1. The nurse need to keep in mind the D.

Herpes genitalis

following treatments when developing a 4. A primigravid client at 38 weeks’

teaching plan about sexually transmitted gestation is admitted to the labor suite in
diseases for an 18 y/o female client, active labor. The client’s physical
A. Acyclovir (Zovirax) can be used to cure assessment reveals a chlamydial
herpes genitalis. infection. The nurse explains that if the
B. Chlamydia Trachomatis infections are usually
treated with penicillin infection is left untreated, the neonate
C. Ceftriaxone sodium (Rocephin) may be used may develop which of the following?
to treat Neisseria gonorrhoeae
D. Metronidazole (Flagyl) is used to treat A. Conjunctivitis
condylomata acuminate B. Heart disease
C. Harlequin sign
2. After a “Preparation for Parenting” D. Brain damage
class session, a pregnant client tells the 5. A primigravid client in early labor tells
nurse that she has had some yellow- the nurse that she was exposed to
gray frothy vaginal discharge and local rubella at about 14 weeks’ gestation.
itching. The nurse’s best action is to After delivery, the nurse should assess
advise the client to do which of the the neonate for which of the following?
following
A. Hydrocephaly
A. Use an over-the-counter cream for yeast B. Cardiac disorders
infection C. Renal disorders
B. Schedule an appointment at the clinic for an D. Bulging fontanels
examination
C. Administer a vinegar douche under low 6. A neonate is admitted to the nursery
pressure
for observation. The neonate’s mother,
D. Prepare for preterm labor delivery
who is positive for HIV infection, has
3. A primigravid client at 8 weeks’ received no prenatal care. The mother
gestation tells the nurse that since asks the nurse if her neonate is positive
having had sexual relations with a new for HIV. The nurse instructs the mother
partner 2 weeks ago, she has noticed flu that
like symptoms, enlarged lymph nodes
A. More than 50% of neonates born to mothers
and clusters of vesicles on her vagina. who are positive for HIV will be positive at 18
The nurse refers the client to the months of age
B. An enlarged liver at birth generally means the
physician because the nurse suspects neonate is HIV positive
which of the following sexually C. A complete blood count analysis is the
primary method for determining whether the
transmitted diseases? neonate is HIV positive
A. Gonorrhea D. Most neonates are asymptomatic at birth and
B. Chlamydia trachomatis infection usually test positive for the HIV antibody at this
C. Syphilis time
7. While caring for the neonate of an would be appropriate for the nurse to
HIV positive mother, the nurse prepares administer at this visit?
to administer an ordered hepatitis B A. DtaP, Hib, IPV and PPD
intramuscular injection at 4 hrs. after B. DtaP, Hib, OPV and MMR
C. PPD, MMR, Hep B and OPV
birth. The nurse would first D. Hep B, IPV, Hib and varicella
A. Bathe the neonate with an antibacterial soap
B. Place the neonate under a radiant warmer 11. After teaching the parents about the
C. Wash the injection site with povidone-iodine cause of ringworm of the scalp (tinea
(Betadine) solution
D. Apply clean gloves before administering the capiits), which of the following if stated
medication by the father indicates successful
teaching?
8. The nurse is preparing to administer a
rubella vaccine to a postpartum client A. Overexposure to the sun
B. Infestation with a mite
before discharge. The nurse would C. Fungal infection of the scalp
caution the client to avoid D. An allergic reaction

A. Breastfeeding the newborn for at least 2 12. A mother asks the nurse “How did
weeks
B. Becoming pregnant for at least 3 months my children get pinworms?” The nurse
C. Taking prescription oral contraceptives for at explains that pinworms are most
least 1 month
commonly spread by which of the
D. Using anti-inflammatory medications for at
least 6 weeks following when contaminated?
A. Food
9. The nurse is preparing to administer
B. Hands
erythromycin ophthalmic ointment to a C. Animals
neonate soon after delivery. The nurse D. Toilet seats

would explain to the parents that this 13. A mother tells the nurse that one of
medication, in addition to preventing her children has chicken pox and asks
blindness caused by gonococcal what she should do to care for that child.
organisms and When teaching the mother, which would
A. β Hemolytic streptococcus be most important to prevent?
B. Escherichia coli
C. Chlamydial trachomatis A. Acid base imbalance
D. Staphylococcus aureus B. Malnutrition
C. Skin infection
10. The parents of a 9 month old bring D. Respiratory infection

