N 105

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ndarlenebeck
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293278
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N 105
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2015-01-18 22:58:29
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Final
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  1. A good source of a complete protein would be?
    A) Eggs
    B) Potatoes
    C) Broccoli
    D) Cereal
    A) Eggs
    (this multiple choice question has been scrambled)
  2. Mineral oil inhibits the absorption of which of the following?
    A) Fat-soluble vitamins
    B) Proteins
    C) Vitamin C
    D) Carbohydrates
    A) Fat-soluble vitamins
    (this multiple choice question has been scrambled)
  3. Amino acids contain a substance that distinguishes them from fats and carbohydrates.  This substance is called:
    A) Nitrogen
    B) Oxygen
    C) Carbon
    D) Hydrogen
    A) Nitrogen
    (this multiple choice question has been scrambled)
  4. Which one of the following nursing actions will be helpful in reducing a client's sticky bronchial secretions?
    A) Be sure that the oxygen therapy is continuous
    B) Keep the patient in semi-sitting position as much as possible
    C) Maintain an adequate fluid intake
    D) See that the diet is low in salt
    C) Maintain an adequate fluid intake
    (this multiple choice question has been scrambled)
  5. Which of the following foods is the best source of vitamin B12 (Riboflavin)?
    A) Apple
    B) Tuna
    C) Celery
    D) Milk
    D) Milk
    (this multiple choice question has been scrambled)
  6. Why is inadequate fluid intake a factor in the development of urinary incontinence?
    A) 500 to 1,000 ml of urine is required to initiate the voiding reflex
    B) Unless sufficient fluid is taken in, the bladder does not fill up to the 250 ml necessary to initiate the micturition reflex
    C) All people require 3,000 to 3,600 ml of fluid daily to maintain good bladder tone
    D) Inadequate fluid intake causes loss of bladder sphincter control
    B) Unless sufficient fluid is taken in, the bladder does not fill up to the 250 ml necessary to initiate the micturition reflex
    (this multiple choice question has been scrambled)
  7. During which period of development is a snack necessary to compensate for both increased growth and caloric needs of the individual?
    A) Adolescents
    B) Toddlers and preschoolers
    C) School-age children
    D) Young and middle adults
    A) Adolescents
    (this multiple choice question has been scrambled)
  8. An example of a drug that causes constipation by acting on the central nervous system to show motility of the colon is:
    A) Morphine
    B) Colace
    C) Surfak
    D) Metamucil
    A) Morphine
    (this multiple choice question has been scrambled)
  9. During defecation, which muscles(s) voluntarily relax to assist the process?
    A) External sphincter
    B) Diaphragm
    C) Abdominal muscles
    D) Internal sphincter
    A) External sphinter
    (this multiple choice question has been scrambled)
  10. How may urine be most accurately measured?
    A) By estimation of the bedpan content
    B) By weighing the diaper
    C) By comparing intake and output
    D) By using a calibrated container
    D) By using a calibrated container
    (this multiple choice question has been scrambled)
  11. An excellent diet to suggest for your healthy elderly client is a:
    A) Low-calorie, high-fat, high-protein diet
    B) Low-calorie, low-fat diet and lots of fruits and vegetables
    C) High-calorie, low-fat, high-carbohydrate diet
    D) High-calorie, diet with lots of fruits and moderate alcohol
    B) Low-calorie, low-fat diet and lots of fruits and vegetables
    (this multiple choice question has been scrambled)
  12. Which of the following cathartics would be used when complete evacuation of the client's bowel is necessary prior to a diagnostic study?
    A) Stool softener
    B) 1,000 cc tap water
    C) Bulk laxative
    D) Fleets enema
    B) 1,000 cc tap water
    (this multiple choice question has been scrambled)
  13. Mr. Sheldon is a 24-year-old male with a fractured femur.  He is confined to bed with traction.  He states he feels fullness in his rectum and wants to move his bowels but cannot.  His last BM was 4 days ago.  The nurse on auscultation notes decreased bowel sounds.  Which of the following is an appropriate nursing diagnosis for Mr. Sheldon?
