The nurse is caring for a client who reports severe abdominal pain and

1.The emergency nurse is triaging four clients. Which client should the nurse assess first? 选项： A:

6-month-old client who is constipated, cannot hold the head up, and has a weak cry after eating honey

4-year-old client who has elbow pain, swelling, and deformity after falling from a playground swing

6-year-old client who has fever and reports right-sided abdominal pain and difficulty tolerating food

9-year-old client who is lethargic and reports having painful urination and back pain

2.The nurse receives telephone messages from the following 4 clients. Which client should the nurse call back first? 选项： A:

Client taking cyclosporine who reports swollen and bleeding gums for several days

B:

Client taking doxycycline who reports severe sunburn after sun exposure

C:

Client taking phenytoin who reports flu-like symptoms and a new painful skin rash

D:

Client taking sildenafil who reports dizziness when standing up from a seated position

3.The nurse is caring for a client after percutaneous placement of a coronary stent for a myocardial infarction. The client rates lower back pain as 5 on a scale of 0-10 and has blood pressure of 140/92 mm Hg. The cardiac monitor shows normal sinus rhythm with occasional premature ventricular contractions. Which prescription should the nurse administer first? Click on the exhibit button for additional information. 选项： A:

Captopril PO every 8 hours

B:

Morphine IV PRN for pain

C:

Potassium chloride IVPB once

D:

Regular insulin subcutaneous with meals

4.A newly admitted client describes symptoms of dizziness and feeling faint on standing. The client has a history of type 2 diabetes, coronary artery disease, and bipolar disorder. Which medications may be contributing to the client's symptoms? Select all that apply. 选项： A:

Atorvastatin

Metformin

Metoprolol

Olanzapine

Omeprazole

5.Which of the following drug administrations should be reported as a practice error? Select all that apply. 选项： A:

Cephalexin administered; client has history of anaphylaxis from penicillin

B:

Hydromorphone 2 mg administered; client reports pruritus

C:

Immunization for 3-month-old administered in ventrogluteal site

D:

Oral niacin (nicotinic acid) administered; client has facial flushing

E:

Warfarin administered; client at 12 weeks gestation

Need for discharge to a skilled nursing facility

B:

Nutritional consult with instructions on a high-calorie diet

C:

Option of palliative care

D:

Physical therapy prescription to promote activity

">6.An 84-year-old client with oxygen-dependent chronic obstructive pulmonary disease is admitted with an exacerbation and steady weight loss. The client has been in the hospital 4 times over the last several months and is "tired of being poked and prodded." Which topic would be most important for the nurse to discuss with this client's health care team? 选项： A:

Need for discharge to a skilled nursing facility

B:

Nutritional consult with instructions on a high-calorie diet

C:

Option of palliative care

D:

Physical therapy prescription to promote activity

7.Upon arrival in the post-anesthesia care unit, the nurse performs the initial assessment of a client who had surgery under general anesthesia. Which assessment finding prompts the nurse to notify the health care provider immediately? 选项： A:

Difficult to arouse

B:

Muscle stiffness

C:

Pinpoint pupils

D:

Temperature 94 F (34.4 C)

8.The nurse is monitoring a client who is in active labor with a cervical dilation of 6 cm. Which uterine assessment finding requires an intervention by the nurse? 选项： A:

Contraction duration of 95 seconds

B:

Contraction frequency of every 3 minutes

C:

Contraction intensity of 45 mm Hg

D:

Uterine resting tone of 10 mm Hg

9.A Native American client is hospitalized for depression and attempted suicide. Family members have requested that they be allowed to bring in a medicine healer to perform a ritual on the client. Which of the following is the best action by the nurse? 选项： A:

Explain that the client's depression is being treated with medications

B:

Explain that the client's depression will not be relieved by a ritual

C:

Plan a meeting with the health care provider (HCP), family, nurse, and medicine healer to make arrangements for the ceremony

D:

Tell the family that such practices are not allowed in the hospital

10.The nurse is caring for a client with an asthma exacerbation who has been prescribed albuterol. The client's blood pressure is 146/86 mm Hg, heart rate is 110/min, and respirations are 32/min. One hour after the treatment, which finding indicates that the medication is producing the desired therapeutic effect? 选项： A:

Blood pressure 130/82 mm Hg

B:

Constricted pupils

C:

Heart rate of 120/min

D:

Respirations of 24/min

11.The nurse is performing an admission assessment on a client who has been admitted to the hospital with a diagnosis of suspected gastric ulcer. The nurse is asking the client questions about pain. Which client statement supports the diagnosis of gastric ulcer?None 选项： A:"The pain doesn't usually come right after I eat." B:"The pain gets so bad that it wakes me up at night." C:"The pain that I get is located on the right side of my chest." D:"My pain comes shortly after I eat, maybe a half hour or so later."

