1. A client with gastroesophageal reflux disease is complaining of chest pain after a meal. The nurse tells the client to avoid which of the following?*1 pointA. High Fiber diet.B. High carbohydrate diet.C. Lying down after eating.D. Turing on the left side, with HOB elevated 302.    The nurse assesses a client with hepatic encephalopathy for the presence of asterixis. What should the nurse do to appropriately test for asterixis?*1 pointA. Examine the client’s handwriting movementsB. Check the stool for clay-colored pigmentationC. Ask the client to extend the wrist and the fingersD. Check the serum bilirubin and liver enzyme levels3.    Medical management of the client with acute episodes of diverticulitis should include which of the following treatments?*1 pointA. Reduced fluid intakeB. Increased fiber in dietC. Administration of antispasmodicsD. Exercises to increase intra-abdominal pressure4.    The nurse is providing instructions to a client with peptic ulcer disease about symptom management. Which statement by the client indicates they are learning about the disease?*1 pointA. “I should eat a snack at bedtime.”B. “I should drink more milk each meal.”C. “I can take aspirin to relieve gastric pain.”D. “It is important that I eat slowly and chew my food thoroughly.”5.    A client is resuming a diet after a Billroth II procedure. To minimize complications from eating, which actions should the nurse teach the client to do?*1 pointA. Lay down after eatingB. Drink liquids with mealsC. Eat a diet high in carbohydratesD. Eat concentrated sweets between meals only6.    A client who undergoes a gastric resection is at risk for developing dumping syndrome. Which manifestation should the nurse monitor the client for?*1 pointA. PallorB. ConstipationC. BradycardiaD. Hypertension7.    A client was admitted to the ER. The client feels pain from light touch in the right lower scapular region. The client also reported pain at the right upper quadrant after a fatty meal. Which of the following disorders is the client most likely experiencing?*1 pointA. PancreatitisB. AppendicitisC. DiverticulitisD. Cholecystitis8.    The nurse is doing an admission assessment on a client with duodenal ulcer. To determine whether the problem is currently active, the nurse should assess the client for which symptom of duodenal ulcer?*1 pointA. Weight lossB. Nausea and vomitingC. Pain relieved by food intakeD. Pain radiating down the right arm9.    A patient with a history of diverticulosis is admitted with abdominal pain. The physician suspects diverticulitis. What other findings would correlate with diverticulitis?*1 pointA. Cramping type painB. Positive Cullen’s SignC. Pain found at McBurney’s PointD. Abdominal pain that is mainly present in the upper right quadrant10.    You’re caring for a client with liver cirrhosis. Which of the followingassessment findings would suggest hepatic encephalopathy?*1 pointA. Fetor HepaticusB. McBurney's pointC. Cullen’s signD. Murphy’s sign11.    You are developing a plan of care on a 67 y.o. patient with hepatic encephalopathy. Which of the following interventions will you include in the plan of care?*1 pointA. Administering sedatives, as necessary.B. Administering a lactulose as ordered.C. Encouraging a protein-rich diet.D. Encouraging a fat diet.12.    A 20 y.o. client is admitted with acute pancreatitis. Which laboratory findings would you expect to be abnormal for this patient?*1 pointA. Blood AmmoniaB. Serum creatinine and BUNC. Serum amylase and lipaseD. Alanine aminotransferase and aspartate aminotransferase13.    A patient with diverticulosis is your patient. Which interventions would you expect to include in his/her care?*1 pointA. Low-fiber diet and fluid restrictions.B. Total parenteral nutrition and bed rest.C. Administration of analgesics and antacids.D. High-fiber diet and administration of laxatives.14.    A client is receiving pancrelipase for chronic pancreatitis. Which observation best indicates that the treatment is effective?*1 pointA. There is no skin breakdown.B. The client’s appetite improves.C. A decrease in body weight.D. Stools are less fatty.15.    The student nurse is teaching the family of a patient with liver cirrhosis. Which of the following food items should be limited in the patient’s diet?*1 pointA. Meats and beans.B. Banana and orange.C. Potatoes and pastas.D. Baked fish and vegetables.

