今天是【点名时间】与你第8次见面。

　　昨天的5道试题简单吧!没错，从复习到掌握，就是这么简单!

　　今天，我们继续用模拟题来建立信任和树立信心。

　　36. A nurse, while doing a physical assessment, shines a light into a patient's right eye and notes pupillary constriction in the left eye. The nurse should chart this response as

　　A. a direct reaction.

　　B. a consensual reaction.

　　C. accommodation.

　　D. pupillary convergence.

　　37. Which electrolyte imbalance would a nurse expect when assessing a patient with bulimia?

　　A. Hyperkalemia.

　　B. Hypokalemia.

　　C. Hypercalcemia.

　　D. Hypocalcemia.

　　38. A 79-year-old home health patient with a history of coronary artery disease. diabetes and arthritis tells the nurse,“I am tired of always having pain in my back and legs from this arthritis. so 1made an appointment for massage therapy three times a week.”Which of the following actions would be most appropriate for the nurse to take?

　　A. Obtain an order from the physician so the patient can receive insurance reimbursement.

　　B. Make sure the patient has proper transportation since she cannot drive.

　　C. Encourage the patient to talk to her physician before proceeding with the therapy.

　　D. Suggest that the patient hold her arthritis medication in order to evaluate the effectiveness of massage.

　　39. An overweight adolescent female asks for information on losing weight. After instructing the patient to decrease her caloric intake, which of the following responses by the nurse would be best?

　　A. "You should decrease the amount of vitamins in your diet.”.

　　B. You should decrease the amount of meals each day.”.

　　C . You should increase the amount of exercise activities.".

　　D. "You should increase the amount of fast or easy-to-fix foods in your diet.”.

　　40. Evaluation of an elderly patient first day postoperative reveals a temperature of 100.6'F. Which of the following actions should the nurse take first?

　　A. Examine the patient.

　　B. Set up the intravenous antibiotic dose two hours early.

　　C. Call the physician.

　　D. Obtain STAT blood cultures.

　　昨天答案解析

　　31. Key: C

　　Client Need: Reduction of Risk Potential

　　C. Pulmonary edema is common in patients with patent ductus arteriosus (PDA). Both pulmonary edema and cardiomegaly are seen on x-ray due to shunting of blood across the PDA. Patent ductus arteriosus is common in preterm infants.

　　A. Mitral valve prolapse is an uncommon finding in the newborn.

　　B. Inflammation of the pericardium is usually caused by infection and is not related to fetal circulation.

　　D. Bacterial endocarditis is an associated complication of valve replacement surgery in children with congenital heart defects (i. e. , tetralogy of Fallot).

　　32. Key: B

　　Client Need: Coping and Adaptation

　　B. Repression is the exclusion of unpleasant or unwanted experiences, emotions, or ideas from conscious awareness. It is the first psychological defense against anxiety. The client's inability to remember the details of the rape protects her from emotional pain.

　　A. Compensation is covering up a real or perceived weakness by emphasizing a trait one considers more desirable. There is no evidence that the client is using compensation.

　　C. Undoing is symbolically negating or canceling out an experience that one finds intolerable. This often involves an act that is opposite the experience. There is no evidence that the client is using undoing.

　　D. Regression is retreating, in response to stress, to an earlier level of development and the comfort measures used during that period. There is no evidence that the client is using regression.

　　33. Key: B

　　Client Need: Reduction of Risk Potential

　　B. Central vision for tasks such as reading, driving and performing detailed eye work is controlled by the macula. Damar or degeneration of the macula causes impairment of central vision.

　　A. Degeneration of the macula does not affect peripheral vision.

　　C. Nystagmus is uncontrolled jerky eye movements. It is not found in macular degeneration. It is found in labyrinthitis and brain tumors.

　　D. Lid lag is caused by weakness of the ocular muscles.

　　34. Key: A

　　Client Need: Psychosocial Adaptation

　　A. Impairment due to substance use results in an inability to function in various roles, including the job.This would result in decreased performance.

　　B. Increased food consumption usually does not occur with substance abuse, food consumption is usually decreased.

　　C. Verbal manipulation would support a nursing diagnosis of "defensive coping. "

　　D. Frequent illnesses would support a nursing diagnosis of "risk of infection related to malnutrition and altered immune condition. "

　　35. Key: D

　　Client Need; Coping and Adaptation

　　D. Some Native Americans relate eye contact to impoliteness and an invasion of privacy. Many Native Americans regard eye contact as disrespectful because it is believed that "looking in an individual's eyes"is "looking into an individual's soul. "

　　A. In the United States. those of the dominant culture. as well as most Mexican Americans, value eye contact as symbolic of a positive self-concept.

　　B. Eye contact practices in Italy include frequent, quick eye contact.

　　C. Direct eye contact is important in the Cuban culture. Looking away may be interpreted as disrespect or dishonesty.

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