PRACTICE TEST FOR PROMETRIC,MOH,HAAD,DHA,NCLEX part 2-Choose the BEST answer ! The n"rse enters the roo# as a $ %ear-o&' (s ha)(n* a *enera&(+e' se(+"re! h(h (nter)ent(on sho"&' the n"rse 'o .(rst/ A0 C&ear the area o. an% ha+ar's B0 P&ae the h(&' on the s('e C0 Restra(n the h(&' D0 1()e the presr(e' ant(on)"&sant 2! A &(ent has 3"st ret"rne' to the #e'(a&-s"r*(a& "n(t .o&&ow(n* a se*#enta& &"n* reset(on! A.ter assess(n* the &(ent, the .(rst n"rs(n* at(on wo"&' e to A0 A'#(n(ster pa(n #e'(at(on B0 S"t(on e4ess()e traheoronh(a& seret(ons C0 Ass(st &(ent to t"rn, 'eep reathe an' o"*ht D0 Mon(tor o4%*en sat"rat(on $! A n"rse .ro# the s"r*(a& 'epart#ent (s reass(*ne' to the pe'(atr( "n(t! The har*e n"rse sho"&' reo*n(+e that the h(&' at h(*hest r(s5 .or ar'(a arrest an' (s the &east &(5e&% to e ass(*e' to th(s n"rse (s wh(h h(&'/ A0 Con*en(ta& ar'(a 'e.ets B0 An a"te .er(&e (&&ness C0 Pro&on*e' h%po4e#(a D0 Se)ere #"&t(p&e tra"#a 6! h(h o. the .o&&ow(n* wo"&' e the est strate*% .or the n"rse to "se when teah(n* (ns"&(n (n3et(on tehn(7"es to a new&% '(a*nose' &(ent w(th '(aetes/ A0 1()e wr(tten pre an' post tests B0 As5 7"est(ons '"r(n* prat(e C0 A&&ow another '(aet( to ass(st D0 Oser)e a ret"rn 'e#onstrat(on 8! The n"rse (s assess(n* a 2 %ear-o&' &(ent w(th a p oss(&e '(a*nos(s o. on*en(ta& heart '(sease! h(h o. these (s #ost &(5e&% to e seen w(th th(s '(a*nos(s/ A0 Se)era& ot(t(s #e'(a ep(so'es (n the &ast &ast %ear B0 e(*ht an' he(*ht (n 9th perent(&e s(ne (rth C0 Ta5es .re7"ent rest per(o's wh(&e p&a%(n* D0 Chan*(n* .oo' pre.erenes an' '(s&(5es :! The n"rse (s reass(*ne' to wor5 at the Po(son Contro& Center te&ephone hot&(ne! In wh(h o. these ases o. h(&'hoo' po(son(n* wo"&' the n"rse s"**est that parents ha)e the h(&' 'r(n5 oran*e 3"(e/ A0 An ; #onth-o&' who ate an "n'eter#(ne' a#o"nt o. r%sta& r%sta& 'ra(n &eaner B0 A 6 #onth-o&' who hewe' 2 &ea)es o. a ph(&o'en'ron p&ant C0 A 29 #onth-o&' who (s .o"n' s(tt(n* on the athroo# .&oor es('e an e#pt% ott&e o. '(a+epa# <=a&("#0 D0 A $9 #onth-o&' who has swa&&owe' a #o"th."& o. haroa& &(*hter .&"(' >! A 2$ %ear-o&' s(n*&e &(ent (s (n the $$r' wee5 o. her .(rst pre*nan%! She te&&s the n"rse that she has e)er%th(n* rea'% .or the a% an' has #a'e p&ans .or the .(rst wee5s to*ether at ho#e! h(h nor#a& e#ot(ona& reat(on 'oes the n"rse reo*n(+e/
A0 Aeptane o. the pre*nan% B0 Fo"s on .eta& 'e)e&op#ent C0 Ant((pat(on o. the (rth D0 A#()a&ene ao"t pre*nan% ;! ?pon e4a#(n(n* the #o"th o. a $ %ear-o&' h(&', the n"rse '(so)ers that the teeth ha)e ha&5% wh(teto-%e&&ow(sh sta(n(n* w(th p(tt(n* o. the ena#e&! h(h o. the .o&&ow(n* on'(t(ons wo"&' #ost &(5e&% e4p&a(n these .(n'(n*s/ A0 In*est(on o. tetra%&(ne B0 E4ess()e .&"or('e (nta5e C0 Ora& (ron therap% D0 Poor 'enta& h%*(ene @! h(h o. the .o&&ow(n* sho"&' the n"rse teah the &(ent to a)o(' when ta5(n* h&orpro#a+(ne HCL
