A 32-year-old woman is at the clinic for "little white bumps in my mouth." During the assessment, the nurse notes that she has a 0.5-cm white, nontender papule under her tongue and one on the mucosa of her right cheek. What would the nurse tell the patient?

A) "These spots indicate an infection such as strep throat."
B) "These bumps could be indicative of a serious lesion, so I will refer you to a specialist."
C) "This condition is called leukoplakia and can be caused by chronic irritation such as with smoking."
D) "These bumps are Fordyce granules, which are sebaceous cysts and are not a serious condition."

The nursing care plan for a patient diagnosed with anorexia nervosa includes the intervention "monitor for complications of refeeding." Which system should a nurse closely monitor for dysfunction?

A) Renal
B) Endocrine
C) Integumentary
D) Cardiovascular

As nurses continue to contextualize technology within the scope of their professional practice,what is the main nursing issue with technology that requires consideration?

A) Computers.
B) Management information systems.
C) Information and information management.
D) Order entry applications.

A severely depressed patient cannot state any positive attributes to life. The nurse patiently sits with this patient and assists the patient to identify several activities the patient is actually looking forward to in life. Which spiritual concept is the nurse trying to promote?

A) Time management
B) Reminiscence
C) Hope
D) Faith

The nurse has attempted to administer a tap water enema for a patient with fecal impaction with no success. The fecal mass is too large for the patient to pass voluntarily. Which is the $\mathbf{next}$ priority nursing action?

A) Preparing the patient for a second tap water enema
B) Obtaining an order for digital removal of stool
C) Positioning the patient on the left side
D) Inserting a rectal tube

Saw palmetto

A) Elevated cholesterol levels
B) Nausea and vomiting
C) Benign prostatic hyperplasia
D) Skin inflammation
E) Mild anxiety
F) Unsafe and should not be used

A nurse is caring for a patient who suffers from a sleep pattern disturbance.To promote adequate sleep,what are the most appropriate nursing interventions?

A) Provide personal hygiene before bedtime.
B) Straighten and change any soiled bed linens.
C) Assist the patient to use the toilet before bed.
D) Administer sleep aids every night at the same time.
E) Synchronize the schedule for medications and vital signs.

A school-age child with chronic renal failure is admitted to the hospital with a serum potassium level of 5.2 mEq/L. Which prescribed medication should the nurse plan to administer?

A) Spironolactone (Aldactone)
B) Sodium polystyrene sulfonate (Kayexalate)
C) Lactulose (Cephulac)
D) Calcium carbonate (Calcitab)

On the morning of his surgery,Mr.Pollard tells the nurse that he takes St John's wort regularly.Why is it important that the nurse pass this information along to the surgeon and anaesthetist?

A) When it is combined with some anaesthetic agents,it may cause hemorrhage.
B) It potentiates the hypotensive action of some anaesthetic agents.
C) It decreases the antiinflammatory response required for healing.
D) It causes hypoglycemia when taken along with anaesthetic agents.

A staff nurse with no authority over other nurses,but who is liked and respected,uses influence to persuade other nurses to strike for better staffing and client care conditions.This nurse is performing which role?

A) Nurse manager
B) Formal leader
C) Informal leader
D) Driving force