Questions

Predisposing factors for the development of keloid scars include:

One of the following statements is NOT true of wound infections:

Wound healing by secondary intention takes place:

Which of the following is NOT an option for sterilization include?

Which of the following is NOT true about Clostridium tetani?

Which of the following statement is not true concerning necrotizing fasciitis?

One of the following is NOT correct about Keloid scars:

Local anaesthetic injections are less painful if:

A client who has hypothyroidism and has been taking levothyroxine (Synthroid) for four weeks is seen
care. Which of these client statements would indicate a need to alter the dosage of the medication?

A nurse in the prenatal clinic has a nutritional conference with a primigravida who is ten weeks pregn
comments, if made by the woman, would be an accurate statement about nutritional needs?
An infant who has pyloric stenosis has been receiving fluids intravenously. An expected outcome of th
manifested by an increase in the child’s
A homeless man who is poorly nourished attends the clinic to have blood work done. Because of his
nurse would expect a decrease in which of these blood values?
A client who had a myocardial infarction has an order for digoxin (Lanoxin) 0.25 mg po daily and
intravenously, stat. Because the client is receiving these medications, the client should be assessed
manifestations?

A client who has a diagnosis of glaucoma should be instructed to avoid which of these activities?

A young man is being assessed for early signs of narcotic withdrawal, which include

An 18-month-old is brought to the well-baby clinic. The nurse should expect the child to manifest whic
child’s growth and development is within normal range?

Following abdominal surgery, a child has a nasogastric tube connected to suction. Several hours after
nurse that he is nauseated and then vomits approximately 200 ml of fluid. Which of these actions sho

Shortly after a transfusion is started, the client complains of lower back pain. Which of these actions s
An 80-year-old woman who lives alone is brought to the emergency room by ambulance when her dau
floor, too weak to get up by herself. At the time of admission, which of these assessments should the

A client who is receiving intravenous fluids complains of pain at the intravenous insertion site. The nu
which of these observations indicates intravenous infiltration?

Methimazole (Tapazole) is ordered for a client with hyperthyroidism. Since Tapazole may cause leukop
give the client which of these instructions?

A hospitalized client is being treated for depression. Which of the following behaviors indicates an imp
depression?

A 7-year-old has pediculosis capitis (head lice). His mother is given medicated shampoo and informati
treatment. Which of these comments by the mother indicates that she needs further instructions?

At ten weeks of pregnancy, a woman is most likely to make which of these comments when describin
during the first trimester?
A nurse in the prenatal clinic notices that a woman at thirty-six weeks of pregnancy has 1+ ankle ede
significance of this finding, the nurse should obtain the answer to which of these questions?

To determine if a client has symptoms of hyperkalemia, which of these assessments would provide th
information?

A client has been admitted to the psychiatric unit with an eating disorder. Which of these measures sh
client’s care plan?

Two weeks after a 10-year-old has been treated in the hospital for an acute asthma attack, he asks th
football team because practice starts in two weeks?” Which of these responses would be appropriate
A client who had a right pneumonectomy should be assessed for the development of a mediastinal sh
manifestation of this condition, which of these assessments should the nurse consider?

Self-care deficit theory was proposed by:

The typology of twenty-one Nursing problems were explained by:

Which of the following statements is related to Florence Nightingale?

A broad statement by which the organization specifies how it will achieve its goals is

Components of a nursing diagnosis include all, EXCEPT

The type of nursing diagnosis which is a judgment on client's response to a present health problem

Nursing may be defined as “the diagnosis and treatment of human responses to health and illness”. T
was given by
“The extent of resemblance between the purpose of healthcare and the truly granted care” is referred
WHO constitution was made in
Finding the most cost-effective way to do a project:
"A clinical judgment about an individual, a family or a community’s responses to actual and po
processes" - refers to
The famous 14 Principles of Management was first defined by
Theory X and theory Y was proposed by

Motivation-Hygiene theory (two-factor theory) of management was proposed by

Which of the following concept is NOT related to Frederick Taylor's theory of modern management
The famous Hawthorne experiments were conducted by

Which of the following characteristics is NOT related to Laissez-faire leadership?

Which of the following is NOT a concept related to Roy's Adaptation Model?

According to Roy's adaptation theory, which subsystem responds through four cognitive responds thro
channels (perceptual and information processing, learning, judgment, and emotion)?

The "humanistic science of nursing" was explained by:

Which of the following theory has used "General Systems Theory" as a framework for its development
According to Neuman Systems Model, the increase in energy that occurs in relation to the degree of r
termed as:

Watson's carative factors include all the following, EXCEPT:

To encourage a client with type 2 diabetes to comply with his prescribed diet, the nurse should obtain
these questions?

he mother of a 1-month-old girl tells the nurse in the well-baby clinic that her 2-year-old son does not
pretends that he is going to kiss the baby but instead pinches or hits her. Which of these responses w
nurse to make to the mother?

A nurse in the antenatal clinic discusses health practices during pregnancy with a woman who is six w
these comments by the woman indicates that further discussion is necessary?
A nurse should observe a child on steroid therapy for adverse effects, which include

A client who has a history of bipolar disorder is admitted to a psychiatric unit with signs of a manic ep
measures would be most effective in assuring the client’s safety in the hospital?

It is determined that a woman who is six weeks pregnant is susceptible to rubella. It would be approp
woman to receive rubella immunization at which of these times?

A client who had chest surgery has a water seal drainage system in place. Which of these measures s
client’s care plan?

When assessing the growth and development of a 6-week-old, the nurse should be aware that which o
normal range?

A client is scheduled for large bowel surgery. Preoperatively, neomycin sulfate (Mycifradin) is ordered
purposes?

A client had an above-the-knee amputation of the right leg. To prevent contractures of the right hip, w
should be included in the client’s care plan?
A 24-year-old man with a diagnosis of chronic schizophrenia is admitted to the psychiatric unit. He is t
approaches him. When asked who he is talking to, he says, “I hear God’s voice.” Which of these respo
best?

A male client who is on the psychiatric unit asks a female nurse to go out to dinner with him when he
Which of these actions by the nurse would be therapeutic?

A 45-year-old premenopausal woman is admitted to the hospital for treatment of fibroid tumors of her
nursing history, which of these additional data about her menstrual cycle would be most significant?
An 8-year-old child who is hospitalized with rheumatic fever makes all of the following comments to th
indicative of a symptom of rheumatic fever?

Following a tonsillectomy, it is important to include which of these measures in the child’s care plan?

A teenager who has been on a course of chemotherapy has a blood test the reveals a low platelet cou
measures should be included in the teenager’s care plan?

A nurse is planning to discuss nutritional needs during pregnancy with a teenager. Which of these me
included in the teaching plan?
A 6-month-old infant is receiving an antibiotic in 25 ml of intravenous fluid during a forty-minute perio
apparatus delivers 60 drops per milliliter. The infant should receive how many drops per minute?

On the second day postpartum, a nurse assesses a woman who had a normal delivery. The nurse sh
types of lochia at this time?

A client has the order to receive 1000 ml of intravenous fluids in 8 hours. The intravenous set delivers
The nurse should administer approximately how many micro drops of fluid per minute?

An infant on the pediatric unit suddenly starts to have generalized seizure activity. Which of these act
first?

A nurse is discussing nutrition with a client who has a permanent colostomy because of cancer in the
“Can I eat everything”? Which of these responses would give the client accurate information?

To prevent the development of dumping syndrome after a client has had a gastrectomy, the nurse sh
of these instructions?

Which of these behaviors indicates that a client who has chronic schizophrenia is establishing trust?

A mother in the well-baby clinic makes the following comments about her 8-month-old infant son. Wh
definitely be discussed with the mother?
A 3-month-old infant is transferred from the neonatal intensive care unit following surgery to repair a
lumbosacral area. In view of the infant’s surgery, it is essential for the nurse to make which of these a

One day after a client has a right femoral-popliteal bypass graft all of the following assessments are m
reveals that the surgical procedure has achieved the desired outcome?

A client who is scheduled for a pulmonary function test is instructed by the nurse as to what the test w
client statements indicates an understanding of the procedure?

In preparing a client for an intravenous pyelogram (IVP), which of these statements should be include
At 16 months of age, an infant would most likely receive a immunization against

Four mothers and their children are attending the clinic. While discussing nutrition, the mothers make
about their children. The comment of which mother indicates that the nurse should discuss the situati

A mother makes all of the following comments to the nurse in the pediatric clinic about her 3-year-old
investigated?
A client who has diabetes mellitus has been taught to recognize symptoms of hypoglycemia. Which if
would indicate an understanding of the instructions?
A client who has an acute asthmatic attack is being treated with epinephrine hydrochloride (Adrenalin
observed for side effects of Adrenalin, which include

A child who is on a course of chemotherapy for osteogenic carcinoma develops neutropenia. It is impo
include which of these measures in the child’s care plan?
A client who has anorexia nervosa refuses to eat. Which of these interpretations of the client’s behavi
A nurse should assess a client with an enlarged prostate for which of these symptoms?

A multigravida has varicosities in both legs and is wearing anti-embolic stocking. She had been given
of her legs at the ante-partal clinic during a previous visit. Which of these client statements indicates
the teaching?

A client who has had a transurethral prostatectomy is receiving intravenous fluids and has an indwelli
attached to gravity drainage. One hour earlier, there was drainage from the Foley catheter, but now t
no drainage. Because of this finding, which of these actions should be taken by the nurse?

