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1
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The nurse is collecting data on a child who may have diabetes. Which laboratory value
would help confirm a diagnosis of type 1 diabetes?

Select one:
a. A random plasma glucose level of 180mg/dl
b. A fasting plasma glucose level 126mg/dl 
c. A fasting plasma glucose level of 110mg/dl
d. A 2 hour oral glucose tolerance test result of 140 mg/dl
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The correct answer is: A 2 hour oral glucose tolerance test result of 140 mg/dl

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One of the complications of malaria is

Select one:
a. Fever 
b. Bronchopneumonia
c. Conjunctivitis
d. Splenomegaly
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The correct answer is: Splenomegaly

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In acute urethritis, the commonest symptom is....................................

Select one:
a. increased temperature 
b. urethral discharge
c. pelvic pain
d. dysuria
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The correct answer is: dysuria

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The nurse is teaching a client with newly diagnosed diabetes mellitus about rotation of
insulin injection site. Which of the following is the correct information to give the clients?

Select one:
a. Rotation of site does not affect speed of absorption
b. Rotation within one anatomic site is preferred
c. Rotation of site does not prevent lipohypertrophy
d. Rotation from one anatomic site to another is best

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A client presents with diaphoresis, palpitation, jitters, and tachycardia approximately 1.5
hours after taking his regular morning insulin. What is the most appropriate intervention
by the nurse?

Select one:
a. Check blood glucose level and administer carbohydrates
b. Give nitroglycerin and perform an electrocardiogram
c. Call the physician for additional insulin order
d. Restrict salt administer diuretics, and perform a paracentesis
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The correct answer is: Check blood glucose level and administer carbohydrates

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A client is experiencing status asthmaticus. What is the nurse’s priority intervention for
this client?

Select one:
a. I.V. beta-adrenergic agents
b. Oral corticostersroids
c. Inhaled corticosteroids
d. Inhaled beta-adrenergic agents
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The correct answer is: Inhaled corticosteroids

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Which of the following vitamins cannot be found from a plant source?

Select one:
a. vitamin A 
b. vitamin B12
c. vitamin E
d. vitamin B1
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The correct answer is: vitamin B12

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Diabetic coma results from an excess accumulation in the blood of

Select one:
a. Sodium bicarbonate causing alkalosis
b. Nitrogen from protein catabolism causing ammonia intoxication
c. Glucose from rapid CHO metabolism causing drowsiness
d. Ketones from rapid fat breakdown, causing acidosis
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The correct answer is: Glucose from rapid CHO metabolism causing drowsiness

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What is the normal pH range for arterial blood?

Select one:
a. 7.35 to 7.45
b. 7.55 to 7.65
c. 7 to 7.49
d. 7.50 to 7.60
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The correct answer is: 7.35 to 7.45

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In haemophilia type B, there is deficiency of:

Select one:
a. Factor VIII
b. Factor IX
c. Factor VII
d. Factor IV
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The correct answer is: Factor IX

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A female client with interstitial lung disease is prescribed prednisone (Deltasone) to

control inflammation. During client teaching, the nurse stresses the importance of taking
prednisone exactly as prescribed and cautions against discontinuing the drug abruptly. A
client who discontinues prednisone abruptly may experience:

Select one:
a. GI bleeding.
b. acute adrenocortical insufficiency.
c. hyperglycemia and glycosuria.
d. restlessness and seizures.
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The correct answer is: acute adrenocortical insufficiency.

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Which of the following does not exacerbate the condition of a patient suffering from
heart failure?

Select one:
a. recent upper respiratory infection
b. peptic ulcer disease
c. nutritional anaemia
d. atrial fibrillation
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The correct answer is: peptic ulcer disease

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The nurse is conducting a class for family members of clients diagnosed with
Tuberculosis (TB).The nurse determines that the teaching is effective when the family
Members’ state the disease is transmitted____________

Select one:
a. by contaminated needles
b. by sexual contact
c. by droplets exhaled from an infected person”
d. through contaminated eating utensils
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The correct answer is: by droplets exhaled from an infected person”

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The nurse is teaching a health promotion class in the community. Which of the following
would the nurse encourage in order to prevent type 2 diabetes mellitus?

Select one:
a. A fat-free diet and nonimpact exercise three times weekly
b. A very low-carbohydrate diet with a moderate amounts of fat
c. Smoking cessation and a diet high in protein and fat
d. Maintenance of ideal weight and participation in regular exercise
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The correct answer is: Maintenance of ideal weight and participation in regular exercise
Question 15
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A client diagnosed of Manieres disease should avoid -------------------

Select one:
a. salty foods
b. green vegetables
c. citrus foods
d. cereal products
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The correct answer is: salty foods

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A client is diagnosed with active tuberculosis and started on triple antibiotic therapy. The
nurse would be concerned if the client demonstrates which of the following

Select one:
a. Decrease shortness of breath?
b. Improve chest X-ray
c. Nonproductive cough
d. Positive acid bacilli in a sputum sample after 2 months
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The correct answer is: Positive acid bacilli in a sputum sample after 2 months

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Hydrocortisone is injected into the knee joint of a patient with rheumatoid arthritis in
order to

Select one:
a. Provide physiotherapy
b. Prevent ankylosis of the joint
c. Relieve pain
d. Reduce inflammation
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The correct answer is: Reduce inflammation

Question 18
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A black male client with asthma seeks emergency care for acute respiratory distress.
Because of this client’s dark skin, the nurse should assess for cyanosis by inspecting the:

Select one:
a. mucous membranes.
b. lips.
c. nail beds.
d. earlobes.
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The correct answer is: mucous membranes.

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When managing a patient with tetanus, nursing activities should be carried out

Select one:
a. After the doctor has finished his rounds
b. Soon after sedation has been administered
c. During the period when sedation has its maximum effect
d. When patient has regained consciousness
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The correct answer is: During the period when sedation has its maximum effect

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A client with a productive cough, chills, and night sweats is suspected of having active
Tuberculosis (TB), The most important intervention by the nurse would be?

Select one:
a. Administer the isoniazid ordered by the physician immediately before discharge
b. the client to be discharged on bed rest
c. Administer the tuberculin test ordered by the physician
d. Maintain the client on respiratory isolation
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The correct answer is: Administer the tuberculin test ordered by the physician

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A client diagnosed of thrombophlebitis 24 hours ago suddenly complains of chest pain,

shortness of breath and visible anxiousness. The nurse must check the client for other
signs and symptoms of ……………

Select one:
a. pulmonary oedema
b. pulmonary embolism
c. pneumonia
d. myocardial infarction
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The correct answer is: myocardial infarction

Question 22
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When nursing a patient with acute pancreatitis, the nurse should be aware that one of
these states may occur

Select one:
a. Hypothermia
b. Hyperglycaemia
c. Bradycardia
d. Insulin coma
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The correct answer is: Hyperglycaemia

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For a male client with chronic obstructive pulmonary disease, which nursing intervention
would help maintain a patent airway?