the infant to the clinic for a regular check 14. A parent asks why it is
up. The infant has received no recommended that the second dose of
immunization. Which of the following the measles, mumps and rubella (MMR)
vaccine be given by 12 years of age?
The nurse responds based on which of diagnosis for an infant just admitted to
the following as the most important the hospital with diagnosis of
reasons? gastroenteritis would be
A. The risks to a fetus are high if a girl receiving A. Pain related to repeated episodes of vomiting
the vaccine becomes pregnant. B. Deficit fluid volume related to excessive
B. The chance of contracting the disease is much losses from severe diarrhea
lower after puberty than before it. C. Impaired parenting related to infant’s loss of
C. The dangers associated with a strong reaction fluid
to the vaccine are increased after puberty D. Impaired urinary elimination related to
D. The changes that occur in the immunologic increased fluid intake feeding pattern
system may affect the rhythm of the menstrual
cycle. 19. To determine achievement of the
expected outcome for an infant with
15. Which of the following is an
severe diarrhea and a nursing diagnosis
important assessment finding for an 8-
of deficit fluid volume the nurse would
month-old infant admitted with severe
use?
diarrhea?
A. Moist mucous membranes
A. Absent bowel sounds B. Passage of a soft, formed stool
B. Pale yellow urine C. Absence of diarrhea for a 4-hour period
C. Normal skin elasticity D. Ability to tolerate intravenous fluids
D. Depressed anterior fontanel
20. When teaching the father of an
16. The best activity for the nurse to
infant just admitted with gastroenteritis
include in the plan of care for an infant
about initial treatment for his infant the
experiencing severe diarrhea would be?
nurse would include
A. Monitor the total 8 hr. formula intake
B. Weigh the infant each day A. Infant will receive no liquids by mouth
C. Check the anterior fontanel every shift B. Intravenous antibiotics will be started
D. Monitor abdominal skin turgor every shift C. The infant will be placed in a mist tent
D. An iron fortified formula will be used
17. The most appropriate for the nurse
21. The nurse would determine that the
to teach the mother of a 6 month old
father understands the next step of the
infant hospitalized with severe diarrhea
treatment plan once the infant’s
to help her comfort her infant who is
gastroenteritis has been controlled when
fussy would be
he explains that the following will occur
A. Offering a pacifier
B. Placing a mobile above the crib with his infant
C. Sitting at crib side talking to the infant A. The infant will receive clear liquids for
D. Turning the television on to cartoons period of time
B. Formula and juice will be offered
18. An appropriate nursing diagnosis for C. Blood will be drawn daily to test for anemia
the nurse to identify as a priority D. The infant will be allowed to go to the
playroom
22. Which of the following would first meningitis has developed disseminated
alert the nurse to suspect that a child intravascular coagulation?
with severe gastroenteritis who has A. Hemorrhagic skin rash
been receiving IV therapy for the past B. Edema
C. Cyanosis
several hours may be developing D. Dyspnea on exertion
circulatory overload?
27. When interviewing the parents of a 2
A. A drop in blood pressure
B. Change to slow, deep respiration y/o child, a history of which of the
C. Auscultation of moist crackles following illnesses would lead the nurse
D. Marked increase in urine output
to suspect pneumococcal meningitis?
23. The child is started on a soft diet on A. Bladder infection
clear liquids following an episode of B. Middle ear infection
C. Fractured clavicle
severe gastroenteritis. When helping the D. Septic arthritis
mother to choose foods for her child the
most appropriate would be 28. A preschooler with pneumococcal
meningitis is receiving intravenous
A. Muffins and eggs
B. Bananas and rice cereals antibiotic therapy. When discontinuing
C. Bran cereal and bagel the intravenous therapy, the nurse
D. Pancakes and sausage
allows the child to apply a dressing to
24. When assessing a child diagnosed the area where the needle is removed.
with diarrhea due to salmonella, the The nurse’s rationale for doing so is
following sources that would alert the based on the interpretation that a child
nurse during history taking would be in this age group has a need to
A. Non refrigerated custard accomplish which of the following?
B. A pet canary A. Trust those caring for her
C. Undercooked eggs B. Find diversional activities
D. Unwashed fruits C. Protect the image of an intact body
D. Relieve the anxiety of separation from home
25. During acute stage of meningitis, a 3
y/o child is restless and irritable. Which 29. A hospitalized preschooler with
of the following would be most meningitis who is to be discharged
appropriate to institute? becomes angry when the discharge is
A. Limiting conversation with the child delayed. Which of the following play
B. Keeping extraneous noise to a minimum activities would be most appropriate at
C. Allowing the child to play in the bathtub
D. Performing treatments quickly this time?
A. Reading the child a story
26. Which of the following would lead B. Painting with watercolors
the nurse to suspect that a child with C. Pounding on a pegboard
D. Stacking a tower of blocks B. The assessment findings are consistent with
influenza and are to be expected
30. A child is to receive intravenous C. The client is getting dehydrated and needs to
increase her fluid intake to decrease secretions
fluids at a rate of 95 ml/hr. The tubing for
D. The client has not been taking her
the infusion delivers 10 gtts/ml. At which decongestants and bronchodilators as prescribed
of the following rates would the nurse
34. Guaifenesin 300 mg QID has been
infuse the solution?
ordered as an expectorant. The dosage
A. 10 gtts/min
strength of the liquid is 200 mg / 5 ml.
B. 14 gtts/min
C. 16 gtts/min How many ml should the nurse
D. 20 gtts/min administer for each dose
31. Which of the following would be an A. 5.0 ml
B. 7.5 ml
expected outcome for a client recovering
C. 9.5 ml
from an upper respiratory infection? D. 10.0 ml
A. The client maintains a fluid intake of 800 ml
35. A 79 y/o female is admitted with a
every 24 hrs
B. The client experiences chills only once a day diagnosis of bacterial pneumonia. While
C. The client coughs productively without chest obtaining the client’s health history, the
discomfort
D. The client experiences less nasal obstruction nurse learns that the client has
and discharge osteoarthritis, follows a vegetarian diet,
32. Which of the following individuals and is very concerned with cleanliness.
would the nurse consider to have the Which of the following would most likely
highest priority for receiving an influenza be a predisposing factor for the
vaccination? diagnosis of pneumonia?

