CD-Rom: Practice Examination #1
CD Rom: Practice Exam 1
CD-Rom: Practice Examination 1
1. A new mother asks the nurse how often her
newborn should breastfeed. Which of the
following responses by the nurse would be
best?
A. “As long as the baby feeds four times a day,
he will get enough.”
B. “Newborns may breastfeed continuously
until they stabilize.”
C. “Newborns should breastfed at least every 3
hours during the day.”
D. “Newborns should be fed when they cry.”
2. A nurse teaches a client with asthma how to
use an inhaler with a spacer. Which of these
client statements would indicate that teach-
ing was ineffective?
A. “I should inhale before using the inhaler.”
B. “I should place my lips firmly around the
mouthpiece.”
C. “I should hold my breath 8-10 seconds after
using the inhaler.”
D. “I should wait 1-2 minutes between puffs.”
3. Which of the following orders should a
nurse question for a client with glaucoma
who is scheduled for surgery?
A. Demerol (meperidine) 50 mg IM
B. Atropine sulfate 0.4 mg IM
C. Valium (diazepam) 2 mg IM
D. Phenergan (promethazine) 25 mg IM
4. A 75-year-old male in the emergency depart-
ment appears frightened and withdrawn.
The nurse assesses multiple bruises on his
back, abdomen and legs. The best response
by the nurse would be
A. “Let me get your son to join us.”
B. “Does your family know how you hurt
yourself?”
C. “You don’t have to tell me what happened.”
D. “Let’s go to the conference room and talk.”
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5. A client asks the nurse how she can prepare
for pregnancy. Which of the following com-
ments by the nurse would be most
appropriate?
A. “Avoid raw eggs and cats until conception.”
B. “Receive immunization against
toxoplasmosis.”
C. “Begin an iron supplement of 100 mg daily.”
D. “Supplement your diet with 400 mcg of folic
acid.”
6. Which of the following nursing measures
would be appropriate in the care of a client
who has hepatic encephalopathy?
A. Encourage fluid intake >1500ml/day.
B. Administer opiate analgesics on schedule.
C. Monitor vital signs for hypertension.
D. Observe for changes in behavior.
7. When counseling a client who binge eats, the
most appropriate approach for the nurse to
take is to
A. encourage the client to tape a picture of her-
self on the refrigerator.
B. instruct the client to weigh herself daily.
C. have the client keep a journal of activities
and food intake.
D. teach the client to eliminate foods with high
calories from her diet.
8. A client is taking the atypical antisychotic
medication, olanzapine (Zyprexa). Which of
the following client statements indicates that
the nurse’s teaching about the side effects of
the medication has been successful?
A. “I will stand up slowly when getting out
of bed.”
B. “I will take the medicine on an empty stom-
ach.”
C. “I will decrease my fluid intake.”
D. “I may have one drink of wine before bed.”
 CD Rom: Practice Exam 1

9. The nurse admits a client with asthma who 13. When caring for a client with a femoral
reports taking all of the following medications. venous catheter, it is essential for the nurse to
Which medication would the nurse suspect as A. irrigate the catheter with sterile saline
the possible cause of the asthma attack? solution to maintain patency.
A. Acetylsalicylic acid (aspirin) B. maintain sterile technique when working
B. Milk of magnesia with the catheter.
C. Pepcid (famotidine) C. assess the pressure dressing frequently for
D. Benadryl (diphenhydramine) bleeding.
D. limit the mobility of the affected limb.
10. A 25-year-old client is admitted to the emer-
gency department with a sudden onset of 14. A 70 year old client, diagnosed with type 2
right lower abdominal pain. Which of the diabetes, has been taking Glucophage (met-
following physician orders should the nurse formin) 500 mg tid. Which of the following
question at this time? laboratory results should the nurse report?
A. Apply heating pad to abdomen A. Blood urea nitrogen of 15 mg/dl
B. Obtain X-ray of abdomen B. Serum albumin level of 3.5 g/dl
C. Begin an IV of dextrose 5% in water (D5W) C. Blood glucose level of 40 mg/dl
D. Nothing by mouth D. Serum creatinine level of 0.6 mg/dl

11. In which of the following situations has the
nurse violated the client’s right of privacy?
A. The nurse informed law enforcement officials
about the client’s gunshot wound.
B. The nurse turned off the computer after
documenting the client’s status.
C. The nurse carried unprotected client
information in the elevator.
D. The nurse reported suspected child abuse
to law enforcement officials.
12. A hospitalized client with a history of drug
abuse is found unresponsive with pinpoint
pupils after a visit from a friend. The nurse
would expect the client to be treated with
which of the following medications?
A. Dolophine (methadone)
B. Valium (diazepam)
C. Narcan (naloxone)
D. Romazicon (flumazenil)
15. Which of the following outcomes would
indicate the most effective response by a
school aged child to asthma medication?
A. Ability to participate in active sports for
longer periods
B. Decrease in allergy skin testing measurements
C. Peak expiratory flow rate within normal limits
D. Ability to eliminate breathing exercises on
weekends and school holidays
16. An elderly client displays interest in alterna-
tive therapies, such as acupuncture. Which
of the following interventions by the nurse
would be appropriate?
A. Encourage use of more scientifically proven
therapies.
B. Identify a conventional therapy that can
substitute for the alternative one.
C. Educate the client about the risk and
benefits of the alternative therapy.
D. Explain that alternative therapies are not a
viable option for older clients.

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17. A client exhibits coughing, sneezing, dyspnea 22. The home care nurse recognizes the need to
and wheezing. The nurse administers oxygen provide further teaching to the mother of a
therapy to the client. Which of the following six year old newly diagnosed with diabetes
outcome measures would the nurse expect to when the mother states
see as a result of the oxygen therapy? A. “My six year old can exercise with my twelve
A. Improved respiratory rate and rhythm year old.”
B. Delayed capillary refill B. “The prescribed diabetic diet will be healthy
C. Absence of pain for the whole family.”
D. Improved cardiac function C. “I will participate in a diabetic education
program.”
18. A client with type 2 diabetes complains of D. “My husband’s family has history of diabetes.”
nausea, vomiting, diaphoresis and headache.
Which of the following nursing interven- 23. The best approach for the mental health
tions should the nurse carry out first? nurse to take when a client thinks his food is
A. Withhold the client’s next insulin injection. poisoned is to
B. Test the client’s blood glucose level. A. assure the client that all food served on the
C. Administer Tylenol (acetaminophen) as hospital is safe to eat.
ordered. B. obtain an order for a tube feeding for the
D. Offer fruit juice, gelatin and chicken client.
bouillon. C. provide the client with food in unopened
containers.
19. A woman in labor is receiving an antibiotic. D. tell the client that irrational thinking is detri-
She suddenly complains of trouble breath- mental to good health.
ing, weakness and nausea. The nurse should
recognize that these signs are usually indica- 24. The client tells the nurse that she is worried
tive of impending about whether her newborn son will feel
A. pulmonary egophony. pain during circumcision. The most appro-
B. amniotic fluid embolism. priate response by the nurse is
C. anaphylaxis. A. “Don’t worry, infants don’t have pain
D. bronchospasm. receptors.”
B. “It is normal for you to experience these
20. In the absence of a signed release by the concerns.”
client, the mental health nurse may share C. “We are not really sure if the infant cries
information with because of the cold or pain.”
A. the client’s family. D. “We’ll give the baby a pacifier to comfort
B. the client’s lawyer. him.”
C. other client’s in the therapeutic group.
D. those involved in the treatment plan. 25. Which of the following nursing interven-
tions would be most important for
21. A client is admitted for overnight observation determining fluid balance in a client with
following a blow to the head during a baseball end-stage renal failure?
game. Which of the following assessments A. Monitor urine specific gravity
warrants immediate nursing action? B. Measure fluid intake and output
A. Widening pulse pressure and bradycardia C. Weigh daily
B. Narrowing pulse pressure and tachycardia D. Record frequency of bowel movements
C. Increasing respiration and irregular pulse
rate
D. Narrowing pulse deficit and decreased level
of consciousness