39. A person may become asymptomatic but confirmatory test will reveal the presence of which if the following in the blood? *1 pointA. CercariaeB. MerozoitesC. MicrofilariaeD. Larvae40. As the infection control nurse in an acute care hospital, which action will you take to most effectively reduce the incidence of health-care-associated infections? *1 pointA. Develop policies that automatically start antibiotic therapy for clients colonized by multidrug resistant organisms.B. Screen all newly admitted clients for colonization or infection with MRSA.C. Require nursing staff to don gowns to change wound dressings for all clients.D. Ensure that dispensers for alcohol-based hand rubs are readily available in all client care areas of the hospital.41. A client with a vancomycin-resistant enterococcus (VRE) infection is admitted to the medical unit. Which action can be delegated to a nursing assistant who is assisting with the client’s care? *1 pointA. Monitor the results of the laboratory culture and sensitivity test.B. Educate the client and family members on ways to prevent transmission of VRE.C. Implement contact precautions when handling the client.D. Collaborate with other departments when the client is transported for an ordered test.42. You are preparing to leave the room after performing oral suctioning on a client who is on contact and airborne precautions. In which order will you perform the following actions? 1. Remove N95 respirator 2. Perform hand hygiene 3. Remove gloves 4. Take off goggles 5. Take off the gown *1 pointA. 1, 4, 5, 3, 2B. 3, 5, 4, 1, 2C. 3, 4, 5, 1, 2D. 3, 4, 1, 5, 243. Which of the following infection control activities should be delegated to an experienced nursing assistant? *1 pointA. Screening clients for upper respiratory tract symptomsB. Disinfecting blood pressure cuffs after clients are dischargedC. Demonstrating correct handwashing techniques to client and familyD. Asking clients about the duration of antibiotic therapy44. You happened to glace another client in the health center who appears gaunt looking apprehensive with maculopapular rashes. Upon history taking the patient has been experiencing loss of appetite, marked weight loss, fever, malaise, cough for long duration. History reveals that 2 years ago, the patient received blood transfusion because of surgery. The nurse will suspect *1 pointA. Hepa AB. Hepa BC. HIVD. Anthrax45. Which of the following will you advice the client to submit for in order to detect the presence of schistosomiasis organism *1 pointA. Chest x rayB. UrinalysisC. Stool examinationD. Platelet count46. The mother of a 2-month-old baby calls the nurse 2 days after the first DTaP, IPV, Hepatitis B and HIB immunizations.  She reports that the baby feels very warm, cries inconsolably for as long as 3 hours, and has had several shaking spells. In addition to referring her to the emergency room, the nurse should document the reaction on the baby's record and expect which of the following? *1 pointA. DTaPB. Hepatitis BC. PolioD. Influenza47. Filiarisis is transmitted to man through bites from *1 pointA. SnailB. Infected male mosquitoC. Infected female mosquitoD. Rats48. The age group with the highest risk for TB of developing the disease is between *1 pointA. Children under three years oldB. Children entering grade oneC. 8-12 years oldD. 13-15 years old49. A newly admitted client with streptococcal pharyngitis (tonsillitis) has been placed on droplet precaution. Which of the following statements indicates the best understanding for this type of isolation?*1 pointA. Must maintain a spatial distance of 3 feetB. The client can be placed in a room with another client with measles (rubeola)C. A special mask (N95) should be worn when working with the clientD. Gloves should be only worn when giving direct care50. This a cutaneous infection that can be contacted uncontaminated wool, fur. The exposed part of skin begins to itch and papules appear in the inoculation sites. The papules become vesicles and developed into black eschars*1 pointA. AnthraxB. ScabiesC. PsoriasisD. Chickenpox

2. What is the most likely diagnosis for the patient?

Which of the following options best describes an 'asterix sign'?Group of answer choicesWhen pain provocation tests are positive.Reassessment of clearing tests.Identifies when treatment has aggravated a patient's symptoms.A re-assessment measure relevant to the goals of treatment

Which signs and symptoms would alert the nurse to the possibility of a major complication in a client with pericarditis?*1 pointa. Chest pain and diaphoresisb. Hypotension and muffled heart soundsc. Dyspnea and copious blood-tinged, frothy sputumd. Tachycardia and oliguria

The nurse reviews the blood gas results of a client with atelectasis. The nurse analyzes the results and determines that the client is experiencing respiratory acidosis. Which result validates the nurse's findings?