A 60 y/o man with a hiatal hernia A. Age

B. A 36 y/o woman with 3 children B. Osteoarthritis
C. A 50 y/o woman caring for a spouse with C. Vegetarian diet
cancer D. Daily bathing
D. A 60 y/o woman with osteoarthritis
35. A client with bacterial pneumonia is
33. An elderly client has been ill with flu, to be started on intravenous antibiotics.
experiencing headache, fever and chills. Which of the following diagnostic tests
After 3 days, she develops cough must be completed before antibiotic
productive of yellow sputum. The nurse therapy begins?
auscultates her lungs and hears diffuse A. Urinalysis
crackles. How would the nurse best B. Sputum culture
C. Chest radiology
interpret these assessment findings? D. Red blood cell count
A. It is likely that the client is developing a
secondary bacterial pneumonia
37. When caring for the client who is 42. Which of the following would be an
receiving an aminoglycoside antibiotic, appropriate expected outcome for an
the nurse monitors which of the elderly client recovering from bacterial
following laboratory values? pneumonia?
A. Serum sodium A. A respiratory rate of 25-30 breaths per minute
B. Serum potassium B. The ability to perform activities of daily
C. Serum creatinine living without dyspnea
D. Serum calcium C. A maximum loss of 5-10 pounds of body
weight
38. Bed rest is prescribed for a client D. Chest pain that is minimized by splinting the
ribcage
with pneumonia during the acute phase
of the illness. Bed rest serves which of 43. Which of the following symptoms is
the following purposes? common in clients with active
A. It reduces the cellular demand for oxygen tuberculosis?
B. It decreases the episodes of coughing.
C. It promotes safety A. Weight loss
D. It promotes clearance of secretions. B. Increased appetite
C. Dyspnea on exertion
D. Mental status changes
39. The cyanosis that accompanies
bacterial pneumonia is primarily caused 44. The nurse obtains a sputum
by which of the following? specimen from a client with suspected
A. Decreased cardiac output tuberculosis for laboratory study. Which
B. Pleural effusion of the following laboratory techniques is
C. Inadequate peripheral circulation
D. Decreased oxygenation of the blood most commonly used to identify tubercle
bacilli in sputum?
40. Aspirin is administered to clients with
A. Acid fast bacilli
pneumonia because of its antipyretic B. Sensitivity testing
and C. Agglutination test
D. Dark field illumination
A. Analgesic effects
B. Anticoagulant effects 45. Which of the following anti
C. Adrenergic effects
D. Antihistamine effects tuberculosis drugs can cause damage
drugs can cause damage to the eight
41. Which of the following mental status
cranial nerve?
changes may occur when a client with
A. Streptomycin
pneumonia is first experiencing hypoxia B. Isoniazid (INH)
A. Coma C. Para-aminosalicylic acid
B. apathy D. Ethanbutol hydrochloride (Myambutol)
C. Irritability
D. Depression
46. The client who is experiences eight C. 8 year old son
D. 76 year old grandmother
cranial nerve damage will most likely
report which of the following symptoms? 51. A client has a positive reaction to the
A. Vertigo Mantoux test. The nurse correctly
Facial paralysis interprets this reaction to mean that the
Impaired vision client
Difficulty swallowing
A. Has active tuberculosis
47. The nurse should teach clients that B. Has had contact with Mycobacterium
the most common route of transmitting tuberculosis
C. Has developed a resistance to tubercle bacilli
tubercle bacilli from person to person is D. Has developed passive immunity to
through contaminated tuberculosis