A client who has diabetes mellitus has been instructed in the care of her feet. Which of these client st
the need for further instruction?

A client on the psychiatric unit who has a diagnosis of schizophrenia spends his days sitting alone star
these changes in the client’s behavior would indicate his readiness for a rehabilitation program?

To help meet the developmental needs of a 3-day-old infant, which of these measures is essential to i
plan?
A client is to receive 90 ml of an antibiotic intravenously within twenty minutes. The drop factor of the
drops per milliliter. To give the medication within the prescribed time, the solution should be administ
many drops per minute?

Because an infant has a meningomyelocele in the lumbosacral area, the infant should be observed fo
hydrocephalus, which include

A 24-year-old woman who is ten weeks pregnant is attending the antenatal clinic for the first time. Wh
history, the woman sighs and says, “I’ve wanted to be pregnant for so long, but now I don’t think I’m
Which of these interpretations of the woman’s comment is most justifiable?
Following a transurethral prostatectomy, the client is receiving continuous bladder irrigation. Which o
indicate that the irrigation was effective?

A client is taking acetylsalicylic acid (aspirin) four times daily. To minimize possible complications of th
should give the client which of these instructions?

Which of these manifestations in a client who is in alcohol withdrawal would indicate impending deliriu
Following a subtotal gastrectomy, a client has a nasogastric tube attached to low intermittent suction
the client complains of being nauseated. The nurse should take which of these actions first?

On the second postoperative day, a woman who gave birth to a baby girl by cesarean operation make
comments to the nurse. Which comment most strongly suggests that there may be a problem in bond
and baby?
A client is to receive heparin sodium 20,000 units in 1,000 ml. The intravenous is to be regulated to d
each hour. The client will receive how many units of heparin each hour?

Three hours after receiving an insulin injection (Regular Insulin), a client is diaphoretic. Which of these
take first?

The bowel retraining program for a client who has had a cerebrovascular accident (CVA) should includ
measures?

The wife of a client who is admitted to the hospital with a cerebrovascular accident (CVA) begins to cr
husband’s medical history. The nurse should make which of these comments in response to the wife’s

A 10-month-old who has bacterial meningitis is to be observed for signs of increasing intracranial pres

A 26-year-old is brought to the psychiatric unit because of suicidal thoughts. To determine if one-to-on
for this client, the nurse should ask which of the following questions?

A 9-month-old is to have a lumbar puncture. A major role of the nurse during this procedure is to

A pregnant woman has varicosities of her legs and is instructed about wearing anti-embolic stockings
if made by the woman, indicates that she understood the instructions?

A client complains of eye pain and is suspected of having glaucoma. Which of the following assessmen

A client who has had a laryngectomy is being prepared for discharge. Which of these questions, if ask
indicate the client’s understanding of the instructions?
A client who had a transurethral resection of his prostate has an indwelling urethral (Foley) catheter a
drainage. Twelve hours after surgery, he complains of bladder spasms. The nurse should take which o

A client who is delusional and hyperactive is in restraints and confined to a seclusion room. Which of t
likely foster the client’s trust in the nurse?

The wife of a client who was abusive and hyperactive tells the nurse that she is concerned about her h
discharge and the possibility of his striking her again. Which of these actions by the nurse would be a

When doing an initial assessment of a client admitted with a diagnosis of cerebrovascular accident (C
important for the nurse to make which of these assessments of the client’s upper extremities?

A nurse instructs a client in deep breathing and coughing techniques. Which of these actions should t
the instructions?

The purpose of Cilia is to

Zenab, a 6-year-old post tonsillectomy patient has been placed on certain medication. The nurse app
administer her injection and she asks, “Is this going to hurt.” The nurse replies:
The usual maintenance dose of digoxin is:

Kelvin has acne vulgaris and tetracycline hydrochloride is prescribed by the physician. The nurse sho
Which of these drugs should NOT be given with anticoagulants?
The classification of drugs used to treat the symptom of an allergic reaction is:

The primary goal in shock management is to:

To correctly instill eye drops into the eyes, the nurse should gently pull down the lower lid of the eye a
Sola is to receive injection crystalline penicillin 0.125m.u. IM q.d.s and 1m.u vial is reconstituted with
how many mls will you administer at each time?

Tolu is a 6years old who is 2 days post appendectomy. She is crying and points to the incision area an
Which of the following nursing diagnosis accurately depicts Tolu’s conditions?
The purpose of the first bottle in a three-bottle water seal drainage is to

The term implementation in the nursing process refers to the:

The following except one are true of nursing diagnosis:

Which of the following infection control policies should be implemented for a person who is diagnosed

A strept throat is diagnosed by:

Which of the following is an appropriate response by the family of a child with asthma?

Jide Alao, 6months old has been admitted to the paediatric unit with a diagnosis of pneumonia. To h
anxiety about her baby’s hospitalization, the nurse:

An employee at a chemical plant is splashed in the eye with a chemical. The priority nursing intervent

The nurse is teaching a hypertensive client about management of the disease. Which of this clien
greatest need for further instruction?

One-month-old Rhoda Okon has a patent ductus arteriosus. This anomaly occurs when

Mrs. Harrison is being treated with aspirin. During the early days of drug treatment, it is esse
monitored for adverse effects. Common adverse effects that may be observed are:
The flaws of the present health care delivery system include: i – Too much centralization of auth
resources, iii – Concentration of care in hospitals, iv – Inadequate facilities
The physician has ordered 1,000 cc of 5%D/W to infuse over 8 hours. You are using a maxi gtt. tha
many drops per minute will this bottle infuse?

A nurse teaches a client with asthma how to use an inhaler with a spacer. Which of these client stat
teaching was ineffective?

In which of the following situations has the nurse violated the client’s right of privacy?

A client exhibits coughing, sneezing, dyspnea and wheezing. The nurse administers oxygen therapy
following outcome measures would the nurse expect to see as a result of the oxygen therapy?

A client recently diagnosed with lung cancer says to the nurse, “I’m still going to smoke”. The nurse’s
would be

The emergency department nurse has triaged 4 clients. Which client should be given priority treatme

drainage system. Which of the following findings would require immediate nursing intervention?

The stress mechanism was first described by:

Which of the following is NOT true about stress mechanism?

Surgical asepsis is: i – used in the operating and delivery room, ii – when the doctor wears sterile gow
– wearing of sterile gloves, gowns masks and cap, iv – used to protect the patient from being contami

The symptoms of hypoglycemia are:

When administering tube feedings, the nurse should observe all of the following procedures EXCEPT:

Thrombophlebitis is:

Which of the following would be considered a clear fluid diet?

The patient teaching about a low-cholesterol diet should include a list of foods high in cholesterol. W
the most Cholesterol?
Mrs. Moore was seen in her doctor’s office. Her urinalysis and symptoms indicated that she was dia
the hospital for further study and evaluation. The doctor ordered a fasting blood sugar. This means t
should be withheld, (ii) Only water should be given after midnight, (iii) The policy of the h
(iv) She should have only orange juice to drink

A tracheostomy is an external opening made into the trachea. The best reason for performing one is?

Which of the following laboratory tests should a nurse expect to be performed to rule out candidiasis?

Six hours after undergoing trans-urethral prostatectomy (TURP), your patient complains of severe bla
his urinary drainage is burgundy-colored and contains large clots. His skin is cool to the touch a
palpable above his symphysis pubis. Which action should the nurse implement first?

A client who has hyperthyroidism is taking methimazole (Tapazole) and attends the clinic regularly. To
of Tapazole therapy, the nurse should consider which of these questions?

A 14-year-old is admitted to the hospital after being hit by a car while riding her bicycle. She w
minutes after the accident. Which of the following assessment findings should the nurse investigate fu

A teenager with acne says to the nurse in the physician’s office, “Look at my face! No matter how ofte
pimples.” The nurse should explain to the teenager that a contributing cause of acne in adolescents is

A client who is a paraplegic is placed in a side-lying position by the nurse’s aide. Which of these
corrective action by the nurse?
A 61-year-old male is admitted to the hospital with a right-sided cerebrovascular accident (CVA). W
medical history with his wife, the nurse obtains all of the following information. Which information m
the client has had previous transient ischemic attacks?

A client who has Alzheimer’s disease is told by the nurse to brush his teeth. He shouts angrily, “Tom
comments by the nurse would be appropriate?

Which of these infants should the nurse suspect of having a developmental delay?

A woman who has glaucoma begins sneezing as she is leaving the eye clinic. She comments that s
that she takes nonprescription medication for her symptoms. The nurse should respond to the woman

A pregnant woman has external hemorrhoids and varicosities of the vulva that are painful at
varicosities, which of these suggestions should the nurse give to the woman?

A 7-year-old is hospitalized in sickle cell crisis. To which of these goals should the nurse give priority d

To detect for signs of bleeding following a thyroidectomy, it is most important for the nurse to includ
in the client’s care plan?

When talking with a mother whose child is admitted to the hospital in sickle cell crisis, the nurse obta
the child. Which information is most likely related to the onset of the sickle cell crisis?

A woman who is dependent on alcohol is admitted to the detoxification unit. The answer to which of
for the nurse to obtain from the client on admission?
A 4-year-old admitted with acute lymphocytic leukemia has a low platelet count. Which of these mea
essential to the child’s care?

A nurse gives a postnatal woman instruction about the use of diaphragms. Which of these commen
indicates the needs for further instruction?