Select one:
a. Teaching the client how to perform controlled coughing
b. Enforcing absolute bed rest
c. Administering prescribed sedatives regularly and in large amounts
d. Restricting fluid intake to 1,000 ml/day
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The correct answer is: Teaching the client how to perform controlled coughing

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Vitamins are needed ………………. to sustain growth and health

Select one:
a. daily in smaller quantities
b. periodically in smaller quantities
c. annually in greater quantities
d. periodically in greater quantities
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The correct answer is: daily in smaller quantities

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A client is experiencing an anaphylactic reaction to a drug. What is the most important

intervention for the nurse to perform?

Select one:
a. Administering oxygen
b. Inserting an I.V. catheter
c. Obtaining a complete blood count (CBC)
d. Taking vital signs
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The correct answer is: Inserting an I.V. catheter

Question 26
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Which of the following common signs or symptoms indicate that the patient is suffering
from myocardial infarction?

Select one:
a. client’s pain is described as sub-sternal and radiates to the left arm
b.  client’s pain is not relieved by rest and nitroglycerin
c. the client experiencing nausea and vomiting
d. the client complains of pain while walking
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The correct answer is:  client’s pain is not relieved by rest and nitroglycerin

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A 20-year-old client is being treated for pneumonia. He has a persistent cough and
complains of severe pain when coughing. The most appropriate instruction the nurse
would give the client to reduce discomfort is:

Select one:
a. “hold in your cough as much as possible”
b. “splint your chest wall with a pillow for comfort”
c. “place the head of your bed flat to help with coughing”
d. “restrict fluids to help decrease the amount of sputum”
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The correct answer is: “splint your chest wall with a pillow for comfort”

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A client diagnosed with a disorder involving the inner ear usually complains of -----------

Select one:
a. burning in the ear
b. hearing loss
c. tinnitus
d. pruritus
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The correct answer is: tinnitus

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Before seeing a newly assigned female client with respiratory alkalosis, the nurse quickly
reviews the client’s medical history. Which condition is a predisposing factor for
respiratory alkalosis?

Select one:
a. Extreme anxiety
b. Narcotic overdose
c. Type 1 diabetes mellitus
d. Myasthenia gravis
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The correct answer is: Extreme anxiety

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A client with acute is experiencing inspiratory and expiratory asthma wheezes and a
decreased force expiratory volume. What is the priority intervention by the nurse?

Select one:
a. Bronchodilators
b. Oral steroids
c. Inhaled steroids
d. Beta-adrenergic blockers
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The correct answer is: Bronchodilators

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A nurse working in a rural county’s Public Health Department has been alerted that there
is an outbreak of tuberculosis (TB) in the area. The client most at risk for developing TB
would be?

Select one:
a. A 43-year-old homeless man with a history of alcoholism
b. A 16-year-old female high school student
c. A 54-year-old businessman
d. A 33-year-old day-care worker
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The correct answer is: A 43-year-old homeless man with a history of alcoholism

Question 32
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The nurse is teaching the mother of a diabetic child how to recognize the signs and
symptoms of hypoglycemia. Which signs and symptoms should the nurse discuss?

Select one:
a. Polydipsia, polyuria, polyphagia, and weight loss
b. Nausea, fruity breath odor, headache, and fatigue
c. Behavioral changes, increased heart rate, sweating, and tremors
d. Enlarge tongue, hypotonia, easy weight gain, and cool skin temperature
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The correct answer is: Behavioral changes, increased heart rate, sweating, and tremors
Question 33
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An antidiurectic substance important for maintaining fluid balance is released by

Select one:
a. Adrenal cortex
b. Anterior pituitary gland
c. Adrenal medulla
d. Posterior pituitary gland
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The correct answer is: Posterior pituitary gland

Question 34
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The priority nursing diagnosis of the acute phase of myocardial infarction is:

Select one:
a. ineffective coping
b. anxiety
c. impaired tissue integrity
d. alteration in comfort (pain)
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The correct answer is: alteration in comfort (pain)

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A patient with rabies will characteristically exhibit

Select one:
a. Urinary stasis
b. Pharyngeal spasm
c. Memory loss
d. Diarrhea
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The correct answer is: Pharyngeal spasm

Question 36
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The most important electrolyte in the extracellular fluid is

Select one:
a. Potassium
b. Sodium
c. Calcium
d. Chloride
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The correct answer is: Sodium

Question 37
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The nurse is caring for a client the immediate postoperative period. The priority of care
would include interventions to prevent:

Select one:
a. Atelectasis
b. Bronchitis
c. Pneumothorax
d. Pneumonia
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The correct answer is: Pneumonia

Question 38
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When assessing an individual with suspected atelectasis,the nurse would expect

Select one:
a. Slow deep respirations
b. A dry unproductive cough
c. Normal body temperature
d. Diminished breath sounds
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The correct answer is: Diminished breath sounds

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Oedema in a patient can most accurately be assessed by

Select one:
a. The presence of dry skin
b. A decrease in blood pressure
c. A change in body weight
d. An altered general appearance
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The correct answer is: A change in body weight

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A patient is to receive 3000mls of IV fluid in 12 hours.The drop factor is 10 gtt/ml.The

nurse should regulate the flow to approximately how many drops per minute?

Select one:
a. 48 to 50
b. 27 to 29
c. 30 to 32
d. 40 to 42
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The correct answer is: 40 to 42

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A nurse should advise a client with Maniere’s disease and experiencing severe vertigo to:

Select one:
a. increase fluid intake to 3L a day
b. avoid sudden head movements
c. decrease sodium intake
d. lie still in bed and watch television
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The correct answer is: decrease sodium intake

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In nursing, which of the following treatments will be of priority in the treatment of otitis
media?

Select one:
a. diphenhydramine
b. bed rest
c. myringotomy
d. mastoidectomy
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The correct answer is: bed rest

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Antiretroviral therapy is recommended for HIV positive patients

Select one:
a. Whose helper T-cells lymphocytes counts are below 800
b. Whose CD4 counts are below 500
c. Who are manifesting signs and symptoms of AIDS
d. Who have development of opportunistic infections
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The correct answer is: Whose CD4 counts are below 500

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In pericarditis, which of the following clinical features differentiates it from other

cardiopulmonary disease?

Select one:
a. weakness and irritability
b. pericardial friction rub
c. chest pain that worsens on inspiration
d. anterior chest pain
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The correct answer is: pericardial friction rub

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If symptoms of warfarin overdose are observed in a patient with thrombophlebitis the

nurse would expect the doctor to order

Select one:
a. Imferon
b. Heparin
c. Vitamin k
d. Protamine sulphate
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The correct answer is: Vitamin k

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A nurse reviews the physician’s prescription for a client with heart failure. The nurse
expects to note which of the following?

Select one:
a. Metronidazole
b. Propranolol
c. Cardizem
d. Digoxin
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The correct answer is: Digoxin

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For a male client who has a chest tube connected to a closed water-seal drainage
system, the nurse should include which action in the plan of care?