a. Dust particles 52. INH treatment is associated with

b. Droplet nuclei
c. Water development of peripheral neuropathies.
d. Eating utensil Which of the following interventions
would the nurse teach the client to help
48. What is the rationale that supports
prevent this complication?
multidrug treatment for clients with
tuberculosis? A. Adhere to low cholesterol diet
B. Supplement the diet with pyridoxine (vitamin
a. Multiple drugs potentiate the drugs’ actions. B6)
b. Multiple drugs reduce undesirable drug side C. Get extra rest
effects D. Avoid excessive sun exposure
c. Multiple drugs allow reduced drug dosages to
be given 53. Clients who have had active
d. Multiple drugs reduce development of tuberculosis are at risk for recurrence.
resistant strains of the bacteria
Which of the following conditions
49. Which of the following techniques for increases that risk?
administering of Mantoux test is correct? A. Cool and damp weather
a. Hold the needle and syringe almost parallel to B. Active exercise and exertion
the client’s skin C. Physical and emotional stress
b. Pinch the skin when inserting the needle D. Rest and inactivity
c. Aspirate before injecting the medication
d. Massage the site after injecting the medication 54. The public health nurse is providing
follow-up care to a client with
50. Which of the following family
tuberculosis who does not regularly take
members exposed to tuberculosis would
his medication. Which nursing action
be at highest risk for contracting the
would be most appropriate for this
disease?
client?
A. 45 year old mother
B. 17 year old daughter A. Ask the client’s spouse to supervise the daily
administration of the medication
B. Visit the client weekly to ask him whether he essential for caring for clients with
is taking his medications regularly
C. Notify the physician of the client’s non hepatitis A?
compliance and request a different prescription
A. Gowning when entering client’s room.
D. Remind the client that tuberculosis can be
B. Wearing a mask when providing care.
fatal if it is not treated promptly
C. Assigning the client to a private room.
D. Wearing gloves when giving direct care.
55. The nurse is planning a community
education program on how to prevent 59. A client who is recovering from
the transmission of viral hepatitis. Which Hepatitis A continues to complain of
of the following hepatitis is considered to fatigue and malaise. The client asks the
be a primarily a sexually transmitted nurse, “When will my strength return?”
disease? Which of the following responses by the
A. Hepatitis A nurse is most appropriate?
B. Hepatitis B
A. “Your fatigue should be gone by now. We
C. Hepatitis C
will evaluate infection.”
D. Hepatitis D
B. “Your fatigue is a side effect of your drug
therapy. It will disappear when you treatment
56. The nurse would expect the client to regimen is complete”
exhibit which of the following symptoms C. “It is important for you to increase your
during the icteric phase of viral activity level. That will help you decrease your
fatigue”
hepatitis? D. “It is normal for you to feel fatigued. The
fatigue should go away in the next 2 – 4
A. Tarry stools
months”
B. Yellow sclera
C. Shortness of breath
D. Light, frothy urine 60. When developing a plan of care for
the client with viral hepatitis, the nurse
57. The nurse plans care for the client should incorporate nursing orders that
for Hepatitis A with the understanding reflect the primary treatment. Emphasis
that the causative virus will be excreted will be on ensuring that the client
from the client’s body primarily through receives which of the following?
the:
A. Adequate bed rest
A. Skin B. Generous fluid intake
B. Feces C. Regular antibiotic therapy
C. Urine D. Daily intravenous electrolyte therapy
D. Blood
61. Which of the following test results
58. The nursing is planning a staff would the nurse use to assess the liver
developmental program for health care function of a client with viral hepatitis?
staff on how to care for clients with
A. Glucose tolerance
hepatitis A. which of the following B. Creatinine clearance
precautions would the nurse indicate as C. Serum transaminase
D. Serum electrolytes D. Activity Intolerance related to fatigue