A client who has insulin dependent diabetes mellitus (type1) has a nursing diagnosis of alteration in
to vascular insufficiency. The nurse should make which of these assessments?

A toddler has a temperature of 39.8ºC and is given a tepid sponge bath. When giving the child
terminate the procedure if which of these events occurs?

During a discharge planning discussion with a postpartum client who has several children, the woma
comments. Which comment indicates a need for further discussion?

A client has a serum potassium of 2.9 mEq. per liter. Potassium replacement therapy is ordered. W
made by the client, indicates a therapeutic response to the potassium therapy?

A client who has a left frontal lobe tumor has a craniotomy. Four hours after surgery, the nurse obtain
of these data would be most indicative of increasing intracranial pressure?

Four mothers and their children are attending the clinic. The mothers have previously attended sessi
needs of children were discussed. The mothers of which of these children needs further instruction?

A staff nurse is observed transferring a client who has had a cerebrovascular accident (CVA) with para
of these techniques would indicate that the nurse was using a correct technique when transferring the
A mother makes all of the following comments about her 14-month-old son’s behavior. Which
discourage?

A 25-year-old is admitted to the psychiatric unit with a diagnosis of borderline personality disorder.
his hospitalization, staff should give priority to which of these goals?

A child who has responded to treatment for sickle cell crisis is to be discharged from the hospi
measures should be included in the child’s discharge plan?

A client who has had a total gastrectomy is given instructions on measures to prevent developm
Which of these statements would indicate a correct understanding of the instructions?

A woman who is thirty weeks pregnant has symptoms of pregnancy-induced hypertension. Which of
of this disorder?

A woman is seen in the physician’s office because of nutritional anemia. During a nursing history,
following comments. Which comment would be indicative of nutritional anemia?

A client who is receiving iron therapy for nutritional anemia should implement which of these measure

A staff nurse is giving shift report on a client with a diagnosis of psychophysiological disorder. Which
nurse would be consistent with the client’s therapy?

A 12-year-old has a long leg cast applied to her left leg. She is being instructed on crutch walking wit
left leg. Which of these observations indicates that the girl needs further teaching?
A nurse instructs a client in the care of his tracheostomy. Which of these client actions during trac
understanding of the nurse’s teaching?

Which of these comments would a client with an antisocial personality be most likely to make?

The nurse should include which of these measures in a client’s care plan to detect possible laryngea
thyroidectomy?

A toddler who has nephrosis has generalized edema and is lethargic. Which of these measures shou
care?

A client who is being treated for a manic episode is easily over-stimulated. The client comes to th
nothing to do around here.” Which of these activities would be therapeutic for the client at this time?

Following a prostatectomy, the pathology report reveals that the client has cancer of the prostate
results would support this diagnosis?

When a newborn is twelve hours old, the nurse is to give him his first bath. The nurse should first obt
assessments?

The mother of a 6-year-old girl who is hospitalized says to the nurse, “My 9-year-old son wants to com
sister. What do you think about this?” Which of these responses would be appropriate for the nurse to

A client with a laryngectomy who is being discharged should be cautioned about using which of these

A woman attends the clinic when she is twenty weeks pregnant. The nurse should expect a woman a
have

The mother of a child who is to undergo chemotherapy begins crying and says, “I can’t believe it. We
He is too young to die.” Which of these responses would be appropriate for the nurse to make to the c
The nursing care plan for a client detoxifying from alcohol should include which of these measures?

A child is to be discharged on maintenance chemotherapy that includes prednisone (Deltasone).

home therapy, his mother makes all of the following comments to the nurse. Which one indicates tha
teaching?

The nurse teaches a woman who is planning to breast-feed her infant about measures to prevent
sore. Which of these comments, if made by the woman, would indicate that she understood the instru

A client is suspected of having renal failure. Which of these laboratory values should the nurse anticip

A client who is in chronic renal failure has an elevated serum potassium level. It would be approp
which of these assessments of the client?

The nurse is assessing a client with a vascular disorder. Which of the following client statements
experiencing symptoms of arterial insufficiency in the lower extremities?

A nurse in a fertility clinic discusses the early signs of pregnancy with a client, which include

Four adolescent girls who have scoliosis are attending the clinic. They have been wearing Milwauke
months. Each of the girls makes a comment about her situation as indicated below. Which girl nee
her care?

A physician tell a 30-year-old client who had an above the knee amputation that he will not be able t
work. Which of these long-term goals would be an appropriate expectation of the client?

A newborn develops jaundice shortly after birth and receives phototherapy. While the newborn is rec
of these measures should be included in the newborn’s care plan at regular intervals?

A client is to be transfused with a unit of whole blood. If the client were to develop an allergic reactio
to administer which of these drugs?
A client diagnosed with Parkinson’s disease may need help in dealing with which of these associated p

A client who has had an ileostomy says to the nurse, “I will have to be isolated for the rest of my life
to stand this terrible odor.” Which of these responses by the nurse would most likely be reassuring?

An 18-month-old is admitted to the hospital. On admission it is most important for the nurse to ob
these questions from the parents?

A 68-year-old is admitted to the hospital in congestive heart failure. Which of these questions asked
most significant data about the symptoms?

A client who has been given a prescription for daily thyroid extract should be given which of these ins

Which of the following is not a 2-way communication?

The type of discussion where a group of 6-8 qualified experts discuss a topic in front of an audience is

When giving health education to a community, the most important step is:

To increase awareness of rural population towards small family norm, the best method is

In a health education programme, a group of 10 people are speaking on a topic of common interest is

The following statements are true about group discussion, except:

Which of the following is NOT a feature of mass media education?

If steroid therapy is achieving its desired effect for a child who has nephrosis, which of these outcome

A client has a laryngectomy with a laryngeal tube in place. When suctioning the laryngeal tube, the nu
A 6-year-old is admitted to the hospital with a tentative diagnosis of acute lymphocytic leukemia. W
symptoms of leukemia, the nurse should consider which of these questions?

A 19-year-old college student is brought to the emergency room by the police because he struck his
roommate of infecting him with the acquired immune deficiency syndrome (AIDS) virus. The cli
roommate is indicative of the client’s

Staff on a psychiatric unit are considering removing the restraints from a client who is delusional. Th
leave the seclusion room. Which of these actions should the nurse take?

A pregnant woman who is at term cannot get to the hospital in time for delivery of her infant and
nurse. After the infant’s head is delivered, the nurse should take which of these actions?

Which of these questions, asked of a client who has congestive failure, would elicit the most pertin
cardiac reserve?

A client has not required an analgesic for twenty-four hours following an appendectomy. Suddenly, th
pain in the right lower quadrant. The nurse should make which of these assessments first?

A client who has nutritional anemia has responded satisfactorily to treatment. In addition to
improvement in the client’s condition would best be indicated by the results of which of these laborat

The nurse discussing methods of stress reduction with a client should use which of these approaches

A client who has Hodgkin’s disease is receiving chemotherapy. During treatment it is important that
for symptoms of

The nurse should observe a client receiving hormonal therapy for cancer of the prostate for which of t

Vasopressin is administered intravenously to a client with bleeding esophageal varices. For which of t
should the nurse assess?

The mother of an infant who remained in the hospital after the mother’s discharge arrives to feed h
the nurse several bottles of breast milk that she said had been refrigerated for three days. The best a
A client with a chest tube is assisted out of bed and steps on the chest tube pulling it out. Which of th
the nurse immediately apply to the chest wound?

The clinic nurse instructs a client scheduling a Papanicolaou (PAP) smear to prepare herself by

When teaching a perimenopausal client about preventing osteoporosis, the nurse should encourag
which of the following exercises?

A client with obsessive compulsive disorder constantly washes his hands and has severe skin eros
actions by the nurse would be most appropriate?

A 28-year-old mother and her 6-year-old daughter are homeless. The client presents to the em
complaints of fatigue and generally not feeling well. Her physical examination is normal. The priority
be to

A client receiving a lidocaine infusion complains of tingling in both hands. Which of the following act
out first?

A client complains of severe sudden epigastric pain. The nurse’s immediate action should be to

A client removes her identification band and tapes it to the foot of the bed. Which of the following
appropriate prior to administration of medication?

The nurse teaches a client about life style factors that may adversely affect hypertension. Which
indicates that the client understood the teaching?

Which of the following factors, if present in a client’s history, would indicate a predisposition for the
kidney disease?
To which of the following nursing diagnoses should a nurse give priority in the care of a client wh
ischemic attacks?

A nurse should assess a client who has adrenal insufficiency for signs of Addison’s disease, which inclu
A seven-year-old has varicella zoster. A community health nurse teaches the child’s parent about ov
that can be used to comfort the child. Which of the following medications, if selected by the pa
instruction?

Which of the following laboratory results is it important for the nurse to monitor in a client who has mu

A client is taking atenolol (Tenormin) 50 mg daily. The nurse should instruct the client to notify th
following situations?

A client has just been hospitalized for treatment of compulsive hand washing. The nurse should inte
seen acting in which of the following ways?

Following an automobile accident a client is admitted to the hospital with head injuries. To determin
deteriorating, the nurse should assess the client for the
A client who has a spinal cord transaction is in spinal shock. On assessment of the client’s lower ex
expect which of the following findings?

Fill in the missing words to the quote: "Statistical methods may be described as methods for
_______________ based on ________________ computed from the _______________."

