A client had a renal transplant 3 months ago. He has suddenly developed graft tenderness, an increased white blood cell count, and malaise. The client is experiencing which type of rejection?

• A.Acute
• B.Chronic
• C.Hyperacute
• D.Hyperchronic

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A pregnant client during labor is irritable and feels the urge to vomit. The nurse should recognize this as the:

• A.Fourth stage of labor
• B.Third stage of labor
• C.Transition stage of labor
• D.Second stage of labor

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A client was admitted with rib fractures and a pneumothorax, which were sustained as a result of a motor vehicle accident. A chest tube was placed on the left side to reinflate his lung, and he was transferred to a client unit. Twenty-four hours after admission he continues to have bloody sputum, develops increasing hypoxemia, and his chest x-ray shows patchy infiltrates. The nurse analyzes these symptoms as being consistent with:

• A.Pneumonia
• B.Pulmonary contusions
• C.Pulmonary edema
• D.Tension pneumothorax

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A 6-month-old infant has developmental delays. His weight falls below the 5th percentile when plotted on a growth chart. A diagnosis of failure to thrive is made. What behaviors might indicate the possibility of maternal deprivation?

• A.Responsive to touch, wants to be held
• B.Uncomforted by touch, refuses bottle
• C.Maintains eye-to-eye contact
• D.Finicky eater, easily pacified, cuddly

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A pregnant client is having a nonstress test (NST). It is noted that the fetal heart beat rises 20 bpm, lasting 20 seconds, every time the fetus moves. The nurse explains that:

• A.The test is inconclusive and should be repeated
• B.Further testing is needed
• C.The test is normal and the fetus is reacting appropriately
• D.The fetus is distressed

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