    A) Constipation related to inadequate physical activity
    B) Perceived constipation related to knowledge deficit about normal processes
    C) Fecal impaction related to immobility
    D) Alteration is skin integrity related to immobility
    A) Constipation related to inadequate physical activity
    (this multiple choice question has been scrambled)
  14. A urinometer is used to measure?
    A) Specific gravity of urine from one voiding
    B) Total amount of urine from one voiding
    C) Temperature of the urine immediately after voiding
    D) Total amount of urine on an hourly basis
    A) Specific gravity of urine from one voiding
    (this multiple choice question has been scrambled)
  15. The nursing places the palms of his/her hand in the area of the lower ribs.  The nurse is checking for?
    A) Diaphragmatic breathing
    B) Apical expansion of lungs
    C) Respiratory excursion
    D) Rate of respiration
    C) Respiratory excursion
    (this multiple choice question has been scrambled)
  16. The doctor orders a room humidifier for Amy, a 7 year-old.  The humidifier is providing:
    A) Warmed air
    B) Moist air and oxygen
    C) Fine spray of medication
    D) Moist air
    D) Moist air
    (this multiple choice question has been scrambled)
  17. An incentive spirometer is used to improve and measure:
    A) Flow of sustained inhalation
    B) Total lung capacity
    C) Flow of exhalation
    D) Amount of respiration taken
    A) Flow of sustained inhalation
    (this multiple choice question has been scrambled)
  18. Which of the following is inappropriate when the nurse administers a rectal suppository of an adult?
    A) Inserts the suppository 2-3 cm (1 1/2 inches)
    B) Lubricates the gloved index finger
    C) Lubricates the rounded end of the suppository
    D) Positions the client in the left lateral position, upper leg flexed
    A) Inserts the suppository 2-3 cm (1 1/2 inches)
    (this multiple choice question has been scrambled)
  19. Mr. M has a gastrointestinal problem and is having trouble absorbing calcium.  You would encourage him to take which of the following vitamins?
    A) Vitamin B
    B) Vitamin E
    C) Vitamin C
    D) Vitamin D
    D) Vitamin D
    (this multiple choice question has been scrambled)
  20. The nurse is to do bladder training for urinary incontinence.  Which of the following is not a nursing intervention for bladder retraining?
    A) Schedule diuretics in the morning
    B) Instruction about abdominal perineal exercises
    C) Establish a regular voiding schedule
    D) Encourage large amounts of fruit juices and carbonated drinks
    D) Encourage large amounts of fruit juices and carbonated drinks
    (this multiple choice question has been scrambled)
  21. Central venous lines are primarily inserted to:
    A) Draw arterial blood
    B) Administer isotonic solutions
    C) Administer solutions that can be damaging to the vessels
    D) Administer potassium supplements
    C) Administer solutions that can be damaging to the vessels
    (this multiple choice question has been scrambled)
  22. Your client has been abusing alcohol for years and his magnesium is low.  Your plan of care would be to assess for:
    A) Confusion or seizures
    B) Low fluid intake
    C) Circulation problems
    D) Kidney damage
    A) Confusion or seizures
    (this multiple choice question has been scrambled)
  23. Which of the following does not affect the rate of oxygen transported from the lungs to the tissues?
    A) Number of platelets
    B) Exercise
    C) Cardiac output
    D) Number of erythrocytes
    A) Number of platelets
    (this multiple choice question has been scrambled)
  24. When a person becomes anxious or stressed, the need for oxygenation:
    A) Increases due to sympathetic nerve stimulation
    B) Increases due to parasympathetic nerve stimulation
    C) Decreases due to sympathetic nerve stimulation
    D) Decreases due to parasympathetic nerve stimulation
    A) Increased due to sympathetic nerve stimulation
    (this multiple choice question has been scrambled)
  25. A client is having a problem expectorating thick mucous.  The best nursing diagnosis for this client would be:
    A) Ineffective airway clearance
    B) Altered cardiac output
    C) Ineffective breathing pattern
    D) Impaired gas exchange
    A) Ineffective airway clearance
    (this multiple choice question has been scrambled)