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 CD Rom: Practice Exam 1
26. Which of the following actions would the
nurse take first when caring for a mental
health client from another country?
A. Develop a treatment plan based on
American standards of mental health.
B. Determine the client’s beliefs about
mental health.
C. Encourage the client to participate in a
group with clients from various cultures.
D. Involve the client’s family in discharge
planning.
27. Prior to discharging a fifteen-year-old who is
asthmatic, the nursing should include which
of the following measures in the teaching
plan?
A. Discussing techniques for weight control
while taking steroids
B. Identifying specific environmental triggers
C. Maintaining school performance using a
home tutor
D. Keeping a record of weekly sputum testing
28. The client delivers a term infant with a 5-
minute Apgar score of 9. The client asks the
nurse when she will be able to breastfeed her
baby. The nurse should indicate that breast-
feeding can begin as soon as the
A. 4-hour transition period is over.
B. mother is physically able.
C. mother bathes after delivery.
D. nurse gets an order from the baby’s doctor.
29. An employee at a chemical plant is splashed
in the eye with a chemical. The priority
nursing intervention is to
A. cover the eye with a gauge patch.
B. place antibiotic ointment in the eye.
C. rinse the eye continuously for 15 minutes.
D. read the label on the chemical and call the
emergency center.
30. What nursing action would be most effective
in changing the behavior of a child diag-
nosed with attention deficit hyperactivity
disorder (ADHA)?
A. Reward appropriate behavior
B. Sedate the child for acting out
C. Use aggressive punishment to control unde-
sired behavior
D. Use lengthy time out session
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31. A nurse is at the grocery store and his neigh-
bor says, “I heard about that horrible car
accident. They brought all the people to your
hospital. How are they?” The nurse’s best
response would be
A. “I’m not able to discuss confidential
information.”
B. “Let me check to see if they were admitted.”
C. “The doctor said they will be alright.”
D. “You should call the hospital and ask.”
32. A nurse is making a home health visit and
finds the client experiencing right lower
quadrant abdominal pain, which has
decreased in intensity over the last day. The
client also has a rigid abdomen and a tem-
perature of 103.6ºF. The nurse should
intervene by
A. administering Tylenol (acetaminophen) for
the elevated temperature.
B. advising the client to increase oral fluids.
C. asking the client when she last had a bowel
movement.
D. notifying the physician.
33. An obese woman complains of intense heart-
burn and asks the nurse to explain the
reason for her problem. The nurse’s expla-
nation should be based on which of the
following statements?
A. Cardiac sphincter tone is decreased.
B. Cardiac sphincter tone is increased.
C. Gastric emptying time is increased.
D. Dietary protein is inadequately digested.
34. A client is transferring to a chair for the first
time following a posterior spinal fusion. To
assist the client, the nurse should first
A. secure a mechanical lift to transfer the client
from bed to chair.
B. have the client roll on his side, bend his
knees, and sit up with assistance without
bending his trunk.
C. pull the client to a sitting position using his
arms and turn him to dangle on the side of
the bed.
D. call physical therapy to supervise the trans-
fer of the client.
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35. The most appropriate approach for the staff to 39. Nurses have a legal responsibility to report
take with the client who demonstrate manipu- suspected or actual cases of abuse in which
lative aggressive behavior is to of the following situations?
A. allow the client’s favorite nurse to be her pri- A. Child abuse
mary counselor. B. Employee abuse
B. sedate the client with medication at signs of C. Martial abuse
aggression. D. Spouse abuse
C. set clear limits on the client’s behavior.
D. tell the client that his behavior is disruptive 40. A 21-year-old female presents to the emer-
to other clients. gency department for treatment of bronchitis.
During her discharge from the hospital, she
36. An insulin dependent diabetic client is says, “I don’t have any food for my baby”. The
preparing a mixed dose of insulin. The nurse’s best response would be
nurse is satisfied with the client’s perform- A. “How old is your baby?”
ance when he B. “I’m sorry but there’s really nothing the
A. Injects air into the bottle of short acting hospital can do about that.”
insulin first. C. “Let’s discuss some alternatives for you.”
B. injects air into the bottle of delayed D. “You should talk with your family about
acting insulin first. getting some assistance.”
C. fills both syringes with the prescribed insulin
dosage. 41. A client recently diagnosed with lung cancer
D. withdraws the delayed action insulin before says to the nurse, “I’m still going to smoke”.
withdrawing the short acting insulin. The nurse’s best response to this client
would be
37. A 65-year-old male is admitted to your unit. A. “I can’t believe you would still want to smoke.”
He says, “My wife and I have not been apart B. “When did you start smoking?”
for 45 years”. Your best response would be C. “Let’s talk more about this.”
A. “It must be difficult for you to be separated D. “I’m sure your family will be upset.”
from her.”
B. “Your wife will be able to visit you every day.” 42. The nursing supervisor observes a nursing
C. “You’ll be fine once you get adjusted to the assistant hit a client. The supervisor’s best
hospital routine.” response to the assistant would be
D. “Your time in the hospital will pass very A. “You should not ever do that.”
quickly.” B. “We need to discuss this.”
C. “I have to tell the boss.”
38. The nurse is providing care for a client with D. “I can’t believe your did that.”
expressive and receptive aphasia. Which of
the following measures represents the most 43. When maintaining accurate records in situa-
appropriate means of communication when tions of suspected abuse, the nurse should
providing care to this client? document
A. Stand directly in front of the client while A. an interpretation of the client’s statements
speaking. regarding the abuse.
B. Clearly print all necessary information for the B. a body map to indicate size, color, areas and
client to read. types of injuries.
C. Communicate all essential information exclu- C. a description of the suspected abuser.
sively with the client’s wife. D. generalized statements about the events
D. Use non-verbal communication when pro- leading up to the abuse.
viding client care.

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44. The spouse of a hearing impaired client 48. A 72-year-old female is getting ready to be
requests that the nurse allow her husband to discharged from the hospital. She tells the
have his compact disc player on because he nurse that it is difficult for her to chew food.
enjoys classical music. The nurse should The nurse’s best response would be
comply with the spouse’s request because A. “Let me help you cut the food into
A. the wife is denying the fact that her small bites.”
husband cannot hear. B. “Don’t you like the food?”
B. the vibrations of the music be felt by the C. “I’ll order you a soft diet.”
husband. D. “Let me look at your mouth and gums.”
C. it is important to fulfill all family requests.
D. it is the client’s wishes that are important. 49. The supervisor observes a new graduate
nurse suctioning a client. Which of the fol-
45. A 35-year-old female admitted to the hospital lowing techniques requires an intervention?
is 5’6” and weighs 210 pounds. During the A. Suction is applied when the catheter is
client’s discharge planning a priority nurs- withdrawn.
ing intervention would be to B. Suction is applied when the catheter is
A. help the client identify ways to decease daily inserted.
caloric intake. C. Suction is applied for 10 seconds.
B. Inform the client of the chronic diseases D. Suction is applied while rotating the catheter
related to obesity. 360 degrees.
C. refer the client to a psychologist.
D. discuss the client’s weight problem with the 50. At a community health class on cancer risk
family. reduction, the nurse should instruct the group
that men at risk for testicular cancer are those
46. Which of the following statements best in which of the following age ranges?
reflects client readiness for smoking A. 12-14 years
cessation? B. 15-35 years
A. “My doctor told me last year that I should C. 36-50 years
quit.” D. Over 50 years of age
B. I have been trying to quit for 2 years.
C. “My mother died of lung cancer.” 51. The nurse should anticipate that a client
D. “I have been exercising and trying to cut brought to the emergency room with
back.” methadone intoxication will be given which
of the following medications?
47. Magnesium sulfate is administered intra- A. Proventil (albuterol)
venously to treat a client’s pregnancy B. Valium (diazepam)
induced hypertension. The nurse should C. Narcan (naloxone)
monitor the client for which of the follow- D. Demerol (meperidine)
ing adverse effects?
A. Hyperreflexia
B. Hyperventilation
C. Decreased platelets
D. Decreased respiratory rate

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52. Which of the following statements, if made by
a client who has chronic paranoid schizo-
phrenia, would indicate a correct
understanding of the discharge instructions
for antipsychotic medications?
A. “I will take this medication daily.”
B. “I will take the medication when I start to
feel anxious.”
C. “I will need to take this medication for at
least six months.”
D. “I won’t need as much medication after I
leave the hospital.”
53. An amniotomy is conducted on a client in
labor. The nurse should monitor the client
for which of the following adverse effects?
A. Fetal heart rate deceleration
B. Fetal heart rate acceleration
C. Leaking of copious amount of clear fluid
D. Little or no amniotic fluid
54. Which of the following recommendations
should the nurse make to a pregnant adoles-
cent who has an aversion to milk?
A. “It’s important to drink milk during pregnancy
even though you don’t like it.”
B. “Milk products are not necessary as long as
you take a daily 1200 mg calcium
supplement.”
C. “Adequate protein intake can be achieved
by eating 2 eggs everyday.”
D. “Adequate calcium intake can be achieved
by eating a cup of spinach everyday.”
55. The nurse is about to remove sutures on an
Arabic male recovering from a colon resec-
tion. The client’s son, daughter and wife are
with him. The nurse should realize that in
the client’s culture
A. family members participate in the client’s
care.
B. only a male family member may remain in
the room during treatment procedures.
C. a male nurse is the only acceptable care
provider.
D. all family members have to approve any
procedures.
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CD Rom: Practice Exam 1
56. A 2-day postoperative client suddenly
becomes diaphoretic, dusky and short of
breath. The nurse’s immediate response
should be to
A. transfer the client to the cardiac intensive
care unit.
B. begin cardiopulmonary resuscitation.
C. administer oxygen.
D. lower the head of the bed.
57. A client who has a fractured hip is admitted
to the hospital. The client’s hygiene is poor
and her clothing is soiled. The nursing assis-
tant says, “Isn’t this disgusting? I can’t
believe anyone would take such poor care of
herself.” The nurse’s most appropriate
response would be
A. “Let’s get her cleaned up.”
B. “You sound upset.”
C. “I totally agree. This is awful.”
D. “Not everyone is as fortunate as we are.”
58. A one-week-old breastfed infant is voiding 3
times a day. The mother asks the nurse if
this is normal. The best response by the
nurse is
A. “If the baby looks healthy, there should be
no problem.”
B. “It is expected that the newborn will have at
least 6 wet diapers a day.”
C. “Maybe your milk supply is low.”
D. “Wet diapers normally vary greatly among
newborns. There is no set number of voids
considered normal.”
59. During an initial home visit post-hospitaliza-
tion, the nurse note that the client has a
history of recent stroke with residual left
sided hemiparesis, slight aphasia, diminished
gag reflex and emotional liability. The client
outcome of highest priority is ability to
A. communicate effectively.
B. perform activities of daily living (ADLs) with
assistance.
C. ambulate with assistance.
D. swallow liquids and solids without
aspiration.
 CD Rom: Practice Exam 1
60. Which of the following statements made by a
client during a teaching session about osteo-
porosis management indicates the need for
further instruction?
A. “I drink about 6 cups of tea a day, so I need
to reduce my caffeine intake.”
B. “I need to eat more seafood and dried
beans.”
C. “I will have to limit the amount of walking
that I do.”
D. I will talk to my doctor about the pros and
cons of hormone replacement therapy.
61. The nurse is assigned to a client with a diag-
nosis of terminal cancer and an order for
comfort measures only. Which of the follow-
ing nursing interventions would have the
highest priority for this client?
A. Performing a body systems assessment
B. Measuring oxygen saturation level
C. Assessing pain status
D. Repositioning for comfort
62. A client has been taking Zoloft (sertraline)
for three months. Which of the following
client statements indicates a need for further
education?
A. I am taking my medication every week.
B. I take my medication with breakfast.
C. I am eating more cheese and fresh fruit in
my diet.
D. I enjoyed drinking several beers with my
friends last night.
63. The home health nurse assists a client with
acquired immune deficiency syndrome
(AIDS) to assess for pseudomembranous can-
didiasis by observing for
A. white plaques on oral surfaces.
B. cracking and erythema of the nares.
C. red, painful lesions in the outer ear canal.
D. conjunctivitis of either or both eyes.
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64. To facilitate swallowing by a dysphagic
client, the nurse should use which of the fol-
lowing techniques at mealtime?
A. Have the client eat in a brightly lit,
stimulating dining room.
B. Offer the client only room temperature foods
C. Encourage the client to alternate thickened
liquids and solids in small amounts.
D. Encourage the client to hyperextend his
neck when swallowing.
65. A client is admitted to the emergency depart-
ment following an automobile accident. The
client has four fractured ribs and a right-
sided pneumothorax. Which of the following
respiratory assessment findings would the
nurse expect to find?
A. Crackles on the right chest and a respiratory
rate of 8 breaths/minute.
B. Diminished breath sounds on the right and
pain on inspiration.
C. Bilateral rhonchi and pink frothy sputum.
D. Dry cough and wheezing on the right side of
the chest.
66. The clinic nurse should monitor which of
the following tests to evaluate the over-all
therapeutic compliance of a diabetic client
with a normal serum hemoglobin?
A. Fasting serum glucose
B. Glycosylated hemoglobin
C. Urine glucose and ketone levels
D. Routine serum chemistry profile
67. A registered nurse and an unlicensed assis-
tive personal (UAP) are assigned to a medical
surgical unit. Which of the following tasks
may be delegated by the nurse to the UAP?
A. Administering a stool softener to the client
B. Adjusting the rate of the intravenous solution
of dextrose and water
C. Assisting a blind client with his meal
D. Obtaining initial vital signs on a client return-
ing from the recovery room
 CD Rom: Practice Exam 1