A nurse is assessing a client during the first 24 hours after a burn injury. Which signs indicat
replacement therapy is adequate

Which information should the nurse include in a teaching for a client whose burns are being treated w

Which potential is the least concern for the nurse during the emergent phase of a burn injury

Which of the following techniques is not suitable for moving an unconscious victim

A 15-year-old boy has just splashed a chemical on his face. After sending someone to call for an ambu

The following communicable diseases are notifiable diseases except

Which is the most difficult problem for the nurse to manage when meeting the needs of an extensivel
admission

Consider the following statement concerned with the collection of data, and determine the best sele
the statement: "The entire group of objects or people about which information is wanted is called
members are called _______. The ________ is the part that is actually examined in order to gather inform
In an experiment to determine if antibiotics increase the final dressed weight of cattle, the followin
animal in the study. Sex, initial weight, weight gain, grade of meat. Where grade is recorded as
measurement of these variables are:
Cognitive domain in Bloom’s Taxonomy includes all the following, except
To which of the following nursing diagnoses should a nurse give priority in the care of a patient who
for treatment of breast cancer?
Which of the following conditions, reported to a nurse by a 20-year-old male patient, would indicat
testicular cancer?

Sitting up or reclining position is called _______________ position

Callister Roy is associated with one of the models below

The following are peculiar to the transpersonal Caring Jean Watson’s theory of caring, EXCEPT

When caring for any patient, one of the following BEST describes what the nurse must do:

Which nursing theory might a nurse use as a conceptual framework to determine how to meet the
ensuring provision of high-quality and culturally sensitive care?

To create culturally sensitive nursing actions and decisions, nurses should gather knowledge and infor

Test dose of penicillin is administered by which of the following route?

5% dextrose in normal saline is ?
Which of the following is an antiemetic drug?
Nitroglycerine is administered by which route?

In order to administer a drug safely, the nurse should know to read which of the following fact in the d

In an unconscious patient which is the preferred route of drug administration-

Which of the following statement is not true about aspirin (Acetyl salicylic acid)-

Mannitol is a-

A patient suffering from severe pain due to acute pancreatitis, which analgesic is preferred to relieve

Morphine is contraindicated in a patient with head injury because it can cause-

The following is a first generation cephalosporin-

Which assessment finding found while assessing a patient with a fracture who has traction requires im

What is a late sign of compartment syndrome?

The following things affect bone healing after fracture except?

Regular oral hygiene is an essential intervention for the client who has had a stroke. Which of the follo
inappropriate when providing oral hygiene?

The specific nursing diagnoses of a patient with rheumatoid arthritis does not include which one of the

The endocrine gland that sits on top of the kidneys and secretes both metabolic stabilisers and stress

Which findings would you as the nurse identify as abnormal?

On discharge, a patient who underwent left modified radical mastectomy expresses that “the cance
discussing this issue with the client, it is important for the nurse to stress that she

A client with anaemia has been admitted to the medical ward. Which assessment findings are char
anaemia?

A home health care nurse should include which of the following when informing a client about home c

Which of the following should the home health nurse include when providing home health care for a c

The following is non-modifiable risk factors for coronary heart disease:

The sequential and continual nature of the continuous improvement process is illustrated by the PDCA

A 67 years old diabetic patient being taught how to self-administer insulin. Which of the following is th
this patient's understanding of the teaching?

For a community hospital, patient satisfaction scores demonstrate multiple areas needed for improvem
improve attractiveness of the facility, responsiveness to patient needs, and physician and nursing com
these results, which of the following would the healthcare quality professional also will be expected to
OptionA OptionB OptionC OptionD Answer
Patients of Afro- Steroid therapy Secondary Use of local
Caribbean origin wound closure bupivacaine
with a dark
complexion
A
MRSA wound anaerobic opportunistic necrotizing D
infection is organisms exert organisms, are fasciitis is
usually the their lethal the result of a commoner in
result of wound effects by patient's carriers of MRSA
contamination producing endo- reduced
by hospital staf and exotoxins immune defense

when the wound when the when there is much more D

does not break wound edges irreparable skin slowly than
apart are brought loss healing by first
together intention
ethylene oxide gamma 160 degree low temperature C
irradiation celcius dry heat steam of 730 C
for 30 minutes for 20 minutes
causes gas produces an has a terminal is an obligatory A
gangrene exotoxin spore anaerobe
antibiotic there is a severe conservative High doses C
therapy and infective excision of the benzylpenicillin
hyperbaric process, but the necrotic fascia (4 mega units)
oxygen do not skin initially and skin and given
limit the spread appears normal muscle should intravenously
be carried out are indicated
within 24 hours

are extends beyond are caused by are common in C

distinguished the original the excess the deltoid
from incisional scar deposition of region
hypertrophic fibrin in the
scars by their wound
the anaesthetic they are the pH is
they are given C
is cooled combined with rapidly neutralized prior
adrenaline to
administration
“I have lost two “My fingernails “I had diarrhea “I have difficulty D
pounds in three are growing so one-day last falling asleep.”
weeks.” slowly.” week.”
“Since I don’t “I’m being “I’ll be using a “If I take A
like to drink careful with my salt substitute multivitamins,
milk, I’ve been weight. I’ll be instead of salt then it will be all
using it in my sure to gain no throughout my right for me to
cooking and more than pregnancy.” continue to omit
eating extra sixteen pounds my lunch.”
cheese.” with the
appetite pulse rate weight level of C
consciousness.
Blood urea serum glucose Serum total serum creatinine C
nitrogen protein
Oliguria hypertension tarchycardia Hypokalemia D

Lifting heavy Lying flat in bed Drinking Eating foods A

objects beverages that that are high in
are high in potassium
caffeine
yawning and syncope and drowsiness and bradycardia and A
perspiring pulse deficit fruity order of headache
the breath
The child speaks The child The child can The child points D
in sentences of identifies her copy a circle to specific body
three to four own sex when parts upon
words asked request
Notify the Check if the Discontinue the Auscultate for B
physician nasogastric tube section attached bowel sounds
can be irrigated to the
nasogastric tube
Notify the reposition the Discontinue the Check the C
physician client transfusion client’s
Test deep obtain vital temperature
Check pupillary evaluate mental B
tendon reflexes signs response status
Red streak along Blood return in Edema at the Increased B
the vein the tubing when needle insertion warmth of the
the intravenous site skin over the
bag is lowered needle site
“Eat two or “Contact the “Be sure to drink “Use a soft B
three servings of doctor if you approximately toothbrush to
foods high in develop a sore three liters of brush your
iodine each throat.” fluid daily.” teeth.”
day.”
He eats his He makes an He indicates a He expresses a B
meals in his appointment need to meet desire to be
room with the barber with his discharged
girlfriend
“I’ll get rid of my “I’ll use a fine- “I’ll be sure to “I’ll have A
child’s head lice tooth comb to wash all the bed everyone in the
as soon as remove all the linen and towels family shampoo
possible so that eggs from my in hot, soapy their hair with
he won’t start child’s hair.” water.” the medicated
losing his hair.” shampoo.”

“I seem to have “My breasts feel “I’ve been “Sometimes I B

so much energy tender.” having some have
lately.” hard stools palpitations
lately.” when I climb a
flight of stairs.”
Do you have any Have you How much fluid Which spices do B
pain on noticed that do you drink in a you add to your
urination? your rings are day? food when you
sometimes tight are cooking?
on your fingers?
Test the client’s Auscultate the Evaluate the Take the client’s A
patellar reflex client’s client’s heart blood pressure
abdomen rhythm
Restricting the Sitting with the Encouraging Having the B
client’s fluid client during and the client to eat dietitian select a
intake before after meals in the cafeteria high-protein diet
meals with her family for the client
You should You should It would be best It would be best B
participate continue in any for you to for you to limit
mainly in activities that engage in indoor activities that
sedentary and you can tolerate. sports. would increase
noncompetitive your respiratory
activities. rate.

