REx-PN® Exam 3 Test Bank With
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A client has returned to his room following an esophagoscopy. Before offering fluids, the
nurse should give priority to assessing the client's:
A. Level of consciousness
B. Movement of extremities
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C. Urinary output
D. Gag reflex –
Correct Answer :Option D:
The client's gag reflex is depressed before having an EGD. The nurse should give priority to
checking for the return of the gag reflex before offering the client oral fluids.
Which instruction should be included in the discharge teaching for the client with cataract
surgery?
A. Over-the-counter eye drops can be used to treat redness and irritation
B. The eye shield should be worn at night
C. It will be necessary to wear special cataract glasses
D. A prescription for medication to control post-operative pain will be needed –
Correct Answer :Option B:
The eye shield should be worn at night or when napping, to prevent accidental trauma to
the operative eye.
An 8-year-old is admitted with a sore throat, drooling, muffled phonation, high pitched-
sound upon breathing (stridor), and a temperature of 102°F. The nurse should immediately
notify the doctor because the child's symptoms are suggestive of:
A. Primary Ciliary Dyskinesia
B. Subglottic hemangioma
C. Sinusitis
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D. Epiglottitis –
Correct Answer :Option D:
The child's symptoms are consistent with those of epiglottitis, an infection of the upper
airway that can result in total airway obstruction.
Phototherapy is ordered for a newborn with physiologic jaundice. The nurse caring for the
infant should:
A. Place the baby on enteric isolation
B. Apply lotion, or oil on the baby's skin to prevent drying
C. Wear a gown, gloves, and a mask while caring for the infant
D. Encourage the mother to continue breastfeeding –
Correct Answer :Option D:
Breastfeeding will improve the nutrition of the newborn and will help in eliminating excess
bilirubin (the main cause of physiological jaundice).
A teen hospitalized with anorexia nervosa is now permitted to leave her room and eat in the
dining room. Which of the following nursing interventions should be included in the client's
plan of care?
A. Weighing the client after she eats
B. Having a staff member remain with her for 1 hour after she eats
C. Placing high-protein foods in the center of the client's plate
D. Providing the client with child-size utensils –
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Correct Answer :Option B:
Having a staff member remain with the client for 1 hour after meals will help prevent the
incidence of self-induced vomiting.
According to Erikson's stage of growth and development, the developmental task of an 8-
year old child is:
A. Trust
B. Initiative
C. Independence
D. Industry –
Correct Answer :Option D:
According to Erikson's Psychosocial Developmental Theory, the developmental task of
middle childhood (5-12 years old) is industry versus inferiority. Children in this stage are
developing a sense of productivity, self-assurance, and self-esteem.
The nurse should observe for side effects associated with the use of bronchodilators. A
common side effect of bronchodilators is:
A. Decreased urine output
B. Tremors
C. Vision changes
D. Hypotension –
Correct Answer :Option B:
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