Exam Questions & Verified Answers | Complete Nursing
Prep
1. A nurse is taking sexual history on an adolescent who has come into the free
clinic. What question best demonstrates an appropriate nursing approach to
effective assessment of the patient's need for further information?
"How many sexual partners have you had?"
"Are you involved in an intimate relationship at this time?"
"Have you ever been diagnosed with a sexually transmitted disease?"
"What questions or concerns do you have about your sexual
health?"
2. What is the recommended action for a nurse after documenting a client's
urine output to check for potential infection?
Perform a bladder scan 5-15 minutes after the client has voided.
Increase the client's fluid intake.
Administer antibiotics immediately.
Schedule a follow-up appointment with a physician.
3. What is a significant risk factor for developing osteoarthritis?
Low calcium intake
Excessive physical activity
Age-related muscle loss
High body mass index
4. Describe why it is important for the nurse to begin the mobility assessment
, while the client is lying in bed.
Assessing mobility only when the client is in a chair provides a clearer
picture of their functional status.
Beginning the assessment while the client is lying in bed allows the
nurse to evaluate the client's baseline mobility and comfort level.
Initiating the assessment during walking demonstrates the client's
mobility capabilities.
Starting the assessment when the client is sitting up helps to assess
their readiness for movement.
5. Why is it important for clients with a history of urinary tract infections to wipe
from front to back?
Wiping from front to back helps prevent the introduction of bacteria
from the rectal area to the urethra.
Wiping in a circular motion is recommended for cleanliness.
Wiping from back to front is more hygienic.
Wiping does not affect the risk of urinary tract infections.
6. Describe the key components of pulmonary toileting that should be taught to
a pre-operative client.
The key components include medication administration and wound
care.
The key components include deep breathing exercises, coughing
techniques, and the use of incentive spirometry.
The key components include vital sign monitoring and fluid
management.
The key components include mobility exercises and dietary
restrictions.
,7. If a patient with a high body mass index is experiencing joint pain, what
nursing intervention would be most appropriate to recommend?
Recommend a high-calcium diet.
Advise complete bed rest.
Suggest increasing high-impact exercises.
Encourage weight management strategies.
8. An athlete has a sprained ankle. The joint is showing signs of inflammation,
including swelling and warmth. Which of the following medications would be
most appropriate for this athlete?
D. Either A or B would be appropriate
A. Ibuprofen
B. Codeine
C. Acetaminophen
9. How does a nurse's request to change a client assignment reflect ethical
decision making?
It shows the nurse prioritizes ethical principles over personal beliefs
to ensure quality care.
It demonstrates the nurse's preference for specific patient
demographics.
It indicates the nurse is unwilling to work with certain patients.
It reflects a lack of commitment to the nursing profession.
10. The nurse is caring for a patient in a long-term care facility. The nurse
identifies which patients to be at higher risk for falls
A patient who is taking antibiotics
, A patient who is experiencing nausea from chemo
A patient older than 50
A patient who has fallen 2 times before
A 70-year-old patient who transferred from the hospital to a skilled
nursing facility
A patient who is experiencing postural hypotension
11. What is the primary purpose of pulmonary toileting in pre-operative care?
To manage postoperative pain.
To promote lung expansion and clear secretions.
To ensure proper medication administration.
To prevent surgical site infections.
12. Why is the ability to rise from a chair without using arms for support
significant in assessing a client's risk of falls?
It indicates that the client is receiving assistance, which is a sign of
weakness.
It suggests that the client is comfortable in their environment,
reducing fall risk.
It demonstrates the client's strength and balance, indicating a lower
risk of falls.
It shows that the client can change positions, which is important for
mobility.
13. In a scenario where an infant shows signs of distress and is unresponsive to
touch, what should the nurse prioritize in their care approach?
Continue with therapeutic touch regardless of the infant's response.