68. Which of the following physical assessment 73. The nurse is teaching a hypertensive client
findings should indicate to the nurse that a about management of the disease. Which of
client who received a renal transplant one these client statements indicates the greatest
month ago is experiencing acute organ need for further instruction?
rejection? A. “I can continue swimming 3 times a week.”
A. Distended abdomen B. “I drink alcohol only on weekends.”
B. Pink, sensitive incisional line C. “I will visit an eye doctor yearly.”
C. Lower extremity edema D. “Relaxation for me is going to the movies.”
D. Tenderness in lower abdomen
74. The most appropriate action for the nurse
69. Which of the following breathing patterns from geriatric care unit to take when asked
would indicate to the nurse that a client with to report for a shift in the surgical intensive
chronic asthma has improved respiratory care unit would be to
status? A. refuse the assignment immediately.
A. A rate of exhalation twice that of inhalation B. notify the state board of nurse examiners.
B. A rate of inhalation twice that of exhalation C. accept responsibility only for tasks for which
C. Slow, shallow inhalation the nurse is qualified.
D. Slow, shallow exhalation D. say nothing and comply with the request.

70. When administering methylprednisolone 75. The nurse should instruct a client preparing
(Solu-Medrol) to a client with IDDM (insulin for eye surgery that which of these activities
dependent diabetes mellitus) the nurse would will be restricted post-operatively?
expect the client’s insulin requirement to A. Bending with the knees flexed
A. increase. B. Bending from the waist
B. decrease. C. Keeping the head in a neutral position
C. remain stable. D. Lying flat
D. fluctuate widely.
76. The nurse is caring for a gravely ill young
71. A client with a thought disorder approaches woman in the intensive care unit who has
the nurse and states, “I’m an Easter egg”. The requested that the “pyramid” brought in by
nurse’s best response would be her family be placed under her bed. The best
A. “No, you’re not an Easter egg.” action by the nurse would be to
B. “Tell me what you’re thinking when you A. comply with the client’s wishes.
say that.” B. ask the family to take it home because it will
C. “O.K., but you still need to attend groups.” be in the way.
D. “How long have you been feeling that way?” C. put it on the window ledge because of the
equipment needed in the room.
72. Which of the following statements would be D. hang it from an intravenous pole to keep it
most appropriate for the nurse to make away from medical equipment.
when teaching a client with human papillo-
ma virus (HPV)? 77. A new mother is worried that her baby will
A. “You may need to be treated again.” have trouble breathing while breastfeeding.
B. “You may resume your normal level of activity.” The nurse should instruct the mother that the
C. “You should have a pap smear.” safest way to breastfeed is to
D. “You need to continue your medication until A. depress the breast tissue around the baby’s
symptoms subside.” nose.
B. pull the nipple out of the baby’s mouth and
let him breathe periodically.
C. raise the baby’s hips slightly to change the
angle of the head for breathing.
D. make sure only the baby’s cheeks touch the
breast, not the nose and chin.

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 CD Rom: Practice Exam 1
78. A client who was in a motor accident one
month ago has been having flashbacks of
the event. The nurse’s priority intervention
during a flashback would be to
A. engage the client in alternate activities.
B. initiate behavioral modification techniques.
C. stay with the client.
D. teach progressive relaxation exercises.
79. A new mother is breastfeeding her infant
who is making loud clicking noises at the
breast. The best intervention by the nurse
would be to
A. gently pull the baby off the breast and
reposition.
B. listen for audible swallowing.
C. observe to make sure the entire areola is in
the baby’s mouth.
D. not intervene with the breastfeeding
process.
80. Four clients are admitted to the hospital fol-
lowing a car accident. Which of the following
clients should the nurse assess first?
A. A 27 year old complaining of a headache.
B. An 18 year old with a compound fracture of
the right arm.
C. A 25 year old with blood on both pant legs.
D. A 20 year old with epistaxis.
81. A client who just returned to his room after a
transurethral prostatectomy (TURP) has con-
tinuous three-way bladder irrigation. The
nurse notes that the drainage is dark red
without clots. Which of the following actions
should the nurse take?
A. Increase the rate of irrigation.
B. Notify the physician.
C. Continue to monitor the drainage.
D. Irrigate the catheter manually.
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85. Which of these discharge instructions should
the nurse give to a client taking atorvastatin
(Lipitor)?
A. “Wear sunglasses and use sunscreen when
you are outdoors.
B. “You must take the medication with a meal.
C. “You may experience some minor muscle
cramps.
D. “Taking fat-soluble vitamins will promote
absorption of the drug.
86. The nurse caring for a client with an obses-
sive compulsive disorder should encourage
the client to
A. abruptly stop the ritualistic behavior.
B. decrease the amount of time spent with fam-
ily members who exacerbate the behavior.
C. increase the amount of time spent
practicing the ritualistic behavior.
D. use thought- stopping behavior that allows
that client to yell “ stop” when the behavior
comes to mind.
87. Which of the following interventions should
be added to the nursing care plan for a client
who has difficulty swallowing after a stroke?
A. Avoid salty foods
B. Thicken liquids before feeding
C. Elevate head of bed 360 degrees
D. Place food in center of mouth
88. A nurse making a home visit to a client with
a central line discovers a possible occlusion.
Which of the following actions would the
nurse implement initially before notifying
the physician?
A. Infuse a thrombolytic agent
B. Change the client’s position
C. Have an X-ray taken
D. Flush the line with sterile water
89. Which information is most important for the
nurse to include in a teaching plan for a
client with a laryngectomy?
A. Contact a self-help group after discharge
B. Protect the airway from dust
C. Purchase special steroid cream for the
stoma
D. Maintain an upright position while eating and
drinking
 CD Rom: Practice Exam 1

90. A client’s infant is scheduled to have a cir- 95. Which of the following nursing actions
cumcision. He is crying inconsolably and the should be included in the care plan for a
mother appears distraught. The nurse client with acute hypercalcemia?
should explain to the mother that the infant A. Monitor vital signs every hour
A. is probably hungry since he hasn’t eaten for B. Administer pain medication every 4 hours
a few hours. C. Encourage fluid intake to >2000ml/day
B. is probably frightened because babies sense D. Assess for numbness and tingling of
danger. extremities
C. wants attention like most babies.
D. probably needs to be swaddled more tightly. 96. The physician orders interferon alfa-2b for a
client with hepatitis C. The nurse should
91. Which of these laboratory findings would assess the client for which of these side
indicate that simvastatin (Zocor) is having effects of the medication?
the desired effect? A. Constipation
A. Lowered high density lipoproteins (HDL) B. Bradycardia
B. Decreased triglycerides C. Insomnia
C. Elevated alanine aminotransferase (ALT) D. Fatigue
D. Increased aspartate aminotransferase (AST)
97. Which of the following would be a nursing
92. The nurse suspects a client has been smok- priority for discharge planning of the aging
ing crack cocaine when she observes which client?
of the following assessment findings? A. Educating the client and family to remove
A. Euphoria and dilation of the pupil throw rugs from the client’s apartment
B. Red eyes and increased appetite B. Speaking loudly to be certain that the client
C. Drowsiness and constricted pupils can hear you
D. Depressed appetite and hallucinations C. Encouraging the client to switch to a soft
diet with fruit
93. A psychotic client is pacing, kicking the wall D. Recommending a low cholesterol diet to
and talking loudly to himself. The best nurs- decrease risk of heart disease.
ing response to this behavior would be to
A. place the client in restraints immediately. 98. The best position for the client who is admit-
B. approach the client and tell him that his ted with risk of increased intracranial
behavior is inappropriate and needs to stop. pressure from a concussion would be
C. offer the client a choice of talking about A. Trendelenburg.
what’s upsetting him or spending some B. Semi-fowler's.
quiet time in his room. C. Sim’s lateral.
D. tell the client that if he doesn’t stop kicking D. Supine.
the wall, you will put him in restraints.
99. A client sustains a life-threatening head
94. During the nursing history, a client states, “I injury in a motor vehicle accident and is
have anemia”. The nursing care plan should admitted to the hospital. The client’s wife
include measures to approaches the nurse and asks, “Is he going
A. promote hydration. to die?” The nurses best response would be
B. prevent infection. A. We won’t let that happen. I know how much
C. alleviate fatigue. he means to you.”
D. protect skin integrity. B. I will get the physician to talk to you as soon
as possible.”
C. He is very ill, and we’re doing the best we
can for him.
D. His condition is very serious and I will
arrange for you to see him.

