1. 1) Which of the following is not a potential source of acquired immunity?
    APrescribed multivitamins
    BAntibodies received from the mother
    CAnimal serum
    DAntibodies received in response to disease
  2. 2) If a client taking procainamide (Procanbid) intravenously complains of dizziness, the first nursing intervention is to:
    AAdminister ordered nitroglycerin tablets
    BObtain a 12-lead electrocardiogram immediately
    CMeasure the heart rate on the rhythm strip
    DAuscultate the client’s apical pulse and obtain a blood pressure

    3) Before restructuring the nursing assignment process, the nursing manager seeks formal input from every nurse before making a decision.  This is an example of which leadership style?

    ADemocratic leadership
    BAutocratic leadership
    CLaissez-faire leadership
    DSituational leadership

    4) The nurse anticipates the following laboratory study to assess the therapeutic effect in the client taking heparin intravenously:

    AHematocrit
    BHemoglobin
    CProthrombin time
    DActivated partial thromboplastin time

    5) A client has been provided an order for Bupropion (Wellbutrin).  When should the nurse administer the order?

    AEarly in the day
    BWhen the patient requests it
    COn an empty stomach
    DImmediately before bed

    6) A nurse is instructing a group of school children on Lyme disease prevention prior to an outdoor nature lesson.  Which of the following statements by a student indicates that the student has not been listening?

    A“I should stay on the path and not wander into tall grasses”
    B“I should bring insect repellent to keep insects away”
    C“I should wear a hat”
    D“I should wear a t-shirt and shorts so I can see if I have been bitten”

    7) Which of the following is the priority assessment in the client being treated for acute congestive heart failure with bumetanide (Bumex) intravenously?

    AMonitoring urine output
    BMonitoring potassium level
    CMonitoring blood pressure
    DMonitoring weight loss

    8) The therapy that where a focus on the therapist-client relationship is used to modify a client’s feelings, attitude, and behaviors is:

    AInterpersonal psychotherapy
    BCognitive therapy
    CBehavior therapy
    DFamily therapy

    9) When monitoring the blood glucose level of a patient receiving parenteral nutrition, the nurse finds a blood glucose level of 220 mg/dL.  The nurse should respond by:

    ARestricting fluids and administering a diuretic
    BAdministering intravenous dextrose
    CNotifying the physician and slowing the infusion rate
    DNotifying the physician and administering oxygen

    10) The nurse is in the pre-interaction phase of the nurse-client relationship where the client has been sexually assaulted.  During this phase, the nurse should:

    AActively listen to the client express his thoughts and feelings
    BIdentify themes of patterns of patient behavior and possible coping mechanisms
    CIdentify responses related to termination and separation
    DExplore personal ideas, stereotypes, and biases that may affect the nurse-client relationship

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