1. Marco who was diagnosed with brain C.

Hypotension
tumor was scheduled for craniotomy. In D. Hypokalemia
preventing the development of cerebral 6. A client is admitted to the hospital with
edema after surgery, the nurse should expect benign prostatic hyperplasia, the nurse most
the use of: relevant assessment would be:

A. Diuretics A. Flank pain radiating in the groin

B. Antihypertensive B. Distention of the lower abdomen
C. Steroids C. Perineal edema
D. Anticonvulsants D. Urethral discharge
2. Halfway through the administration of 7. A client has undergone with penile
blood, the female client complains of lumbar implant. After 24 hrs of surgery, the client’s
pain. After stopping the infusion Nurse scrotum was edematous and painful. The
Hazel should: nurse should:

A. Increase the flow of normal saline A. Assist the client with sitz bath
B. Assess the pain further B. Apply war soaks in the scrotum
C. Notify the blood bank C. Elevate the scrotum using a soft support
D. Obtain vital signs. D. Prepare for a possible incision and
3. Nurse Maureen knows that the positive drainage.
diagnosis for HIV infection is made based 8. Nurse hazel receives emergency
on which of the following: laboratory results for a client with chest pain
and immediately informs the physician. An
A. A history of high risk sexual behaviors. increased myoglobin level suggests which of
B. Positive ELISA and western blot tests the following?
C. Identification of an associated
opportunistic infection A. Liver disease
D. Evidence of extreme weight loss and B. Myocardial damage
high fever C. Hypertension
4. Nurse Maureen is aware that a client who D. Cancer
has been diagnosed with chronic renal 9. Nurse Maureen would expect the a client
failure recognizes an adequate amount of with mitral stenosis would demonstrate
high-biologic-value protein when the food symptoms associated with congestion in the:
the client selected from the menu was:
A. Right atrium
A. Raw carrots B. Superior vena cava
B. Apple juice C. Aorta
C. Whole wheat bread D. Pulmonary
D. Cottage cheese 10. A client has been diagnosed with
5. Kenneth who has diagnosed with uremic hypertension. The nurse priority nursing
syndrome has the potential to develop diagnosis would be:
complications. Which among the following
complications should the nurse anticipates: A. Ineffective health maintenance
B. Impaired skin integrity
A. Flapping hand tremors C. Deficient fluid volume
B. An elevated hematocrit level D. Pain
11. Nurse Hazel teaches the client with surgery, the nurse in charge final assessment
angina about common expected side effects would be:
of nitroglycerin including:
A. signed consent
A. high blood pressure B. vital signs
B. stomach cramps C. name band
C. headache D. empty bladder
D. shortness of breath 17. What is the peak age range in acquiring
12. The following are lipid abnormalities. acute lymphocytic leukemia (ALL)?
Which of the following is a risk factor for
the development of atherosclerosis and A. 4 to 12 years.
