单项选择题A client who is planning a pregnancy asks the nurse about ways to promote a healthy pregnancy. Which of the following would be the nurse's best response

A."Pregnancy is a human process; you don't have to worry. "
B."You practice good health habits; just follow them and you'll be fine. "
C."There is nothing you can do to have a healthy pregnaney; it's all up to nature. "
D."Folic acid, 400 mcg(1mcg= 10μg), improves pregnancy outcomes by preventing certain complications. "


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1.单项选择题Which of the following activities should the nurse discourage the client with a peptic ulcer

A.Chewing gum.
B.Smoking cigarettes.
C.Eating chocolate.
D.Taking acetaminophen (Tylenol).

2.单项选择题A new mother is concerned because her breast-feeding neonate wants to "nurse all the time. " Which of the following responses best indicates the normal neonate's breast-feeding behavior

A."Breast milk is ideal for your baby, so his stomach will digest it quickly, requiring more feedings. "
B."Let me call the lactation consultant to make sure that your baby is feeding properly. "
C."Don't worry; your baby is an aggressive feeder and needs a lot of sucking satisfaction. "
D."It seems as if your baby is hungry. Why don't you provide your baby with some formula after the feeding to make sure he's getting enough nourishment"

3.单项选择题A 9-month-old, well-nourished boy who lives with his extensive extended family tests positive for tuberculosis. Which of the following is a risk factor for tuberculosis in this client

A.Male sex.
B.The infant is in the 95th percentile for height and weight.
C.His mother did not receive prenatal care until the second trimester of her pregnancy.
D.Age.

4.单项选择题Which nursing action is most effective in defusing a client's impending violent behavior

A.Helping the client identify and express feelings of anxiety and anger.
B.Involving the client in a quiet activity to divert attention.
C.Leaving the client alone until he can talk about his feelings.
D.Placing the client in seclusion.

5.单项选择题A client with an incomplete small bowel obstruction is to be treated with a Cantor tube. Which of the following measures would most likely be included in the client's care once the Cantor tube has passed into the duodenum

A.Maintain bed rest with bathroom privileges.
B.Advance the tube 2 to 4 inches at specified times.
C.Provide frequent mouth care.
D.Provide ice chips for the client to suck.

6.单项选择题The nurse is caring for a client who is experiencing auditory hallucinations. What would be most critical for the nurse to assess

A.Possible hearing impairment.
B.Family history of psychosis.
C.Content of the hallucinations.
D.Possible sella turcica tumors.

7.单项选择题The nurse is developing a plan of care for a client with iron-deficiency anemia. Which of the following would be an appropriate nursing diagnosis of the client

A.Excess fluid volume related to anemia.
B.Imbalanced nutrition related to nausea.
C.Activity intolerance related to fatigue.
D.Impaired home maintenance related to neurological impairment.

8.单项选择题Which of the following would be LEAST appropriate to assess in a mother who is breast-feeding

A.The attachment of the neonate to the breast.
B.The mother's comfort level with positioning the neonate.
C.Audible swallowing.
D.The neonate's lips smacking.

9.单项选择题The nurse is caring for a client with acute pulmonary edema. To immediately promote oxygenation and relieve dyspnea, which of the following interventions is appropriate

A.Administer oxygen.
B.Have the client take deep breaths and cough.
C.Place the client in high Fowler's position.
D.Perform chest physiotherapy.

10.单项选择题Most antipsychotic medications exert which of the following effects on the central nervous system (CNS)

A.Stimulate the CNS by blocking postsynaptic dopamine, norepinephrine, and serotonin receptors.
B.Sedate the CNS by stimulating serotonin at the synaptic cleft.
C.Depress the CNS by blocking the postsynaptic transmission of dopamine, serotonin, and norepinephrine.
D.Depress the CNS by stimulating the release of acetylcholine.