12.A 26-year-old G2P1 woman with a history of 11 weeks amenorrhea complains of 2 days’ vaginal spotting, without abdominal pain. She had a regular menstrual cycle before. Pelvic examination reveals a slightly soft, enlarged uterus consistent with 7 weeks pregnant size. The cervix is closed and no tissue is visible. Ultrasound examination shows an embryo as 7 gestational weeks without cardiac activity. What is the best diagnosis? （）选项： A:Complete abortion B:Inevitable abortion C:Threatened abortion D:Missed abortion E:Incomplete abortion

"I can tell that you want me to go, so I will call in a few days to see how you are doing."

B:

"I know you are frustrated with losing control of your life."

C:

"It sounds like you are angry. Tell me what's bothering you."

D:

"Okay. I’ll just check your blood pressure and then go."

">13.The nurse is conducting a home visit to assess an elderly client with advanced heart failure who lives alone. When the nurse asks about sodium intake, the client becomes angry and says, "I'm so tired of people telling me what to do! I'm going to eat what I want, so leave me alone!" Which of the following is the most appropriate response by the nurse? 选项： A:

"I can tell that you want me to go, so I will call in a few days to see how you are doing."

B:

"I know you are frustrated with losing control of your life."

C:

"It sounds like you are angry. Tell me what's bothering you."

D:

"Okay. I’ll just check your blood pressure and then go."

14.What are the clinical manifestations of abortion() 选项： A、The main symptoms of miscarriage are vaginal bleeding and abdominal
pain B、Early miscarriage often has vaginal bleeding first and then abdominal
pain C、Late miscarriage often has abdominal pain and then vaginal bleeding D、When a miscarriage occurs before 8 weeks of pregnancy, because the
chorion is immature, it is prone to incomplete miscarriage E、The pregnancy should be terminated immediately if the fetal
chromosomal abnormality is found in the amniotic fluid examination

15.A nurse cares for a client on life support who has been declared brain dead. Which intervention is appropriate at this time? 选项： A:

Ask the family members about their plans for the funeral service

B:

Call the local organ procurement services representative

C:

Discontinue nursing care and provide postmortem care

D:

Remove life support as requested by the spouse and family

16.A 28 years old woman is pregnant for 10 weeks. She complains of vaginal spotting for 7 days with slight lower abdominal pain. Pelvic examination reveals closed cervix and 10 weeks pregnancy sized uterus, and no adnexal masses. Which of the followings is the mostly likely diagnosis? 选项： A、threatened abortion B、ectopic pregnancy C、hydatidiform mole D、inevitable abortion

17.The pregnancies with severe preeclampsia develop vaginal bleeding with abdominal pain in the third trimester . The most likely disease is : 选项： A:正确 B:错误

a feeling of sadness

B:

a ifficult thing to do

C:

a pain in the body

D:

uffering from neck pain

">18.The phrase "a pain in the neck" in the secondsentence of Para.1 may refer to______. 选项： A:

a feeling of sadness

B:

a ifficult thing to do

C:

a pain in the body

D:

uffering from neck pain

19.A 28-year-old woman, married, the menstrual cycle is usually regular for 28 days. Her last menstrual period was May 7, 2023 and went to hospital on 14 June, 2023. The chief complaint was “a small amount of vaginal bloody secretion for 3 days”, without abdominal pain. What is the first next examination of this patient? （）选项： A:Urine hCG test B:Basal body temperature measurement C:Routine urine test D:Cervical mucus smear E:Diagnostic curettage

20.A 45 years old fat female had several episodes of acute cholecystitis. Which one was her impossible symptom? 选项： A、Right upper abdominal pain B、Nausea C、Vomiting D、Fever E、Jaundice

21.144. A pregnant woman is diagnosed with hepatitis A. Supportive care recommended by the nurse should include which of the following measures? 选项： A:

A. Taking ibuprofen for pain

B:

B. Eating three large meals a day

C:

C. Scheduling rest periods throughout the day

D:

D. Restricting fluids during the acute phase