PVD? B. 20 to 30 years
C. 40 to 50 years
A. High levels of low density lipid (LDL) D. 60 60 70 years
cholesterol 18. Marie with acute lymphocytic leukemia
B. High levels of high density lipid (HDL) suffers from nausea and headache. These
cholesterol clinical manifestations may indicate all of
C. Low concentration triglycerides the following except
D. Low levels of LDL cholesterol.
13. Which of the following represents a A. effects of radiation
significant risk immediately after surgery for B. chemotherapy side effects
repair of aortic aneurysm? C. meningeal irritation
D. gastric distension
A. Potential wound infection 19. A client has been diagnosed with
B. Potential ineffective coping Disseminated Intravascular Coagulation
C. Potential electrolyte balance (DIC). Which of the following is
D. Potential alteration in renal perfusion contraindicated with the client?
14. Nurse Josie should instruct the client to
eat which of the following foods to obtain A. Administering Heparin
the best supply of Vitamin B12? B. Administering Coumadin
C. Treating the underlying cause
A. dairy products D. Replacing depleted blood products
B. vegetables 20. Which of the following findings is the
C. Grains best indication that fluid replacement for the
D. Broccoli client with hypovolemic shock is adequate?
15. Karen has been diagnosed with aplastic
anemia. The nurse monitors for changes in A. Urine output greater than 30ml/hr
which of the following physiologic B. Respiratory rate of 21 breaths/minute
functions? C. Diastolic blood pressure greater than 90
mmhg
A. Bowel function D. Systolic blood pressure greater than 110
B. Peripheral sensation mmhg
C. Bleeding tendencies 21. Which of the following signs and
D. Intake and out put symptoms would Nurse Maureen include in
16. Lydia is scheduled for elective teaching plan as an early manifestation of
splenectomy. Before the clients goes to laryngeal cancer?
 A. Stomatitis A. Swelling of the left thigh
B. Airway obstruction B. Increased skin temperature of the foot
C. Hoarseness C. Prolonged reperfusion of the toes after
D. Dysphagia blanching
22. Karina a client with myasthenia gravis is D. Increased blood pressure
to receive immunosuppressive therapy. The 26. After a long leg cast is removed, the
nurse understands that this therapy is male client should:
effective because it:
A. Cleanse the leg by scrubbing with a
A. Promotes the removal of antibodies that brisk motion
impair the transmission of impulses B. Put leg through full range of motion
B. Stimulates the production of twice daily
acetylcholine at the neuromuscular C. Report any discomfort or stiffness to
junction. the physician
C. Decreases the production of D. Elevate the leg when sitting for long
autoantibodies that attack the periods of time.
acetylcholine receptors. 27. While performing a physical assessment
D. Inhibits the breakdown of acetylcholine of a male client with gout of the great toe,
at the neuromuscular junction. NurseVivian should assess for additional
23. A female client is receiving IV Mannitol. tophi (urate deposits) on the:
An assessment specific to safe
administration of the said drug is: A. Buttocks
B. Ears
A. Vital signs q4h C. Face
B. Weighing daily D. Abdomen
C. Urine output hourly 28. Nurse Katrina would recognize that the
D. Level of consciousness q4h demonstration of crutch walking with tripod
24. Patricia a 20 year old college student gait was understood when the client places
with diabetes mellitus requests additional weight on the:
information about the advantages of using a
pen like insulin A. Palms of the hands and axillary regions
delivery devices. The nurse explains that the B. Palms of the hand
advantages of these devices over syringes C. Axillary regions
includes: D. Feet, which are set apart
29. Mang Jose with rheumatoid arthritis
A. Accurate dose delivery states, “the only time I am without pain is
B. Shorter injection time when I lie in bed perfectly still”. During the
C. Lower cost with reusable insulin convalescent stage, the nurse in charge with
cartridges Mang Jose should encourage:
D. Use of smaller gauge needle.
25. A male client’s left tibia is fractures in A. Active joint flexion and extension
an automobile accident, and a cast is B. Continued immobility until pain
applied. To assess for damage to major subsides
blood vessels from the fracture tibia, the C. Range of motion exercises twice daily
nurse in charge should monitor the client D. Flexion exercises three times daily
for:
30. A male client has undergone spinal B. cholesterol level
surgery, the nurse should: C. Echocardiogram
D. Bowel sounds
A. Observe the client’s bowel movement 35. Nurse Linda is preparing a client with
and voiding patterns multiple sclerosis for discharge from the
B. Log-roll the client to prone position hospital to home. Which of the following
C. Assess the client’s feet for sensation instruction is most appropriate?
and circulation
D. Encourage client to drink plenty of A. “Practice using the mechanical aids that
fluids you will need when future disabilities
31. Marina with acute renal failure moves arise”.
into the diuretic phase after one week of B. “Follow good health habits to change
therapy. During this phase the client must be the course of the disease”.
assessed for signs of developing: C. “Keep active, use stress reduction
strategies, and avoid fatigue.