Is there a hyper Do the client’s Are the client’s Has the client’s
resonance over breath sounds intercostal trachea shifted
Virginia
the client’s left Betty
have aNeuman
high- Imogene
muscles inKing Dorothea
to the left Orem
of his
Henderson
chest? pitched spasm? midline?
Imogene King Virginia Faye G. Lydia E. Hall C
Henderson Abedellah
Nursing is The role of Nursing is the Nursing care B
therapeutic nursing is to science and becomes
interpersonal facilitate "the practice that necessary when
process body’s expands client is unable
reparative adaptive to fulfill
processes" by abilities and biological,
manipulating enhances psychological,
client’s person and developmental,
environment environment or social needs
Vision Mission transformation
Policy statement Protocol B
Statement
Problem statement
Etiology (related Defining Outcome D
Statement factor) Characteristic Statement
(diagnostic
label)
Actual Diagnosis High Risk Possible Nursing Wellness A
Nursing Diagnosis Diagnosis
Nightingale Diagnosis
American Henderson World Health B
Nurses Organization
Association (WHO)
(ANA, 1995)
Standard Audit Quality Outcome C
1947 1950 1952 1956 A
Network analysis System analysis Cost analysis; Field analysis C
Nursing Outcome Quality System analysis A
Diagnosis Identification assurance
Elton Mayo B. Henri Fayol Adam Smith James Watt B
William Ouchi Fredrick Taylor Mary Follett Douglas D
Elton Mayo W. Edwards Kurt Lewin McGregor
Frederick D
Deming Herzberg
Management is The selection of Scientific The average D
a trueMayo
Elton science workers is a
Max Weber management
Henry Ford is human being
F.W Taylor A
science a collaboration prefers to be
Very little Complete Leaders provide
of workers and There
directed, wishes C
is little
guidance from freedom for the tools and time for group
leaders followers to resources decision-making
make decisions needed
Focal Stimuli Cognator Role function Flexible line of D
Subsystem defense
Regulator Cognator Physiologic Self Concept- B
Subsystem Subsystem Mode Group Identity
Mode
Rogers (1970) Ida Orlando Nightingale Neuman (1972) A
(1960) (1860
Florence Hildegard E. Martha E. Neuman's model D
Nightingale's Peplau's Roger’s: Science
Environment Psychodynamic of Unitary
Theory Nursing Theory Human Beings
Reconstitution Lines of Primary Secondary A
resistance prevention prevention
Forming Instilling faith- Cultivating Strengthening A
humanistic- hope sensitivity to self flexible lines of
altruistic value and others defense
system
Does the client At what times What are the What method of C
include at least does the client client’s food food preparation
one serving of eat meals? preferences? does the client
each of the use?
basic food
groups in every
meal?
Could you spend Have you tried It’s a good idea Whenever your A
time with your pinching your 2- to keep your 2-year-old
2-year-old while year-old infant and your pinches or hits
your infant is whenever he 2-year-old your infant, say
sleeping? does it to your separated as ‘no’ to him and
daughter so that much as give him a toy to
he knows how it possible until he distract him.
feels? stops this
I plan to I’m hoping to behavior.
My husband and My husband and D
continue my continue I are going to I enjoy wine
jogging for at working as a drive about 500 every day with
least the next 3 secretary until miles to visit my our dinner.
to 4 months. two weeks parents, but
before my due we’ll stop to
date. exercise
periodically.
hair loss a decrease in hypertrophy of an increase in D
pulse rate the gums appetite
Setting clear not setting limits gnoring the Encouraging the A
limits client’s behavior expression of
anger
Immediately During the Within the two During her D
second trimester weeks before postpartum
her expected hospitalization
delivery
Irrigating the Clamping the Marking the Changing the C
chest tube every chest tube for level of drainage drainage bottle
3-4 hours prn 10 minutes on the collection every day
every 4 hours device at least
every 8 hours;

Watching the Reaching for an Turning from his Lifting his head A
mother’s face as object when it is abdomen to his from the
she talks to him held in front of back mattress when
him lying on his back
To stimulate To prevent To reduce To promote C
production of respiratory bacteria in the wound healing
antibodies infection colon
Having the Turning the Elevating the Encouraging the B
client use an client onto the client’s right client to stay out
overhead abdomen thigh on a pillow of bed and in a
trapeze to move several times a chair as much as
in the bed day possible

It must make I don’t hear a Why do you What could be B

you feel voice, but I know think you’re God’s reason for
important to talk it’s real to you. hearing a voice? talking to you?
with God.
Accept the Refuse the Decline the Acknowledge D
invitation and invitation and invitation and the compliment
comment on the explain that it is make up a implied by the
therapeutic inappropriate to reason for invitation and
purpose of meet clients refusing clarify the
accepting outside of the respective roles
hospital of the nurse and
the client

Experiences Experiences Has Changes D

painful mood swings for dysmenorrhea sanitary pads
intercourse at a week prior to for twenty hours every 2 hours
mid-cycle the onset of her after onset of during the first
menstrual menses two days of her
period menstrual
period
Sometimes I I don’t feel I have a big I’ve been A
have pain in my hungry in the black and blue yawning a lot
knees, then it mornings spot on my hip lately.
goes away and anymore. where I got hit
my elbows hurt. by a baseball
yesterday.
Observing for Encouraging Applying warm Palpating the A
frequent deep breathing compresses to neck for edema
swallowing and coughing the neck
Having the Providing the Encourage the Urging the A
teenager use a teenager’s teenager to take teenager to
soft-bristled visitors with frequent rests have a high fluid
toothbrush masks intake
Asking her Obtaining a list Furnish her with Giving her B
whether she of foods she a list of foods information
eats most of her eats during a that are about which
meals at home typical forty- contained in the foods are high in
eight-hour basic food iron
period groups
18 28 38 48 C

Creamy Dark red Clear thin pink- Light brown B

yellowish discharge tinged discharge discharge with a
discharge without clots few clots
streaked with
21 40 63 125 D

Insert a padded Note the Test the infant’s Suction the B

tongue blade duration of thepupillary infant’s
into the infant’s infant’s seizure
response to light oropharynx
mouth at least twice several times
during the during the
seizure seizure
You will have to You can eat any You will need to You will have B
remain on a low food that agrees wait until intermittent
residue diet. with you. healing is diarrhea if a diet
complete before isn’t followed.
you can tell.
Eliminate fatty Eat a diet high Sit upright in a Refrain from D
foods from your in chair for at least drinking liquids
diet. carbohydrates. thirty minutes with your meals.
after each meal.
The client The client The client The client A
approaches the describes his dresses in his expresses a
nurse and calls delusions in own clothes desire for his
the nurse by detail own apartment
name
His four-year-old He enjoys He is drooling a He likes to take D
sister helps me feeding himself lot lately. his naps on our
diaper him. crackers. bed.
Color of the Mobility of the Quality of the Capillary refill. B
stools lower patellar reflex
The client’s extremities
The client’sThe client’s The client’s leg A
affected leg blood pressure serum dressing has no
feels warm to is stable electrolytes are evidence of
the touch within normal bleeding
limits
My heart and My blood will be I will be asked to I will have blood C
lung function drawn while I breathe into a drawn to
will be am breathing machine using measure oxygen
measured while room air and maximum effort levels before
I am riding a receiving on inspiration and after the
stationary bike. oxygen. and expiration. nebulizer
treatment.
The x-ray table You will need to You will You will need to C
will be tilted drink several experience a remain flat in
while your x- glasses of fluid warm sensation bed for six hours
rays are taken. the morning of when the dye is after the
the procedure. injected. procedure.

measles typhoid roseola chicken pox A

The mother of The mother of a The mother of a A
The mother of a
an 11-month-old 15-month-old 3-year-old girl
2-year-old boy
girl says, “My boy says, “My says, “My
says, “My son
daughter drinks son will eat won’t eat daughter eats
about one and a nothing unless everything that
cooked green
half liters of milk he can pick it up her father and I
beans, but he
a day.” and eat it with eat, even spicy
eats them raw.”
his fingers. foods that I
learned to eat
only as an
adult.”
My son is dry We leave a My son carries Sometimes my D
most of the time small light on in his blanket son seems so
during the day, my son’s room everywhere. He clumsy. He
but still wets the at night. even has a small bumps into
bed at night. piece of it that furniture that is
he keeps in his in his way.
pocket.

My mouth and I won’t have any I won’t have any I will feel quite D
lips will be dry. appetite. appetite. nervous.
epistaxis bradycardia tremors tearing C

Applying a Determining Observing the Encouraging the C

lanolin-based whether the child for signs of child to drink
emollient to the child has pain in infection fluids high in
child’s skin the lower vitamin C
extremities
It is a way of It is an attempt It is an It is an A
gaining some to distract indication that indication that
control over attention from the client has anthe client thinks
others the real problem organic change the food is
poisonous
Suprapubic pain Flank discomfort Polyuria Urinary D
I’ve stopped I put my frequency
I’m walking less I usually apply a A
crossing my legs stockings on as and doing as lotion to my legs
at the knees soon as my much work as I before I put on
ankles begin to can while sitting my stockings
swell at the kitchen
table.
Increase the Percuss the Irrigate the Change the C
flow rate of the client’s client’s catheter client’s catheter
client’s abdomen for
intravenous bladder
fluids distention
I’ll remember to I’ll stop walking I’ll dry between I’ll use alcohol to D
cut my toenails around in my my toes more clean my
straight across. bare feet carefully calluses after I
trim them
He seldom He goes to the He approaches He is able to C
hallucinates coffee shop the nurse at sleep through
alone more frequent the night
often intervals
Giving a pacifier Stroking and Pacing a colorful Turning the B
whenever the talking to the toy within the infant’s head
infant starts to infant infant’s line of from side to side
cry vision at regular
intervals
38 50 68 80 C

An increase in A soft, flat Overriding of Prominent scalp A

head anterior fontanel cranial bones veins
circumference
She is having a She is displaying She is She is at risk of
normal response behavior typical demonstrating developing a
to the of multigravida behavior that problem in
confirmation of but unusual for suggests she bonding with her
her pregnancy a primigravida may have newborn infant
difficulty coping
with the
pregnancy
Absence of Absence of clot Presence of Presence of B
infection formation diluted urine urinary
Avoid taking continence
Drink a glass of Take the aspirin Take the aspirin D
aspirin with water with the one hour before with food
dairy products aspirin meals
Agitation Drowsiness Double vision Dilation of the A
pupils
Instruct the Apply a cool Administer Check the D
client to take cloth to the antiemetic patency of the
deep breaths client’s forehead medication to client’s
the client nasogastric tube
I won’t let the I have a picture I haven’t I’m so tired. I A
baby forget of my baby. She decided don’t feel like
what she did to is not very between two going to the
me pretty names for my nursery to feed
baby my baby