11
 CD Rom: Practice Exam 1

100. Which of the following post-procedure
instructions should be included in the teach-
ing plan for a client undergoing an
arteriogram of the lower extremities?
A. Nothing by mouth for at least 2 hours after
the procedure
B. Increased fluid intake for the first 4 hours
after the procedure
C. Conduct full range of motion exercises of
the affected limb
D. Remove pressure dressing after 1 hour
105. A post partum mother who is a Jehovah’s
Witness refuses a blood transfusion. After
explaining the rationale for the transfusion,
the nurse should
A. have the client sign a release from liability
document.
B. persuade the client to accept the blood
transfusion.
C. administer the blood transfusion as ordered.
D. tell the client that the physician must decide
the treatment options.

101. Which of these assessment findings in a client 106. Which of the following statements by a
on long-term corticosteroid therapy would client who has had a cataract removed
indicate a complication of this regimen? would indicate a correct understanding of
A. Reduction in height the nurse’s after-care instructions?
B. Plantar flexion A. “I have to cancel my hairdresser
C. Hypertension appointment.”
D. Joint tophi or crystal deposits B. “My daughter will be coming over to
vacuum for a while.”
102. Which of these observations would be most C. I will not have to cancel my golf game.
important when caring for a client who has D. I will be able to cook something for tonight.
been using cocaine?
A. Elevated blood pressure 107. Which of the following medical orders for a
B. Anorexia client admitted with a diagnosis of pancreati-
C. Hallucinations tis would the nurse question?
D. Irritability A. Complete blood count (CBC) now and in
the AM
103. A client who has recently been prescribed B. Morphine 1 mg IM q 4 hours prn pain
chlorpromazine (Thorazine) complains of C. Prepare for insertion of central venous line
blurred vision and sensitivity to light. D. Maintain NPO status
Nursing interventions should include
A. instructing the client to wear sunglasses. 108. A client who is postpartum and breastfeed-
B. stopping the medication and notifying the ing asks the nurse if lactation can be
physician. considered a contraception method. The
C. scheduling an eye exam for the client. nurse should indicate that contraception is
D. documenting the client’s somatic an outcome in which of the following cir-
complaints. cumstances?
A. Fulltime or nearly fulltime breastfeeding
104. When the nurse teaches an elderly client B. Regular menstrual periods
about antihypertensive medications, it is C. Intercourse occurs less frequently than one
important to include measures to prevent time per week
A. fluid retention. D. Infant uses a pacifier
B. orthostatic hypotension.
C. weight gain.
D. constipation.

12

109. A newly delivered 28-week infant will be
transported to a regional care center for criti-
cal care. Which of the following is considered
essential before the infant is transported?
A. The nurse should explain all equipment to
the mother.
B. The mother should be allowed to see and
touch her baby.
C. The mother should breast feed the infant.
D. The clergy visitation should be completed.
110. The emergency department nurse has
triaged 4 clients. Which client should be
given priority treatment?
A. The 18-year-old with an impaled knife in the
abdomen.
B. The 40-year-old with sinus tachycardia and
complaining of nausea, vomiting and
diarrhea times 3 days.
C. The 39-year-old with an obvious fracture of
the right femur who is complaining of severe
pain.
D. The 22-year-old stung by a wasp and
exhibiting stridor.
111. A client brought to the emergency depart-
ment appears very anxious and tearful. The
nurse’s best response would be
A. “I’m sure you have been in the hospital
before.”
B. “There is really nothing to worry about.”
C. “I know this is frightening for you.”
D. “The hospital really isn’t so bad.”
112. A client with bipolar disorder who is on
lithium is ataxic and tremulous and vomited
2 hours ago. The nurse’s first priority would
be to
A. hold the next dose of lithium carbonate.
B. take the client’s blood pressure in the supine
position.
C. request a neurological consult.
D. assess for delirium tremens.
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CD Rom: Practice Exam 1
113. When teaching a community group about the
risks of developing breast cancer, the nurse
should identify which of the following condi-
tions as putting individuals at greatest risk?
A. Cigarette smoke
B. Late menarche
C. Familial history
D. High caffeine intake
114. Which of the following findings would the
nurse expect to see in a client diagnosed
with metabolic acidosis?
A. Hypercalcemia
B. Hypernatremia
C. Hyperkalemia
D Hypermagnesemia
115. A client in the emergency department who has
been vomiting asks, “May I have some warm
tea and toast to settle my stomach. I think it is
better now” The laboratory results are normal.
The nurse’s best response would be
A. “It is not good for you to eat or drink now.”
B. “Let me check to see.”
C. “You don’t seem well enough yet.”
D. “That would not be a problem.”
116. A client admitted to the emergency depart-
ment following a motor vehicle accident is
alert and oriented and frequently requesting
water. His blood pressure is 92/58, heart rate
thready at 126 beats/minute, and his respira-
tions shallow at 28/min. Skin pallor is noted.
Which of the following interventions should
the nurse perform first?
A. Insert an indwelling catheter to record hourly
urinary output
B. Provide sedation to relieve apprehension
C. Administer oxygen at 6 liters by mask
D. Administer whole unmatched blood
117. A client is eating food from other clients’
trays. The nurse’s best response is
A. “Why are you eating food from those trays?”
B. “You must leave the others alone.”
C. “You really shouldn’t be doing that.”
D. “Come with me and I will find you
something to eat.”
 CD Rom: Practice Exam 1
118. A client is attempting a trial of labor after a
previous cesarean section. After 6 hours of
normal labor, there is a sudden change in
the contraction pattern, fetal bradycardia
and a marked change in abdominal contour.
The nurse should suspect which of the fol-
lowing conditions?
A. Abruptio placenta
B. Complete cervical dilation
C. Uterine rupture
D. Fetal demise
119. An elderly client previously awake, alert,
and oriented tells you, “The president told
me I should go and see about this leg’’. The
most important nursing intervention at the
time is to
A. do nothing as this is a normal alteration in
the hospitalized elderly.
B. obtain an order for a CAT (computerized
axial tomography) scan of the brain.
C. re-orient the client to reality.
D. assess the client’s neurological status.
120. A pregnant client received butorphanol
(Stadol) during labor and subsequently deliv-
ered an apneic infant. Positive pressure
ventilation with 100% oxygen has been inef-
fective. Which of the following measures
should the nurse anticipate the infant receiv-
ing next?
A. Administering naloxone hydrochloride
(Narcan)
B. Giving dopamine (Intropin) by continuous
infusion
C. Positioning the infant onto the abdomen
D. Providing packed red blood cells.
121. A newly admitted client with the suspected
diagnosis of pulmonary tuberculosis (TB) is
scheduled for a chest x-ray. Which of the fol-
lowing nursing actions should be taken?
A. Clarify the order with the physician
B. Request that a portable x-ray be done in the
client’s room
C. Instruct transport personnel to wear masks
D. Instruct the client to wear a mask
14
122. A client is receiving warfarin (Coumadin).
Which of the following client statements
indicates that the nurse’s medication instruc-
tions were effective?
A. “I will double up for missed dosages.”
B. “I will use a soft bristled toothbrush.”
C. “I will eat more green leafy vegetables.”
D. “I can take over the counter drugs for cold
symptoms.”
123. Which of the following nursing measures
would be most effective when communicating
with a client who is mechanically ventilated
by way of an oral endotracheal tube?
A. Write questions you wish to ask the client on
a note pad
B. Ask open-ended questions so that client
needs can be fully understood
C. Use an alphabet board to allow the client to
spell out needs
D. Allow the client to mouth words to decrease
frustration
124. A client complains of left sided chest pain
during a dressing change. Which of the fol-
lowing actions should the nurse implement
immediately?
A. Stop the procedure and administer oxygen
B. Complete the dressing change and
elevate the head of the bed
C. Stop the procedure and administer pain
medication
D. Complete the dressing change and notify
the physician
125. Which of the following laboratory values
would indicate to the nurse a serious compli-
cation for the client who has had a radiology
procedure using contrast dye?
A. Hemoglobin 12-18 gm/dl
B. Sodium 137meg/dl
C. Creatinine 1.0 mg/dl
D. Blood urea nitrogen 30 mg/dl

126. A client is court ordered to take psychiatric
medications. Medication administration pro-
cedures for this client should include
A. giving the client 8 oz of juice to take with the
medication
B. leaving the medication in the client’s room
for self-administration
C. crushing the medication prior to
administration
D. checking inside the client’s mouth after
administration
127. A client with a chest tube connected to wall
suction is being repositioned when electrical
power is suddenly interrupted. Which of the
following actions should the nurse carry
out first?
A. Clamp the chest tube close to the chest wall
B. Reassure the client and wait for the power
to return
C. Milk the chest tube to prevent clot formation
D. Reposition the client on the chest tube site
and apply pressure
128. A newborn died from an intraventricular
hemorrhage. Which of the following
responses would be most appropriate for
the nurse to make to the mother?
A. “Well at least your baby is with God now
and is not suffering from brain damage.”
B. “Would you like for me to be with you while
your hold your baby?”
C. “I know that it does not seem possible right
now, but you can get pregnant again.”
D. “Just try to think about how wonderful your
pregnancy was.”
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CD Rom: Practice Exam 1
129. After signing the surgery permit a client
states, “If I have to be completely put to
sleep, I don’t want surgery”. Which of the
following responses by the nurse is most
appropriate?
A. “You agreed to this when you talked to the
doctor.”
B. “Let me call your family and you can talk
about this together.”
C. “The anesthesiologist is on the area. I will
request that he talk to you.”
D. “I will page your doctor and he will talk with
you some more.”
130. When caring for a client who has sustained a
closed head injury, which of the following
vital sign changes should the nurse report
immediately?
A. Temperature change from 36.5° to 37° C
B. Heart rate change from 82/min to 88/min
C. Respiratory rate change from 12/min to
16/min
D. Blood pressure change from 110/70 to
130/60.
131. A client expresses to the nurse that he does
not understand why the surgery the physi-
cian is proposing is necessary. The most
appropriate nursing measure at this time
would be to
A. explain the procedure to the client.
B. describe to the client the benefits of the
surgery.
C. ask the physician to re-discuss the
surgery with the client.
D. ask the family to explain the surgery and its
benefits to the client.
132. A pregnant client infected with the human
immunodeficiency virus (HIV) asks the nurse
if anything can reduce the risk of transmission
to her baby. The nurse should recommend
which of the following interventions?
A. Douching every day during the last month of
pregnancy
B. Receiving the HIV vaccination
C. Taking zidovudine (ZVD) during pregnancy
D. Separating the mother and child for
1 month postpartum
 CD Rom: Practice Exam 1

