1. A nurse is attempting to communicate with a hearing impaired client.

Which of the following strategies by the nurse would be least helpful when talking to this client? a. Smiling continuously during the conversation 2. A transfusion of PRBC has been infusing for 5 mins when the pt becomes flushed and tachypnea and says Im having child. Which action a. Stop the transfusion i. Febrile or hemolytic reaction 3. A pt with a fx fibula is receiving skeletal traction and has pins in place. What would you instruct the STNA to report immediately? a. The weights are resting on the floor (ok to have small clear fluid around pins) 4. Which assessment finding of pt is compensatory stage of shock requires immediately action? Select all a. Low BP b. Left lung crackles 5. You a giving a client in shock fluid resuscitation, which action is most important in evaluating for an adverse reaction to the rapid fluid infusion? a. Jugular venous distentionmeans fluid overload 6. A 64 y/o client who is ready for d/c from the ED has a new RX for nitro SL PRN for angina. Which client information has the most immediate implications for teaching? a. The client uses Viagra several times a week when he see his 21 y/o girlfriend 7. Miss piggy has sprained her ankle. Which intervention by student nurse would you questions a. Assisting the pt to ambulate on the sprain ankle

b. KNOW RICE 8. The clients kidneys, resp, and GI system have shut down. The pt is now on advanced cardio life support. What stage is pt in? a. MODSmultiple organ dysfunction syndrome 9. Before giving blood which action should the nurse not perform? a. Explain the client why blood is being given and have pt sign consent form 10. What is the most common type of transfusion reaction? a. Febrile 11. I do not produce enough RBC what type of anemia am i? a. Hypopolerativeiron, folic, vit b12 12. Lab studies are done on a child that has suspected iron def anemia., the nurse reviews the lab results that which of the following results would indicate this type of anemia a. RBC that a microcytic and hypochromic 13. A 12 to child is seen at a clinic and a dx of Hodkins is suspected. Several test is determine which test is used to confirm the disease a. The presence of Reed Sternberg cells in lymph nodes 14. What are some neurologic signs and symptoms of thrombosis (blood clot) a. visual changes and numbness 15. A pt just received radiation therapy for oral cancer. What is priority nursing dx a. impaired nutritional status 16. a pt with hypercalcemia should confuse a lot of fluids 17. A nurse is monitoring a client for s/s rt superior vena cava syndrome. Which is the following is an early sign of oncological emergency

a. Periorbital edema 18. A nurse is reviewing the health record of 14 y/o who is suspected of Hodkins disease. Which of following is a characterizes of the disease a. Painless, firm and moveable adenopathy in the cervical area 19. The nurse administering immunizations to child. It will provide a. Acquired immunity from disease 20. A client is admitted in sickle cell crisis. What order should nurse question a. Restrict fluid intake b. Administer 4mg morphine IV every hour 21. Following chemo a pt is being closely monitored for tumor lysis syndrome what lab value requires particular attention a. Electrolyte levels 22. The client is dx with HPV a. Cellular 23. The nursing instructor is discussing benign vs malignant cells in patho class. What distinguishes malignant cells from benign cells of the same tissue type a. Proteins in the cell membrane 24. In the proliferative phase the t lymphocytes differeinate into what a. Cytotoxic or killer t cells 25. What the curable cancer in men a. Testicular cancer 26. Pt states I should limit fluids after my turp. Nurse best response is what a. You should increase your fluids

27. A nurse is checking the casted extremity of client. The nurse would check for which odf the following s/s indicative of infections a. Presence of a hot spot on case 28. A pt has sustain a closed fx and has just jas a cast applied to the affected arm. The pt is complaining if intense pain. The nurse has elevatd the limb, applied, ice and give neds. a. Impaired tissue perfusion 29. What are s/s of DVT In hip fx pt a. Swelling 30. Which finding should be immediately reported to dr a. A curtain like shadow across the visual field 31. In discharge teaching after cataract surgery. Pt should be instructed to report what immediately a. Pain not relived by prescribed med 32. What is legal blindness defined as a. 20/200 33. A nurse is dx with a d/o involved in the inner ear. Which of the following is most common complain associated with d/o involving this part of ear a. Tinnitus 34. Which of the following eye disorders can lead to blindness a. Diabetic retinopathy b. Glaucoma c. Macular degeneration d. Cataracts