1. After placing a 36- week- gestation newborn in an isolette and drying the

infant with several blankets, what should the nurse implement next?

a. Place erythromycin ophthalmic ointment in both eyes

2. A client in the third trimester of pregnancy complains of frequent nasal

stiffness and occasional nosebleeds. Her chest circumference has increased

by 5 cm during the pregnancy, and she uses thoracic breathing. Her

diaphragm is elevated and she has an increased costal angle. Which

intervention should the nurse implement?

a. Examine the client for signs of tissue anoxia, such as pallor

3. A terminally ill male hospice client who is at home is showing decreased

awareness of his surroundings. His appetite is poor and he often refuses oral

intake of solids and liquids. For the past several days he has been unable to

get out of bed. Which action should the hospice nurse implement?

a. Teach the family how to assist the client to a wheelchair

4. A woman was admitted yesterday afternoon with severe abdominal pain. Her

pregnancy test and ultrasound were negative, so an exploratory laparotomy

was completed during the night. When coffee ground materials is observed in

the drainage from the nasogastric tube (NGT), which intervention should the

nurse implement?

a. Verify correct placement of the nasogastric tube

5. The nurse is reviewing the laboratory values for a client with acute

pancreatitis who reports of the abdominal pain is not as severe as it was on

admission. Which laboratory test should the nurse review to evaluate the

clients clinical recovery?

a. Lipase

6. While assessing a client who had a laparotomy the previous day, the nurse

notices that 300 mL of dark red fluid has drained from the nasogastric tube in

the last hour. Which action should the nurse take first?

a. Assess the clients level of pain

7. The nurse is reviewing the recommended preventative care for clients with

asthma, chronic bronchitis, and emphysema. Which health care measure is

most important for the nurse to recommend to these clients?

a. Avoid large crowded areas during the colder months of the year

8. The mother of a one-moth-old infant calls the clinic to report that the back of

her infant’s head is flat. How should the nurse respond?

a. Position the infant on the stomach occasionally when awake and

active