133. A client experiencing an acute asthmatic 138. The nurse counsels a client who has been
attack has received 3 albuterol aerosol treat- prescribed a loop diuretic to supplement her
ments. Which of the following outcomes diet with foods high in
should the nurse expect? A. sodium
A. Increased forced expiratory volume (FEV) B. potassium
B. Decreased forced expiratory (FEV) C. calcium
C. Increased inspiratory capacity (IC) D. magnesium
D. Decreased inspiratory capacity (IC)
139. An appropriate postpartal resource for
134. During an appointment at the health clinic a breastfeeding mothers is the
client is diagnosed with gonorrhea. A. birthing center.
Appropriate nursing education should focus B. community prenatal class.
on which of the following areas? C. Lamaze class.
A. Partner notification D. La Leche league.
B. Douching techniques
C. Use of vaginal suppositories 140. A client presents to the emergency depart-
D. Need for immediate hospitalization ment with complaints of substernal chest
pain. Which standing order should the triage
135. The nurse is monitoring a client with the nurse initiate first?
diagnosis of meningitis. Which of the follow- A. Administer oxygen at 4 liters per minute
ing observations should the nurse report B. Administer nitroglycerin 1/150 grains
immediately? sublingually
A. Nuchal rigidity C. Start an intravenous line with D5W to keep
B. Seizure activity the vein open
C. Fever D. Administer morphine 2 mg as an
D. Headache intravenous bolus

136. To which of the following assessment data
should the nurse give highest priority for a
client admitted to the emergency room in a
hepatic coma?
A. Neurological status
B. Airway adequacy
C. Ammonia levels
D. Gastrointestinal bleeding
137. The nurse is teaching a wellness promotion
course to male college students. The nurse
should indicate the importance of doing testic-
ular self-examination at which time?
A. Monthly after a warm bath or shower
B. Whenever they experience pain in or
itching of the scrotum
C. Every other month until the age of 40, than
monthly
D. Weekly at the same time of day
141. Following a laparoscopic cholecystectomy
the nurse find the client crying and moan-
ing. The most appropriate nursing
intervention at this time would be to
A. go to the nurse’s station and obtain the
client’s pain medication.
B. evaluate the client’s abdomen and incision
sites for indications of complications.
C. assess the client’s pain using a pain scale.
D. ask the client if she would like to have her
pain medication.
142. The nurse should be aware that a client is
susceptible to spontaneous bleeding if taking
which of the following herbs with an
anticoagulant?
A. Black cohosh
B. Gingko biloba
C. Chamomile tea
D. Valerian root

16
 CD Rom: Practice Exam 1

143. Which of the following laboratory results 147. The nurse instructs a client with osteoporo-
would the nurse expect to observe in a client sis about exercises that will improve her
with metabolic alkalosis? condition. Which of the following client
A. Ph 7.48; pCO2 43; HCO3 33 statements indicates a need for further
B. Ph 7.31; CO2 44; HCO3 20 instructions?
C. Ph 7.16; CO2 57; HCO3 25 A. “I will start walking a little more each day.”
D. Ph 7.18; CO2 41; HCO3 14 B. “I will use my stationary bike at least three
times day.”
144. A client who has been deaf since early child- C. “I will walk up and down the steps instead of
hood is admitted for same day surgery. taking the elevator.”
Which of the following actions would be the D. “I will enroll in a deep water exercise class.”
most appropriate for the nurse conducting
the discharge planning? 148. A xylocaine (Lidocaine) IV drip of 2.0 mg per
A. Ask for an interpreter who can sign minute is ordered for the client with fre-
during the teaching sessions quent premature ventricular contractions.
B. Give the client reference material to read on The nurse has available an IV of 20mg of
her own Lidocaine in 500 ml of D5W. How many
C. Ask the unit manager to conduct the teach- ml/hr should the nurse administer?
ing session A. 60
D. Call a colleague who signs and ask her how B. 45
to proceed C. 30
D. 15
145. As the charge nurse is making staff assign-
ments, a nurse colleague says, “I knew it. I’ve 149. The physician prescribes fluoxetine
had the same assignment for the last 2 days.” (Prozac). Before starting this medication, it
The charge nurse’s most appropriate is most important for the nurse to ask the
response would be client if he takes which of the following
A. “I can’t believe you are reacting this way.” herbs?
B. “I can’t do anything about this now.” A. St. John’s wort
C. “I’m sorry you feel that way.” B. Valerian root
D. “Let’s see how we can adjust your C. Black cohosh
assignment.” D. Chamomile tea

146. A physician ordered naloxone (Narcan) 4 150. A client has been admitted to the hospital
mg IV stat for an infant who weighs 4 kg. with acute pancreatitis. The nurse should
Which of the following measures is appro- anticipate that the physician will order
priate for the nurse to take at this time? which of the following analgesics?
A. Give the drug as ordered A. Meperidene hydrochloride (Demerol)
B. Hold the drug until the infant’s B. Morphine sulfate (MS Contin)
respirations have stabilized C. Hydrocodone (Vicodin)
C. Question the physician about the order D. Hydromorphone (Dilaudid)
D. Recheck the infant’s weight

17
 CD Rom: Practice Exam 1
151. A primipara asks the nurse how long it will
take for her to really feel as if she is a moth-
er. How should the nurse best respond?
A. “Not until you have had your second baby.”
B. “It does vary but it would be normal if it took
almost a year.”
C. “It will take a couple of years for it to all
come together.”
D. “It will happen when you have mastered
feeding, bathing, and diapering.”
152. A client tells the nurse, “I don’t know why
the doctor prescribed this medication. I can’t
possibly pay for this”. The nurse’s most
appropriate response would be?
A. “I am so sorry. There really isn’t much I
can do.”
B. “Here, let me give you some free samples.”
C. “Let me contact social services. Maybe they
can help.”
D. “Let’s call your family so you can borrow the
money from them.”
153. The nurse caring for a terminally ill client
should be aware that a do not resuscitate
(DNR) order is unacceptable if the order
A. has been written in the record.
B. is periodically updated.
C. was given verbally over the phone.
D. included family participation in the decision.
154. Which nursing measure will have the great-
est priority in planning care for a client with
acute hepatitis C?
A. Decreasing fluid intake
B. Providing a low carbohydrate diet
C. Providing rest periods
D. Promoting social interaction
155. A client has a peripherally inserted central
venous catheter (PICC) for long-term antibi-
otic therapy. Prior to initial use the nurse
must first
A. assess for blood return in all ports.
B. ensure patency by flushing.
C. verify PICC placement with chest x-ray.
D. obtain a complete blood count (CBC).
18
156. Which of the following clients presenting to
the emergency department simultaneously
should be triaged as needing immediate
attention?
A. A 22 year old in labor who has contractions 6
minutes apart
B. A 36 year old complaining of chest discomfort
and ecchymosis over the sternum following a
motor vehicle accident
C. A 50 year old wearing tin foil wrap and com-
manding people to travel to “una” as the
universe has dictated
D. A 44 year old who is 3 days post cholecys-
tectomy presenting with a temperature of
103°F and purulent drainage from the incision
157. A new mother asks the postpartum nurse
how she will know when she should breast-
feed her newborn. The best response by the
nurse would be
A. “Mothers should rely on their instincts,
which are usually correct.”
B. “Babies should be fed when it is most con-
venient for mother and infant.”
C. “The newborn requires feeding when he gets
irritable and makes kicking movements.”
D. “Early feeding clues are infant hand to
mouth movements.”
158. A client has been prescribed furosemide
(Lasix) daily. A nursing priority for client
education is
A. informing the client that he may experience
some dizziness while on the medication.
B. telling the client to stop the medication
immediately if he feels joint discomfort.
C. instructing the client on the importance of
taking the medication every day, even if he
does not feel well.
D. teaching the client to take the medication at
bedtime.
 CD Rom: Practice Exam 1

159. A client who develops neutropenia following 164. An elderly client 2 days post-operative for a
chemotherapy should be assessed by the total hip replacement is noted to be restless
nurse for which of these complications? and irritable. Respirations are 22/min, pulse
A. Bleeding 104 beats/min and pulse oximetry 90%. The
B. Infection nurse should suspect which of the following
C. Alopecia complications?
D. Anorexia A. Post-operative hemorrhage
B. Pulmonary embolism
160. The nurse should be aware that which of the C. Acute infection
following therapies is most effective in pro- D. Drug reaction
ducing behavioral change in a school-aged
client who has a conduct disorder? 165. A client who has been diagnosed with osteo-
A. Therapeutic play porosis should be discouraged from ingesting
B. Dramatic play which of the following substance?
C. Antipsychotic drug therapy A. Milk
D. Rewards for appropriate behavior B. Coffee
C. Collard greens
161. The nurse should give the client taking war- D. Sardines
farin (Coumadin) which of these
instructions? 166. Which of the following statements, if made
A. “Avoid taking any Vitamin E supplements.” by a client who has active tuberculosis, indi-
B. “Be sure to eat lots of green leafy cates that client teaching has been effective?
vegetables.” A. “The other nurse told me that everyone
C. “Don’t drink milk because it will inactivate living with me will have to take these pills
your medication.” for 6 months.”
D. “You should take extra Vitamin C.” B. “My doctor will also order penicillin.”
C. “I’m glad that I won’t be contagious after I
162. A client who had a cesarean birth asks the start taking the pills.”
nurse when she can begin eating solid food D. “My next skin test is scheduled to be done
again. The nurse should provide solid food in 3 months.”
when the client
A. is able to ambulate unassisted. 167. When caring for a client with an arteriove-
B. requests more substantial meals. nous (AV) fistula, the nurse should be aware
C. has bowel sounds present. that the priority assessment would be
D. is able to pass flatus. A. pulses distal to the fistula site.
B. neurovascular status of the extremity
163. An 81-year-old fractured her ankle and is distal to the fistula.
told by the physician that she will need to C. auscultation of a bruit over the fistula.
use a walker for safe ambulation. The client D. a feeling of warmth over the fistula.
says to the nurse, “Well, why can’t I use
crutches?” The nurse’s best response to the
client is
A. “I knew you wouldn’t like the walker, but it is
necessary.”
B. “You could probably use crutches. Let
me ask.”
C. “Crutches would not be good for you at
your age.”
D. “The walker will provide better support
for you.”