500 1000 1500 2000 B

Notify the Ask the client for Give the client a Take a finger D
physician a urine glass of juice to stick blood
specimen drink sugar reading
Checking for Increasing Using Establishing a D
impaction daily intake of milk incontinent pads consistent time
products until control is for
achieved
Are you unable This discussion It is important Please try to B
to continue our must be painful that we obtain answer a few
discussion? for you your husband’s more questions
history
depressed weak cry vomiting sudden diuresis C
anterior fontanel
Has anyone in Do you have a Have you had a Do you have a B
your family ever plan for recent loss of social support
attempted committing someone or system?
suicide? suicide? something close
to you?

palpate the employ check the child’s hold the child in D

child’s anterior measures to pedal pulses the chest to
fontanel prevent the periodically knee side-lying
periodically child from crying position
I put the I put the I remove the I remove the B
stockings on stockings on stockings if I get stockings only
when my legs before I get out cramps in my when I bathe
begin to swell of bed in the legs or feet
morning
Do your eyes Do you see Does everything Do you see D
tear a lot? floating spots in look hazy to halos around
front of your you? light?
eyes
What type of What are the How long would How long do I A
humidifier would best foods for a you suggest that have to worry
you high-fiber diet? I keep the plug that I may
recommend? for the aspirate food?
laryngectomy
tube in a
disinfectant?
Palpate the Determine the Administer the Observe the B
client’s patency of the prescribed color of the
abdomen for client’s drainage analgesic to the client’s urine
bladder system client
distention
Remaining Expressing Calling the client Giving verbal D
within arm’s concern about by name during and nonverbal
reach of the the client’s well interactions messages to the
client at all being client that are in
times agreement with
each other

Find out from Assess her Involve her in Tell her to B

her if her ability to identifying herremind her
husband recognize early contribution tohusband that
expressed signs of the problem the police had to
regret for overactivity intervene
Strength of hand Comparison of Temperature of Color of nail A
grip radial and both arms beds
brachial pulses
Ask the client to Ask the client to Ask the client to Ask the client to A
demonstrate the explain the note the times repeat the
deep breathing purpose of deep when she instructions for
and coughing breathing and performs deep deep breathing
exercises coughing breathing and and coughing.
exercises coughing
exercises
Produce mucus Phagocytize Contract the Propel mucus to D
bacteria smooth muscle the larynx
If you lie very Injections don’t Yes, it will hurt, Yes, but it will C
still, it won’t hurt brave girls but I’ll stay with only hurt for a
hurt and boys you until it stops little while
0.1mg 0.25mg 0.5mg 1.0mg B
is taken with is taken with is taken with an is taken on an D
food water antacid empty stomach
Aspirin Morphine sulfate Predinisolone Valium A
Antibiotic Sulphonamide Antihistamine Hypnotics C
Raise the Increase urinary Maintain heart Restore and D
systolic blood output rate between 70 maintain tissue
pressure to 90 & 90 oxygenation
mmHg or above
Directly on the On the inner Into the Directly on the C
central surface canthus of the conjunctival sac pupils
of the cornea eye
0.25mg 0.5mg 0.3mg 0.15mg A

Impaired skin Pain related to Pain related to Pain related to C

integrity related surgical incision the effect of appendicitis
to incision surgery
wound
Collect exudates Lessen the Maintain Provide a water A
degree of negative seal
suction applied pressure in the
to patient thoracic
Measurement of Management Systematic Link between B
the and approach to the identification
effectiveness of performance of data collection of patient needs
the nursing care the nursing care and analysis and the actual
plan in meeting plan performance of
patient’s needs health care
activities

Describes actual Identifies Defines altered Defines the D

and potential problems that pattern of pathologic state
problems are amenable to human of a patient
some functioning (disease or
interventions disorders)
that are in the
present and
potential scope
of nursing
Strict isolation practice
Blood and body Reverse Respiratory B
fluid precautions isolation isolation
Throat culture Blood test for Presence of Appearance of A
for organism organism lymphadenopath tonsillar exudate
Maintain Forbid smoking y
Keep child away Keep child B
temperature of in home from other indoors during
home at 72º F children rainy season
Allows Mrs. Alao Ask Mrs. Alao to Assures Mrs. Ask Mrs. Alao to A
to participate in wait in the Alao that Jide contact her
the admission reception will get well husband
procedure
Cover the eye Place antibiotic Rinse the eye Read the label C
with a gauge ointment in the continuously for on the chemical
patch eye 15 minutes and call the
emergency
center
I can continue I drink alcohol I will visit an eye Relaxation for A
swimming 3 only on doctor yearly. me is going to
times a week. weekends. the movies.
he opening The structure There is The aorta arises B
between the leftthat shunts narrowing of the from the right
and right atriumblood from the aortic lumen ventricle and
fails to close pulmonary near the level of the pulmonary
after birth artery to the the ductus artery originates
aorta remains arteriosus from the left
open after birth ventricle
Heart burns and Diarrhea and Vertigo and Diaphoresis and A
bleeding pruritus tachycardia blurred vision
i, ii, iii i, iii, iv ii, iii, iv i, ii, iii, iv D

45 gtt/min 31 gtt/min 50 gtt/min 5 gtt/min B

“I should inhale “I should place “I should hold “I should wait 1- A

before using the my lips firmly my breath 8-10 2 minutes
inhaler.” around the seconds after between puffs.”
mouthpiece.” using the
inhaler.”
The nurse The nurse The nurse The nurse C
informed law turned off the carried reported
enforcement computer after unprotected suspected child
officials about documenting client abuse to law
the client’s the client’s information in enforcement
gunshot wound status the elevator officials

Improved Delayed Absence of pain Improved A

respiratory rate capillary refill cardiac function
and rhythm
“I can’t believe “When did you “Let’s talk more “I’m sure your C
you would still start smoking?” about this.” family will be
want to smoke.” upset.”
The 18-year-old The 40-year-old The 39yr old The 22-year-old D
with an impaled with sinus with an obvious stung by a wasp
knife in the tachycardia and fracture of the and exhibiting
abdomen complaining of right femur who stridor
nausea, is complaining of
vomiting and severe pain
diarrhea times 3
days
Continuous Straw colored Tenderness at Movement of A
bubbling in the drainage in the the insertion site fluid in the
drainage tubing tubing during
chamber the respiratory
cycle respiratory
cycle
Prof Cannon Hans Selye Prof McGill Madam Courie B
It consists of a It is specific It is a defense It is a response B
group of mechanism to an extreme
responses change in the
environment
i, ii, iii, iv ii, iii, iv i, ii, iii i, iii, iv D

Lethargy, Hunger, nausea, Abdominal pain, Diarrhea, A

polyuria, weakness, low BP, low dehydration,
polydipsia, blurred vision urine output headache
weight loss
Check for Administer oral Crush all Position the D
placement of hygiene after medicine in patient in a
tube, and any the feeding water prior to prone position
respiratory feeding for feeding
distress or
restlessness

Inflammation of Inflammation of Inflammation of Inflammation of D

the uterus an artery the lining of the a vein
associated with heart associated with
a thrombus a thrombus
Tea with sugar Black coffee and Ginger ale and Chicken broth A
and apple juice orange juice milk sherbet and strained
3 ounces of 1 medium soft- 8 ounces of skim
2 milk of
ounces B
broiled round boiled egg whole milk natural cheddar
steak cheese
i and ii i, ii and iii i only i and iv A

To rest the To provide and To permit the To prevent the B

nostrils maintain a use of positive- lungs from
patient airway pressure collapsing
ventilation
Thayer-Martin VDRL Pap smear KOH preparation C
Culture
Assess the Assess the Administer Administer pain A
patency of the patient for ordered medication
continuous indications of antispasmodic
irrigation system hypotension agents
Has the client’s Has the client’s Has the client’s Has the client’s D
vision improved? appetite need for sleep pulse rate
improved? decreased? decreased?
The girl doesn’t The girl is The girl has The girl’s pupils’ C
remember confused about clear drainage contract in
anything about what day it is from her left ear response to light
the accident
eating a large eating foods an increase on an increase in C
number of foods that are high in secretions of the secretions of the
high in fat complex sebaceous adrenal glands
carbohydrates glands
The client’s The clients has a The client’s The client’s C
upper hip is pillow at the upper leg is upper leg is
slightly forward back, extending resting on the flexed at the
lengthwise from lower leg knee
the shoulders to
the buttocks
He has He has often He has recently He has D
throbbing frontal been very been irritable occasionally
headaches when fatigued after and less happy appeared to be
he becomes returning from than usual in a daze during
emotionally work their
upset conversations
“You seem “I don’t “Here is your “I’ll brush your C
upset.” understand what toothbrush. First teeth for you.”
you mean by get your
“tomato soup.” toothpaste, then
wet your brush.”

