Directions:

Read the background statement before each question.
Then select the one best answer from the choices.
Click on the word answer to see if your answer is correct.
Obtain your score at the bottom of this page.


The client in a psychiatric day-care facility with
obsessive-compulsive disorder eats slowly and
is always the last to finish lunch, which makes it difficult
for the group to start a 1 PM outing.

1. Which of the following approaches would be
the best plan of action for this problem?

A. Change the time of the outing to accomodate
the client.
B. Arrange for the client to start eating earlier
than the others.
C. Plan to go without the client so that he will have ample
time for his lunch.
D. Inform the client that he will have to eat faster so
that the group can leave on time.

ANSWER

A male neonate is delivered by cesarean section owing to
placenta previa. He is classified as preterm and appropriate
for gestational age of 37 weeks.

2. As soon as the neonate is delivered,
the circulating nurse should first...

A. Stimulate the neonate to cough deeply.
B. Aspirate mucus from the mouth with a bulb syringe.
C. Begin resuscitation procedures with bag and mask.
D. Hold the infant upright for the mother to view.

ANSWER

3. The neonate is to be given oxygen through a mask
attached to wall oxygen. While administering the oxygen,
the nurse should position the neonate on the...

A. Left side, with the neck slightly flexed.
B. Back, with the head turned to the left side.
C. Abdomen, with the head down.
D. Back, with the neck slightly extended.

ANSWER

A 55 year-old male client has recently been diagnosed with
non-insulin-dependent diabetes mellitus (NIDDM) and is
being started on the sulfonylurea compound tolbutamide.
He is concerned about the diagnosis and says he knows
nothing about diabetes. The nurse determines
that he needs much teaching and support.

4. The client says he eats lots of pasta products,
such as macaroni and spaghetti. He asks if he can
still eat them. Which of the following
would be the nurse's best response?

A. "Because, you're overweight, it's better to eliminate
pasta from your diet."
B. "Pasta can be a part of your diet. It's included in the
bread and cereal exchange."
C. "Pasta can be included in your diet, but it shouldn't
be served with sauces."
D. "Eating pasta can predispose to various complications,
so it's better to eliminate it."

ANSWER

A 24-year old female client, who is on her honeymoon,
comes to an ambulatory care clinic in moderate distress
with a probable diagnosis of acute cystitis.

5. Which of the following symptons would the
nurse expect the client to report during the assessment?

A. Fever and chills
B. Frequency and burning in urination
C. Suprapubic pain and nausea
D. Dark, concentrated urine

ANSWER

A 2-year old child is brought to the emergency room
with a broken arm.

6. Which of the following findings would lead
the nurse to suspect child abuse?

A. The child has bruises on the forearms.
B. The child's father alters the story of the injury
each time he tells it.
C.
The child's clothes are dirty and torn and obviously
"hand-me- downs."
D. The child's mother did not come to the hospital with the child.

ANSWER