62. In a client with a viral hepatitis, the 66. A client has been admitted to the
nurse would closely assess for hospital with a diagnosis of hepatitis B.
indications of which of the following The client tells the nurse “I feel so
abnormal laboratory values? isolated from my friends and family.
A. Prolonged prothrombin time Nobody wants to be around me.” What
B. Decreased blood glucose levels would be the most appropriate nursing
C. Elevated serum potassium
D. Decreased serum calcium diagnosis for this client?
A. Anxiety related to feelings of isolation
63. Which of the following diets would B. Social Isolation related to significance of
most likely be prescribed for a client with others’ fear of contracting disease
C. Powerlessness related to lack of social
viral client with viral hepatitis? support
A. High fat, low protein D. Low – Self Esteem related to feeling of
B. High protein, low carbohydrate rejection
C. High carbohydrate, high calorie
D. Low sodium, low fat 67. What would be the nurse ‘s best
response to the client’s expressed
64. The nurse develops a teaching plan
feelings of isolation as a result of having
for the client about how to prevent the
hepatitis?
transmission of hepatitis A. Which of the
A. “Don’t worry. It’s normal to feel that way”
following discharge instructions is B. “Your friends are probably afraid of
appropriate for the client? contracting hepatitis from you”
C. “I’m sure your imagining that!”
A. Spray the house to eliminate infected insects D. “Tell me about you feelings of your
B. Tell family members to try to stay away from isolation”
client
C. Tell family members to wash their hands 68. Which of the following measures
frequently
D. Disinfect all clothing and eating utensils would prevent transmission of hepatitis
C virus to health care personnel?
65. The nurse assesses that the client
A. Administer hepatitis C vaccine to all health
with hepatitis is experiencing fatigue, care personnel.
weakness, and general feeling of B. Decrease contact with blood and blood –
contaminated fluids.
malaise. The client tries rapidly during
C. Wear gloves when emptying the bed pan
morning care. Based on this information D. Wear a gown and mask when providing care
which of the following would be an
69. The nurse is preparing a community
appropriate nursing diagnosis?
education program about preventing
A. Impaired Physical Mobility related to malaise
hepatitis B infection. Which of the
B. Self – Care Deficit related to fatigue
C. Ineffective Coping related to long – term
illness
following would be appropriate to A. Destroy the virus
B. Enhance the body’s antibody production
incorporate into the teaching plan? C. Slow replication of the virus
D. Neutralize toxins produced by the virus
A. Hepatitis B is relatively uncommon among
college students
B. Frequent investigation of alcohol can 73. The primary reason that a herpes
predispose an individual to development of simplex virus (HSV) infection is a
hepatitis B serious concern to a client with HIV
C. Good personal hygiene habits are most
effective to preventing the spread of hepatitis B infection is that it
D. The use of a condom is advised for a sexual
A. Is an acquired immunodeficiency virus
intercourse
(AIDS) defining illness
B. Is curable only after 1 year of antiviral
70. Which of the following expected therapy
outcomes would be appropriate for a C. Leads to cervical cancer
client with viral hepatitis? D. Causes severe electrolyte imbalance

