单项选择题A client with paranoid type schizophrenia becomes angry and tells the nurse to leave him alone. The nurse should ().

A.tell him that she'll leave for now but will return soon.
B.ask him if it's okay if she sits quietly with him.
C.ask him why he wants to be left alone.
D.tell him that she won't let anything happen to him.


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1.单项选择题Which finding is considered normal in a neonate during the first few days after birth ?()

A.Weight loss of 25%.
B.Birth weight of 2,000 to 2,500 g.
C.Weight loss then return to birth weight.
D.Weight gain of 25%.

2.单项选择题A 72-year-old client seeks help for chronic constipation. This is a common problem for elderly clients due to several factors related to aging. Which of the following is one such factor ?()

A.Increased intestinal motility.
B.Decreased abdominal strength.
C.Increased intestinal bacteria.
D.Decreased production of hydrochloric acid.

3.单项选择题A 6-year-old girl has been hospitalized with rheumatic fever for 4 weeks. Her symptoms have gradually subsided, and she's now ready for discharge. Which of the following plans for her health care is most important for her future well-being ?()

A.Arrange for her to return to school as soon as possible to promote psychosocial development.
B.Encourage her to engage in unrestricted physical activity to regain physical strength.
C.Arrange for the administration of prophylactic antibiotics to prevent a recurrence of rheumatic fever.
D.Maintain seizure precautions, as central nervous system involvement may persist for several months.

4.单项选择题A 4-year-old girl is admitted to the hospital to rule out leukemia. Which of the following would be the best room assignment ?()

A.With a 4-year-old girl who has rheumatoid arthritis.
B.With a 5-year-old boy who is having a tonsillectomy.
C.With a 4-year-old girl who has leukemia.
D.Alone in a private room.

5.单项选择题During the assessment of a geriatric client, a nurse would expect which findings ?()

A.Eye structure and visual acuity changes.
B.Facial hair decreasing in a female client.
C.Facial hair increasing in a male client.
D.Wounds healing more quickly.

6.单项选择题A 78-year-old client with sensorineural hearing loss is admitted to a rehabilitation center after hip replacement surgery. A risk factor for this client would be ().

A.altered perceptions.
B.toxic levels of pain medication.
C.impaired cognitive function.
D.impaired sense of time.

7.单项选择题A 7-year-old boy is hospitalized with cystic fibrosis. To help him manage secretions and avoid respiratory distress, the nurse should ().

A.perform chest physiotherapy every 4 hours.
B.give pancreatic enzymes as ordered.
C.place the child in an oxygen tent and have oxygen administered continuously.
D.serve a high-calorie diet.

8.单项选择题The nurse is caring for a client undergoing IV antibiotic therapy with gentamicin sulfate. Which of the following interventions is most important ?()

A.Infuse the medication quickly to minimize its irritating effect on the walls of blood vessels.
B.Obtain renal function tests, such as blood urea nitrogen (BUN) and creatinine levels, throughout the course of therapy.
C.Assess for pulmonary and peripheral edema.
D.Obtain an order for an antiemetic to counteract the common adverse effect of nausea.

9.单项选择题Which phrase is used to describe the volume of air inspired and expired with a normal breath ?()

A.Total lung capacity.
B.Forced vital capacity.
C.Tidal volume.
D.Residual volume.

10.单项选择题A 56-year-old male has a blood pressure reading of 146/96mmHg. Upon hearing the reading, he exclaims, "My pressure has never been this high. Will I need to take medication to reduce it?" Which of the following responses by the nurse would be best ?()

A."Yes. Hypertension is prevalent among males; it's fortunate we caught this during your routine examination. "
B."We'll need to reevaluate your blood pressure because your age places you at high risk for hypertension. "
C."A single elevated blood pressure doesn't confirm hypertension. You'll need to have your blood pressure reassessed several times before a diagnosis can be made. "
D."You have no need to worry. Your pressure is probably elevated because you're in the doctor's office. "