Question

15-The nurse is assessing a client with suspected endometriosis. Which of the following findings

would support a diagnosis of endometriosis?

1. dyspareunia
2. hot flashes.
3. Weight gain
4. amenorrhea

16-The nurse has been made aware of the following client situation. The nurse should first assess the client with

              1. heart failure who has a productive cough and is anxious

2. original enteritis (Crohn's disease) who is reporting cramping abdominal pain and diarrhea.

3. idiopathic thrombocytopenic purperia (ITP) who has petechia on the trunk and is reporting heavy menses.

4. chronic obstructive pulmonary disease (COPD) who has dyspnea with exertion it is using accessory muscles

17-The nurse is teaching a client who is scheduled for 24 hour urine collection. Which of the following information should the nurse include? Select all that apply.

1. you will be asked to urinate when starting the collection, and the initial ring will be discarded.
2. A sign will be posted on the bathroom door as remember to save the urine.
3. you will be asked to void at the end of the designated time period to complete the urine collection.
4. you should discard urine that is dark or pink in color.
5. the collected urine will be sent to the laboratory at the end of each shift

18-The nurse has taught a client with diabetes mellitus (type 2) about food care. Which of the following statement by the client indicate correct understanding of the teaching? Select all that apply

1. I will check my shoes for any foreign object prior put in them on.
2. I should use a large coarse file to remove dry skin from bunion.
3. I will apply petroleum-based oatmeal between my toes after bathing.
4. I should avoid crossing my legs to prevent decreased circulation to my feet.
5. Why I should wear a new shoe for few hours for several days until they fit well.

19-The nurse is screening client for those at increased risk for developing cancer. At highest risk for developing leukemia is the client who.

1. received more than 3 blood transfusions.
2. Has magnetic resonance imaging (MRI) scan annually.
3. Has polycythemia vera and requires phlebotomy treatment.
4. had colon cancer and receive prescribed chemotherapy treatments.

20-The charge nurse has received change-of-shift report on the following clients in labor. The change nurse should ask a staff member to first see the client in the.

1. first stage labor who has an oral temperature of 99.7 F (37.6 C)
2. first stage labor who has contractions are occurring every 30 seconds.
3. second stage labor who has respiratory of 26.
4. Second stage labor whose contractions are lasting for 60 seconds.

21-The nurse is observing a staff member caring for a client who has chickenpox. Which of the following action by the staff member will require the nurse to intervene?

1. Placing the client and a private room with monitored negative air pressure.
2. Placing the box of disposable face shield outside the client’s room.
3. Placing an alcohol base hand rough in the client's room for hand hygiene.
4. placing a surgical mask on the client during transport out the client’s room.

22-The nurse on the pediatric unit is preparing to admit a client with rubella (merasles). The nurse should assign the client to a.

1. private room at the end of the hallway.
2. private a room with monitored negative air pressure.
3. room with a client who has chickenpox.
4. room with a client who has atopic dermatitis (eczema).

23-The nurse is planning care for a client with moderate Alzheimer's disease (AD). Which of the following interventions should the nurse include in the clients plan of care?

1. encourage the client to reminisce about happy memories.
2. Confront the client when inappropriate or agitated behavior occurred.
3. Administration to the client the prescribed cholinesterase inhibitor course of AD.
4. provide the client with information about activity choices in the morning so the client can make plans for the next day.

24-The nurse is planning a staff education conference about prevention of urinary tract infection (UTI) in children. Which of the following information should the nurse include? Select all that apply.

1. Teach the child to perform Kegel exercise.
2. Encourage the child to empty their bladder completely.
3. Encourage the child how to maintain an adequate fluid intake.
4. Teach the how to properly cleanse their perineal area.
5. offer the child noncarbonated, caffeinated beverage choices.

25-The charge nurse is observing the following client situation. It will require intervention if a.

1. client with hepatitis B (HBV) is eating food brought into the facility by a visitor.
2. Visitor is sitting on the side of the bed a client with a acute pancreatitis.
3. staff members is entering the room of a client with hemophilia influenzae meningitis wearing a protective gown and gloves.
4. family member of a child with mycoplasma pneumonia leaves. the door of the client room open.

26-The nurse is assessing a client's respiratory system. Select in the correct order the stpes nurse should take. All options must be used.

Inspect the shape

Auscultate the breath sounds.

Palpate the chest.

Percuss the posterior aspect the chest.

Answer 1

15.Endometriosis refers to the growth of endothelial cells outside the uterus.This usually leads to irregular period ,severe pain during menstruation (dysparaeunia) and coitus, nausea,diarrhoea or constipation , tiredness,abdominal bloating

Ans:dysparaeunia

16.A patient who bleeds heavily with ITP if not treated immediately can lead to decreased blood volume and fatal complications.In ITP the patient are at rusk of more bleeding even with slight trigger

Patient with pai has to be addressed next

In COPD the accessory muscles are used I respiration during an exertion to counter balance the respiratory pattern

In heart failure anxiousness is a peculiar symptoms and productive cough can be treated effectively unless it is a chronic cough

Ans:3.Idiopathic thrombocytopenic purpura who has petechia on the trunk and is reporting heavy men see

17.In 24 hour urine collection ,the sample is called for a full one day and then sent to laboratory for investigation. This sample cannot be sent to test for every shift change,Usually in day one the first urine in the morning has to be discarded and then start collecting the urine and but in second day the morning has to be collected.It is not necessary the patient has yo void during the end of designated period or time of collection.In simple it is the number of urine passed in that particular time period

Ans:you will be asked to urinate when staring the collection and discard the first ring

A sign will be posted in the bathroom door as remember to save the urine

18.Foot care is the most essential part of diabetic management always patient should

• Wear properly fitting shoes ,dry socks
• Moisturize the foot but mot between toes
• No self care or treatment to be done in case of callus
• Nails has yo be trimmed carefully

Ans:I will check my shoes for any foreign object prior put in on them

I should avoid crossing met leg yo prevent decreased blood supply to leg