COMPLETE QUESTION COMPENDIUM
WITH CORRECT SOLUTIONS
◉A. Answer: 63. The 39 year old primipara come to the hospital at
29 weeks gestation and report symptoms of preterm labor. Which
assessment by the nurse is most helpful in confirming this
diagnosis?
a. Regular contractions are noted on a monitor tracing
b. The client says the water broke this morning
c. The presenting part is engaged
d. The client reports intermittent lower abdominal pain
◉4th or 5th intercostal place on the right side. Answer: 64. To
auscultate for breath sounds in the middle lobe of the long, the nurse
places the stethoscope in which location? (picture)
a. C
b. D
c. A
,d. B
◉D. Answer: 65. The nurse cares for a woman diagnosed with toxic
shock syndrome. Which action does the nurse take first?
X-a. Teaches the client to use pads rather than tampons during the
menstrual period
b. Sits with the client and let her know that she is not alone
c. Administers ciprofloxacin 400 mg q 12 hours via IV infusion over
60 minutes
d. Administers 0.9% NaCl at hundred and 150 mL/hr into the clients
right forearm
◉D. Answer: 66. The client diagnosed with Alzheimer's disease
wanders around the unit disturbing other clients. The clients gate is
steady. Which action by the nurse is most appropriate?
a. Remind the client to stay in the room
X-b. Escort the client back to the clients room
c. Restraining the client in an armchair in the hall
d. Allow the client to assist the staff in distributing the clean linen
◉D. Answer: The nurse teaches the client how to perform self
monitoring blood glucose (SMBG) by using a blood glucose monitor.
,Which action, if performed by the client, indicates the teaching was
successful?
a. The client washes the hand in cool water before the procedure
b. The client elevates the hand on a pillow before the procedure
c. The client sticks the center of the proximal phalanx
d. The client allows a large drop of blood to touch the test strip
◉B. Answer: The nurse cares for the client diagnosed with septic
shock syndrome. An initial nursing assessment of this client would
most likely reveal which symptoms?
a. Dysrhythmias and edema
b. Fever and hypotension
c. Increased urinary output and dehydration
d. Nystagmus and photophobia
◉B. Answer: The nurse cares for the client is experiencing third
trimester bleeding, consisting of dark red spotting. The client is not
reporting uterine pain and tenderness. The nurse realizes that these
symptoms are indicative of which situation?
a. Abruptio placentae
, b. Placenta previa
c. Missed abortion
d. Hdatidiform mole
◉C. Answer: The nurse teaches a client receiving amitriptyline.
Which statement, is made by the client to the nurse, indicates an
adequate understanding of amitriptyline?
a. "When I start to feel better, I can adjust my dosage of
amitriptyline."
b. "Amitriptyline works best when taken in the morning before
breakfast."
c. "It maybe 3 to 4 weeks before I'll see a change due to
amitriptyline."
d. "I can't eat food such as age cheese, beer, red wine, and yogurt."
◉D. Answer: The nurse cares for the client diagnosed with a
dramatic amputation of the left leg during automobile accident. The
client frequently presses the call light without reason and makes
angry remarks to the nursing staff. Which statement best explains
the reason for the clients behavior?
a. The client is behaving rebelliously because the client is in a
structured setting