Comprehensive Practical Nursing Exam Review
200 actual exam questions with correct verified
answers plus rationales
Save
Terms in this set (100)
A 2-day postpartum mother who is B
breastfeeding asks, "Why do I feel When the mother's milk comes in, usually 2 to 3
this tingling in my breasts after the days after delivery, women often report they feel
baby sucks for a few minutes?" a tingling sensation in their nipples (B) when let-
Which information should the nurse down occurs. (A, C, and D) provide inaccurate
provide? information.
A.This feeling occurs during feeding
with a breast infection.
B.This sensation occurs as breast
milk moves to the nipple.
C.The baby does not have good
latch-on.
D.The infant is not positioned
correctly.
,A 40-year-old office worker who is A
at 36 weeks' gestation presents to The blood pressure (A) should be assessed first.
the occupational health clinic Preeclampsia is a multisystem disorder, and
complaining of a pounding women older than 35 years and have chronic
headache, blurry vision, and hypertension are at increased risk. Classic signs
swollen ankles. Which intervention include headache, visual changes, edema, recent
should the nurse implement first? rapid weight gain, and elevated blood pressure.
A.Check the client's blood pressure. (B, C, and D) can be done if the blood pressure is
B.Teach her to elevate her feet normal.
when sitting.
C.Obtain a 24-hour diet history to
evaluate for the intake of salty
foods.
D.Assess the fetal heart rate.
A 50-year-old man arrives at the C
clinic with complaints of pain on Orchitis is an acute testicular inflammation
ejaculation. Which action should the resulting from recurrent urinary tract infection,
nurse implement? recurrent sexually transmitted disease (STD), or
an indwelling urethral urinary catheter causing
A.Teach the client testicular self- pain on ejaculation, scrotal pain, blood in the
examination (TSE). semen, and penile discharge, so the nurse should
B.Assess for the presence of blood determine the presence of other symptoms (C).
in the urine. Although all men should practice TSE, the client's
C.Ask about scrotal pain or blood symptoms are suggestive of an inflammatory
in the semen. syndrome rather than testicular cancer (A).
D.Inquire about a history of kidney Although hematuria (B) is associated with renal
stones. disease or calculi (D), the client's pain is
associated with ejaculate, not urine.
,A 77-year-old female client states C
that she has never been so large With aging, the abdominal muscles weaken as
around the waist and that she has fatty tissue is deposited around the trunk and
frequent periods of constipation. waist. Slowing peristalsis also affects the
Colon disease has been ruled out emptying of the colon, resulting in constipation
with a flexible sigmoidoscopy. (C). (A) is not the primary reason for the changes
Which information should the nurse in body structure. (B) is not indicated because
provide to this client? loss of muscle tone and constipation are age-
related changes. (D) dismisses the client's
A.As women age, they often concerns and does not help her understand the
become rounder in the middle changes that she is experiencing.
because they do not exercise
properly.
B.Further assessment is indicated
because loss of abdominal muscle
tone and constipation do not occur
with aging.
C.With age, more fatty tissue
develops in the abdomen and
decreased intestinal movement can
cause constipation.
D.Because there is no evidence of a
diseased colon, there is no need to
worry about abdominal size
, According to Erikson, which client D
should the nurse identify as having The older woman who wishes she could change
difficulty completing the the choices she has made in her lifetime is
developmental stage of older expressing despair and is still searching for
adults? integrity (D). The nurse uses Erikson stages of
development over the life span to assess an older
A.A 60-year-old man who tells the client's adjustment to aging and plans teaching
nurse that he is feeling fine and strategies to assist the clients attain integrity
really does not need any help from versus despair. (A, B, and C) are normal
anyone developmental tasks of older adults.
B.A 78-year-old widower who has
come to the mental health clinic for
counseling after the recent death of
his wife
C.An 81-year-old woman who
states that she enjoys having her
grandchildren visit but is usually
glad when they go home
D.A 75-year-old woman who wishes
her friends were still alive so she
could change some of the choices
she made over the years
After administration of an 0730 A
dose of Humalog 50/50 insulin to a Insulin 50/50 contains 50% regular and 50% NPH
client with diabetes mellitus, which insulin. Therefore, the onset of action is within 30
nursing action has the highest minutes and the nurse's priority action is to ensure
priority? that the client receives a breakfast tray to avoid a
hypoglycemic reaction (A). (B, C, and D) are also
A.Ensure that the client receives important nursing actions but are of less
breakfast within 30 minutes. immediacy than (A).
B.Remind the client to have a
midmorning snack at 1000.
C.Discuss the importance of a
midafternoon snack with the client.
D.Explain that the client's capillary
glucose will be checked at 1130.