Select one:
a. Stripping the chest tube every hour
b. Maintaining continuous bubbling in the water-seal chamber
c. Measuring and documenting the drainage in the collection chamber
d. Keeping the collection chamber at chest level
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The correct answer is: Measuring and documenting the drainage in the collection
chamber

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Potassium excess can result in:

Select one:
a. tongue fissure
b. muscle cramps
c. sunken eyes
d. increased sweating
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The correct answer is: muscle cramps

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A client was brought to an emergency department with angina pectoris, the priority of
the nursing care is to:

Select one:
a. makes ECG machine ready
b. put in place a bed table
c. put the client on a low bed
d. assembles oxygen apparatus at the bedside
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The correct answer is: assembles oxygen apparatus at the bedside

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There are two types of particles involved in airborne transmission of diseases. They are
dust and --.

Select one:
a. Saliva
b. Air
c. droplet nuclei
d. Water
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The correct answer is: droplet nuclei

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When teaching a patient with a cardiac problem on reduction of saturated fats in the
diet, she should be instructed to avoid

Select one:
a. Fish
b. Whole milk
c. Corn oil
d. Soft margarine
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The correct answer is: Whole milk

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A client with angina pectoris complains of chest pain while getting out of bed.The nurse
must first:

Select one:
a. stops the client and encourage him to lie down in bed
b. advises the client to continue to get out of bed
c. get an order for pain medication
d. reports the complaint to the physician
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The correct answer is: stops the client and encourage him to lie down in bed

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Which of the following electrolytes would be depleted in a patient on frusemide (Lasix)?

Select one:
a. Sodium
b. Potassium
c. Calcium
d. Phosphate
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The correct answer is: Potassium

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The nurse is caring for a male client with a chest tube. If the chest drainage system is
accidentally disconnected, what should the nurse plan to do?

Select one:
a. Clamp the chest tube immediately.
b. Place the end of the chest tube in a container of sterile saline.
c. Secure the chest tube with tape.
d. Apply an occlusive dressing and notify the physician.
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The correct answer is: Place the end of the chest tube in a container of sterile saline.

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A client complaining of claudication in the arch of the left foot is likely to suffer from

Select one:
a. Buerger’s disease
b. Raynaud’s disease
c. Parkinson’s disease
d. Paget’s disease
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The correct answer is: Buerger’s disease

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A patient with otoslerosis will show which of the following as an early symptom?

Select one:
a. vertigo
b. blurred vision
c. ringing in the ears
d. headache
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The correct answer is: ringing in the ears

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Physiological mechanisms of adaptation work together through complex relationships in

the.............

Select one:
a. digestive and nervous systems
b. digestive and endocrine systems
c. respiratory and nervous systems
d. nervous and endocrine systems
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The correct answer is: nervous and endocrine systems

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A client complains of intermittent episodes in which the fingers of both hands become
pale, cold and numb. They become reddened and swollen with throbbing pain. The client
is suffering from:

Select one:
a. Hodgkin’s disease
b. Steven-Johnson’s syndrome
c. Parkinson’s disease
d. Raynauld’s disease
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The correct answer is: Raynauld’s disease

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A 58 years old client with a 40 year history of smoking one to two packs of cigarette per
day has a chronic cough producing thick sputum, peripheral edema, and cyanotic nail
beds, based on this assessment, the nurse suspects the client may be experiencing:

Select one:
a. Acute respiratory distress syndrome(ARDS)
b. Chronic obstructive bronchitis
c. Asthma
d. Emphysema
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The correct answer is: Asthma

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A client is admitted with a diagnosis of retinal detachment. Which of the following will
the nurse include in the plan of care?

Select one:
a. restrict visitors
b. maintain high-Fowler’s position
c. place an eye patch over the affected eye
d. out of bed to ambulate with assistance
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The correct answer is: place an eye patch over the affected eye

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The best drug to prescribe for a client with Maniere’s disease is ------------------

Select one:
a. Low cholesterol diet
b. Low carbohydrate diet
c. Low fat diet
d. Low sodium diet
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The correct answer is: Low sodium diet

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The normal intake of Vit. B12 is about:

Select one:
a. 10 – 14ug
b. over 20 ug
c. 50 – 70ug
d. 3 – 4 ug
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The correct answer is: 3 – 4 ug

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A nurse who is caring for a client that has a hearing impaired will adopt which of the
following approaches? Speak:

Select one:
a. in a normal tone
b. Loudly
c. directly into the unaffected ear
d. Frequently
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The correct answer is: in a normal tone

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The client is exhibiting symptoms indicative of pneumonia. The nurse anticipates that
which diagnostic test will be ordered to confirm the diagnosis?

Select one:
a. Blood cultures
b. Arterial blood gas(ABG) analysis
c. Sputum culture and sensitivity test
d. Chest X-ray
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The correct answer is: Sputum culture and sensitivity test

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An agent of a disease is referred to:

Select one:
a. the causative organism
b. the method of spread of the disease
c. the affected person
d. the environmental condition
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The correct answer is: the causative organism

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A patient who has CVA with a right hemiplegia should not have his B/P checked using
the right arm because circulatory impairment may

Select one:
a. Precipitate the formation of thrombus
b. Hinder restoration function
c. Cause excessive pressure on the brachial artery
d. Produce inaccurate readings
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The correct answer is: Precipitate the formation of thrombus

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A nurse understands that presbycusis is accurately described as ------------------

Select one:
a. a conductive hearing loss that occurs with aging
b. Tinnitus that occurs with aging
c. sensori-neural loss that occurs with aging
d. Nystagmus that occurs with aging
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The correct answer is: sensori-neural loss that occurs with aging

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Which of the following findings does the nurse expect to note if a client is suffering from
mastoiditis?

Select one:
a. a transparent tympanic membrane
b. a mobile tympanic membrane
c. swelling behind the ear
d. a clear tympanic membrane
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The correct answer is: swelling behind the ear

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A negative HIV test means that one

I. Does not have the antibodies in his blood
II. Has not been infected with the virus
III. Has been infected with the virus but has not yet produced antibodies
IV. Is immune to the virus

Select one:
a. I, II, III and IV
b. II, III and IV
c. I, III and IV
d. I, II and III
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The correct answer is: I, II and III

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At 11 p.m., a male client is admitted to the emergency department. He has a respiratory

rate of 44 breaths/minute. He’s anxious, and wheezes are audible. The client is
immediately given oxygen by face mask and methylprednisolone (Depo-medrol) I.V. At
11:30 p.m., the client’s arterial blood oxygen saturation is 86% and he’s still wheezing.
The nurse should plan to administer:

Select one:
a. albuterol (Proventil).
b. morphine.
c. alprazolam (Xanax).
d. propranolol (Inderal)
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The correct answer is: albuterol (Proventil).

Question 71
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Pulmonary disease (COPD), which nursing action best promotes adequate gas exchange?