A. The client will demonstrate a decrease in 74. In educating a client about HIV, the
fluid retention related to ascites. nurse should take into account the fact
B. The client will verbalize the importance of
reporting bleeding gums or bloody stools that the most effective method known to
C. The client will limit use of alcohol to 2 – 3 control the spread of HIV infection is
drinks per week.
D. The client will restrict activity to within the A. Premarital serologic screening
home to prevent disease transmission B. Prophylactic treatment of exposed people
C. Laboratory screening of pregnant women
71. A home care nurse begins caring for D. Ongoing sex education about preventive
behaviors
a 25 – year old female client who just
had been diagnosed with human 75. The organism responsible for
immunodeficiency virus (HIV) infection. causing syphilis is classified as
The clients asked the nurse, “How could A. Virus
have this happened?” The nurse B. Fungus
C. Rickettsia
responds to the question based on the D. Spirochete
frequent mode of HIV transmission,
which is 76. The typical chancre of syphilis
appears as
A. Hugging an HIV positive sexual partner
without using a barrier precautions A. A grouping of small, tender pimples
B. Inhaling cocaine B. An elevated wart
C. Sharing food utensils with an HIV positive C. A painless moist ulcer
person without proper cleansing of the utensils D. An itching, crusted area
D. Having sexual intercourse with an HIV
positive person without using a condom 77. A priority nursing diagnosis for a
client with primary syphilis is
72. A client is receiving Zidovudine
(AZT). AZT is a drug that acts to
A. Deficient knowledge related to lack of C. “Waterless commercial products are not
exposure to information about mode of effective for killing organisms.”
transmission D. “The hands do not serve as a source of
B. Pain related to cutaneous skin lesions on infection.”
palms and soles
C. Ineffective tissue perfusion related to a 81. When performing chest percussion
bleeding chancre
on a child, which of the following
D. Disturbed body image related to alopecia
techniques would the nurse use?
78. When educating a female client with
A. Firmly but gently striking the chest wall to
gonorrhea, the nurse should emphasize make a popping sound
that for women gonorrhea B. Gently striking the chest wall to make a
slapping sound
A. Is often marked by symptoms of dysuria or C. Percussing over an area from the umbilicus to
vaginal bleeding the clavicle
B. Does not lead to serious complications D. Placing a blanket between the nurse’s hand
C. Can be treated but not cured and the child’s chest
D. May not cause symptoms until serious
complications occur 82. A health care provider has been
exposed to hepatitis B through a
79. A client with human
needlestick. Which of the following
immunodeficiency virus infection (HIV)
drugs would the nurse anticipate
and acquired immune-deficiency
administering as post exposure
syndrome (AIDS) confides that he is
prophylaxis?
homosexual and his employer does not
know his HIV status. The nurse’s best A. Hepatitis B immune globulin
B. Interferon
response to him is C. Hepatitis B surface antigen
A. “Would you like me to help you tell them?” D. Amphotericin B
B. “The information you confide in me is
confidential.” 83. An 18 y/o female client who is
C. “I must share this information with your sexually active with her boyfriend visits
family.”
the clinic complaining of a purulent
D. I must share this information with your
employer.” vaginal discharge that is sometimes
“frothy”. The nurse interprets this as
80. When teaching unlicensed
suggesting which of the following?
assistive personnel (UAP) about the
A. Sexually transmitted infection
importance of handwashing in
B. Normal variations in vaginal discharges
preventing disease, the nurse makes C. Use of nylon panties and pantyhose
which of the following statements? D. Wearing of tight fitting garments, such as
jeans
A. “It is not necessary to wash your hands as
long as you use gloves.” 84. The nurse should dispose of a used
B. “Handwashing is the best method for
needle and syringe by
preventing cross contamination.”
A. Cutting the needle at the hilt in a needle the skin is broken. His last tetanus shot
cutter before disposing of it in the universal
precaution container in the client’s room was about 8 years ago. Recommended
B. Placing uncapped, used needles and syringes treatment should include
immediately in the universal precaution
container in the client’s room A. Administration of 0.5 ml of tetanus toxoid IM
C. Recapping the needle and placing the needle B. Administration of 0.5 ml of tetanus toxoid IV
and syringe in the universal precaution container C. Closure of the wound with sutures
in the client’s room D. Withholding medication to see if signs of
D. Separating the needle and syringe and placing infection develop
both in the universal precaution container in the
