Practice Test Questions
22. A client with neurological symptoms of pernicious anemia has been receiving cyanocobalamin (vitamin B 12 ) for 2 months. Which of these statements, if made by the client, would indicate that the medication is achieving its desired effect?
A. “My joints don’t hurt.”
B. “My hearing has improved.”
C. “I can see objects more clearly now.”
D. “My feet burn if I walk on a hard surface.”
23. An 18-month-old child who is suspected of having intussusception is given a barium enema as part of the treatment plan. Which of these findings would best indicate that the treatment was effective?
A. Cessation of vomiting
B. Reduction of abdominal girth
C. Normal elimination pattern
D. Soft and non-tender abdomen
24. When teaching self-catheterization to a homebound client, a nurse should include which of these directions?
A. “Wear sterile gloves for catheter insertion.”
B. “Use a new catheter for each insertion.”
C. “Wash your hands before each catheter insertion.”
D. “Leave the catheter inserted for 1 hour each time.”
Rationales
22. Key: D Client Need: Pharmacological and Parenteral Therapies
D. Nerve and blood cells need Vitamin B 12 to function normally. A decrease in tingling in the feet would indicate a positive outcome of therapy.
A. Joint involvement is seen in sickle cell anemia.
B. Hearing is not affected in pernicious anemia.
C. Vision is not affected in pernicious anemia.
23. Key: C Client Need: Reduction of Risk Potential
C. Anormal elimination pattern indicates that telescoping of bowel has been remedied.
A. Cessation of vomiting may be a result of treatment, but the best indicator of treatment effectiveness is normal elimination pattern.
B. Reduction of abdominal girth may be a result of treatment, but the best indicator of treatment effectiveness is normal elimination pattern.
D. A soft, non-tender abdomen may be a result of treatment, but the best indicator of treatment effectiveness is normal elimination pattern.
24. Key: C Client Need: PhysiologicAdaptation
C. Washing hands before each catheter insertion is appropriate for home catheterization. It is a clean, rather than sterile, procedure.
A & B. Self-catheterization is a clean,rather than a sterile, procedure.
D. The catheter should be left in place until the bladder is emptied.
22. A client with neurological symptoms of pernicious anemia has been receiving cyanocobalamin (vitamin B 12 ) for 2 months. Which of these statements, if made by the client, would indicate that the medication is achieving its desired effect?
A. “My joints don’t hurt.”
B. “My hearing has improved.”
C. “I can see objects more clearly now.”
D. “My feet burn if I walk on a hard surface.”
23. An 18-month-old child who is suspected of having intussusception is given a barium enema as part of the treatment plan. Which of these findings would best indicate that the treatment was effective?
A. Cessation of vomiting
B. Reduction of abdominal girth
C. Normal elimination pattern
D. Soft and non-tender abdomen
24. When teaching self-catheterization to a homebound client, a nurse should include which of these directions?
A. “Wear sterile gloves for catheter insertion.”
B. “Use a new catheter for each insertion.”
C. “Wash your hands before each catheter insertion.”
D. “Leave the catheter inserted for 1 hour each time.”
Rationales
22. Key: D Client Need: Pharmacological and Parenteral Therapies
D. Nerve and blood cells need Vitamin B 12 to function normally. A decrease in tingling in the feet would indicate a positive outcome of therapy.
A. Joint involvement is seen in sickle cell anemia.
B. Hearing is not affected in pernicious anemia.
C. Vision is not affected in pernicious anemia.
23. Key: C Client Need: Reduction of Risk Potential
C. Anormal elimination pattern indicates that telescoping of bowel has been remedied.
A. Cessation of vomiting may be a result of treatment, but the best indicator of treatment effectiveness is normal elimination pattern.
B. Reduction of abdominal girth may be a result of treatment, but the best indicator of treatment effectiveness is normal elimination pattern.
D. A soft, non-tender abdomen may be a result of treatment, but the best indicator of treatment effectiveness is normal elimination pattern.
24. Key: C Client Need: PhysiologicAdaptation
C. Washing hands before each catheter insertion is appropriate for home catheterization. It is a clean, rather than sterile, procedure.
A & B. Self-catheterization is a clean,rather than a sterile, procedure.
D. The catheter should be left in place until the bladder is emptied.