Select one:
a. Encouraging the client to drink three glasses of fluid daily
b. Keeping the client in semi-Fowler’s position
c. Administering a sedative as prescribed
d. Using a high-flow Venturi mask to deliver oxygen as prescribed
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The correct answer is: Using a high-flow Venturi mask to deliver oxygen as prescribed

Question 72
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Which treatment goal is the nurse’s highest priority for the client with status
asthmaticus?

Select one:
a. Avoiding intubation
b. Improving exercise tolerance
c. Determining the cause of the attack
d. Reducing secretions
Feedback

The correct answer is: Determining the cause of the attack

Question 73
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A male adult client with cystic fibrosis is admitted to an acute care facility with an acute
respiratory infection. Prescribed respiratory treatment includes chest physiotherapy.
When should the nurse perform this procedure?

Select one:
a. Immediately before a meal
b. When bronchospasms occur
c. When secretions have mobilized
d. At least 2 hours after a meal
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The correct answer is: At least 2 hours after a meal

Question 74
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The nurse is reviewing the chart of a 58-year-old male client with community-acquired
pneumonia and determines that which of the following is the most likely causative
organism?

Select one:
a. Klebsiella pneumonia
b. Streptococcus pneumonia
c. Staphylococcus aureus
d. Haemophilus influenza
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The correct answer is: Klebsiella pneumonia

Question 75
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A male elderly client is admitted to an acute care facility with influenza. The nurse
monitors the client closely for complications. What is the most common complication of
influenza?

Select one:
a. Septicemia
b. Pneumonia
c. Meningitis
d. Pulmonary edema
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The correct answer is: Pneumonia

Question 76
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A client has recently been diagnosed with tuberculosis (TB).The nurse caring for the
client anticipates that the client will develop:

Select one:
a. A positive skin test
b. A fever that requires hospitalization.
c. Active TB within 1 month
d. Active TB within 2 weeks
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The correct answer is: A positive skin test

Question 77
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A client has a positive Mantoux test, and a chest X-ray is ordered. The client asks the
nurse the reason for the X-ray. What is the best response by the nurse?

Select one:
a. To determine if this is a primary or secondary infection
b. To confirm the diagnosis
c. To determine the extent of lesions
d. To determine if a repeat skin test is needed
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The correct answer is: To determine the extent of lesions

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A female client has a tracheostomy but doesn’t require continuous mechanical

ventilation. When weaning the client from the tracheostomy tube, the nurse initially
should plug the opening in the tube for:

Select one:
a. 45 to 60 minutes.
b. 5 to 20 minutes.
c. 15 to 60 seconds.
d. 30 to 40 minutes.
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The correct answer is: 5 to 20 minutes.

Question 79
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In nursing process, nursing diagnosis represents

Select one:
a. Patient health problems
b. Actual nursing intervention
c. Analysis of patient’s data
d. Proposed plan of care
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The correct answer is: Analysis of patient’s data

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The nurse is admitting a client who is diagnosed with a new onset of type 1 diabetes
mellitus. While performing the initial physical assessment and nursing history, the nurse
expects to find which of the following signs/symptoms?

Select one:
a. Weight gains, tiredness, and bradycardia
b. Polydipsia
c. Diarrhea, abdominal pain, and weight loss
d. Irritability diaphoresis and tachycardia
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The correct answer is: Weight gains, tiredness, and bradycardia

Question 81
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A client has been diagnosed with active tuberculosis (TB) and asked the nurse if he will
be admitted to the hospital. The nurse responds that hospitalization would most likely to
occur:

Select one:
a. To prevent spread of the disease
b. To evaluate his condition
c. To determine his compliance
d. To determine the need for antibiotic therapy
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The correct answer is: To determine his compliance

Question 82
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Anaemia in sickle cell disease becomes evident and severe when:

Select one:
a. More cells are produced
b. Hyperplasia persists
c. Less cells are produced.
d. Erythropoiesis is suppressed
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The correct answer is: Erythropoiesis is suppressed

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When a patient is unconscious the nurse should expect him to be unable to

Select one:
a. Hear voices
b. React to painful stimuli
c. Control elimination
d. Move spontaneously
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The correct answer is: Move spontaneously

Question 84
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A boy, 14 is admitted to the hospital with acute myelogenous leukemia and presented
bruises and petechial over his legs. Which of the following nursing measure would best
prevent additional bruises?

Select one:
a. gripping him in an arm chair
b. trimming his nails short
c. handling him well with the palms of the hand
d. brushing the teeth only once per day
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The correct answer is: handling him well with the palms of the hand

Question 85
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The nurse will advise a patient with a diagnosis of nephrotic syndrome to take food high
in

Select one:
a. Fats
b. Sodium
c. Protein
d. Carbohydrates
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The correct answer is: Protein

Question 86
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An unconscious patient is receiving intermittent feeding through an NG tube.To evaluate

if the previous feeding has been absorbed,the nurse should

Select one:
a. Aspirate for residual volume and reinstill it
b. Instill air into the stomach while auscultating
c. Evaluate the intake in relation to the output
d. Compare the patient’s body weight to the baseline data
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The correct answer is: Aspirate for residual volume and reinstill it

Question 87
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A doctor orders 50 mgs stat of tab valium to reduce anxiety in a patient with myocardial
infarction.
Before  giving the drug the nurse should

Select one:
a. Encourage patient to verbalize feelings
b. Assess the apical pulse
c. Assess the blood pressure
d. Clarify the order with the doctor
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The correct answer is: Clarify the order with the doctor

Question 88
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A client with s positive skin test for tuberculosis (TB) is not showing signs of active
disease and treated with isoniazid,300 mg daily. The nurse explains to the client that the
medication should be taken for how long?

Select one:
a. 10 to 14days
b. 9 to 12 months
c. 2to 4 weeks
d. 3 to 6months
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The correct answer is: 3 to 6months

Question 89
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The amount of air inspired and expired with each breath is called:

Select one:
a. dead-space volume.
b. vital capacity.
c. residual volume.
d. tidal volume.
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The correct answer is: tidal volume.

Question 90
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Before weaning a male client from a ventilator, which assessment parameter is most
important for the nurse to review?

Select one:
a. Prior outcomes of weaning
b. Fluid intake for the last 24 hours
c. Baseline arterial blood gas (ABG) levels
d. Electrocardiogram (ECG) results
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The correct answer is: Baseline arterial blood gas (ABG) levels

Question 91
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Nurse Eve formulates a nursing diagnosis of Activity intolerance related to inadequate

oxygenation and dyspnea for a client with chronic bronchitis. To minimize this problem,
the nurse instructs the client to avoid conditions that increase oxygen demands. Such
conditions include:

Select one:
a. eating a high-protein snack at bedtime.
b. being overweight.
c. drinking more than 1,500 ml of fluid daily.
d. eating more than three large meals a day.
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The correct answer is: being overweight.