  26. Which of the following is a good outcome criteria for ineffective breathing pattern?
    A) Effortless breathing at the rate of 12-20 per minute
    B) Heart rate rhythm normal
    C) Performs ADL without fatique
    D) All pulses palpable and strong
    A) Effortless breathing at the rate of 12-20 per minute
    (this multiple choice question has been scrambled)
  27. Mrs. Dunnegan has a possible urinary bladder infection.  Her physician has ordered a midstream urine collection.  The nurse must instruct the client regarding:
    A) Notification in the menstrual cycle is in progress
    B) Use of clear water only for cleaning the perineum
    C) Using the antiseptic wipes and cleaning from back to front
    D) Collecting the initial flow of urine in the sterile container
    A) Notification in the menstrual cycle is in progress
    (this multiple choice question has been scrambled)
  28. Which of the following symptoms would Mrs. Dunnegan exhibit with a urinary tract infection?
    A) Enuresis
    B) Incontinence
    C) Dysuria
    D) Dehydration
    C) Dysuria
    (this multiple choice question has been scrambled)
  29. In normal body functioning, what is the major role of sodium?
    A) Control of fluid balance
    B) Regulating carbohydrate metabolism
    C) Control of acid-base balance
    D) Regulating enzyme metabolism
    A) Control of fluid balance
    (this multiple choice question has been scrambled)
  30. Which of the following is not a term for eliminating urine from the body?
    A) Urination
    B) Eructation
    C) Micturition
    D) Voiding
    B) Eructation
    (this multiple choice question has been scrambled)
  31. Mrs. Lopez, a 42 year old Mexican American, refuses to eat the hospital prepared food and eats only floured tortillas, beans, and rice brought in by her family.  During Mrs. Lopez's present state of illness, the nurse should be concerned with which of the following?
    A) Adding meat to Mrs. Lopez's diet for necessary protein intake
    B) Telling Mrs. Lopez the dietary department prepares a balanced meal and it would be better if she ate from her tray
    C) Explaining to Mrs. Lopez how she can choose items of preference from the menu
    D) The ability of her diet to meet the requirements of the four basic food groups
    D) The ability of her diet to meet the requirements of the four basic food groups
    (this multiple choice question has been scrambled)
  32. Mr. Rodgers is schedules for a chest x-ray this afternoon.  He is ambulatory and still has his indwelling Foley catheter.  The technician will accompany him to the Radiology Department.  What instructions or information should you give him before he leaves?
    A) The drainage bag should be kept below waist level while ambulating
    B) The drainage bag should be placed on the x-ray table beside him during the procedure
    C) The drainage bag should be disconnected prior to leaving his room
    D) Abdominal pressure may be felt while he is ambulating
    A) The drainage bag should be kept below waist level while ambulating
    (this multiple choice question has been scrambled)
  33. Urinary catheterization is performed for all of the following reasons except:
    A) Preventing contamination of wounds by urine
    B) Emptying the bladder for surgical procedures
    C) Urinary incontinence
    D) Obtaining sterile specimens
    C) Urinary incontinence
    (this multiple choice question has been scrambled)
  34. When cleaning the female genitalia immediately prior to catheterization, the proper technique is to:
    A) Cleanse the inner labia and urinary meatus front to back using cotton and antiseptic solution
    B) Give the client a soapy douche before the procedure
    C) Pour warm, soapy water over the perineum
    D) Ask the client to bathe with antibacterial soap
    A) Cleanse the inner labia and urinary meatus front to back using cotton and antiseptic solution
    (this multiple choice question has been scrambled)
  35. You are interviewing the parents of a 6 year old child who seems to be developmentally well adjusted; however, the parents report that the child is having a problem with bedwetting during the night.  Since physiologic abnormalities have been ruled out, you would recommend that the parents:
    A) Ignore the problem, as it will resolve itself
    B) Withhold fluids before bedtime and/or have the child void at bedtime
    C) Place a diaper on the child at bedtime
    D) Withhold privileges when the child wets the bed
    B) Withhold fluids before bedtime and/or have the child void at bedtime
    (this multiple choice question has been scrambled)
  36. Obesity can best be described as a form of which of the following?
    A) Endocrine disorder
    B) Anorexia nervosa
    C) Starvation
    D) Malnutrition
    D) Malnutrition
    (this multiple choice question has been scrambled)
  37. Mrs. Dunnegan has an indwelling catheter.  All of the following nursing interventions will help prevent a catheter-associated urinary infection except:
    A) Changing her indwelling catheter every 7-10 days
    B) Routine perineal care
    C) Maintaining a closed-drainage system
    D) Encouraging her to drink 3,000 cc of fluid per day
    A) Changing her indwelling catheter every 7-10 days
    (this multiple choice question has been scrambled)
  38. The doctor orders 3 liters of D5 1/2 NS to be infuse over 24 hours.  The drip rate is 15 gtts/ml.  How many drops/min should the nurse infuse?