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 CD Rom: Practice Exam 1
168. The nurse is assessing a male client who had
a Foley catheter inserted 1 day ago. The
client says, “This is so painful. I don’t think I
can tolerate it any longer”. The nurse’s pri-
ority intervention would be to
A. inspect the penis and catheter drainage
system.
B. notify the physician of the client’s complaint.
C. remind the client that it has only been
1 day since insertion of the catheter.
D. reassure the client that it is normal to feel
this way.
169. A client admitted to a psychiatric unit was
taking methadone prior to admission. Which
of the following actions should the nurse
take first?
A. Tell the client that methadone cannot be
administered on the psychiatric unit.
B. Call the physician for a methadone order.
C. Contact the out-patient methadone clinic to
verify the client’s treatment regime.
D. Tell the client that other medications will be
used on the unit.
170. The nurse assigned to a terminally ill client
will require additional instructions if the nurse
A. uses the clients own language with
reference to death.
B. facilitates transition of care from cure focus
to palliation.
C. tells the client everything will be all right.
D. uses guided imagery for client pain relief.
171. The nurse is caring for a client following cra-
nial surgery. The nurse should be aware that
which of the following signs is an early indi-
cation of increasing intracranial pressure?
A. Hypertension
B. Tachycardia
C. Muscular rigidity
D. Vomiting
20
172. The nurse is triaging clients in the emer-
gency department. Which of the following
clients should be evaluated first?
A. A 65 year old with abdominal pain
B. A 15 year old with a lacerated leg
C. A 2 year old with a 2-day history of diarrhea
D. A 30 year old with shortness of breath
173. Which of the following client assignments
would be appropriate for a charge nurse to
give to a licensed practical nurse (LPN)?
A. A 52 year old client admitted last evening with
a diagnosis of hepatic encephalopathy
B. A 45 year old client who is 2 days post open
reduction, internal fixation of the left femur
C. An 18 year old client admitted 4 hours ago
with infective endocarditis
D. A 39 year old client who is 1 day post status
asthmaticus
174. A breastfed infant develops colic each time
the mother eats ice cream. The nurse should
instruct the mother that the most likely
cause of the colic is that the
A. breast milk consistency is too thick.
B. infant is receiving too much calcium in the
breast milk.
C. infant does not like the taste of the breast
milk.
D. infant is reacting to the milk protein.
175. The nurse is preparing a client for discharge
and self-care. The client will be taking
furosimide (Lasix) 40 mg po BID. The client
should be instructed to monitor for symp-
toms of hypokalemia, which include
A. fatigue and leg cramps.
B. bruising and sore throat.
C. constipation and photosensitivity.
D. skin rash and visual disturbances.

176. When entering a room to assess a new
client, the nurse identifies that the client has
brought with him a copy of the Torah. To
further assess his spirituality, an appropriate
statement would be
A. “Would you like me to call a rabbi to
see you?”
B. “Would you like me to read the Torah to you
during your stay?”
C. “Are there any particular religious
practices that are important to you?”
D. “Would you like me to call the hospital
chaplain to see you?”
177. A pregnant client tells the nurse that she is
afraid her baby will have a spinal cord defect
because her friend’s baby did. Which of the
following response by the nurse would be
most appropriate?
A. “I’m sure that the doctor would have told
you if anything were wrong with your baby.”
B. “There is a test to see if you are at high
risk.”
C. “You are not at risk until late in your
pregnancy.”
D. “Perhaps you should consider
amniocenteses.”
178. The culturally sensitive nurse should ques-
tion which of the following menu selections
served to her Islamic client?
A. Poached salmon, rice, green salad and tea
B. Beef stew, potatoes, carrots and milk
C. Ham steak, potato salad and apple pie
D. Broiled lamb chops, buttered noodles and
coffee
179. The nurse should be aware that an autopsy
must be conducted in which of the following
cases?
A. A client who has died within 48 hours of
admission to the hospital
B. A client who has died within 96 hours of dis-
charge from the hospital
C. A child who has died
D. A client who has died in his home
21
CD Rom: Practice Exam 1
180. The nurse answers a call light for a client
with preterm premature rupture of mem-
branes. The client cries, “The baby is
coming.” The nurse’s first action should be to
A. perform a sterile speculum exam.
B. call for the primary care provider.
C. inspect the introitus.
D. call the neonatal team.
181. A client is admitted to the emergent depart-
ment following ingestion of five tablets of
Valium. Arterial blood gas analysis reveals a
ph of 7.13; PO2 of 80; a pCO2 of 50; and an
HCO3 of 25. The nurse would interpret the
results as
A. respiratory acidosis.
B. metabolic acidosis.
C. respiratory alkalosis.
D. metabolic alkalosis.
182. The nurse is assigned to the following four
clients. Which client should the nurse assess
first?
A. A 50 year old receiving chemotherapy with a
temperature of 101°F
B. A 46 year old 2 days postoperative an open
cholecystectomy
C. A 52 year old newly diagnosed diabetic
complaining of blurred vision
D. A 40 year old ready for discharge to a reha-
bilitation center
183. The nurse is teaching a college student who
was treated for seasonal affective disorder
(SAD). The nurses should inform the student
that the symptoms might return at which of
the following times?
A. When school ends in June
B. During exposure to higher levels of
sunlight in August
C. When sunlight decreases in March
D. When the holiday season ends in December
 CD Rom: Practice Exam 1
184. A client is being discharged to home with a
peripherally inserted central venous catheter
(PICC). Which of the following outcome cri-
teria is most important for this client?
A. The client will verbalize the purpose of the
PICC line
B. The client will wear a Medic-alert bracelet
indicating use of the catheter
C. The client will flush the catheter daily with
heparin
D. The PICC insertion site will remain free of
infection
185. A 15-year-old female is being evaluated in
the emergency room for a fracture of her
left arm. She says, “I tripped and fell.” You
observe what appears to be cigarette burns
on her arm. The most important nursing
intervention is to
A. tell nursing colleagues that you are certain
this child is abused.
B. ask the social worker to come and talk with
the girl.
C. notify the proper authorities right away.
D. perform a complete physical assessment.
186. A client with angina who is taking nitroglyc-
erin sustained-release (Nitrong) asks why he
can’t take Viagra for his erectile dysfunction.
Which of the following information should
be included in the nurse’s response?
A. The Viagra will interfere with the
effectiveness of the nitrogylcerine.
B. The nitroglycerine may prevent the Viagra
from working.
C. Taken together the medications may cause
fatal hypotension.
D. When taken at the same time, neither one is
effective.
187. A client with multiple IV sites is to begin
receiving total parental nutrition (TPN). The
most appropriate IV access site would be the
peripherally inserted central venous (PICC)
catheter in the
A. femoral vein.
B. cephalic vein.
C. basilic vein.
D. subclavian vein.
22
188. A client adds all of the following foods to
her diet after nursing instruction on the role
of nutrition in the prevention of osteoporo-
sis. Which food choice indicates a correct
understanding of the teaching?
A. Tofu (soy bean curd)
B. Broiled chicken
C. Roast beef
D. Fruit juice
189. A client in a health clinic reports smoking
marijuana 2 hours ago and continues to have
a heart rate of 200 beats per minute. Which
of the following interventions is most
important for the nurse to take?
A. Conduct neurovascular checks every
30 minutes
B. Increase IV fluids to 100 cc/hour
C. Keep client awake
D. Administer oxygen at 2L/min
190. When caring for a client with a tunneled
central venous catheter, which of the follow-
ing manifestations requires immediate
intervention by the nurse?
A. Redness at the catheter site
B. Tenderness along the track of the catheter
C. A loose dressing
D. A small amount of blood in the dressing
191. A client falls while ambulating in the hospital
hallway. After assessing the client and notify-
ing the physician, the nurse should first
A. accompany the client for follow-up x-ray.
B. complete an incident report.
C. re-assign the client to a room closer to the
nurse’s station.
D. document the event in the client’s care plan.
 CD Rom: Practice Exam 1

192. The nurse can best help a client and family 196. When preparing to admit a surgical client
members to communicate with each other by who has just had a tracheostomy, the nurse
A. reminding the family to maintain a positive would need to have which of the following
attitude in the presence of the client. equipment available?
B. having the chaplain talk with the family. A. Nasal oxygen set-up
C. providing non-judgmental feedback as they B. Oral suction
express their emotions. C. Intravenous infusion
D. limiting visiting hours to ensure adequate D. Oral airway
rest for the client.
197. Which of these medication orders for a
193. A client is prescribed alendronate client who has asthma should the nurse
(Fosomax). The nurse should include which question?
of the following information in the client’s A. Acetaminophen (Tylenol)
teaching plan? B. Timolol (Timoptic)
A. Take the medication 2 hours after you eat C. Cromolyn (Nasalcrom)
dinner. D. Prednisone
B. The medication must be taken 1 hour after
lunch. 198. A large number of family members are gath-
C. Take over-the-counter Zantac for stomach ered at the bedside of a terminally ill
upsets. Hispanic client in a semi-private room.
D. Remain upright for 30 minutes after taking Recognizing the family’s cultural response to
the medication. death and dying, the nurse should
A. restrict visitors to two at a time in the client’s
194. What would the nurse’s best response be to a room.
client following the 12-step program for an B. move the client to a private room to allow
addiction to huffing gasoline? family to be with the client.
A. “Developing will power is the best thing for C. have security limit the members of the family
you to do.” who can visit at one time
B. “You’ll be glad to get your life back in order.” D. ask the family members to show greater
C. “Just try to stay away from huffing one day emotional control around the client.
at a time.”
D. “Huffing can really destroy your life.” 199. The client in labor describes intense pain in
her back during contractions. The best sup-
195. A client arrives in the emergency depart- portive measure by the nurse is to
ment complaining of severe headache. On A. instruct the client in breathing techniques.
examination the nurse notes a skull depres- B. apply counter pressure to the client’s back.
sion surrounded by dried blood over the C. place a cool cloth on the mothers’ forehead.
temporal area. The nurse should recognize D. offer the client the option of epidural
this finding as anesthesia.
A. blunt force trauma.
B. penetration trauma. 200. A client taking indomethacin (Indocin SR)
C. primary trauma. for rheumatoid arthritis is cautioned to
D. acceleration trauma. report which of the following side effects of
the medication?
A. Depression
B. Gastrointestinal disturbances
C. Joint swelling
D. Floaters in the field of vision

