1. A pregnant client with hypertension complains that her wedding ring feels tight. What finding would the nurse expect in early pre-eclampsia? Blurred vision and protein found in urine. Upper abdominal pain and a pounding headache Facial puffiness and proteinuria Frequent urination and hyperactive reflexes

2. When caring for clients recovering from IV drug use, which complication should the nurse monitor for most closely? Yellowing of the skin and eyes. Generalized rash Visible bruising over veins Redness and inflammation at injection sites.

3. A client has facial paralysis after a stroke. What is the priority nursing concern? The client cannot speak clearly Swallowing is difficult due to a weak gag reflex. The affected eye will not open fully The client may develop a corneal scratch or injury.

4. A client is prescribed aspirin gr. X orally. The bottle says 325 mg per tablet. What should the nurse do? Request the correct medication form from pharmacy. Call the provider to confirm the correct dose. Administer one tablet of aspirin. Administer two aspirin tablets

5. Which symptoms would lead the nurse to suspect early lithium toxicity? Restlessness, slow gait, involuntary tremors Poor coordination, confusion, seizures. Mild shaking, nausea, diarrhea High white blood cell count, dizziness with standing

6. Why should clients with a sliding hiatal hernia avoid food and fluids before bedtime? It reduces the chance of nighttime heartburn It lessens the likelihood of early morning vomiting. Eating before sleep can reduce breathing capacity It prevents fluid overload overnight.

7. A new mother is curious when to start feeding her baby solids. What should the nurse explain? Rice cereal is typically introduced around 4 to 5 months. Start with strained fruits since babies enjoy sweet tastes. Solid foods are not necessary at this stage Wait until the infant is about six months old.

8. An IV of D5 0.45% NS (1,000 mL) is prescribed from 9 AM to 9 PM using tubing with a 15 gtt/min factor. What should the drip rate be? 12 drops per minute. 21 drops per minute 25 drops per minute 31 drops per minute

9. Why are older adults more prone to constipation? They consume smaller meals with little fiber Reduced physical activity and muscle tone. Age-related nerve changes in the digestive tract Decreased GI sensation with aging

10. Parents of a 4-year-old child ask about play behavior. What type of play is typical at this age? Independent play. Playing alongside others but not interacting. Playing cooperatively with shared goals. Aggressive or rough play.

11. Which observation best reflects a client’s emotional response to being in the intensive care unit? The client appears depressed and anxious about the upcoming surgery The client struggles to perform activities of daily living independently. The client constantly calls staff, pleads for attention, and cries frequently The client’s family visits only once a week due to distance.

12. Which finding indicates the development of an Addisonian crisis? Muscle fatigue and weakness Rapid pulse and restlessness Darkening of the skin tone Loss of appetite and digestive issues

13. During the fourth stage of labor, where should the nurse expect to palpate the uterine fundus? Approximately three centimeters below the umbilicus Directly at the level of the umbilicus Roughly two centimeters above the umbilicus Shifted to the right of the umbilicus

14. Why should a client recovering from cataract surgery avoid sudden movements or bending? To avoid putting pressure on the ocular suture area. To prevent elevated intracranial pressure To avoid impaired cerebral circulation To prevent movement of the implanted lens

15. Which symptom most strongly suggests cholecystitis? Right upper abdominal pain Persistent gas and bloating Nausea and vomiting Indigestion after meals

16. Which group of symptoms may indicate a history of alcohol use disorder in a hospitalized client? Shaking, elevated temperature, nighttime leg cramps, and somatic complaints. Irritability, memory issues, and difficulty sleeping Elevated liver enzymes and reduced platelets Flu-like symptoms and abnormal reflexes.

17. Which clinical sign is most consistent with pituitary dwarfism in a 7-year-old girl? Fine facial features and short stature Excessively dry and rough skin Accelerated onset of puberty Disproportionate limbs and trunk.

18. Which response indicates that mannitol is effectively treating a client with a head injury Urine output increases significantly Activity levels decrease gradually Fine motor tremors resolve. Blood pressure increases to baseline

19. According to Erikson’s stages of psychosocial development, which conflict is typical for a 50-year-old adult? Generativity versus stagnation Intimacy versus isolation. Identity versus role confusion Integrity versus despair

20. A postoperative client is receiving IV ceftriaxone. What is the most important area for the nurse to assess? The surface of the tongue Skin folds for signs of irritation Hematocrit and hemoglobin levels Color and clarity of urine.