Question

458. The nurse is caring for a client who has diagnosed with suspected acute pancreatitis. When reviewing the client’s laboratory results, the nurse determines that which finding will support the diagnosis? A. Elevated cholesterol B. Elevated serum amylase C. Decreased serum amylase D. Decreased serum bili rubin

459. The nurse working in the community health center is conducting a teaching session on the risk factors for colorectal cancer. The nurse includes which item(s) in the teaching session? Select all that apply. A. History of breast cancer B. Age older than 50 years C. History of ovarian cancer D. History of bladder cancer E. History of chronic inflammatory bowel disease

460. The client is caring for a client following thyroidectomy. The nurse most appropriately places the client in which position following this procedure? A. Prone B. Fowler’s C. Side - lying D. Reverse Trendelenburg’s

461. The client who underwent which procedure is most likely to have the least amount of water in the stool? A. Ilesostomy B. Ascending colostomy C. Transverse colostomy D. Descendi ng colostomy

462.The nurse is reviewing laboratory test results for the client with liver disease and notes that the client’s albumin level is low. Which assessment is focused on the consequence of low albumin levels? A. Evaluating for asterxis B. Inspecting fo r petechiae C. Palpating for peripheral edema D. Evaluating for decreased level of consciousness

463. The nurse is performing an eye examination on a client using an Ishiara chart. The nurse presents the first slide to the client, and the client is unable to i dentify the numbers. The nurse understands that this is suggestive of which finding? A. A problem with color vision B. A problem with visual acuity C. A problem with accommodation D. A problem with performing the test

464. The nurse is caring for a client in the post procedure period following cardiac catherization. Which priority assessment should the nurse conduct on a routine basis? A. Skin turgor B. Peripheral pulses C. Intake and output D. Neurological checks

465. Which reproduct ive structure is responsive for the transportation of the ova from the ovaries to uterus? A. Cervix B. Vagina C. Endometruim D. Fallopian tubes

466. The nurse is caring for a client who has been diagnosed with secondary cataracts. The nurse understands that which dis ease(s) can cause secondary cataracts? Select all that apply. A. Heart failure B. Hyotension C. Severe myopia D. Maternal rubella E. Diabetes mellitus F. Ultraviolet light exposure

467. The nurse working in the newborn nursery has to draw a heel - stick blood sample before an infant’s discharge. What can the nurse do to decrease the pain in the infant feels from this procedure? Select all that apply. A. Wrap the heel in a warm, damp cloth B. Use EMLA before doing the stick C. Swaddling the infant D. Have the infant do non - nutritive sucking E. Do the stick while the infant is asleep

468. A child on the nurse’s floor is having a polysomnogram. The parent wants to know what types of data are obtained from the sleep study. The nurse knows that which data can be provided? Select all that apply. A. Heart rate and respirations B. Brain waves C. Ey e and body movements D. Cyanosis or plethora E. End - tidal carbon dioxide

469. Parents express concern about their 5 year old who started having more temper tantrums. The parents want to know if this is normal for this age. What should the nurse ask the parent s about the tantrums? Select all that apply. A. “Does the child do anything right in front of you?” B. “Are the tantrums related to one specific aspect of life.” C. “Are the tantrums causing any harm to self or others?” D. “Have you consulted the internet for any sug gestions? E. “How do you handle your child during a tantrum.”

470. A 17 - month - old is brought into the clinic, and the nurse notes the toddler has tooth decay on the maxillary upper incisors. The toddler is holding a bottle of juice, and the parent says the ch ild cannot seem to be weaned from the bottle. The nurse could suggest which of the following tactics to assist the parent in weaning the toddler? Select all that apply. A. Hide the bottle, and tell the toddler that it is not needed anymore B. Put only tap water in the bottle C. Give the bottle only at night D. Give the toddler a pacifier and take the bottle away

471. Parents are interested in switching their child from a booster seat to a regular seatbelt. The child is 7 years ago and weighs 51 Ib. what can the nur se tell the parents about switching the child to seat belt? Select all the apply. A. The safest place to ride in the car is in the front seat B. The child needs to weigh 60 Ib and be 8 years old to qualify legally for a seat belt C. The seat belt should be worn low on the hips D. Tether straps are optional

472. The nurse goes to kindergarten classroom to evaluate a rash. A 5 year old has patches of vesicles on the chest and face rather than on the arms and legs. The child says it is very itchy. The teacher tells th e nurse the child had a runny nose a couple of days ago. The nurse suspects that the rash is caused by which virus? A. Fifth disease (erythema infectiosum) B. Roseola (exanthema subitum) C. Scarlet fever ( group A - B hemolytic streptococcus) D. Chickenpox (varicella zoster)

473. The clinic is doing a lead something program for children in a low - income Hispanic community. The nurse working in the program wants to tell the parents the reasons to have their children screened for lead poisoning. Sel ect all the following reasons that apply. A. Young children absorb 10% of the lead to which they are exposed B. Homes built between 1900 and 1950 may contain lead - based paint C. The blood level of lead should be below 12.8 mcg/Dl D. Lead can affect any part of the b ody, but the brain and kidneys are at greatest risk E. Foods such as fruit, candy, and antacids contain level

474. Gullian - Barre’ is a progressive motor weakness secondary to an autoimmune response from a viral illness or immunizations Gullian - Barre ’shows w hich of the following symptoms? Select all that apply. A. Always fatal after 18 to 24 months B. Progresses cephalocaudally C. Complications are associated with immobility D. Respiratory support is a nursing priority E. Tube feedings or total parental nutrition may b ecome necessary

Answer 1

458.b).elevated serum lypase

459.b).age older than 50 years e).history of chronic inflammatory bowel disease.

460).semi fowler position

461).a)illeostomy

462).a).evaluating for asterxis

463).b).a problem with visual acuity.

464).b).peripheral pulses

465).d).fallopian tubes

466).option C,E,F ARE CORRECT

467).OPTION A,B,C ARE CORRECT

468).A,B,C ARE CORRECT

469).A,B,C ARE CORRECT

470).D IS CORRECT

471).B,C ARE CORRECT

472).D IS CORRECT

473).A,C,D ARE CORRECT

474).C,D ARE CORRECT