Question 92
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A 58 years old client with a 40 year history of smoking one to two packs of cigarette per
day has a chronic cough producing thick sputum, peripheral edema, and cyanotic nail
beds, based on this assessment, the nurse suspects the client may be experiencing:

Select one:
a. Chronic obstructive bronchitis
b. Asthma
c. Acute respiratory distress syndrome(ARDS)
d. Emphysema
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Your answer is incorrect.

The correct answer is: Asthma

Question 93
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A patient with gastric ulcer is put on antibacterial agents. The nurse should explain to the
patient that these are ordered to

Select one:
a. Potentiate the effect of antacids
b. Reduce hydrochloric acid secretion
c. Treat Helicobacter pylori infection
d. Augment the immune response
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The correct answer is: Treat Helicobacter pylori infection

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A male client with pneumonia develops respiratory failure and has a partial pressure of
arterial oxygen of 55 mm Hg. He’s placed on mechanical ventilation with a fraction of
inspired oxygen (FIO2) of 0.9. The nursing goal should be to reduce the FIO2 to no
greater than:

Select one:
a. 0.21
b. 0.5
c. 0.7
d. 0.35
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The correct answer is: 0.5

Question 95
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The byproducts of all foods oxidized in the body are;

Select one:
a. glucose, amino acids and water
b. fatty acids, glycerol and carbon dioxide
c. carbon dioxide, energy and water
d. amino acids, oxygen and glycerol
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The correct answer is: carbon dioxide, energy and water

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The nurse caring for a child with type 1 diabetes. The nurse enters the child’s room, finds
him diaphoretics, and can’t waken him. The nurse should anticipate which emergency
intervention?

Select one:
a. Administering I.V. dextrose
b. Administering honey followed by a protein source
c. Administering orange juice followed by a protein source
d. Administering insulin
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The correct answer is: Administering I.V. dextrose

Question 97
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Which of the following foods can worsen the pain of a client suffering from Raynaud’s
disease?

Select one:
a. ingestion of coffee or chocolate
b. ingestion of cereals and pulses
c. ingestion of an offal
d. ingestion of fruits and vegetables
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The correct answer is: ingestion of coffee or chocolate

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In the nursing care of a client with Meniere’s disease the nurse must teach the client –

Select one:
a. about current drugs
b. about safety measures
c. to avoid tobacco
d. about self-care measures
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The correct answer is: about safety measures

Question 99
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The risk of osteoporosis is increased when an individual

Select one:
a. Takes excessive amounts of oestrogen
b. Has a history of hypoparathyroidism
c. Receives long-term steroids therapy
d. Engages in strenuous physical activity
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The correct answer is: Receives long-term steroids therapy

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When assessing a patient with hyperthyroidism the nurse should expect the patient to
exhibit

Select one:
a. Loss of weight, constipation, restlessness
b. Increase appetite, slow pulse, and dry skin
c. Protruding eyeballs, slow pulse, and sluggishness
d. Nervousness, weight loss, increase appetite
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The correct answer is: Nervousness, weight loss, increase appetite

Question 101
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Cranial nerve I is also called -----------------------------------------

Select one:
a. Facial nerve
b. Trochlear nerve
c. Oculomotor nerve
d. Olfactory nerve
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The correct answer is: Olfactory nerve

Question 102
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A client has received a preliminary diagnosis of tuberculosis. In order to obtain a

definitive diagnosis, the nurse anticipates that the physician will order which test?

Select one:
a. Mantoux test
b. Chest X-ray
c. Tuberculin test
d. Sputum culture
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The correct answer is: Tuberculin test

Question 103
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A 78-year-old patient has a history of osteoarthritis. Which signs and symptoms would
the nurse expect to find on physical assessment?

Select one:
a. Tophi, enlarged joints, Bouchard’s nodes
b. Hot, inflamed joints; crepitus; joint pain
c. Joint pain, crepitus, Heberden’s nodes
d. Swelling, joint pain, tenderness on palpation
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Your answer is incorrect.

The correct answer is: Joint pain, crepitus, Heberden’s nodes

Question 104
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Nurse Joana is teaching a client with emphysema how to perform pursed-lip breathing.
The client asks the nurse to explain the purpose of this breathing technique. Which
explanation should the nurse provide?

Select one:
a. It decreases use of accessory breathing muscles.
b. It helps prevent early airway collapse.
c. It prolongs the inspiratory phase of respiration.
d. It increases inspiratory muscle strength
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The correct answer is: It helps prevent early airway collapse.

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The type of hepatitis most frequently transmitted by blood transfusion is

Select one:
a. Hepatitis C
b. Hepatitis B
c. Hepatitis A
d. Hepatitis D
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The correct answer is: Hepatitis B

Question 106
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Nurse Murphy administers albuterol (Proventil), as prescribed, to a client with

emphysema. Which finding indicates that the drug is producing a therapeutic effect?

Select one:
a. Urine output of 40 ml/hour
b. Respiratory rate of 22 breaths/minute
c. Heart rate of 100 beats/minute
d. Dilated and reactive pupils
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The correct answer is: Respiratory rate of 22 breaths/minute

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To reduce the symptoms of sprue, the patient should be advised to avoid foods made
from

Select one:
a. Broad beans
b. Maize
c. Soya beans
d. Wheat
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The correct answer is: Wheat

Question 108
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A client with refractive error in both eyes should be advised to ----------------------

Select one:
a. use eye drops
b. use rigid contact lenses
c. use corrective lenses
d. undergo keratoplasty
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The correct answer is: use corrective lenses

Question 109
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When auscultating the chest of a client with pneumonia, the nurse should expect to hear
which sounds over areas of consolidation?

Select one:
a. Tubular
b. Bronchial
c. Vesicular
d. Bronchovesicular
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The correct answer is: Bronchovesicular

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In mumps, there is self-limited swelling of the --------------------------

Select one:
a. Adrenalins
b. parotid gland
c. pyloric sphincter
d. thymus gland
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The correct answer is: parotid gland

Question 111
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A client was given morphine for pains at 9:00am. At 9:45 am, the nurse assesses the
client and notes a respiratory rate of 4 breaths/ minute. The nurse recognizes that the
client is at highest risk for which of the following?

Select one:
a. Respiratory arrest
b. Asthma attack
c. Arousal
d. Seizure
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The correct answer is: Respiratory arrest

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Which of the following is a clinical feature of marasmus?

Select one:
a. Moon-shaped face due to oedema
b. Flaky point dermatosis
c. Reddish brown hair
d. Constantly crying for food
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The correct answer is: Constantly crying for food

Question 113
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The nurse is teaching the parents of a child with diabetes. Which agents should the nurse
teach the parents to administer if their child suffers a severe hypoglycemic reaction?

Select one:
a. Subcutaneous glucagon
b. Oral fast-acting carbohydrate
c. Subcutaneous insulin
d. I.V. dextrose
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The correct answer is: Oral fast-acting carbohydrate

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The nurse is caring for a male client who recently underwent a tracheostomy. The first
priority when caring for a client with a tracheostomy is:

Select one:
a. keeping his airway patent.
b. helping him communicate.
c. preventing him from developing an infection.
d. encouraging him to perform activities of daily living.
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The correct answer is: keeping his airway patent.

