EXCELLENCE REVIEW CENTER ASSESSMENT III NLE Review

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) Which playroom activities should the nurse organize for a small group of 7 year-old hospitalized children? A) Sports and games with rules c) "Dress-up" clothes and props B) Finger paints and wate... r play d) Chess and television programs 2) While planning care for a 2 year-old hospitalized child, which situation would the nurse expect to most likely affect the behavior? A) Strange bed and surroundings c) Presence of other toddlers B) Separation from parents d) Unfamiliar toys and games 3) A client is discharged following hospitalization for congestive heart failure. The nurse teaching the family suggests they encourage the client to rest frequently in which of the following positions? A) High Fowler's b) Supine c) Left lateral d) Low Fowler's 4) A 23 year-old single client is in the 33rd week of her first pregnancy. She tells the nurse that she has everything ready for the baby and has made plans for the first weeks together at home. Which normal emotional reaction does the nurse recognize? A) Acceptance of the pregnancy c) Anticipation of the birth B) Focus on fetal development d) Ambivalence about pregnancy 5) The nurse is planning care for a client with pneumococcal pneumonia. Which of the following would be most effective in removing respiratory secretions? A) Administration of cough suppressants c) Maintaining bed rest with bathroom privileges B) Increasing oral fluid intake to 3000 cc per day d) Performing chest physiotherapy twice a day 6) The nurse is performing a neurological assessment on a client post right cerebral vascular accident (CVA). Which finding, if observed by the nurse, would warrant immediate attention? A) Decrease in level of consciousness c) Altered sensation of stimuli B) Loss of bladder control d) Emotional liability 7) A mother wants to switch her 9 month-old infant from an iron-fortified formula to whole milk because of the expense. Upon further assessment, the nurse finds that the baby eats table foods well, but drinks less milk than before. What is the best advice by the nurse? A) Change the baby to whole milk c) Continue with the present formula B) Add chocolate syrup to the bottle d) Offer fruit juice frequently 8) The nurse assesses a client who has been re-admitted to the psychiatric inpatient unit for schizophrenia. His symptoms have been managed for several months with fluphenazine (Prolixin). Which should be a focus of the first assessment? A) Stressors in the home c) Exposure to hot temperatures B) Medication compliance d) Alcohol use 9) At the day treatment center a client diagnosed with schizophrenia - paranoid type sits alone alertly watching the activities of clients and staff. The client is hostile when approached and asserts that the doctor gives her medication to control her mind. The client's behavior most likely indicates A) Feelings of increasing anxiety related to paranoia B) Social isolation related to altered thought processes C) Sensory perceptual alteration related to withdrawal from environment D) Impaired verbal communication related to impaired judgment 10) Which of the following nursing assessments for an infant is most valuable in identifying serious visual defects? A) Red reflex test b) Visual acuity c) Pupil response to light d) Cover test 11) A client was admitted to the psychiatric unit with major depression after a suicide attempt. In addition to feeling sad and hopeless, the nurse would assess for A) Anxiety, unconscious anger, and hostility c) Psychomotor retardation or agitation B) Guilt, indecisiveness, poor self-conceptd) Meticulous attention to grooming and hygiene 12) A nurse is conducting a community wide seminar on childhood safety issues. Which of these children is at the highest risk for poisoning? A) 9 month-old who stays with a sitter 5 days a week B) 20 month-old who has just learned to climb stairs CAGAYAN DE ORO BUTUAN SURIGAO MALAYBALAY VALENCIA OZAMIZ PAGADIAN TACLOBAN 1 PRE-TEST (NURSE LICENSURE EXAMINATION) C) 10 year-old who occasionally stays at home unattended D) 15 year-old who likes to repair bicycles [Show More]

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