QUESTIONS WITH SOLUTIONS GRADED A+
◉ 2. A nurse in an emergency department is assessing a client who has a
nasal fracture. Which of the following findings should cause the nurse to
suspect a skull fracture?
A. Clear fluid drainage from the nares
B. Report of pain around the eyes
C. Dried blood in the mouth
D. Mandibular asymmetry. Answer: Clear fluid drainage from the nares
◉ 3. A nurse in an urgent care clinic is collecting admission history from
a client who is at 16 weeks of gestation and has bacterial vaginosis. The
nurse should recognize that which of the following clinical findings are
associated with this infection?
A. Profuse milky white discharge
B. Frequency and dysuria
C. Low-grade fever
D. Hematuria. Answer: Profuse milky white discharge
◉ 4. A nurse is discussing the z-track administration of hydroxyzine
with a newly licensed nurse. Which of the following statements indicates
the newly licensed nurse understands the purpose of the technique?
,A. This technique prevents injury to the sciatic nerve
B. This technique decreases the risk of subcutaneous infiltration
C. This technique allows a larger amount of medication to be injected
D. This technique increases the absorption rate of the drug. Answer: This
technique decreases the risk of subcutaneous infiltration
◉ 10. A nurse is caring for a full-term newborn immediately following
birth. Which of the following actions should the nurse take first?
A. Instill erythromycin ophthalmic ointment in the newborn's eyes
B. Weigh the newborn
C. Place identification bracelets on the newborn
D. Dry the newborn. Answer: Dry the newborn
◉ 11. A nurse is planning to provide community education about viral
hepatitis. Which of the following should the nurse plan to include in the
teaching?
A. A series of four hepatitis vaccines is recommended to prevent viral
hepatitis
B. Hepatitis B is transmitted by contaminated food
C. Chronic hepatitis can lead to renal cell cancer
D. Clients who have a history of viral hepatitis are unable to donate
blood. Answer: Clients who have a history of viral hepatitis are unable to
donate blood
,◉ 12. A nurse in a residential mental health facility is planning care for a
new client who has obsessive compulsive disorder. Which of the
following is appropriate for the nurse to include in the plan of care?
A. Work with the client to create a flexible daily schedule
B. Gradually decrease the time allowed for ritualistic behavior
C. Offer solutions to assist in problem solving
D. Teach the client to meditate about obsessive thoughts. Answer: Work
with the client to create a flexible daily schedule
◉ 13. A nurse is assessing an adult male who has a BMI of 20. The
nurse should identify that the client's BMI falls within which of the
following categories?
A. Healthy weight
B. Malnutrition
C. Overweight
D. Obesity. Answer: Malnutrition
◉ 14. A nurse is caring for a client who is nulliparous and in the first
stage of labor. The last internal assessment revealed 100% cervical
effacement with 5 cm of dilation. At the end of the last contraction, the
nurse observes a large gush of fluid coming out of the client's perineal
area. Which of the following is a priority action by the nurse?
A. Perform another internal exam
B. Notify the client's provider
, C. Check the FHR
D. Obtain a pH test of the fluid. Answer: Check the FHR
◉ 15. A nurse is creating a plan of care for a client who has anorexia
nervosa. Which of the following interventions should the nurse include
in the plan?
A. Encourage the client to gain 2.3 kg per week
B. Weigh the client once per week throughout hospitalization
C. Monitor the client for 1 hr after meals
D. Allow the client to choose meal times. Answer: I think its D
◉ 16. A nurse is performing a skin assessment on a client who has risk
factors for development of skin cancer. The nurse should understand that
a suspicious lesion is
A. Asymmetric, with variegated coloring
B. Scaly and red
C. Brown, with a wart-like texture
D. Firm and rubbery. Answer: Asymmetric, with variegated coloring
◉ 17. A nurse is assessing a client's internal eye structures with an
ophthalmoscope. Which of the following actions should the nurse take?
A. Position the examination light toward the client's face
B. Stand on the right side of the client when examining the left eye