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To facilitate communication with an 80-year-old client diagnosed of presbycusis, the

nurse should

Select one:
a. use sign language
b. speak loudly
c. put the mouth closely to one ear when speaking
d. lower the voice pitch and face the client when speaking
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The correct answer is: lower the voice pitch and face the client when speaking

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In haemorrhagic anaemia, injection…………is given to client to allay anxiety.

Select one:
a. morphine
b. pethidine
c. Coumadin
d. heparin
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The correct answer is: morphine

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The body fluids that make up 40% or more of the total body weight are

Select one:
a. Intracellular
b. Intestinal
c. Intravascular
d. Extracellular
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The correct answer is: Extracellular

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Oedema occurring in nephrotic syndrome is due to

Select one:
a. Decrease plasma osmotic pressure
b. Decrease venous hydrostatic pressure
c. Increase plasma osmotic pressure
d. Increased venous hydrostatic pressure
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The correct answer is: Decrease plasma osmotic pressure

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One of the main functions of bile is to

Select one:
a. Help synthesize vitamins
b. Spilt protein
c. Produce an acid condition
d. Emulsify fats
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The correct answer is: Emulsify fats

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Nurse Julia is caring for a client who has a tracheostomy and temperature of 103° F
(39.4° C). Which of the following interventions will most likely lower the client’s arterial
blood oxygen saturation?

Select one:
a. Encouragement of coughing
b. Incentive spirometry
c. Use of cooling blanket
d. Endotracheal suctioning
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The correct answer is: Endotracheal suctioning

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An open-angle glaucoma occurs when -------------------

Select one:
a. pressure increases within the eye from excess fluid or blocking the drainage
b. the blood vessels in the back of the eye ruptures
c. the lens of the eye becomes opaque
d. there is a reduction in the amount of aqueous humour produced
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The correct answer is: pressure increases within the eye from excess fluid or blocking the
drainage

Question 122
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The nurse should expect a patient with bradycardia to have a

Select one:
a. Grossly irregular heart beat
b. Heart beat that has regular skipped beats
c. Heart rate of over 90 per minute
d. Heart rate of under 60 per minute
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The correct answer is: Heart rate of under 60 per minute

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When creating a therapeutic environment for a patient recovering from myocardial

infarction the nurse should provide for

Select one:
a. Daily news papers in the morning
b. Television for short periods
c. Short family visits
d. Telephone communication
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The correct answer is: Short family visits

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To prevent orthostatic hypotension in a patient on methyldopa (Aldomet) the patient

should be taught to

Select one:
a. Wear support hose continuously
b. Lie down for 30 minutes after taking the medication
c. Sit on the edge of the bed a short time before getting up
d. Avoid tasks that require high,energy expenditure
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The correct answer is: Lie down for 30 minutes after taking the medication

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One mechanism of action of antiretroviral drugs is

Select one:
a. Neutralizing the toxins produced by the HIV
b. Increasing the lifespan of the red blood cells
c. Preventing the production of HIV
d. Killing HIV
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The correct answer is: Neutralizing the toxins produced by the HIV

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Nurse Mickey is administering a purified protein derivative (PPD) test to a homeless

client. Which of the following statements concerning PPD testing is true?

Select one:
a. The PPD can be read within 12 hours after the injection.
b. A negative reaction always excludes the diagnosis of TB.
c. A positive reaction indicates that the client has been exposed to the disease.
d. A positive reaction indicates that the client has active tuberculosis (TB).
Feedback

The correct answer is: A positive reaction indicates that the client has been exposed to
the disease.

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Oculomotor nerve is also called ---------------------------

Select one:
a. cranial nerve VII
b. cranial nerve III
c. cranial nerve I
d. cranial nerve IV
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The correct answer is: cranial nerve III

Question 128
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A patient with ascites is to have paracentesis abdominis.Before the procedure the nurse
should instruct the patient to

Select one:
a. Empty the bladder
b. Assume the supine position
c. Take nothing by mouth
d. Eats foods low in fats
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The correct answer is: Empty the bladder

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In preparing a client for accommodation test, initially the nurse asks the client to
------------

Select one:
a. focus on a close object
b. raise one finger when the sound is heard
c. close one eye and read letters on a chart
d. focus on a distant object
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The correct answer is: focus on a distant object

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Organism responsible for dysentery include

i. E. coli
ii. E. histolytica
iii. Haemophilus streptococci
iv. Shigella

Select one:
a. I and II
b. II and IV
c. II and III
d. II, III and IV
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The correct answer is: II and IV

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Which of the following would be most appropriate for a male client with an arterial
blood gas (ABG) of pH 7.5, PaCO2 26 mm Hg, O2 saturation 96%, HCO3 24 mEq/L, and
PaO2 94 mm Hg?

Select one:
a. Instruct the client to breathe into a paper bag.
b. Administer a prescribed decongestant.
c. Administer prescribed supplemental oxygen.
d. Offer the client fluids frequently.
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The correct answer is: Instruct the client to breathe into a paper bag.
Question 132
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A patient in your ward is having continuous hiccup. You would suggest to her to

Select one:
a. Continuously breathe in and out of paper or rubber bag
b. Chew gum until attack stops
c. Eat dry biscuit in between attacks
d. Drink plenty of water
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The correct answer is: Continuously breathe in and out of paper or rubber bag

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The failure to inherit factor VIII leads to a deficient formation of:

Select one:
a. Rennin
b. Embolus
c. Recticulocytes
d. Thromboplastin
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The correct answer is: Thromboplastin

Question 134
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An example of tertiary prevention activities by the nurse would be

Select one:
a. Establishing goals for rehabilitation
b. Correction of dietary deficiencies
c. Assisting in immunization program
d. Helping to send a sick person to hospital
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The correct answer is: Establishing goals for rehabilitation

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It is not important for the nurse to observe a patient with tetanus for

Select one:
a. Spasm voluntary muscle contractions
b. Muscular rigidity
c. restlessness and irritability
d. Respiratory tract spasm
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The correct answer is: Spasm voluntary muscle contractions

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A patient has left hemiplegia. The nurse contributes to the patient’s rehabilitation by

Select one:
a. Positioning the patient to prevent deformity
b. Beginning active exercises
c. Making a referral to the physiotherapist
d. Not moving the affected arm unnecessarily
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The correct answer is: Positioning the patient to prevent deformity

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A client is seeking treatment for varicosity, and sclerotherapy is recommended. What is

sclerotherapy?

Select one:
a. oral intake of anticoagulant
b. tying off veins
c. injecting an agent into a vein to damage the vein wall and close the vein off
d. surgical removal of the varicosity
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The correct answer is: injecting an agent into a vein to damage the vein wall and close
the vein off

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Guinea worm disease is described as.............................................

Select one:
a. air and vector borne
b. vector borne
c. air borne only
d. food borne
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The correct answer is: vector borne

Question 139
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A 19 years old client comes to the emergency department with acute asthma. His
respiratory rate is 44breaths/minutes, and he appears in acute respiratory distress. What
is the most important action for the nurse to take?

