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1.A nurse is caring for patients in the oncology unit. Which ofthe following is the most important nursing action whencaring for a neutropenic patient?
A. Change the disposable mask immediately after use.
B. Change gloves immediately after use.
C. Minimize patient contact.
D. Minimize conversation with the patient.

2.Following myocardial infarction, a hospitalized patientis encouraged to practice frequent leg exercises andambulate in the hallway as directed by his physician.
Which of the following choices reflects the purpose of
exercise for this patient?
A. Increases fitness and prevents future heart attacks.
B. Prevents bedsores.
C. Prevents DVT (deep vein thrombosis).
D. Prevent constipations.

3.The nurse is assessing an 8-year-old boy suspected of havingRocky Mountain spotted fever. Which of the following signsand symptoms would the nurse expect to find?
A. Maculopapular rash that begins on the wrists and ankles
and spreads centripetally
B. Spasms of the jaw muscles and arching of the back
C. Circular, outward expanding rash
D. Stiff neck with a positive Kernig's sign

4.The nurse reviews the lab results of a patient at risk forthrombocytopenia. The patient's platelet count is 175,000cells/mm³. The next appropriate action by the nurse is to:
A. Notify the physician of the abnormally low platelet count
B. Document the normal results
C. Notify the physician of the abnormally high platelet count
D. Place the patient on bleeding precautions

5.A patient is admitted to the cardiac unit after having amyocardial infarction. Prioritize the nurse's next actions.
1. Insert an IV
2. Hook the patient up to a cardiac monitor
3. Initiate thrombolytic therapy
4. Provide the patient with water
A. 2,1,3,4
B. 1,2,3,4
C. 1,3,2,4
D. 3,2,1,4

6.A patient recently prescribed with ezetimibe asks the nursewhy he needs this medication. Understanding the mechanism of action, the nurse knows ezetimibe is used to treat:
A. Osteoporosis
B. Hypertension
C. Congestive Heart Failure
D. Hyperlipidemia

7.A patient is being discharged after a bilateral nephrectomy.The patient will perform peritoneal dialysis at home. Which ofthe following actions best promote continuity of care?
 A. Home health nurse referral to provide follow-up visits tohelp with peritoneal dialysis
B. Asking the patient's wife to provide adequate nutrition
C. Physical therapy referral to improve patient mobility
D. Notify the National Kidney Foundation to provide the patient with resources

8.The nurse is caring for a patient that just underwent abronchoscopy. The nurse should do which of the following interventions?
A. Administer midazolam IV for conscious sedation
B. Confirm the return of a gag reflex before advancing diet
C. Encourage large amounts of oral fluids
D. Administer vecuronium IV

9.A nurse is assessing multiple skin lesions on a patient with pemphigus vulgaris. The skin is easily rubbed off when the nurse applies slight friction. This best describes which of the following?
A. Murphy's sign
B. Nikolsky's sign
C. Blumberg's sign
D. O'Connor's sign

10.A new mother is interested in seeing what her infant's eyes look like. Which is the most effective way for the nurse to stimulate the infant to open their eyes?
A. Hold the infant in an upright position
B. Stimulate the moro reflex
C. Shine a penlight toward the infant's face
D. Gently separate the infant's eyelids with the fingers

11.which is the first manifestation associated with tuberculosis
A. Dyspnea
B.chest pain
C. A bloody productive cough
D. A cough with expectoration of mucoid sputum

12.which is symptoms of duodenal ulcer?
A. Weight loss
B. Nausea and vomiting
C. Pain relieved by food intake
D. Pain increase by food intake

13.A patient is admitted to the hospital after his urinalysis showed significant proteinuria. The nurse determines that the patient is suffering from nephritic syndrome, rather than nephrotic syndrome, because of:
A. Hyperlipidemia
B. Periorbital edema
C. Hypoalbuminemia
D. Hematuria


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