A 4-month-old A 4-month-old A 5-month-old A 5-month-old B

who does not sit who does not who does not who does not
unless well hold rattle that look for objects demonstrate the
supported is placed in his she sees being parachute reflex
hand hidden
Instruct her to Schedule an Tell her to limit Suggest that she C
avoid products appointment for outdoor activity cover her nose
that contain her with an when the pollen and mouth when
atropine sulfate allergist count is high in contact with
allergens

“Lie down with a “Lie on your “Apply pressure “Massage the A

pillow under abdomen and to the perineum affected areas
your hips for a expose the with a perineal with a lanolin
few minutes affected areas to pad.” based cream
several times a the air for ten after each
day.” minutes three or voiding and
four times a stool.”
day.”
To prevent To prevent To promote To promote C
contractures bleeding hydration nutrition
Palpating Lifting up the Turning the Feeling the D
around the edge of the client’s head to dressing at the
client’s dressing client’s dressing the side sides and back
of the client’s
neck
The child had a The child has The child’s The child’s best B
negative had a intake of foods friend recently
reaction to a gastrointestinal high in fat has moved to
tuberculin skin upset with increased another town
test that nausea and recently
administered a vomiting for the
couple of days past few days
How does her When did she How old she was What did she eat B
husband react to have her last when she began in the past four
her problem? drink? to drink? hours?
Assisting the Observing the Encouraging the Restricting the B
child with active child’s gums for child to eat child’s
range of motion bleeding foods high in interaction with
exercises iron other children
on the unit

I have a I always wash I use a I leave my A

diaphragm that I my diaphragm spermicidal jelly diaphragm in
can start to use with soap and with the place at least six
as soon as I’m water diaphragm hours after
ready to have intercourse
intercourse

Does the client How often does Does the client How regularly A
go barefoot at the client trim elevate her feet does the client
home? her toenails? when she is exercise?
sitting?
The child begins The child starts The child’s pulse The child’s A
to shiver to cry rate decreases temperature
by 8-10 beats decreases by
0.3ºC within the
first ten minutes

“My 4 year old is “I have several “My husband is “I’ll make sure B
looking forward little presents to taking several to spend time
to helping me give my 2 year vacation days so with my other
change the old if he that we can children while
baby’s diapers.” becomes upset share the care the baby is
while I’m caring of the children.” sleeping.”
for the baby.”

“I no longer “My appetite is “My legs don’t “I’m having less C

have diarrhea.” getting better.” feel so weak.” joint pain.”
The client’s The client is The client’s The client is B
blood pressure difficult to rouse Babinski incontinent of
has changed response is urine
from160/94 negative
to140/90 mm Hg

A 7-month-old A 14-month-old A 3-year-old who but will eat them B

who feeds who drinks 2 refuses to eat uncooked; A 6-
himself 2-3 plain liters of milk a cooked year-old who
crackers a day day vegetables eats a cheese
sandwich for
breakfast every
day
Supporting the Supporting the Instructing the Getting the C
client’s left side client’s left side client how to client out of bed
while assisting while assisting pivot with the on the
the client to sit the client to sit affected leg unaffected side
up in bed up in bed
“My son loves to “My son takes “My son gets up “My son takes a D
feed himself his favorite on his knees and bottle of juice to
slices of peeled blanket with him rocks himself to bed with him
apple.” whenever he sleep.” and sucks on it if
leaves the he wakes during
house.” the night.”

Meeting his Improving his Keeping him Improving his C

dependency interpersonal from hurting self-concept
needs relationships himself
Limit intake of Apply a soothing Eat a food high Avoid strenuous D
foods high in lotion to the skin in simple activity
sodium at least once a carbohydrates
day with each meal
“I will have a “I will rest for “I will avoid “I will include C
bedtime snack.” one hour before concentrated high fiber foods
each meal.” sugars.” in my diet.”
I’ve been “I’ve had a “I started “I have gained C
getting short of craving for salty getting three pounds
breath when I foods lately.” headaches (1.4 kgs) during
climb the about a month the past month.”
second flight of ago.”
stairs to my
family’s
apartment.”
“I get a “I have trouble “I get pain in my “I always feel D
headache about sleeping at lower back.” tired and weak.”
twice a week.” night.”
Avoiding Limiting weight- Refraining from Restricting A
sustained participating in
lifting activity to heavy
activity without five pounds (2.7 an organized housekeeping
rest periods kgs) exercise activities
program
“Encourage the “Assure the “Tell the client “Direct the D
client to client that there that the client’s focus
elaborate on his is no physical symptoms away from his
symptoms.” basis for his reflect his need symptoms.”
symptoms.” for attention
She is using the Her elbows are She places the She is D
three-point gait slightly flexed crutches supporting her
approximately weight on the
six to eight axillary bars and
inches (15 to 20 hand pieces of
cm.) in front of the crutches
her with each
step
Applying no Applying suction Applying Applying A
suction as the as the catheter intermittent constant suction
catheter is is inserted and suction as the as the catheter
inserted and as the catheter catheter is is inserted and
constant suction is withdrawn inserted and no suction as
as the catheter constant suction the catheter is
is withdrawn as the catheter withdrawn
is withdrawn

“The police are “I’m feeling “I’m becoming “I’ve learned my A

always arresting guilty because very anxious.” lesson, and I’ll
me for nothing.” I’ve never do that
disappointed my again.”
family.”
Asking the client Stimulating the Determining the Telling the client A
to speak client’s gag client’s ability to to extend the
reflex swallow tongue
Positioning the Applying a Helping the child Assisting the D
legs above the lanolin-based to do postural child in
level of the cream to the drainage changing
heart for twenty skin once or exercises three position
minutes every 3- twice a day or four times a periodically
4 hours day

Taking an Participating in Playing a game Playing in the A

escorted walk the music of chess table tennis
out of doors therapy band tournament
Decreased uric Decreased Elevated serum Elevated D
acid serum creatinine calcium prostate specific
His temperature The amount of The size of his antigen
His passing of A
weight loss posterior meconium
since birth fontanel
“The hospital “Do your son Do you think “The hospital C
environment and daughter that your son is does not allow
would probably get along with wondering if it is children to
frighten your each other?” his fault that his visit.”
son.” sister is ill?”

Deodorant soap After shave Talcum powder Mouthwash C

urinary lotion
dyspnea while fetal movement leg cramps C
frequency walking up a
flight of stairs
“Most children “Parents of “Let’s review “Did you not C
who receive children who what the suspect that
chemotherapy receive physician told your child’s
live at least five chemotherapy you about your illness was this
years, and some often suffer child.” serious?”
are then more that the
considered children do.”
cured.”
Keeping the Orienting the Providing a Helping the C
client restrained client frequently quiet, well client recover
lighted room repressed
memories
“My child should “My child and I “I’ll wait until we “My child is A
have received have discussed are home for going to choose
an oral his expected two weeks his own meals
poliovirus behavior at before I invite for the next
vaccine last home.” any of my several days.”
month.” child’s friends to
visit him.”
“I’ll use a nipple “I’ll cleanse my “I’ll expose my “I’ll apply an C
shield with nipples with nipples to the air antiseptic cream
every other soap and water several times a to my nipples
breast feeding before each day.” after each
during my first feeding.” feeding.”
postpartum
week.”
Blood urea Serum Serum albumin Hemoglobin B
nitrogen (BUN) creatinine 3.5 g/dl 15g/dl
10mg/dl 3.1mg/dl
Check the Evaluate the Take the client’s Elicit the client’s C
client’s client’s apical pulse Babinski
handgrips orientation to response
time and place
“My legs feel “My legs hurt “My feet and “My feet burn if I B
weak when I get when I walk, but ankles become walk on a hard
up to walk.” they feel better swollen after surface.”
when I sit walking.”
down.”
fatigue hypersalivation episodes of discomfort on A
feeling warm either side of
the lower
abdomen
“I haven’t “Everyone was I’ll be able to “Even with my C
gained any so surprised that play on the brace on, I took
weight since I I could dance so school a five-mile hike
started wearing well even with basketball team, with my friends
the brace.” my brace on.” even though I’m the other day.”
wearing the
brace.”
He will develop He will He will identify He will engage A
alternate acknowledge his his areas of in occupational
vocational skills loss interest therapy
Testing the Changing the Assessing the Applying an B
newborn’s urine newborn’s newborn for emollient to the
for glucose position symptoms of newborn’s skin
dependent
edema
Diphenhydramin Chlorpheniramin Pseudoephedrin Promethazine A
e (Benadryl) e (Chlor- e (Sudafed) (Phenergan)
Trimeton)
Poor peripheral Diarrhea related Weak Unsteady D
vision related to to hypermotility pharyngeal balance related
weakness of the of the bowel muscles related to altered center
motor nerves to accumulation of gravity
of lactic acid
“The odor will “I can “There are “The odor is a C
gradually understand your techniques that normal part of
become less concern, but can reduce the your condition
noticeable.” remaining odor.” and should not
isolated does offend people.”
not reduce the
“What is your “What are your “Does your child “Does your child A
child’s regular child’s favorite wet the bed at attend a day
bedtime?” foods?” night?” care center?”
“When did you “How often do “How many “Have you C
last have a chest you get up to pillows do you noticed any
x-ray?” urinate during use when weight loss
the night?” sleeping?” lately?”
“You may have “You may “You will take “You will need to C
skin irritation become irritable the medication take the
due to the if the medication for the rest of medication with
medication.” dosage is too your life.” food.”
high.”

