Comprehensive Final Quizzes All
Answered Correct 2025-2026 Update.
A nurse On the pediatric unit is assisting with the plan of care for a preschooler who will have a
surgical procedure in the morning. The child has been crying despite his parents presence at his
bedside. The nurse should recommend engaging the child in therapeutic play for the care plan
because it offers which of the following benefits?
Decreases the child's fear of the dark
Allows the child to manipulate toy medical equipment
Provides an opportunity to analyze the child's emotions
Encourages - Answer Allows the child to manipulate toy medical equipment
A major function of play therapy is making potentially unmanageable situations manageable
through symbolic representation, which provides children with opportunities to learn to cope. A
preschooler does not have the language development to express his fear of the unfamiliar
medical equipment in the hospital. The nurse encourages the child to touch the equipment to
decrease the child's fear and intimidation in a safe environment using age-appropriate
vocabulary. The use of toys enables children to transfer anxieties, fears, fantasies, and guilt to
objects rather than people.
A nurse is collecting data from a school age child who has celiac disease. Which of the following
findings should the nurse expect?
Elevated sweat chloride
Steatorrhea
Clubbing of the fingers
Jaundice - Answer Steatorrhea
Foul, fatty, frothy stools, known as steatorrhea, are a manifestation of celiac disease, a
malabsorption syndrome.
A hospice nurse is visiting with the family member of a client. The family member states that
the client has insomnia almost nightly. Which of the following practices should the nurse
identify as contributing to the clients insomnia?
The client watches television in her bed during the day.
The client drinks warm milk before bedtime.
,The client goes to bed at 2200 every night.
The client gets up to use the bathroom once during the night. - Answer The client watches
television in her bed during the day
To promote sleep, the client should avoid watching television in bed. She should be in bed only
for sleep or sexual activities.
A nurse is caring for a client during Her first prenatal visit and notes that she is lactose
intolerant. Which of the following foods should the nurse include on the list of calcium sources
for this client?
Collard greens
Cottage cheese
Orange juice
Broccoli - Answer Collard greens
Collard greens are a good source of lactose-free calcium. One cup of collard greens provides
approximately the same amount of calcium as the equivalent volume of 240 mL (8 oz) of milk.
They also contain folic acid, which is a nutrient women should consume during pregnancy to
prevent birth defects.
A client at a routine prenatal care visit asks the nurse if it is common to develop vaginal yeast
infections during pregnancy. Which of the following responses should the nurse make?
"Have you discussed this with your doctor yet?"
"The hormonal changes of pregnancy change the acidity of the vagina, making yeast infections
more common."
"Women who are already prone to vaginal yeast infections get them during pregnancy."
"Why are you concerned about yeast infections during pregnancy?" - Answer The hormonal
changes of pregnancy change the acidity of the vagina, making yeast infections more common
*This is an information-seeking question; therefore, the therapeutic response is an answer that
provides the client with the information she is requesting.
A nurse in a prenatal clinic is collecting data from several clients. which of the following client
reports should the nurse identify as an expected physiologic adaptation to pregnancy?
Spotting with urination
Breast tenderness
,Thick, white vaginal discharge
Facial swelling - Answer Breast tenderness
*Breast tenderness is common during the first and third trimesters of pregnancy. The nurse
should explain to the client that this is expected and that she should wear a well-fitting,
supportive bra to help alleviate the tenderness.
A nurse is caring for a child who has epistaxis. Which of the following actions should the nurse
take?
Administer aspirin.
Tilt the child's head back and apply pressure.
Instruct the child to lie down and rest.
Apply continuous pressure to the lower part of the child's nose. - Answer Apply continuous
pressure to the lower part of the child's nose
*With the child sitting up and breathing through his mouth, the nurse should apply continuous
pressure with her thumb and forefinger to the soft lower area of the nose for 10 min. Most
bleeding from the nose stops within that period.
A nurse is reviewing the laboratory report for a client who has CDK. The nurse finds the
following laboratory test results: potassium 6.8, calcium 7.4, hemoglobin 10.2, and phosphate
4.8. Which of the following findings is the priority for the nurse to report to the provider?
Hypocalcemia
Hyperkalemia
Anemia
Hyperphosphatemia - Answer Hyperkalemia
*The nurse should apply the urgent versus nonurgent priority-setting framework. Using this
framework, the nurse should consider urgent needs the priority need because they pose more
of a threat to the client. The nurse may also need to use Maslow's hierarchy of needs, the ABC
priority-setting framework, or nursing knowledge to identify which finding is the most urgent.
Therefore, hyperkalemia which can cause life-threatening cardiac dysrhythmias is the priority
for the nurse to report to the provider.
A nurse at a family planning clinic is preparing to give a presentation to clients about to use a
diaphragm. Which of the following information should the nurse plan to include in the session?
, "Use spermicidal jelly whenever you use your diaphragm."
"Insert the diaphragm about 8 hours before sexual activity."
"You should remove the diaphragm 30 minutes after intercourse."
"A diaphragm comes in one size and does not require fitting." - Answer Use spermicidal jelly
whenever you use your diaphragm
A diaphragm is a barrier device that helps prevent pregnancy. Use of a diaphragm alone is not
100% effective in preventing pregnancy, but the use of spermicidal jelly with it increases the
effectiveness of the device.
A nurse is reinforcing discharge teaching to a client who does not speak the same language as
the nurse. The clients neighbor, who speaks to the clients native language and the nurses,
arrives to drive the client home. Which of the following actions should the nurse take?
Ask the client's neighbor to call a family member to interpret.
Ask the client's neighbor to translate the information.
Obtain the services of an interpreter.
Document the inability to provide discharge instructions. - Answer Obtain the services of an
interpreter
*Federal mandates require that a professional medical interpreter translate the client's health
care information into the client's native language.
A nurse in the providers office is talking with an older adult client reports having trouble
sleeping. Which of the following statements should the nurse identify as a possible causes for
the patients sleeping difficulties?
"I take a warm shower when getting ready to go to bed."
"I often have a cup of coffee with my dessert before going to bed."
"I usually read a chapter in a book before I go to bed."
"I make sure I do my exercises in the morning." - Answer I often have a cup of coffee with my
dessert before going to bed
*The client should avoid beverages that contain caffeine in the late afternoon and evening
because caffeine stimulates the CNS and can result in sleep disturbances. Caffeine is also a
diuretic and can cause nighttime awakenings for urination.