    A) 25
    B) 31
    C) 75
    D) 125
    B) 31
    (this multiple choice question has been scrambled)
  39. A mother tells the nurse that her son will not eat meat.  The nurse should recommend to the client the best substitute meat is:
    A) Milk products
    B) Whole grain cereals
    C) Beans and rice
    D) Yellow vegetables
    C) Beans and rice
    (this multiple choice question has been scrambled)
  40. All of the following beverage contain a substance (other than water) that acts as a diuretic except:
    A) Tea
    B) Coffee
    C) Cocoa
    D) Root beer
    D) Root beer
    (this multiple choice question has been scrambled)
  41. Your client's order reads, "nothing by mouth."  He complains he is thirsty. In planning his care the nurse would:
    A) Give ice chips throughout the day
    B) Get an order for clear liquids
    C) Perform thorough mouth care
    D) Increase intravenous fluids
    C) Perform thorough mouth care
    (this multiple choice question has been scrambled)
  42. Your client is in metabolic acidosis; an intravenous solution to treat the condition is:
    A) 45% sodium chloride
    B) Lactated Ringers
    C) 5% D/W
    D) Normal saline
    B) Lactated Ringers
    (this multiple choice question has been scrambled)
  43. After total parenteral nutrition infusion is completed, a low residue diet is prescribed to:
    A) Increase peristalsis
    B) Provide non-irritating nutrition
    C) Increase the amount of fecal material
    D) Provide bulk
    B) Provide non-irritating nutrition
    (this multiple choice question has been scrambled)
  44. The client's IV has infiltrated.  The nurse would probably document in the notes the following about the IV site:
    A) Leaking around the site, edema, redness
    B) Swelling, redness, warmth
    C) Coolness, pain, pallor
    D) Redness, coolness, swelling
    C) Coolness, pain, pallor
    (this multiple choice question has been scrambled)
  45. If the IV did not show signs of infiltration, but would not flow, the nurse would check for infiltration by:
    A) Irrigating the IV with 5 cc of sterile water
    B) Changing the position of the client's arm
    C) Pinching the tubing adjacent to the insertion site
    D) Elevating the height of the IV bottle
    C) Pinching the tubing adjacent to the insertion site
    (this multiple choice question has been scrambled)
  46. Your client has a fluid volume excess.  You would most likely document which of the following data in your assessments?
    A) Bounding pulse, postural hypotension
    B) Increased pulse, increased respiration
    C) Crackles, elevated systolic pressure
    D) Decreased systolic, weak pulse
    C) Crackles, elevated systolic pressure
    (this multiple choice question has been scrambled)
  47. Mr. R. is in the hospital for malnutrition.  A lab technician is drawing blood for a hemoglobin level.  Mr. R. asks the nurse what hemoglobin has to do with nutrition.  The nurse would reply:
    A) "It indicates a low level of nitrogen in the body"
    B) "It helps transport nutrients"
    C) "It would help indicate an iron deficiency"
    D) "It measures the level of protein in the body"
    C) "It would help indicate an iron deficiency"
    (this multiple choice question has been scrambled)
  48. Your client's potassium level came back from the lab as 6.2.  You would expect the doctor to find which sign of symptom?
    A) Tremors
    B) Numbness and tingling
    C) Cardiac arrhythmia
    D) Seizures
    C) Cardiac arrhythmia
    (this multiple choice question has been scrambled)
  49. Ms. S is taking potassium-losing diuretics for congestive heart failure.  The nurse would know the teaching of a diet high in potassium was effective if Ms. S picks ____ from a list of foods to eat.
    A) Cod
    B) Cheese
    C) Eggs
    D) Turkey
    A) Cod
    (this multiple choice question has been scrambled)
  50. Mrs. T. has osteoporosis.  The doctor puts her on a high-calcium diet.  The nurse would encourage which of the following foods?
    A) Oils
    B) Fruits
    C) Organ meats
    D) Dark green vegetables
    D) Dark green vegetables
    (this multiple choice question has been scrambled)

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