sulfamylon)

B.            Silver sulfadiazine (Silvadene)

C.            Neomycin  sulfate (Neosporin)

D.            Povidone-iodine (Betadine)

NO.711 A 26-year-old client is diagnosed with an astrocytoma, a benign brain tumor. From the nurse's knowledge of the central nervous system, the nurse knows that benign tumors:

A.            Can be just as dangerous as malignant tumors

 B.           Grow more rapidly than malignant tumors

C.            Do not warrant concern because they do not become malignant tumors

D.            Can be removed surgically

NO.712 The physician of a client diagnosed with alcoholism orders neomycin 0.5 g q6h to prevent hepatic coma. Neomycin decreases serum ammonia levels by:

A.            Decreasing nitrogen-forming bacteria in the intestines

B.            Acidifying colon contents by causing ammonia retention in the colon

C.            Decreasing the uptake of vitamin D, thereby drawing more water into the colon

D.            Irritating the bowel and promoting evacuation of stool

NO.713 A client is diagnosed with diabetic ketoacidosis. The nurse should be prepared to administer which of the following IV solutions?

A.            D5in normal saline

B.            D5W

C.            0.9 normal saline

D.            D5in lactated Ringer's

NO.714 A six-month-old infant is receiving ribavirin for the treatment of respiratory syncytial virus. Ribavirin is administered via which one of the following routes?

A.            Oral

B.            IM

C.            IV

 D.           Aerosol

NO.715 Medication is administered to a client who has been placed in restraints after a sudden violent episode, and his EPSs subside. Restraints can be removed when:

A.            The physician orders it

B.            A therapeutic alliance has been established, and violent behavior subsides

C.            The violent behavior subsides, and the client agrees to behave

D.            The nurse deems that removal of restraints is necessary

NO.716 Following her surgery, a 5-year-old child will return to the pediatric unit with a long-arm cast.

She experienced a supracondylar fracture of the humerus near the elbow. Which nursing action is most essential during the first

24 hours after surgery and cast application?

A.            Mobilization of the child

B.            Discharge teaching

C.            Pain management

D.            Assessment of neurovascular status

NO.717 A 19-year-old male client arrived via ambulance to the emergency room following a motorcycle accident. He is comatose. His face has evidence of dried blood. On assessment, the nurse notes an obvious injury to his left eye. The preferred positioning for a client with an obvious eye injury is:

A.            Reclining to control bleeding

B.            Any position in which the client is comfortable

C.            Side-lying, either left or right

D.            Sitting with head support

NO.718 Degenerative disorders are attributed to many factors. As a nurse assigned to a convalescent home, one must often educate families about how such conditions occur. Which of the following statements might the nurse need to explore when a daughter tries to explain to her mother what caused her degenerative disorder?

A.            "Some folks believe that aging causes this, Mother."

B.            "Perhaps, it's the way your parents used those double- bind messages, Mother."

C.            "I know some people who are having this problem and they were exposed to chemicals at work, Mother."

D.            "It can be caused by lots of things, toxic agents and even alcohol, Mother."

NO.719 A 32-year-old mother of two was brought to the hospital by her husband. He reported that his wife could no longer manage the house and children. She does not sleep and talks day and night. She has purchased some very expensive clothes. The nurse noted that the client speaks rapidly and changes the subject irrationally. This is an example of:

A.            Flight of ideas

B.            Delusions

C.            Hallucinations

D.            Echolalia

NO.720 The most commonly known vectors of Lyme disease are:

A.            Mites

B.            Fleas

C.            Ticks

D.            Mosquitoes

NO.721 A pregnant client during labor is irritable and feels the urge to vomit. The nurse should recognize this as the:

A.            Fourth stage of labor

B.            Third stage of labor

C.            Transition stage of labor

D.            Second stage of labor

NO.722 Which of the following would the nurse expect to find following respiratory assessment of a client with advanced emphysema?

A.            Distant breath sounds

B.            Increased heart sounds

C.            Decreased anteroposterior chest diameter

D.            Collapsed neck veins

NO.723 A client with a C-3-4 fracture has just arrived in the emergency room. The primary nursing intervention is:

A.            Stabilization of the cervical spine

B.            Airway assessment and stabilization

C.            Confirmation of spinal cord injury

D.            Normalization of intravascular volume

NO.724 A 66-year-old female client has smoked 2 packs of cigarettes per day for 20 years. Her arterial blood gases on room air are as follows: pH 7.35; PO2 70 mm Hg; PCO2 55 mm Hg; HCO3 32 mEq/L. These blood gases reflect:

