新加坡EN考试 test C-1-answer.doc

Practice Exam C: Part 1 1.A nurse witnesses a two-year-old child experiencing a generalized seizure while being evaluated in the emergency department for a high fever. Which of the following actions would a nurse take first? Protect the child from physical injury Administer an antipyretic medication rectally Apply cool compresses to the axilla and groin Reassure the parents that this is a common occurrence 2.The nurse should teach a patient who has cirrhosis of the liver to avoid which of the following foods in the diet? Baked chicken Apple pie Macaroni Spinach 3. Which of the following pieces of equipment should a nurse have available when caring for a patient who has bleeding esophageal varices? Chest tube Endotracheal tube Salem sump tube Sengstaken-Blakemore tube 4. When the nurse is assessing a patient who has cirrhosis of the liver, which of the following findings would indicate that the patient’s condition is worsening? Positive Babinski reflex Visual field loss Flapping hand tremors Bibasilar lung crackless 5. A patient who is human immunodeficiency virus (HIV) positive has a CD-4 count of 200. To which of the following measures should a nurse give priority in the patient’s plan of care? Implement reverse isolation Limit the number of venipunctures Institute regular position changes Monitor intake and output 6. A 68-year-old woman is admitted to the hospital with congestive heart failure.Which of the following questions would elicit the most significant data about the patient’s symptoms? “When did you last have a chest x-ray?” “How often do, you get up to urinate during the night?” “How many pillows do you use when sleeping?” “Have you noticed any weight loss lately?” 7. Which of the following statements, if made by a patient who has type 1 diabetes, would indicate the patient needs additianal instruction? “I will check the bottom of my feet in a mirror daily.” “I will wear a medical identification bracelet