Select one:
a. Take a full medical history
b. Give a bronchodilator by nebulizer
c. Provide emotional support to the client
d. Apply a cardiac monitor to the client
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The correct answer is: Give a bronchodilator by nebulizer

Question 140
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To assess the effectiveness of vasodilators administered for the management of

hypertension the nurse should take the patient’s pulse and blood pressure.

Select one:
a. After a resting position is maintained for 5 minutes
b. Immediately after the patient gets out of bed
c. Prior to administering the drug
d. 30 minutes after giving the drugs
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The correct answer is: 30 minutes after giving the drugs

Question 141
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A client suffering from coronary artery disease should be encouraged to take:

Select one:
a. grilled pork, fatty mutton with buttered rice
b. fruits, vegetables and baked fish
c. rice and grilled chicken
d. eggs, buttered rice with fried chicken
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The correct answer is: fruits, vegetables and baked fish

Question 142
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The nurse hears a physician refers to a client as a “blue bloater.” The nurse is aware that
this term refers to;

Select one:
a. Acute respiratory distress syndrome (ARDS)
b. Chronic obstructive bronchitis
c. Emphysema
d. Asthma
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The correct answer is: Acute respiratory distress syndrome (ARDS)

Question 143
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An elderly client developed pneumonia. The nurse is aware that the initial symptom the
client may manifest is:

Select one:
a. Altered mental status and dehydration.
b. Pleuritic chest pain and cough
c. Fever and chills
d. Haemoptysis and dyspnoea
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The correct answer is: Fever and chills

Question 144
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During sickle cell crisis, there is a severe pain in the:

Select one:
a. Abdomen, breath and kidneys
b. Ear, throat and legs
c. Fingers, tongue and abdomen
d. Chest, abdomen and joints.
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The correct answer is: Chest, abdomen and joints.

Question 145
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A client with pneumonia develops dyspnoea,a respiratory rate of 32 breaths/minute, and

difficulty expelling secretions. The nurse auscultates the lung fields and hears bronchial
sounds in the left lower lobe. Which action should the nurse take first?

Select one:
a. Apply oxygen
b. Administer antibiotics
c. Encourage bed rest
d. Assess individual intake
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The correct answer is: Apply oxygen

Question 146
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The nurse is performing an assessment on a client with a suspected diagnosis of asthma.

Which assessment finding supports the diagnosis?

Select one:
a. Circumoral cyanosis
b. Inspiratory and expiratory wheezing
c. Normal breath sounds
d. Increase forced expiratory volume
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The correct answer is: Inspiratory and expiratory wheezing

Question 147
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A patient is admitted with pulmonary oedema.The nurse would expect the physician to
order a rapidly acting diuretic such as

Select one:
a. Chlorothiazide
b. Polythiazid
c. Aldactone
d. Lasix
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The correct answer is: Lasix

Question 148
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A female client is receiving supplemental oxygen. When determining the effectiveness of

oxygen therapy, which arterial blood gas value is most important?

Select one:
a. Partial pressure of arterial oxygen (PaO2)
b. Bicarbonate (HCO3–)
c. pH
d. Partial pressure of arterial carbon dioxide (PaCO2)
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The correct answer is: Partial pressure of arterial oxygen (PaO2)

Question 149
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Pernicious anaemia is also called:

Select one:
a. Koilonychias
b. Hanson’s disease
c. Addison’s anaemia
d. Avitaminosis
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The correct answer is: Addison’s anaemia

Question 150
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A male client is to receive I.V. vancomycin (Vancocin). When preparing to administer this
drug, the nurse should keep in mind that:

Select one:
a. vancomycin should be infused over 60 to 90 minutes in a large volume of fluid.
b. vancomycin may cause irreversible neutropenia.
c. vancomycin should be administered rapidly in a large volume of fluid.
d. vancomycin should be administered over 1 to 2 minutes as an I.V. bolus.
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The correct answer is: vancomycin should be infused over 60 to 90 minutes in a large
volume of fluid.

Question 151
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A client recently experienced a common cold and a subsequent asthma attack. Based on
the assessment findings, the nurse determines that the client is experiencing which type
of asthma?

Select one:
a. Non allergic
b. Mediated
c. Emotional
d. Allergic
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The correct answer is: Allergic

Question 152
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The major function of sodium in the body is to:

Select one:
a. process extracellular fluid
b. promotes wound healing
c. to form ATP
d. balance body fluid
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The correct answer is: balance body fluid

Question 153
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A male client is admitted to the health care facility for treatment of chronic obstructive
pulmonary disease. Which nursing diagnosis is most important for this client?

Select one:
a. Anxiety related to actual threat to health status
b. Impaired gas exchange related to airflow obstruction
c. Risk for infection related to retained secretions
d. Activity intolerance related to fatigue
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The correct answer is: Impaired gas exchange related to airflow obstruction

Question 154
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Manieres disease is a disorder of the ---------------------

Select one:
a. inner ear
b. external ear
c. middle ear
d. tympanic membrane
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The correct answer is: inner ear

Question 155
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Leukemia cells have been identified in patient suffering from..

Select one:
a. Hypertension
b. Nephritic syndrome
c. Down’s syndrome
d. Paterson Brown’s Kelly syndrome
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The correct answer is: Down’s syndrome

Question 156
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The nurse is preparing to instill an otic solution in an adult client’s ear. The nurse should
avoid which of the following in the procedure?

Select one:
a. pulling the auricle backward and upward
b. placing the client in the sitting-up position
c. warming the solution to room temperature
d. touching the tip of the dropper to the edge of the canal
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The correct answer is: touching the tip of the dropper to the edge of the canal

Question 157
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A female client with asthma is receiving a theophylline preparation to promote

bronchodilation. Because of the risk of drug toxicity, the nurse must monitor the client’s
serum theophylline level closely. The nurse knows that the therapeutic theophylline
concentration falls within which range?

Select one:
a. 2 to 5 mcg/ml
b. 10 to 20 mcg/ml
c. 1 to 2 mcg/ml
d. 5 to 10 mcg/ml
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The correct answer is: 10 to 20 mcg/ml

Question 158
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When teaching a newly diagnosed diabetic client about diet and exercise, what is the
most important information for the nurse to provide?

Select one:
a. Exercise will increase blood glucose
b. Reduction of calorie intake before exercising
c. Management of fluid, protein and electrolytes
d. Dietary goals, food consistency, and physical activity
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The correct answer is: Dietary goals, food consistency, and physical activity

Question 159
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A patient with gastric ulcer would probably describe the pain as

Select one:
a. A generalized abdominal pain intensified by moving
b. An intermittent colicky flank pain
c. A burning epigastric pain after eating
d. A gnawing sensation relieved by food
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The correct answer is: A burning epigastric pain after eating

Question 160
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Which of the following will indicate that a patient on blood transfusion is reacting to the
blood. He / she

Select one:
a. Urine will become dark yellow
b. Skin will be pale and cold
c. Will become dyspnoeic suddenly
d. May complain of extreme thirst
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The correct answer is: Urine will become dark yellow

Question 161
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A client was infected with tuberculosis (TB) bacillus 10 years ago but never developed
the disease. He’s now being treated for cancer. The client begins to develop signs of
tuberculosis. The nurse suspects the client is exhibiting:

Select one:
a. Superinfection
b. Tertiary infection
c. Latent infection
d. Active infection
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The correct answer is: Superinfection

Question 162
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Which of the following often causes haemorrhagic anaemia?