han'*"n ea"se he (s th(n5(n* ao"t s"(('e! The .(rst n"rs(n* at(on sho"&' e t o A0 Not(.% the hea&th are pro)('er (##e'(ate&% B0 S"**est (n-pat(ent ps%h(atr( are C0 Respet the &(ents on.('ent(a& '(s&os"re D0 Phone the .a#(&% to warn the# o. the r(s5 8! The (n(t(a& response % the n"rse to a 'e&"s(ona& &(ent who re."ses to eat ea"se o. a e&(e. that the .oo' (s po(sone' (s A0 o" th(n5 that so#eone wants to po(son %o"/ B0 h% 'o %o" th(n5 the .oo' (s po(sone'/ C0 These .ee&(n*s are a s%#pto# o. %o"r (&&ness! D0 o"re sa.e here! I wont &et an%one po(son %o"! :! A &(ent has 3"st een a'#(tte' w(th porta& h%pertens(on! h(h n"rs(n* '(a*nos(s wo"&' e a pr(or(t% (n p&ann(n* are/ A0 A&tere' n"tr(t(on &ess than o'% re7"(re#ents B0 Potent(a& o#p&(at(on he#orrha*e C0 Ine..et()e (n'()('"a& op(n* D0 F&"(' )o&"#e e4ess >! The n"rse (n a we&&-h(&' &(n( e4a#(nes #an% h(&'ren on a 'a(&% as(s! h(h o. the .o&&ow(n* to''&ers re7"(res ."rther .o&&ow "p/ A0 A $ #onth-o&' "na&e to wa&5 B0 A 29 #onth-o&' on&% "s(n* 2 an' $ wor' sentenes C0 A 26 #onth-o&' who r(es '"r(n* e4a#(nat(on D0 A $9 #onth-o&' on&% 'r(n5(n* .ro# a s(pp% "p ;! h(h o. the .o&&ow(n* on'(t(ons assesse' % the n"rse wo"&' ontra(n'(ate the "se o. en+trop(ne
'(..("&t .or th(s &(ent/ A0 Co#p&(ane w(th treat#ent re*(#ens B0 Loo5(n* '(..erent .ro# the(r peers C0 La5(n* (n'epen'ene (n at()(t(es D0 Re&(ane on .a#(&% .or the(r so(a& s"pport 22! The n"rse (s prepar(n* to per.or# a ph%s(a& e4a#(nat(on on an ; #onth-o&' who (s s(tt(n* ontente'&% on h(s #others &ap! h(h o. the .o&&ow(n* sho"&' the n"rse 'o .(rst/ A0 E&((t re.&e4es B0 Meas"re he(*ht an' we(*ht C0 A"s"&tate heart an' &"n*s D0 E4a#(ne the ears 2$! h(h o. these pr(n(p&es sho"&' the n"rse app&% when per.or#(n* a n"tr(t(ona& assess#ent on a 2 %ear-o&' &(ent/ A0 An a"rate #eas"re#ent o. (nta5e (s not re&(a&e B0 The .oo' p%ra#(' (s not "se' (n th(s a*e *ro"p C0 A ser)(n* s(+e at th(s a*e (s ao"t 2 ta&espoons D0 Tota& (nta5e )ar(es *reat&% eah 'a% 26! The n"rse (s assess(n* a &(ent w(th 'e&a%e' wo"n' hea&(n*! h(h o. the .o&&ow(n* r(s5 .ators (s #ost (#portant (n th(s s(t"at(on/ A0 1&"ose &e)e& o. 29 B0 H(stor% o. #%oar'(a& (n.art(on C0 Lon* ter# stero(' "sa*e D0 D(et h(*h (n aroh%'rates 28! h(h o. the .o&&ow(n* n"rs(n* assess#ents (n'(ate (##e'(ate '(sont(n"ane o. an ant(ps%hot( #e'(at(on/ A0 In)o&"ntar% rh%th#( stereot%p( #o)e#ents an' ton*"e protr"s(on B0 Chee5 p"..(n*, (n)o&"ntar% #o)e#ents o. e4tre#(t(es an' tr"n5 C0 A*(tat(on, onstant state o. #ot(on D0 H%perp%re4(a, se)ere #"s&e r(*('(t%, #a&(*nant h%pertens(on 2:! A &(ent w(th HI= (n.et(on has a seon'ar% herpes s(#p&e4 t%pe ! The n"rse #eas"res the hea' an' hest (r"#.erenes o. a 29 #onth-o&' (n.ant! A.ter o#par(n* the #eas"re#ents, the n"rse .(n's that the% are appro4(#ate&% the sa#e! hat at(on sho"&' the n"rse ta5e/ A0 Not(.% the hea&th are pro)('er B0 Pa&pate the anter(or .ontane& C0 Fee& the poster(or .ontane& D0 Reor' these nor#a& .(n'(n*s
