Question 1

A client with a renal failure is prescribed a low potassium diet. Which food choice would be best for this client?*

A. 1 cup beef broth

B. 1 baked potato with the skin

C. 1/2 cup raisins

D. 1 cup rice

Question 2

Which of the following is an expected finding in the assessment of a client with bulimia nervosa?*

A. Extreme weight loss

B. Presence of lanugo over body

C. Erosion of tooth enamel

D. Muscle wasting

Question 3

Assuming that all have achieved normal cognitive and emotional development, which of the following children is at greatest risk for accidental poisoning?*

A. One-year-old

B. Four-year-old

C. Eight-year-old

D. Twelve-year-old

Question 4

A client who has been receiving Urokinase (uPA) for deep vein thrombosis is noted to have dark brown urine in the urine collection bag. Which action should the nurse take immediately?*

A. Prepare an injection of vitamin K

B. Irrigate the urinary catheter with 50 mL of normal saline

C. Offer the client additional oral fluids

D. Withhold the medication and notify the physician

Question 5

Which of the following can occur with the frequent use of calciumbased antacids?*

A. Constipation

B. Hyperperistalsis

C. Delayed gastric emptying

D. Diarrhea

Question 6

Which statement made by the student nurse indicates the need for further teaching regarding the administration of heparin?*

A. “I will administer the medication 1–2 inches away from the umbilicus.”

B. “I will not massage the injection site after administering the heparin.”

C. “I will check the PTT before administering the heparin.”

D. “I will need to gently aspirate when I give the heparin.”

Question 7

To correctly assess the oxygen saturation level of an adult client, the pulse oximeter should not be placed on the:*

A. Finger

B. Earlobe

C. Extremity with noninvasive BP cuff

D. Nose

Question 8

While caring for an elderly patient with hypertension, the nurse notes the following vital signs: BP of 140/40, pulse 120, respirations 36. The nurse’s initial action should be to:*

A. Report the findings to the physician

B. Recheck the vital signs in one hour

C. Ask the patient if he is in pain

D. Compare the current vital signs with those on admission

Question 9

The nurse is preparing a client with an axillopopliteal bypass graft for discharge. The client should be taught to avoid:*

A. Using a recliner to rest

B. Resting in supine position

C. Sitting in a straight chair

D. Sleeping in right Sim’s position

Question 10

An appropriate nursing intervention for the client with borderline personality disorder is:*

A. Observing the client for signs of depression or suicidal thinking

B. Allowing the client to lead unit group sessions

C. Restricting the client’s activity to the assigned unit of care throughout hospitalization

D. Allowing the client to select a primary caregiver

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