Select one:
a. decreased absorption of nutrients in the gastro-interstinal tract
b. lack of micro-nutrients in the diet
c. physical injury to either external or internal structures with severe blood loss
d. endocrine changes in the body
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The correct answer is: physical injury to either external or internal structures with severe
blood loss

Question 163
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Gina, a home health nurse is visiting a home care client with advanced lung cancer. Upon
assessing the client, the nurse discovers wheezing, bradycardia, and a respiratory rate of
10 breaths/minute. These signs are associated with which condition?

Select one:
a. Delirium
b. Semi consciousness
c. Hypoxia
d. Hyperventilation
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The correct answer is: Hypoxia

Question 164
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Laboratory criteria for diagnosis of rabies is.........................................

Select one:
a. immunofluorescent assay
b. immunofluorescence skin test
c. leukocyte antigen
d. direct fluorescent antibody test
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The correct answer is: direct fluorescent antibody test

Question 165
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A male client with Guillain-Barré syndrome develops respiratory acidosis as a result of

reduced alveolar ventilation. Which combination of arterial blood gas (ABG) values
confirms respiratory acidosis?

Select one:
a. pH, 7.40; PaCO2 35 mm Hg
b. pH, 7.35; PaCO2 40 mm Hg
c. pH, 7.25; PaCO2 50 mm Hg
d. pH, 5.0; PaCO2 30 mm Hg
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The correct answer is: pH, 7.25; PaCO2 50 mm Hg

Question 166
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A male client abruptly sits up in bed, reports having difficulty breathing and has an
arterial oxygen saturation of 88%. Which mode of oxygen delivery would most likely
reverse the manifestations?

Select one:
a. Venturi face mask
b. Nasal cannula
c. Face tent
d. Simple mask
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The correct answer is: Venturi face mask

Question 167
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Which of the following otoscopic findings indicates perforated eardrum?

Select one:
a. a red, bulging eardrum
b. around darkened area on the eardrum
c. dense white patches on the ear drum
d. a colony of black dots in the ear drum
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The correct answer is: dense white patches on the ear drum
Question 168
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The predominant cation in the intracellular compartment is:

Select one:
a. Potassium
b. Calcium
c. Magnesium
d. Chloride
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The correct answer is: Potassium

Question 169
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The nurse is teaching the mother of a child diagnosed with type 1 diabetes. The mother
asks why her child must injects insulin and cannot take pills as her uncle does. Which
reply is most appropriate?

Select one:
a. Because a child’s pancreas is less developed than an adults
b. Your child may be able to take pills when he’s older
c. Pills only affects fat and protein metabolism, not sugar
d. The only way to replace insulin is by injection
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The correct answer is: The only way to replace insulin is by injection
Question 170
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A client arrives at the emergency unit with as foreign body in the left ear that has been
found to be an insect?

Select one:
a. instills corticosteroid ointment
b. instills diluted alcohol
c. instills antibiotic ear drop
d. irrigates the ear
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The correct answer is: instills diluted alcohol

Question 171
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A client has been diagnosed with active tuberculosis (TB).The nurse should assess the
client for:

Select one:
a. Chills, fever, night sweats and haemoptysis
b. Headache and photophobia
c. Fever of more than 1040F(40.70C) and nausea
d. Chest and lower back pain
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The correct answer is: Chills, fever, night sweats and haemoptysis
Question 172
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In leukemia, there is:

Select one:
a. Less excessive and controllable production of leucocytes
b. Excessive and controllable production of recticulocytes
c. Excessive and ineffective production of enzymes
d. Excessive and uncontrollable production of leucocytes
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The correct answer is: Excessive and uncontrollable production of leucocytes

Question 173
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The nurse is caring for a client with type 2 diabetes. One hour after taking an oral
diabetic drug, the client becomes nauseated and vomits. Which nursing intervention
should be taken?

Select one:
a. Monitor blood glucose closely and look for signs of hypoglycemia
b. Give subcutaneous insulin and monitor blood glucose
c. Give the oral diabetic drug again
d. Monitor blood glucose and assesses for symptoms of hyperglycemia
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The correct answer is: Monitor blood glucose and assesses for symptoms of
hyperglycemia
Question 174
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The most indicative symptoms of increased intracranial pressure includes

Select one:
a. Weak, rapid pulse, normal B/P, intermitted fever
b. Slow bounding pulse, rising B/P, elevated temperature
c. Slow bounding pulse, fall in B/P, elevated temperature
d. Rapid weak pulse, fall B/P, low temperature
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The correct answer is: Slow bounding pulse, rising B/P, elevated temperature

Question 175
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Oedema in congestive cardiac failure is caused by

Select one:
a. Decreased plasma protein
b. Increased venous pressure
c. Decreased venous pressure
d. Increased plasma protein
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The correct answer is: Increased venous pressure

Question 176
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A patient with diabetic mellitus says “I cannot eat big meal. I prefer eating snacks
throughout the day”. The nurse should explain that

Select one:
a. Regulated food intake is basic to diabetic control
b. Small, frequent meals area better for easy digestion
c. Salt and sugar restriction is the main concern
d. Large meals can bring about weight problems
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The correct answer is: Regulated food intake is basic to diabetic control

Question 177
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Dermatitis, diarrhea, and dermatitis are characteristic of......................................

Select one:
a. Osteomyelitis
b. Rickets
c. Pellagra
d. Mumps
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The correct answer is: Pellagra

Question 178
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The main difference in manifestations of malaria and yellow fever is that in yellow fever
the patient has

Select one:
a. Albuminuria
b. Pain in the limbs
c. Vomiting
d. Rigor
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The correct answer is: Albuminuria

Question 179
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In preparation of home-made oral rehydration salt, the following are needed except:

Select one:
a. 1000mls of wholesome water
b. a clean container and its cover
c. 8 heaped teaspoonful of sugar
d. 1 level teaspoonful of salt
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The correct answer is: 8 heaped teaspoonful of sugar

Question 180
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On arrival at the intensive care unit, a critically ill female client suffers respiratory arrest
and is placed on mechanical ventilation. The physician orders pulse oximetry to monitor
the client’s arterial oxygen saturation (SaO2) noninvasively. Which vital sign abnormality
may alter pulse oximetry values?

Select one:
a. Tachycardia
b. Tachypnea
c. Hypotension
d. Fever
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The correct answer is: Hypotension

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