2;! At a ro"t(ne &(n( )(s(t, parents e4press onern that the(r 6 %ear-o&' (s wett(n* the e' se)era& t(#es a #onth! hat (s the n"rses est response/ A0 Th(s (s nor#a& at th(s t(#e o. 'a%! B0 How &on* has th(s een o"rr(n*/ C0 Do %o" o..er .&"('s at n(*ht/ D0 Ha)e %o" tr(e' wa5(n* her to "r(nate/ 2@! A &(ent was a'#(tte' to the ps%h(atr( "n(t a.ter re."s(n* to *et o"t o. e'! In the hosp(ta& the &(ent ta&5s to "nseen peop&e an' )o('s on the .&oor! The n"rse o"&' est han'&e the pro&e# o. )o('(n* on the .&oor % A0 Re7"(r(n* the &(ent to #op the .&oor B0 Restr(t(n* the &(ents .&"('s thro"*ho"t the 'a% C0 (thho&'(n* pr()(&e*es eah t(#e the )o('(n* o"rs D0 To(&et(n* the &(ent #ore .re7"ent&% w(th s"per)(s(on $9! The n"rse (s ar(n* .or a &(ent w(th a s(*#o(' o&osto#% who re7"ests ass(stane (n re#o)(n* the .&at"s .ro# a p(ee 'ra(na&e osto#% po"h! h(h (s the orret (nter)ent(on/ A0 P(er(n* the p&ast( o. the osto#% po"h w(th a p(n to )ent the .&at"s B0 Open(n* the otto# o. the po"h, a&&ow(n* the .&at"s to e e4pe&&e' C0 P"&&(n* the a'hes()e sea& aro"n' the osto#% po"h to a&&ow the .&at"s to esape D0 Ass(st(n* the &(ent to a#"&ate to re'"e the .&at"s (n the po"h $! The n"rse (s teah(n* parents o. an (n.ant ao"t (ntro'"t(on o. so&(' .oo' to the(r a%! hat (s the .(rst .oo' the% an a'' to the '(et/ A0 =e*eta&es B0 Cerea& C0 Fr"(t D0 Meats $2! hen o"nse&(n* parents o. a h(&' who has reent&% een '(a*nose' w(th he#oph(&(a, what #"st the n"rse 5now ao"t the o..spr(n* o. a nor#a& .ather an' a arr(er #other/ A0 It (s &(5e&% that a&& sons are a..ete' B0 There (s a 89 proa(&(t% that sons w(&& ha)e the '(sease C0 E)er% 'a"*hter (s &(5e&% to e a arr(er D0 There (s a 28 hane a 'a"*hter w(&& e a arr(er $$! hen teah(n* a &(ent w(th hron( ostr"t()e p"onar% '(sease ao"t o4%*en % ann"&a, the n"rse sho"&' a&so (nstr"t the &(ents .a#(&% to A0 A)o(' s#o5(n* near the &(ent B0 T"rn o.. o4%*en '"r(n* #ea&s C0 A'3"st the &(ter .&ow to 9 as nee'e' D0 Re#(n' the &(ent to 5eep #o"th &ose' $6! The n"rse (s ar(n* .or a post-op o&osto#% &(ent! The &(ent e*(ns to r% sa%(n*, I&& ne)er e attrat()e a*a(n w(th th(s "*&% re' th(n*! hat sho"&' e the .(rst at(on % the n"rse/ A0 Arran*e a ons"&tat(on w(th a se4 therap(st B0 S"**est se4"a& pos(t(ons that h('e the o&osto#% C0 In)(te the partner to part((pate (n o&osto#% are D0 Deter#(ne the &(ents "n'erstan'(n* o. her o&osto#%