23
 CD Rom: Practice Exam 1

201. The best indicator of the effectiveness of 205. A client at 28 weeks gestation is admitted to
pain control while a client is receiving pain the hospital for sudden onset of copious
medication by patient-controlled analgesia vaginal bleeding. To which of the following
(PCA) is the client measures should the nurse give priority?
A. sleeping for long intervals. A. Assessment of fatal heart tones
B. being free from grimacing. B. Evaluation of maternal blood loss
C. awakening to voice command. C. Determination of fetal presentation
D. stating pain has reduced in severity. D. Assessment of cervical dilatation

202. Tissue plasminogen activator (t-PA) is
ordered for clients diagnosed with acute
myocardial Infarction. Which of the follow-
ing clients would be an acceptable candidate
for t-PA?
A. A 42 year old being followed by a physician for
hypertension control
B. A 56 year old with a past medical history of
status asthmaticus
C. An 80-year-old who is 3 weeks post hip
replacement
D. A 38 year old with a medical history of
thrombocytopenia
203. A client is admitted to the emergency depart-
ment with an acute myocardial Infarction.
Tissue plasminogen activator (t-PA) is
ordered. Which of the following signs indi-
cates a complication of this therapy?
A. Shortness of breath
B. Increased blood pressure
C. Vomiting
D. Epistaxis
204. A client keeps her insulin in the refrigerator
in the summer because her house is not air-
conditioned. When the nurse removes the
NPH insulin from the refrigerator, the vial
was frozen. Which of the following actions
should the nurse take?
A. Place the insulin vial in a container of warm
water
B. Put the insulin in the microwave on the
defrost setting
C. Discard the vial and replace it with
another for the needed dose
D. Gently rotate the vial in the palms of the
hands to mix it as it thaws
206. A client the nurse has been working with for
over a week approaches her and states,
“You’re a terrible nurse and you don’t know
what you are doing.” The nurse’s best
response would be
A. “You seem angry”
B. “Why do you think I’m a terrible nurse?”
C. “Have I done something wrong?”
D. “I do not like to be spoken to that way!”
207. A client with pleural effusion has a chest
tube inserted and connected to a closed
chest drainage system. Which of the follow-
ing findings would require immediate
nursing intervention?
A. Continuous bubbling in the drainage chamber
B. Straw colored drainage in the tubing
C. Tenderness at the insertion site
D. Movement of fluid in the tubing during the
respiratory cycle
208. A nurse observes a colleague taking all of the
following actions when caring for a client
with a peripherally inserted ventral venous
catheter (PICC). Which action would the
nurse intervene to stop?
A. Changing the dressing over the PICC line
B. Drawing a sample of blood from the
PICC line
C. Taking a blood pressure on the same arm as
the PICC line
D. Flushing the PICC line with saline followed by
heparinized saline

24

209. A nurse is instructing a client who had a gas-
tric resection about measures to prevent
dumping syndrome. Which of the following
instructions related to fluid intake would the
nurse give to the client?
A. Drink fluids with meals
B. Take fluids one hour before and one hour
after meals
C. Drink fluids between meals
D. Drink fluids upon arising and again before
going to bed
210. A client receiving a dopamine infusion com-
plains of severe pain and burning at the
infusion site. The nurse’s immediate action
should be to
A. decrease the infusion rate until the pain is
relieved.
B. apply dry heat to the area for 10 minutes.
C. discontinue the infusion and notify the
physician.
D. stop the infusion and ice pack the affected
site for 5 minutes.
211. Entering the client’s room, the nurse observes
the client to be cyanotic, cool to touch and
diaphoretic. Which of the following actions
should the nurse carry out first?
A. Use verbal and tactile stimuli
B. Apply oxygen at 10L/min via mask
C. Assess heart and lung sounds
D. Call for help
212. A client tells the nurse, “No matter what I do,
I fail.” A nurse familiar with cognitive thera-
py would recommend that the client
A. take a long walk to escape her thoughts.
B. begin journaling about her dysfunctional,
self-deprecating thoughts.
C. request an increase in her antidepressant
medication.
D. discuss flooding techniques with her
therapist.
213. A nurse observes a colleague taking all the
following actions. Which action should the
nurse intervene to stop?
A. Cutting a scored pill in half
B. Crushing Calan SR (verapamil SR)
C. Crushing digoxin
D. Removing the wrapper of a unit dose med-
ication at the client’s bedside
25
CD Rom: Practice Exam 1
214. The nurse is conducting a teaching session
with a client who has a pulmonary catheter
(Swan-Ganz). The nurse would explain to the
client that the information obtained from
the pulmonary catheter measurements is
indicative of the client’s
A. intracranial pressure.
B. hemodynamic status.
C. respiratory function.
D. fluid balance.
215. The following order is written for a client
with deep vein thrombosis: Heparin 20,000
units in 1000ml D5W to infuse at 1000 units
of heparin per hour. How many ml of D5W
solution should be administered per hour?
A. 20
B. 42
C. 50
D. 66
216. The nurse enters the room of a client who is
in labor and lying supine without a pillow in
the bed. The initial nursing response that
best supports maternal-fetal well being is to
A. give the client a pillow.
B. observe the client’s fetal monitor.
C. assist the client to turn on her side.
D. raise the head of the client’s bed.
217. While administering IV diazepam (Valium)
through a primary IV port, the nurse notices
the formation of a white precipitant in the
IV tubing. The nurse’s immediate action
should be to
A. stop the primary IV and bolus the
remaining Valium.
B. increase the primary IV rate and stop the
Valium until the tubing is clean.
C. stop the administration of both infusions.
D. stop the primary infusion and clear the tub-
ing with sterile normal saline.
 CD Rom: Practice Exam 1

218. When caring for a client with upper airway 222. A client with long-term substance abuse
trauma resulting from smoke and heat inhala- requests pain medication immediately follow-
tion, the nurse should assess for ing surgery. Which of the following actions
A. hoarseness and stridor. by the nurse would be most appropriate?
B. post nasal drainage. A. Reposition the client, provide a back rub
C. stomatitis of the oral mucosa. and dim the lights
D. hyperemia of the face and arms. B. Administer the non-narcotic pain reliever as
ordered
219. A nurse is assigned to care for all the follow- C. Administer the benzodiazepine to decrease
ing clients. Which client should the nurse symptoms
assess first? D. Administer narcotic pain reliever as ordered
A. A post-operative client who returned from
the PACUL (Post Anesthesia Care Unit) one 223. A nurse is instructing a client about the cor-
hour ago following a sub-total thyroidectomy. rect use of a metered dose inhaler. Which of
The client has stable vital signs and con- the following instructions should the nurse
trolled pain. stress?
B. A client admitted from the emergency A. “Hold your breath for 10 seconds after
department one hour ago with acute administering a dose.”
abdominal pain and hypertension. The client B. “Administer 2 puffs with each inhalation.”
is to go to the operating room in an hour for C. “Do not shaking the inhaler before use.”
an exploratory laparotomy. D. “Activate the inhaler while breathing in
C. A client with unstable atrial fibrillation admit- slowly through your nose.”
ted 24 hours ago. The client is on telemetry
and has a low but stable blood pressure. 224. Following an esophagogastroduodenoscopy
D. A client with pneumonia admitted 48 hours (EGD), the nurse should assess the client for
ago who has a pending discharge to home which of the following manifestations?
order. A. Zollinger-Ellison syndrome
B. Epigastric pain
220. A client tells the mental health nurse that C. Bell’s palsy
she can no longer tolerate her medication’s D. Hypertension
side effects and has quit taking the medicine.
The nurse’s best response would be 225. Which of the following changes in fetal heart
A. “That’s your right. You don’t have to take the rate should the nurse recognize as indicative
medicine.” of potential abruptio placenta in the first few
B. “Tell me more about the medicine’s side hours after a client has sustained trauma in a
effects and how you’re feeling now.” motor vehicle accident?
C. “You have to take your medicine. It’s A. Early decelerations
the law.” B. Variable decelerations
D. “It must not have been the best medicine for C. Late decelerations
you, so it is a good decision.” D. Accelerations
221. For dietary planning, the nurse would
expect the client of Asian- American heritage
to choose primarily from which of the
following food groups?
A. Milk and dairy products
B. Breads, starches and cereals
C. Meats and poultry
D. Vegetables and fruits