A.            Compensated metabolic acidosis

B.            Compensated respiratory acidosis

C.            Compensated respiratory alkalosis

D.            Uncompensated respiratory acidosis

NO.725 The nurse is in the hallway and one of the visitors faints. The nurse should:

A.            Sit the victim up and lightly slap his face

B.            Elevate the victim's legs

C.            Apply a cool cloth to the victim's neck and forehead until he recovers

D.            Sit the victim up and place the head between the knees

NO.726 A 35-year-old primigravida comes to the clinic for her first prenatal visit. The midwife, on examining the client, suspects that she is approximately 11 weeks pregnant. The pregnancy is positively confirmed by finding:

A.            Chadwick's sign

B.            FHR by ultrasound

C.            Enlargement of the uterus

D.            Breast tenderness and enlargement

NO.727 A 4-year-old child has Down syndrome. The community health nurse has coordinated a special preschool program. The nurse's primary goal is to:

A.            Provide respite care for the mother

B.            Facilitate optimal development

C.            Provide a demanding and challenging educational program

D.            Prepare child to enter mainstream education

NO.728 A 42-year-old client with bipolar disorder has been hospitalized on the inpatient psychiatric unit. She is dancing around, talking incessantly, and singing. Much of the time the client is anorexic and eats very little from her tray before she is up and about again. The nurse's intervention would be to:

 A.           Confront the client with the fact that she will have to eat more from her tray to sustain her

B.            Try to get the client to focus on her eating by offering a detailed discussion on the importance of nutrition

C.            Let her have snacks and drinks anytime that she wants them because she will not eat at regular meal times

D.            Not expect the client to sit down for complete meals; monitor intake, offering snacks and juice frequently

NO.729 A 68-year-old client developed acute respiratory distress syndrome while hospitalized for pneumonia. After arespiratory arrest, an endotracheal tube was inserted. Several days later, numerous attempts to wean him from mechanical ventilation were ineffective, and a tracheostomy was created. For the first 24 hours following tracheostomy, it is important to minimize bleeding around the insertion site. The nurse can accomplish this by:

A.            Deflating the cuff for 10 minutes every other hour instead of 5 minutes every hour

B.            Avoiding manipulation of the tracheostomy including cuff deflation

C.            Reporting any signs of crepitus immediately to the physician

D.            Changing tracheostomy dressing only as necessary using one-half strength hydrogen peroxide to cleanse the site

NO.730 A 52-year-old female client is admitted to the hospital in acute renal failure. She has been on hemodialysis for the past 2 years. Stat arterial blood gases are drawn on the client yielding the following results: pH 7.30, PCO2 51 mm Hg, HCO3, 18 mEq/L, PaO2, 84 mm Hg. The nurse would interpret these results as:

A.            Compensated metabolic alkalosis

B.            Respiratory acidosis

C.            Partially compensated metabolic alkalosis

D.            Combined respiratory and metabolic acidosis

NO.731 A seventh grader lost consciousness after being hit in the head with a basketball. In the emergency room his vital signs are stable, and he demonstrates no neurologic deficit. He will not be admitted to the hospital. It is most important that you advise his mother to:

A.            Encourage him to drink plenty of fluids

B.            Expect him to have nausea with vomiting

C.            Keep him awake for the next 12 hours

D.            Wake him up every 1-2 hours during the night

NO.732 A mother frantically calls the emergency room (ER) asking what to do about her 3-year-old girl who was found eating pills out of a bottle in the medicine cabinet. The ER nurse tells the mother to:

A.            Give the child 15 mL of syrup of ipecac.

B.            Give the child 10 mL of syrup of ipecac with a sip of water.

C.            Give the child 1 cup of water to induce vomiting.

D.            Bring the child to the ER immediately.

NO.733 A client is experiencing visual problems at school. She has complained of difficulty seeing the blackboard and squinting. She no longer likes to participate in physical activities such as softball. The client has displayed possible classic symptoms of which refractive error?

A.            Astigmatism

B.            Hyperopia

C.            Myopia

D.            Amblyopia

NO.734 A 4-year-old child with a history of sickle cell anemia is admitted to the nursing unit with dizziness, shortness of breath, and pallor. Nursing assessment findings reveal tenderness in the abdomen. The child is most likely experiencing a/an:

A.            Aplastic crisis

B.            Vaso-occlusive crisis

C.            Dactylitis crisis

D.            Sequestration crisis

NO.735 A client had a right below-the-knee amputation 4 days ago. He is complaining of pain in his right lower leg. The nurse should:

A.            Remind the client that he no longer has that part of his leg and assure him he will be OK

B.            Call the physician to request a psychological consultation for the client

C.            Turn on the television to distract the client's attention from his amputated leg

D.            Give the client his order of Demerol 50 mg IM prn

NO.736 Which of the following risk factors associated with breast cancer would a nurse consider most significant in a client's history?