$8! A sh(+ophren( &(ent ta&5s an(#ate'&% "t the sta.. are "na&e to "n'erstan' what the &(ent (s o##"n(at(n*! The &(ent (s oser)e' #"#&(n* to herse&. an' spea5(n* to the ra'(o! A 'es(ra&e o"to#e .or th(s &(ents are w(&& e A0 E4presses .ee&(n*s appropr(ate&% thro"*h )era& (nterat(ons B0 A"rate&% (nterprets e)ents an' eha)(ors o. ot hers C0 De#onstrates (#pro)e' so(a& re&at(onsh(ps D0 En*a*es (n #ean(n*."& an' "n'erstan'a&e )era& o##"n(at(on $:! A > %ear-o&' h(&' (s hosp(ta&(+e' .o&&ow(n* a #a3or "rn to the &ower e4tre#(t(es! A '(et h(*h (n prote(n an' aroh%'rates (s reo##en'e'! The n"rse (n.or#s the h(&' an' .a#(&% that the #ost (#portant reason .or th(s '(et (s to A0 Pro#ote hea&(n* an' stren*then the (##"ne s%ste# B0 Pro)('e a we&& a&ane' n"tr(t(ona& (nta5e C0 St(#"&ate (nrease' per(sta&s(s asorpt(on D0 Spare prote(n atao&(s# to #eet #etao&( nee's $>! The parents o. a > %ear-o&' te&& the n"rse the(r h(&' has starte' to tatt&e on s(&(n*s! In (nterpret(n* th(s new eha)(or, how sho"&' the n"rse e4p&a(n the h(&'s at(ons to the parents/ A0 The eth(a& sense an' .ee&(n*s o. 3"st(e are 'e)e&op(n* B0 Atte#pts to ontro& the .a#(&% "se new op(n* st%&es C0 Inse"r(t% an' attent(on *ett(n* are o##on #ot()es D0 Co#p&e4 tho"*ht proesses he&p to reso&)e on.&(ts $;! A shoo& n"rse (s a')(s(n* a &ass o. "nwe' pre*nant h(*h shoo& st"'ents! hat (s the #ost (#portant at(on the% an per.or# to 'e&()er a hea&th% h(&'/ A0 Ma(nta(n *oo' n"tr(t(on B0 Sta% (n shoo& C0 Geep (n ontat w(th the h(&'s .ather D0 1et a'e7"ate s&eep $@! A &(ent ont(n"a&&% repeats phrases that others ha)e 3"st sa('! The n"rse reo*n(+es th(s eha)(or as A0 A"t(st( B0 Eopra4( C0 Eho&a&( D0 Cataton( 69! A &(ent (s a'#(tte' .or he#o'(a&%s(s! h(h anor#a& &a )a&"e wo"&' the n"rse ant((pate not e(n* (#pro)e' % he#o'(a&%s(s/ A0 Low he#o*&o(n B0 H%pernatre#(a C0 H(*h ser"# reat(n(ne D0 H%per5a&e#(a 6! The n"rse (s ar(n* .or a > %ear-o&' h(&' who (s e(n* '(shar*e' .o&&ow(n* a tons(&&eto#%! h(h o. the .o&&ow(n* (nstr"t(ons (s appropr(ate .or the n"rse to teah the parents/ A0 Report a pers(stent o"*h to the hea&th are pro)('er B0 The h(&' an ret"rn to shoo& (n 6 'a%s C0 A'#(n(ster hewa&e asp(r(n .or pa(n
D0 The h(&' #a% *ar*&e w(th sa&(ne as neessar% .or '(so#.ort 62! The n"rse (s ar(n* .or a 6 #onth-o&' 3"st '(a*nose' w(th C%st( F(ros(s! The parents state th(s (s the .(rst h(&' (n e(ther .a#(&% w(th th(s '(sease, an' as5 ao"t the r(s5 to ."t"re h(&'ren! hat (s the est response % the n"rse/ A0 (n 6 hane .or eah h(&' to arr% that tra(t B0 (n 6 r(s5 .or eah h(&' to ha)e the '(sease C0 (n 2 hane o. a)o('(n* the tra(t an' '(sease D0 (n 2 hane that eah h(&' w(&& ha)e the '(sease 6$! The n"rse (s per.or#(n* an assess#ent on a &(ent w(th pne"#ooa& pne"# on(a! h(h .(n'(n* wo"&' the n"rse ant((pate/ A0 Bronh(a& reath so"n's (n o"ter &"n* .