1.
A two-year-old is being discharged from the ambulatory surgery center 10 hours after undergoing a tonsillectomy. Which of the following findings would prompt the nurse to delay discharge?
2.
To which of the following nursing diagnoses should a nurse give priority when planning care for a patient who is in cardiogenic shock?
3.
A nurse observes a colleague performing an assessment of a child who has a head injury by using the Glasgow coma scale. Which of the following assessments, if performed by the colleague, indicates the colleague needs instruction regarding the use of this scale?
4.
Which of the following statements, if made by a patient who has had a basal cell carcinoma removed, would indicate to the nurse the need for further instruction?
5.
To which of the following nursing diagnoses would a nurse give priority in the care of a patient whose blood test reveals a red blood cell count of 3.0 million/mm3?
6.
A client who has hypothyroidism and has been taking levothyroxine (Synthroid) for four weeks is seen in the clinic for follow-up care. Which of these client statements would indicate a need to alter the dosage of the medication?
7.
A child has a suprapubic catheter following a re-implantation of the ureters into the urinary bladder. Prior to administering an antispasmodic to the child, the nurse should make which of these assessments?
8.
A client is admitted to the hospital with acute adrenocortical insufficiency (Addisonian crisis) and is to receive a corticosteroid preparation intravenously. During the drug therapy, which of these assessments of the client is important?
9.
A nurse in the prenatal clinic has a nutritional conference with a primigravida who is ten weeks pregnant. Which of these comments, if made by the woman, would be an accurate statement about nutritional needs?
10.
An infant who has pyloric stenosis has been receiving fluids intravenously. An expected outcome of this therapy would be manifested by an increase in the child's