A. Hypovolemia D. “You will need to accept the necessity
B. renal failure for a quiet and inactive lifestyle”.
C. metabolic acidosis 36. The nurse is aware the early indicator of
D. hyperkalemia hypoxia in the unconscious client is:
32. Nurse Judith obtains a specimen of clear
nasal drainage from a client with a head A. Cyanosis
injury. Which of the following tests B. Increased respirations
differentiates mucus from cerebrospinal C. Hypertension
fluid (CSF)? D. Restlessness
37. A client is experiencing spinal shock.
A. Protein Nurse Myrna should expect the function of
B. Specific gravity the bladder to be which of the following?
C. Glucose
D. Microorganism A. Normal
33. A 22 year old client suffered from his B. Atonic
first tonic-clonic seizure. Upon awakening C. Spastic
the client asks the nurse, “What caused me D. Uncontrolled
to have a seizure? Which of the following 38. Which of the following stage the
would the nurse include in the primary cause carcinogen is irreversible?
of tonic clonic seizures in adults more the 20
years? A. Progression stage
B. Initiation stage
A. Electrolyte imbalance C. Regression stage
B. Head trauma D. Promotion stage
C. Epilepsy 39. Among the following components
D. Congenital defect thorough pain assessment, which is the most
34. What is the priority nursing assessment significant?
in the first 24 hours after admission of the
client with thrombotic CVA? A. Effect
B. Cause
A. Pupil size and papillary response C. Causing factors
 D. Intensity 45. Which of the following complications
40. A 65 year old female is experiencing associated with tracheostomy tube?
flare up of pruritus. Which of the client’s
action could aggravate the cause of flare A. Increased cardiac output
ups? B. Acute respiratory distress syndrome
(ARDS)
A. Sleeping in cool and humidified C. Increased blood pressure
environment D. Damage to laryngeal nerves
B. Daily baths with fragrant soap 46. Nurse Faith should recognize that fluid
C. Using clothes made from 100% cotton shift in an client with burn injury results
D. Increasing fluid intake from increase in the:
41. Atropine sulfate (Atropine) is
contraindicated in all but one of the A. Total volume of circulating whole
following client? blood
B. Total volume of intravascular plasma
A. A client with high blood C. Permeability of capillary walls
B. A client with bowel obstruction D. Permeability of kidney tubules
C. A client with glaucoma 47. An 83-year-old woman has several
D. A client with U.T.I ecchymotic areas on her right arm. The
42. Among the following clients, which bruises are probably caused by:
among them is high risk for potential
hazards from the surgical experience? A. increased capillary fragility and
permeability
A. 67-year-old client B. increased blood supply to the skin
B. 49-year-old client C. self inflicted injury
C. 33-year-old client D. elder abuse
D. 15-year-old client 48. Nurse Anna is aware that early
43. Nurse Jon assesses vital signs on a client adaptation of client with renal carcinoma is:
undergone epidural anesthesia.
Which of the following would the nurse A. Nausea and vomiting
assess next? B. flank pain
C. weight gain
A. Headache D. intermittent hematuria
B. Bladder distension 49. A male client with tuberculosis asks
C. Dizziness Nurse Brian how long the chemotherapy
D. Ability to move legs must be continued. Nurse Brian’s accurate
44. Nurse Katrina should anticipate that all reply would be:
of the following drugs may be used in the
attempt to control the symptoms of A. 1 to 3 weeks
Meniere’s disease except: B. 6 to 12 months
C. 3 to 5 months
A. Antiemetics D. 3 years and more
B. Diuretics 50. A client has undergone laryngectomy.
C. Antihistamines The immediate nursing priority would be:
D. Glucocorticoids
A. Keep trachea free of secretions
B. Monitor for signs of infection
C. Provide emotional support
D. Promote means of communication