client’s room 89. The nurse who is stuck by a used
needle but has not completed the
85. Which of the following signs and
hepatitis B immunization should receive
symptoms would indicate that a client
A. Both active and passive immunization
with HIV infection has developed
B. Active immunization
acquired immunodeficiency syndrome C. Passive immunization
(AIDS) D. Immunization only after a blood titer has
been drawn
A. Severe fatigue at night
B. Pain on standing and walking 90. A parent of a child with acquired
C. Weight loss of 10 pounds over three months
immunodeficiency syndrome (AIDS)
D. Herpes simplex ulcer persisting for 2 months
asks the nurse how to look for signs and
86. The nurse evaluating the laboratory symptoms of infection. The nurse
results of a client who was recently responds that they need to be especially
admitted to the hospital. Which one of alert for which of the following?
the following laboratory findings would
A. Erythema around the infected area
indicate the presence of inflammation? B. Rectal temperature higher than 38 0C
C. Redness of the infected area
A. Decreased sedimentation rate
D. Warmth of the infected area
B. Thrombocytopenia
C. Leukocytosis
91. Assessment of a 36 y/o woman
D. Erythrocytosis
complaining of malaise and dysuria
87. Which of the following is usually the reveals a temperature of 37.4 0C and
initial clinical manifestation of gonorrhea painful blisters on the outside of her
in men? vagina. The client tells the nurse she
A. Impotence had intercourse with a new partner 5
B. Scrotal pain
days ago. Which of the following would
C. Penile lesion
D. Urethral discharge the nurse suspect as most likely?
A. Human immunodeficiency syndrome (HIV)
88. A young male client presents to the
B. Chlamydia trachomatis infection
clinic with a bite he received in a fight. C. Syphilis
He has a bite mark on his forearm and D. Herpes genitalis
92. The nurse has obtained the nursing A. “You need to take the child to the local
urgent care center immediately.”
history of a client diagnosed with B. “Wash the bite area with lots of running
hepatitis C. What would be considered a water, and then check the injury.”
C. “Determine when the child’s latest tetanus
potential risk factor for acquiring vaccine was administered.”
hepatitis C? D. “Make an appointment to see the child’s
physician now to start rabies shots.”
A. Drinking contaminated water
B. Traveling to India 96. A school teacher calls the nurse and
C. Having a tattoo
D. Eating a shellfish asks whether all the children at school
need treatment after exposure to a 7 y/o
93. A client complains of severe vulvar
child with Hemophilus influenzae
itching. The nurse recognizes that a
meningitis. The nurse responds that
client with moniliasis (Candida albicans)
chemoprophylaxis should be given to
have a vaginal discharge that is
A. All children at school
A. Yellow-green in color B. All household contact and close contacts
B. Thick and white C. The entire community
C. Fishy smelling D. Household contacts only
D. Purulent
97. A client is being treated for severe
94. The nurse in the community hospital
pediculosis. The nurse teaches the
has been notified that a 6 month old
client to treat the problem in the
infant is being admitted from the
eyebrows and eyelashes by
emergency department with dehydration
A. Applying petroleum jelly to lashes and
secondary to viral gastroenteritis. Which eyebrows three to four times a day
of the following room assignments is the B. Applying a pediculicide with a cotton-tipped
swab three to four times a day
most appropriate for this infant? C. Applying lindane ointment to the lashes and
A. A semiprivate room with an 8 y/o child who eyebrows three times a day
has had an appendectomy D. Applying bacitracin ointment to the lashes
B. A semiprivate room with a 10 y/o child with and brows three times daily
closed head injury
C. A private room 98. A 15-month-old child is admitted to
D. A semiprivate room with a 4 y/o child with the pediatric unit with the diagnosis of
leukemia
pneumonia and is placed in a mist tent.
95. The mother of a 2 y/o who has been Which of the following toys would be
bitten by the family dog asks the nurse appropriate for this child?
what to do about the bite. Which of the A. A pull toy
following would be the most appropriate B. Story books
C. Crayons and paper
recommendation to this mother? D. Plastic blocks
99. A normal healthy infant is brought to
the clinic for first immunization against
polio. The nurse should administer
Sabin’s vaccine by what route?
A. Oral route
B. Intramuscular route
C. Subcutaneous route
D. Intradermal route

100. A 10 y/o child is diagnosed with

pediculosis. The mother is concerned
about the spread of the lice to children
who have been in contact with her child.
Which of the following activities would
cause the most concern?
A. Sharing craft supplies
B. Having contact during swimming class
C. Sharing of batting helmets
D. Showering after football practice