Lectures Group Panel discussion Symposium A

Group discussion
Symposium Panel discussion Workshop C
discussion
Contact doctors Community health education Knowing of local D
discussion needs
Film show Charts and Role playing Television C
exhibits
Workshop Panel discussion Group Symposium C
It is a two-way An effective discussion
The leader Each member D
communication group is initiates and prepares a topic
composed for 6- guides the for speech
20 people discussion
Deals with local Easily Widely Rapid and A
problem of the understandable approachable controlled
community
Urine specific Blood glucose Urine proteins Serum sodium C
gravity is levels are are decreased concentration is
increased increased decreased
suction the tube use clean rather apply suction turn the client’s A
for about ten than sterile while inserting head to suction
seconds technique the catheter into one side and
the tube then the other
side
What reaction What is the color Does the child Does the child D
does the child of the child’s have a pulse have bone pain?
have when sclera? deficit?
tested for the
presence of
Homan’s sign?
inability to immaturity of displacement of deliberate C
identify sexual the source of excuse to
individual expression danger discharge pent-
boundaries up hostility
Before removing While removing Remove the Administer the A
the restrains, the restrains, restraints and prn dose of
make a contract tell the client engage the prescribed
with the client that they will be client in a group medication, wait
specifying how replaced if he activity every 15 minutes, and
he is to conduct does not keep two hours then remove the
himself on the out of trouble client’s
unit restraints
Facilitate Cleanse the Stimulate the Check for a D
delivery of the infant’s face infant to cry nuchal cord
anterior
shoulder
“Do you develop “Do you feel out “When do you “Have you been B
leg cramps of breath after begin to feel exercising
when walking climbing a flight tired during the regularly?”
that are relieved of stairs?” day?”
by rest?
Palpate the Determine if the Inspect the Take the client’s C
client’s client has had a client’s temperature
abdomen bowel incisional site
movement
Serum protein Platelet count Leukocyte count Hematocrit D
level determination
Explain to the Teach the client Determine if the Describe to the C
client the relaxation client is able to client the
physiological techniques that identify sources benefits of
effects of stress reduce stress of stress active exercise
in coping with
stress
thrombus ascites infection splenomegaly C
formation
Pain Urinary incontinence Severe Hot flashes D
impotence
Intracerebral Severe Supraventricular D
hemorrhage hypotension tachycardia Chest pain
thank the thank the ask the mother tell the mother D
mother and mother and when the milk that the breast
refrigerate the discard the milk was expressed milk will have to
milk for later use without telling be discarded
her since it was
refrigerated for
longer than 2
days
The bed sheet A sterile A paper towel Adhesive tape A
dressing
scheduling the performing a having someone restricting food A
test after vaginal douche available to and fluid intake
menstruation the morning of drive her home 8 hours prior to
her exam after the test the test
Bicycle riding Walking Swimming Horseback riding B

Locking the Explaining to the Giving the client Exploring other D

bathroom door client that it is lotion to use on methods of
so that the client harmful to wash his hands decreasing
cannot wash his his hands so anxiety with the
hands as often client
frequently

encourage the refer the client refer the client have the B
client to look to social and her daughter
through the services to daughter to a removed from
newspaper for locate local shelter the client’s
housing temporary custody
housing
Lower both arms Discontinue the Decrease the Stop the infusion D
over the bedside infusion and infusion rate and and notify the
until the tingling restart at a notify the physician
subsides different physician
intravenous site

administer prn reposition the administer 30cc notify the D

Morphine 10 mg client and of liquid antacid physician
IM and elevate the head
document of the bed
results
Ask the client Obtain a new Validate the Hold the B
her name and identification client’s identity medication and
compare it to band and apply with another complete an
the identification it to the client’s staff member incident report
band arm
“I will follow a “I just bought a “Exercise once a “At least I don’t B
high fiber diet book on stress week will help to have to quit
when I am reduction and I keep everything smoking. I don’t
discharged.” am going to try under control.” think I could do
some of the it.”
suggestions.”

Nephrotic Familial Diabetes Cigarette B

syndrome tendency mellitus smoking
Ineffective Decreased Altered cerebral Impaired gas C
thermoregulatio cardiac output tissue perfusion exchange
n
striae on the acne lesions on bronzed buffalo hump on C
abdomen the face appearance of the shoulders
the skin
Grape-flavored Acetylsalicylic Orange-flavored A topical paste B
diphenhydramin acid (Aspirin) ibuprofen of baking soda
e (Benadryl) tablets to (Pediaprofen) and water to
elixir to reduce reduce fever elixir to relieve itching
itching minimize
discomfort
Urinary 17- Serum Serum calcium Urine osmolarity C
ketosteroids potassium
Temperature Blood pressure Respirations B
less than 37ºC, less than 120/70 greater than
Pulse rate less mm Hg 18cycles/min
than 50
Pulse rate less t
beats/min
Talking to one Suddenly Turning away Touching the B
another within changing the from the client client
the client’s view client’s routine
escalation of her quality of her narrowing of her rapidity of her B
discomfort respirations pulse pressure heart rate
Loss of Complaints of Excessive Constant A
sensation tingling diaphoresis tremors
statistics, populations, statistics, populations, D
samples, parameters, parameters, statistics,
populations samples samples samples
Decreasing CVP Hematocrit C Urinary output Slowing of a B
readings level increasing of 15-20ml/hr previously rapid
from 50-55% pulse
Bathing will not Aseptic Dressing will be Room B
be permitted techniques are changed every temperature
required 3days must be kept at
72oF
Pain Leukopenia Laryngeal Fluid volume D
edema deficit
Improvised Four handed Two person Blanket drug B
stretcher seat carry carry
Cover the Have the victim Flush the burned Immediately C
burned area stay calm until are with large drive the victim
ambulance amount of water to the hospital
arrives until the
ambulance
arrives
Lassa fever Cholera Meningitis Mumps D
Severe pain Maintenance of Alteration in Frequent B
sterility body image dressing
population, changes
whole, items of response group, population, D
explanatory interest, stratum respondents, units, sample
variables, nonresponse
subgroup group
Nominal, ratio, Nominal, ratio, Nominal, ratio, Ordinal, ratio, C
interval, nominal ratio, nominal ratio, ordinal ratio, ordinal
Analysis Criticism Application Comprehension B
Risk for infection Stress Altered sexuality Impaired A
incontinence patterns physical mobility
Genital herpes Undescended Measles Hydrocele B
testicle
Mini-sitting Semi-fowler’s Lithotomy Recumbent B
position
Hierarchy of Self-care model Energy Adaptation D
Need model conservative model
model
Laying Promotion of Rejecting the Placing care A
emphases on healing and disease before cure
the wholeness orientation to
interprofessional health care
relationship
Believes Empathy Awareness if Allow the B
everything that patients’ feelings
patients the
the patient says alone opportunity to
provide comfort
and safety for
themselves
Jean Watson’s Florence Simone Roach’s Madeleine D
nursing theory Nightingale’s nursing theory Leininger’s
nursing theory nursing theory
The patient’s The patient’s The patient’s The patient’s D
weight, height, past medical primary personal health
and vital signs treatments physician values, and
beliefs
Subcutaneous Intravenous Intramuscular Intradermal D
Isotonic Hypotonic Hypertonic Neutra C
Metoclopramide Domperidone Ondansterone All of the above D
By sublingual By inhalation By parenteral By insertion A
route
Name of the Dosage of the route
Date and All of the above D
patient and drug and route signature of the
name of the of adminstration physician
drug
Oral ingestion Inhalation Enteral route Intravenous D
Aspirin has Aspirin can Aspirin increases Aspirin provides C
analgesic, cause gastric platelet symptomatic
antipyretic and ulceration and aggregation and relief in
anti- GI bleeding help in blood rheumatoid
inflammatory coagulation arthritis
actions
Isotonic solution Hypotonic Hypertonic None of the A
Acetyl salicylic solution
Morphine solution
Meperdine above
All of the above C
acid (Asprin) hydrochloride hydrochloride
Respiratory Increased (pethidine)
Mental clouding All of the above D
depression intracranial and vomiting
pressure
Cefuroxime Ceftazidime Cefadroxil Ceftrioxone C
The weights are Pin sites are free Patient uses the Patient’s A
freely hanging from drainage overhead extremities have
on the floor trapeze bar to a capillary refill
move around in of less than 2
the bed seconds

Paralysis Pain Paresthaesia Pulselessness D

Age of the Bone type Underlying bone Arthroscopy D
person pathology
Placing the Keeping Opening the Cleaning the A
client on the portable client’s mouth client’s mouth
back with a suctioning with a padded and teeth with a
small pillow equipment at tongue blade toothbrush
under the head the bedside
Chronic pain Deficient fluid Activity Disturbed body B
volume intolerance image
pancreas adrenal gland thyroid gland pituitary gland B
Red blood cell – Platelets – White blood cell: Hematocrit: 45% B
4.9 million/µl 115,000/µl 7,000 µl
She should Is lucky that the Should schedule Will have A
continue to cancer was a follow-up irregular
perform breast caught in time appointment in menstrual
self-examination one year periods
on the right
breast
Night sweats, Dyspnoea, Nausea, Itching, rashes, B
weight loss and tachycardia and vomiting and jaundice and
pallor pallor pallor pallor
A dependency Home care will There are limits Greater D
on the home cost more than to advances in autonomy and
care nurse will staying in the technology control over self-
develop hospital care are
fostered
Plan visits based Charge for each Custodial care Receive direct A
on client needs service provided for the client payments from
the client
Obesity Smoking Hypertension Age D
plan-do-check- produce-design- plan- produce-deliver- A
act catalogue- development- check-assure
patient assess
return check-align
family's ability written pre- and B
satisfaction demonstration to verbalize post-test
survey instructions
departments are administration is departments employee A
operating prioritizing and managers are satisfaction
independently leading units to openly scores in the
with little achieve discussed 90th percentile
communication organizational patient compared to
between units goals satisfaction other peer
scores organizations