26

226. The teaching plan for a client who is taking
alendronate sodium (Fosomax) should
include which of the following instructions?
A. Take the medication with food
B. Sit up for at least 30 minutes after
drinking fluids
C. Avoid dark green, leafy vegetables
D. Increase vitamin C in the diet
227. A visitor approaches the nurse in the hall-
way and demands to know what is going on
with his mother. The nurse is not assigned to
care for the visitor’s mother. The nurse’s
best response would be
A. “Let me help you find out about your mother.”
B. “Your mother is not my client.”
C. “I don’t know anything about your mother.”
D. “There’s no need to be so upset. I am sure
someone will help you.”
228. The nurse should instruct a Chinese client
who is pregnant about alternatives for which
of the following food groups?
A. Cereals and breads
B. Fruits and vegetables
C. Meats and fish
D. Milk and cheese
229. An Orthodox Jewish man in the intensive
care unit is dying. Which of these statements
by the nurse would indicate sensitivity to his
cultural/ religious beliefs?
A. “I’m sorry but visiting hours are over now
and your visitors will have to leave.”
B. “Shall I call the rabbi to perform last rites for
you?”
C. “Would you like an autopsy performed after
your death?”
D. “Do you want us to call the rest of your
family to be here with you?”
27
CD Rom: Practice Exam 1
230. A client says to the nurse, “My doctor told
me they are going to do some kind of test on
me. I really didn’t understand it.” The
nurse’s best response would be
A. “Tell me your concerns.”
B. “In the future tell your doctor he needs to
speak more loudly.”
C. “I would not worry about it too much. There
is no pain involved.”
D. “I’m sure you will be fine once you see what
they are doing.”
231. It is necessary for a nurse in the long term
care facility to take telephone orders from a
physician. Which of the following nursing
actions would be considered incorrect in
this situation?
A. Repeating the full order back to the
physician
B. Calling the pharmacy to question a dosage
the physician has ordered
C. Asking the physician to repeat an order that
is not clear
D. Using full words when writing the order
instead of abbreviations
232. The nurse is giving discharge instructions to
an Asian-American client who smiles and
nods her head as she listens. The nurse
should interpret this behavior to mean that
the client
A. agrees to follow the instructions.
B. is happy to be going home to her extended
family.
C. is demonstrating culturally-appropriate
behavior.
D. understands the instructions.
233. A Chinese immigrant failed to come to her
first scheduled newborn check-up. From a
cultural perspective, which of the following
rationales for this behavior is most plausible?
A. Travel in cars is not permitted for 3 months
after birth
B. The baby’s face cannot be exposed for 14
days after birth
C. The mother and baby cannot leave the
house for 40 days after birth
D. There is a fear of evil spirits if the baby is
touched by persons other than family for 2
months after birth
 CD Rom: Practice Exam 1

234. A client is admitted to the emergency depart- 238. A client dies in the emergency department
ment with a knife handle protruding from following a physical assault. To maintain
her chest wall. The nurse’s immediate action legal integrity, the nurse’s most important
should be to responsibility is to
A. remove the knife and dress the wound. A. notify the medical examiner of the client’s
B. administer pain medication and oxygen. death.
C. assess breath and heart sounds. B. document activities of law enforcement and
D. obtain the history and notify law staff.
enforcement. C. remove invasive lines from the client.
D. pack up all client belongings.
235. The physician has written an order for 8 mg
of morphine sulfate, q 4 hours PRN, subcuta- 239. Which assessment finding, if identified in a
neous (SQ) to relieve pain. The nurse should 70 year old client who has a fractured left
A. give the medication as ordered. femur, would require immediate follow-up
B. ask the physician to order the IV route. by the nurse?
C. do not give the medication as ordered. A. Urinary output of 50 cc/hr
D. use complementary methods for pain B. Change in mental status
control C. Pain in the left femur
D. Redness at the incision site
236. A nurse observes a colleague taking all of the
following actions when charting. Which 240. The nurse is planning discharge teaching for
action should the nurse discuss with the a client who was treated for a new onset of
colleague? angina. The physician has written the fol-
A. Crossing out a documentation error with one lowing prescriptions for the client. Which
line and placing the word ‘error’ and his medication should the nurse question?
initials above the line A. Viagra (sildenafil)
B. Crossing out documentation with one line B. Cardizem (diltiazem)
and placing the word error and his name C. Lopressor (metaprolol)
above the line D. Transderm (nitroglycerin)
C. Erasing an entry and placing his initials
above the area 241. Which of the following statements by the
D. Writing on every line and leaving no blank nurse would be most appropriate when the
spaces nurse is asked to obtain consent from an 18-
year-old undergoing major surgery?
237. The nurse sees a new mother placing an A. “I will have to speak with the parents for
amulet on her baby’s gown. The nurse’s consent to operate.”
action should be to B. “I will have to ask the client to read and sign
A. remove the amulet and return it to the mother. the informed consent.”
B. ask the mother to remove the amulet until C. “The client’s physician should obtain the
discharge. consent for surgery.”
C. allow the amulet to remain on the gown. D. “There is no need for consent since the
D. move the amulet to the side of the crib. client is 18 years of age.”

28
 CD Rom: Practice Exam 1

242. A client is admitted with a closed head injury 246. The nurse is conducting a physical assessment
and clear fluid draining from the left ear on a patient diagnosed with trichomoniasis.
canal. Which of the following nursing inter- Which of these observations of vaginal dis-
ventions would be most appropriate for this charge would be the most significant?
client? A. Frothy green discharge
A. Apply a sterile dressing over the ear and B. Scanty white discharge
secure with tape C. Thick creamy discharge
B. Observe and document the color of the ear D. Thin grayish-white discharge
drainage
C. Reposition the client to the right side to 247. A nurse is instructing the client about the
prevent further drainage side effects of the drug rofecoxib (Vioxx).
D. Gently insert a sterile dressing into the ear Which of the following instructions would
and secure with sterile tape the nurse stress?
A. “Call your physician if your ankles swell.”
243. A client in active labor who has epidural B. “Take this medication on an empty stomach.”
anesthesia complains of discomfort in her C. “Take aspirin if you develop a headache.”
lower abdomen. Then nurse’s first response D. “Store the tablets away from sunlight.”
should be to
A. call the anesthetist to reposition the epidural. 248. A client is dead on arrival (DOA) to the
B. call the midwife to prepare for delivery. emergency room following a single car acci-
C. turn the woman on to her side. dent. The nurse’s first action should be to
D. palpate the area over the symphysis pubis. A. identify family members.
B. close off the room to visitors.
244. A client is instructed in how to use a patient C. inform the Medical Examiner.
controlled analgesia (PCA) pump following D. transport the body to the morgue.
surgery. Which of the following statements
by the client would indicate a correct under- 249. A pregnant client reports vaginal leaking of
standing of use? clear fluid. Which of the following assess-
A. “I will push the medication button when my ments should the nurse carry out first?
pain begins to increase again.” A. Test the fluid with Nitrazine paper
B. “I will ask my wife to push the medication B. Sterile vaginal exam
button while I am sleeping so that I don’t C. Sterile speculum exam
have pain.” D. Test for ferning
C. “I will push the medication button when my
pain becomes too severe.” 250. A client with Alzheimer’s disease becomes
D. “I will call the nurse when the pain begins to extremely agitated. Which of the following
make me uncomfortable.” initial nursing measures should be imple-
mented to calm the client?
245. Which of the following explanations should
the nurse give to a client regarding living A. Brighten the lights
wills? B. Raise the side rails
C. Ambulate the client
A. “They are mandated as a requirement of D. Play soft music
admission to a hospital.”
B. “They allow you to direct your care in the
event of a terminal illness or irreversible
condition.”
C. “They are legally binding on all caregivers”
D. “They allow an individual identified by you to
make decisions for your care.”

29
 CD Rom: Practice Exam 1

CD-Rom: Answers Practice Examination 1

Correct Answers for CGFNS CD-Rom Practice Examination 1
The following letters are the correct answers for each of the questions in the Practice Examination.

1 C 40 C 79 A 118 C 157 D 196 B 235 B

2 A 41 C 80 C 119 D 158 A 197 B 236 C
3 B 42 B 81 C 120 A 159 B 198 B 237 C
4 D 43 B 82 B 121 D 160 D 199 B 238 B
5 D 44 B 83 A 122 B 161 A 200 B 239 B
6. D 45 A 84 A 123 C 162 D 201 D 240 A
7 C 46 D 85 A 124 A 163 D 202 B 241 B
8 D 47 D 86 D 125 D 164 B 203 D 242 B
9 A 48 D 87 A 126 D 165 B 204 C 243 D
10 A 49 B 88 B 127 B 166 A 205 B 244 A
11 C 50 B 89 B 128 B 167 C 206 A 245 B
12 C 51 C 90 A 129 D 168 A 207 A 246 A
13 B 52 A 91 B 130 D 169 C 208 C 247 A
14 D 53 A 92 A 131 C 170 C 209 C 248 A
15 C 54 B 93 B 132 C 171 C 210 C 249 C
16 C 55 A 94 C 133 A 172 D 211 A 250 D
17 A 56 C 95 C 134 A 173 B 212 B
18 B 57 B 96 D 135 B 174 D 213 B
19 C 58 B 97 A 136 B 175 A 214 B
20 D 59 B 98 B 137 A 176 C 215 C
21 A 60 B 99 D 138 B 177 B 216 C
22 A 61 D 100 B 139 D 178 C 217 C
23 C 62 C 101 A 140 A 179 A 218 A
24 B 63 C 102 A 141 C 180 C 219 B
25 C 64 D 103 A 142 B 181 A 220 B
26 B 65 A 104 B 143 A 182 A 221 D
27 B 66 B 105 A 144 A 183 C 222 D
28 B 67 C 106 D 145 D 184 D 223 A
29 C 68 B 107 B 146 C 185 D 224 B
30 A 69 B 108 A 147 D 186 C 225 C
31 A 70 C 109 B 148 C 187 D 226 B
32 D 71 D 110 D 149 A 188 A 227 A
33 A 72 A 111 C 150 A 189 D 228 D
34 B 73 A 112 A 151 B 190 B 229 D
35 C 74 B 113 C 152 C 191 B 230 A
36 B 75 A 114 C 153 C 192 C 231 B
37 A 76 B 115 B 154 C 193 D 232 C
38 D 77 C 116 C 155 C 194 C 233 C
39 A 78 B 117 D 156 B 195 A 234 C

30
151 171 191 211 231

152 172 192 212 232

153 173 193 213 233

154 174 194 214 234

155 175 195 215 235

156 176 196 216 236

157 177 197 217 237

158 178 198 218 238

159 179 199 219 239

160 180 200 220 240

161 181 201 221 241

162 182 202 222 242

163 183 203 223 243

164 184 204 224 244

165 185 205 225 245

166 186 206 226 246

167 187 207 227 247

168 188 208 228 248

169 189 209 229 249

170 190 210 230 250