A.            Menarche after age 13

B.            Nulliparity

C.            Maternal family history of breast cancer

D.            Early menopause

NO.737 As soon as a child has been diagnosed as "hearing impaired," special education should begin. Which of the following special education tasks is the most difficult for a severely hearing-impaired child?

A.            Auditory training

B.            Speech

C.            Lip reading

D.            Signing

NO.738 The nurse would assess the client's correct understanding of the fertility awareness methods that enhance conception, if the client stated that:

A.            "My sexual partner and I should have intercourse when my cervical mucosa is thick and cloudy."

B.            "At ovulation, my basal body temperature should rise about 0.5F."

C.            "I should douche immediately after intercourse."

D.            "My sexual partner and I should have sexual intercourse on day 14 of my cycle regardless of the length of the cycle."

NO.739 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

NO.740 A client is having an amniocentesis. Prior to the procedure, an ultrasound is performed. In preparing the client, the nurse explains the reason for a sonogram in this situation to be:

A.            Determination of multiple gestations

B.            Determination of gross anomalies

C.            Determination of placental location

D.            Determination of fetal age

NO.741 A mother called the physician's office to ask if it would help relieve her small daughter's abdominal pain if she gave an enema and placed a heating pad on the abdomen. Her daughter has a fever and has vomited twice.

The nurse's response is based on the knowledge that:

A.            The symptoms could easily have been caused by constipation, which an enema would relieve

B.            Heat would help to relax the abdominal muscles and relieve her pain

C.            Both heat and enemas stimulate intestinal motility and could increase the risk of perforation

D.            Complaints of stomach ache are common in young children and are generally best ignored

NO.742 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

NO.743 A 30-year-old client has been admitted to the psychiatric service with the diagnosis of schizophrenia. He tells the nurse that when the woman he had been dating broke up with him, the CIA had replaced her with an identical twin. The client is experiencing:

A.            Grandiose delusions

B.            Paranoid delusions

C.            Auditory hallucinations

D.            Visual hallucinations

 NO.744 In planning daily care for a client with multiple sclerosis, the nurse would take into consideration that multiple sclerosis:

A.            Becomes progressively debilitating without remission

B.            Has unpredictable remissions and exacerbations

C.            Is rapidly fatal

D.            Responds quickly to antimicrobial therapy

NO.745 A 3-year-old child is in the burn unit following a home accident. The first sign of sepsis in burned children is:

A.            Disorientation

B.            Low-grade fever

C.            Diarrhea

D.            Hypertension

NO.746 A female client plans to bottle-feed her newborn. Her physician has ordered bromocriptine (Parlodel) to suppress lactation. Which of the following instructions about bromocriptine should be given by the nurse?

A.            Bromocriptine stimulates the production of prolactin.

B.            Hypertension is a primary side effect.

C.            Bromocriptine is generally taken for 5 days.

D.            Her blood pressure must be stable before starting bromocriptine.

NO.747 A client decided early in her pregnancy to breast-feed her first baby. She gave birth to a normal, full-term girl and is now progressing toward the establishment of successful lactation. To remove the baby from her breast, she should be instructed to:

A.            Gently pull the infant away

B.            Withdraw the breast from the infant's mouth

C.            Compress the areolar tissue until the infant drops the nipple from her mouth

D.            Insert a clean finger into the baby's mouth beside the nipple

NO.748 A 15-year-old client is admitted to the adolescent unit. The nurse recognizes that encouraging a client to speak openly depends on how clearly questions are phrased. Which of the following statements is most desirable in eliciting information from an adolescent client?

A.            "Do you get along well with your family?"

B.            "Do you communicate with your parents?"

C.            "You don't hate your family, do you?"

D.            "What is it like between you and your family?"

NO.749 A 2-year-old child is recovering from surgery. Considering growth and development according to Erikson, the nurse identifies which of the following play activities as most appropriate?

A.            Assembling a puzzle with large pieces

B.            Being taken for a wheelchair ride

C.            Listening to a story about the Muppets

D.            Watching Sesame Street on television

NO.750 A 3-month-old infant has had a unilateral cleft lip repair. He has resumed feedings of oral formula. The nurse should feed the infant with:

A.            Gavage tube

B.            Nipple and bottle

C.            A straw and cup

D.            Syringe