(e&'s B0 Derease' tat(&e .re#(t"s C0 Ha5(n*, nonpro'"t()e o"*h D0 H%perresonane o. areas o. onso&('at(on 66! D"r(n* se(+"re at()(t% wh(h oser)at(on (s the pr(or(t% to enhane ."rther '(ret(on o. treat#ent/ A0 Oser)e the se7"ene or t%pes o. #o)e#ent B0 Note the t(#e .ro# e*(nn(n* to en' C0 I'ent(.% the pattern o. reath(n* D0 Deter#(ne (. &oss o. owe& or &a''er ontro& o"rs 68! h(h o. the .o&&ow(n* state#ents 'esr(es what the n"rse #"st 5now (n or'er to pro)('e ant((pator% *"('ane to parents o. a to''&er ao"t rea'(ness .or to(&et tra(n(n*/ A0 The h(&' &earns )o&"ntar% sph(nter ontro& thro"*h repet(t(on B0 M%e&(nat(on o. the sp(na& or' (s o#p&ete' % th(s a*e C0 Ne"rona& (#p"&ses are (nterr"pte' at the ase o. the *an*&(a D0 The to''&er an "n'erstan' a"se an' e..et 6:! A &(ent o#p&a(n(n* o. se)ere shortness o. reath (s '(a*nose' w(th on*est()e heart .a(&"re! The n"rse oser)es a .a&&(n* p"&se o4(#etr%! The &(ents o&or han*es to *ra% an' she e4petorates &ar*e a#o"nts o. p(n5 .roth% sp"t"#! The .(rst at(on o. the n"rse wo"&' e wh(h o. the .o&&ow(n*/ A0 Ca&& the hea&th are pro)('er B0 Che5 )(ta& s(*ns C0 Pos(t(on (n h(*h Fow&ers D0 A'#(n(ster o4%*en 6>! The n"rse (s ar(n* .or a &(ent w(th en(*n prostat( h%pertroph%! h(h o. the .o&&ow(n* assess#ents wo"&' the n"rse ant((pate .(n'(n*/ A0 Lar*e )o&"#e o. "r(nar% o"tp"t w(th eah )o('(n* B0 In)o&"ntar% )o('(n* w(th o"*h(n* an' snee+(n* C0 Fre7"ent "r(nat(on D0 ?r(ne (s 'ar5 an' onentrate' 6;! An an4(o"s parent o. a 6 %ear-o&' ons"&ts the n "rse .or *"('ane (n how to answer the h(&'s 7"est(on, here 'o a(es o#e .ro#/ hat (s the n"rses est response to the parent/ A0 hen a h(&' as5s a 7"est(on, *()e a s(#p&e answer! B0 Ch(&'ren as5 #an% 7"est(ons, "t are not &oo5(n* .or answers!
C0 Th(s 7"est(on (n'(ates (nterest (n se4 e%on' th(s a*e! D0 F"&& an' 'eta(&e' answers sho"&' e *()en to a&& 7"est(ons! 6@! A $ %ear-o&' h(&' (s treate' (n the e#er*en% 'epart#ent a.ter (n*est(on o. o"ne o. a &(7 "(' narot(! hat at(on sho"&' the n"rse 'o .(rst/ A0 Pro)('e the or'ere' h"#('(.(e' o4%*en )(a #as5 B0 S"t(on the #o"th an' the nose C0 Che5 the #o"th an' ra'(a& p"&se D0 Start the or'ere' (ntra)eno"s .&"('s 89! The har*e n"rse on the eat(n* '(sor'er "n(t (nstr"ts a new sta.. #e#er to we(*h eah &(ent (n h(s or her hosp(ta& *own on&%! hat (s the rat(ona&e .or th(s n"rs(n* (nter)ent(on/ A0 To re'"e the r(s5 o. the &(ent .ee&(n* o&' '"e to 'erease' .at an' s""taneo"s t(ss"e B0 To o)er the on% pro#(nene an' areas where there (s s5(n rea5'own C0 So the &(ent 5nows what t%pe o. &oth(n* to wear when we(*he' D0 To re'"e the ten'en% o. the &(ent to h('e o3ets "n'er h(s or her &oth(n* C&(5 here .or prat(e test part httpwww!.aeoo5!o#N"rses)aan(esForN"rsesInIn'(aaroa'posts666;@;;;@$$89
"est(on Corret Response B 2B $C 6D 8C :A >C ;B @A 9 A D 2 A $ A 6 A 8 C : B > D ; C @ C 29 B 2 B 22 C 2$ C 26 C 28 D 2: A 2> D 2; B 2@ D $9 B $ B