Q:1-Thrombolytic therapy is frequently used in the treatment of suspected stroke.

Which of the following is a significant

complication associated with thrombolytic therapy?
Mark one answer:

 Air embolus.

 Cerebral hemorrhage.

 Expansion of the clot.

 Resolution of the clot.

Q:2-An infant is brought to the clinic by his mother, who has noticed that he holds his head in an unusual position and
always faces to one side. Which of the following is the most likely explanation?
Mark one answer:

 Torticollis, with shortening of the sternocleidomastoid muscle.

 Craniosynostosis, with premature closure of the cranial sutures.

 Plagiocephaly, with flattening of one side of the head.

 Hydrocephalus, with increased head size.

Q:3-An adolescent brings a physician’s note to school stating that he is not to participate in sports due to a diagnosis of
Osgood-Schlatter disease. Which of the following statements about the disease is correct?
Mark one answer:

 The condition was caused by the student’s competitive swimming schedule.

 The student will most likely require surgical intervention.

 The student experiences pain in the inferior aspect of the knee.

 The student is trying to avoid participation in physical education.

Q:4-The clinic nurse asks a 13-year-old female to bend forward at the waist with arms hanging freely. Which of the
following assessments is the nurse most likely conducting?
Mark one answer:

 Spinal flexibility.

 Leg length disparity.

 Hypostatic blood pressure.

 Scoliosis.

Q:5-A clinic nurse interviews a parent who is suspected of abusing her child. Which of the following characteristics is the
nurse LEAST likely to find in an abusing parent?
Mark one answer:

 Low self-esteem.

 Unemployment.

 Self-blame for the injury to the child.

 Single status.

Q:6-A nurse in the emergency department is observing a 4-year-old child for signs of increased intracranial pressure after a
fall from a bicycle, resulting in head trauma. Which of the following signs or symptoms would be cause for concern?
Mark one answer:

 Bulging anterior fontanel.

 Repeated vomiting.

 Signs of sleepiness at 10 PM.

 Inability to read short words from a distance of 18 inches.

Q:7-A nonimmunized child appears at the clinic with a visible rash. Which of the following observations indicates the child
may have rubeola (measles)?
Mark one answer:

 Small blue-white spots are visible on the oral mucosa.

 The rash begins on the trunk and spreads outward.

 There is low-grade fever.

 The lesions have a “teardrop on a rose petal” appearance.

Q:8-A child is seen in the emergency department for scarlet fever. Which of the following descriptions of scarlet fever is
NOT correct?
Mark one answer:

 Scarlet fever is caused by infection with group A Streptococcus bacteria.

 “Strawberry tongue” is a characteristic sign.

 Petechiae occur on the soft palate.

 The pharynx is red and swollen.

Q:9-A child weighing 30 kg arrives at the clinic with diffuse itching as the result of an allergic reaction to an insect bite.
Diphenhydramine (Benadryl) 25 mg 3 times a day is prescribed. The correct pediatric dose is 5 mg/kg/day. Which of the
following best describes the prescribed drug dose?
Mark one answer:

 It is the correct dose.

 The dose is too low.

 The dose is too high.

 The dose should be increased or decreased, depending on the symptoms.

Q:10-The mother of a 2-month-old infant brings the child to the clinic for a well baby check. She is concerned because she
feels only one testis in the scrotal sac. Which of the following statements about the undescended testis is the most accurate?
Mark one answer:

 Normally, the testes are descended by birth.

 The infant will likely require surgical intervention.

 The infant probably has with only one testis.

 Normally, the testes descend by one year of age.

:1-A client with schizophrenia is receiving depot injections of Haldol Decanoate (haloperidol decanoate). The client should
be told to return for his next injection in:
Mark one answer:

 1 week

 2 weeks

 4 weeks

 6 weeks

Q:2-A 3-year-old is immobilized in a hip spica cast. Which discharge instruction should be given to the parents?

Mark one answer:

 Keep the bed flat, with a small pillow beneath the cast

 Provide crayons and a coloring book for play activity

  Increase her intake of high-calorie foods for healing

 Tuck a disposable diaper beneath the cast at the perineal opening

Q:3-The nurse is caring for a client following the reimplantation of the thumb and index finger. Which finding should be

reported to the physician immediately?

Mark one answer:

 Temperature of 100��F

 Coolness and discoloration of the digits

 Complaints of pain

 Difficulty moving the digits

Q:4-When assessing the urinary output of a client who has had extracorporeal lithotripsy, the nurse can expect to find:

Mark one answer:

 Cherry-red urine that gradually becomes clearer

 Orange-tinged urine containing particles of calculi

 Dark red urine that becomes cloudy in appearance

 Dark, smoky-colored urine with high specific gravity

Q:5-The physician has prescribed Cognex (tacrine) for a client with dementia. The nurse should monitor the client for

adverse reactions, which include:

Mark one answer:

 Hypoglycemia

 Jaundice

 Urinary retention

 Tinnitus

Q:6-Which finding is the best indication that a client with ineffective airway clearance needs suctioning?

Mark one answer:

 Oxygen saturation

 Respiratory rate

 Breath sounds

 Arterial blood gases

Q:7-A client with tuberculosis has a prescription for Myambutol (ethambutol HCl). The nurse should tell the client to notify

the doctor immediately if he notices:

Mark one answer:

 Gastric distress

 Changes in hearing

 Red discoloration of bodily fluids

 Changes in color vision

Q:8-The primary cause of anemia in a client with chronic renal failure is:

Mark one answer:

 Poor iron absorption

 Destruction of red blood cells

 Lack of intrinsic factor

 Insufficient erythropoietin

Q:9-Which of the following nursing interventions has the highest priority for the client scheduled for an intravenous

pyelogram?

Mark one answer:

 Providing the client with a favorite meal for dinner

 Asking if the client has allergies to shellfish

 Encouraging fluids the evening before the test

 Telling the client what to expect during the test

Q:10-The doctor has prescribed aspirin 325 mg daily for a client with transient ischemic attacks. The nurse knows that

aspirin was prescribed to:

Mark one answer:

 Prevent headaches

 Boost coagulation

 Prevent cerebral anoxia

 Keep platelets from clumping together