Exam Questions
What-should-a-nurse-do-first-for-a-toddler-with-poor-dietary-intake?---correct-answers--Encourage-the-
family-to-be-with-the-child-during-mealtimes.
What-instruction-should-a-postpartum-nurse-include-about-the-MMR-vaccine?---correct-answers--Avoid-
pregnancy-for-at-least-28-days-after-receiving-the-vaccine.
What-technique-should-a-nurse-use-for-a-wet-to-dry-dressing-change?---correct-answers--Clean-the-
wound-from-the-center-to-the-outer-edges.
What-indicates-a-client-understands-contraception-teaching?---correct-answers--My-partner-will-use-
condoms-with-spermicides.
What-defense-mechanism-is-a-client-with-bipolar-disorder-using-when-yelling-at-the-nurse?---correct-
answers--Displacement.
What-is-a-possible-source-of-infection-for-an-immunocompromised-client?---correct-answers--Soiled-
linens-are-placed-on-the-floor.
,What-should-a-nurse-ensure-before-an-esophagogastroduodenoscopy?---correct-answers--Ensure-that-
the-client-gave-informed-consent.
What-intervention-should-a-nurse-implement-for-a-client-who-has-been-assaulted?---correct-answers--
Maintain-a-safe-and-private-environment-for-the-client.
What-should-a-nurse-provide-to-a-client-who-has-been-assaulted-and-is-seeking-support?---correct-
answers--Provide-resources-for-local-support-services.
What-is-an-appropriate-action-for-a-nurse-caring-for-a-client-with-leukemia-experiencing-chronic-fatigue?-
--correct-answers--Contribute-to-the-plan-of-care-that-addresses-energy-conservation.
What-should-a-nurse-do-regarding-a-client-who-has-been-sexually-assaulted?---correct-answers--Request-
a-consult-for-case-management.
What-should-a-nurse-do-if-a-client-is-immunocompromised-and-has-uncapped-sharps?---correct-answers--
Identify-it-as-a-possible-source-of-infection.
What-should-a-nurse-inform-a-client-about-the-duration-of-an-esophagogastroduodenoscopy?---correct-
answers--The-procedure-will-take-approximately-60-minutes.
What-should-a-nurse-do-when-a-client-yells-during-medication-changes?---correct-answers--Identify-that-
the-client-is-using-displacement-as-a-defense-mechanism.
What-should-a-postpartum-nurse-tell-a-client-about-the-MMR-vaccine-and-breastfeeding?---correct-
answers--Avoid-breastfeeding-for-3-days-after-receiving-the-vaccine.
What-should-a-nurse-do-regarding-a-client's-dietary-history?---correct-answers--Obtain-the-child's-dietary-
history-if-they-have-poor-dietary-intake.
What-is-a-safe-practice-for-a-nurse-when-changing-a-dressing-on-an-infected-wound?---correct-answers--
Wear-sterile-gloves-to-remove-the-dressing.
,What-should-a-nurse-advise-a-client-about-using-petroleum-jelly-with-latex-condoms?---correct-answers--
It-should-not-be-used-as-it-can-weaken-the-condom.
What-should-a-nurse-do-if-a-client-reports-a-history-of-depression-after-an-assault?---correct-answers--
Provide-resources-for-local-support-services.
What-should-a-nurse-do-for-a-client-who-has-been-drinking-socially-and-reports-an-assault?---correct-
answers--Provide-resources-to-the-client-for-the-local-Alcoholics-Anonymous-chapter.
What-should-a-nurse-do-if-soiled-linens-are-found-on-the-floor-in-an-immunocompromised-client's-room?-
--correct-answers--Identify-this-as-a-potential-source-of-infection.
What-should-a-nurse-do-to-support-a-client-with-chronic-fatigue-due-to-leukemia?---correct-answers--
Encourage-rest-and-energy-conservation-strategies.
What-intervention-should-a-nurse-include-in-the-care-plan-for-a-client-with-leukemia-experiencing-
chronic-fatigue?---correct-answers--Encourage-strength-training-exercise.
What-finding-should-a-nurse-expect-when-collecting-data-from-a-client-with-placenta-previa?---correct-
answers--Bright-red-vaginal-bleeding.
What-are-the-responsibilities-of-a-nurse-regarding-a-client's-advance-directives?---correct-answers--1.-
Provide-written-information-about-advance-directives.-2.-Instruct-that-it-is-a-legal-document-that-must-
be-honored.-3.-Communicate-advance-directives-status-via-medical-record-and-shift-report.-4.-Document-
discussions-about-do-not-resuscitate-status.
Which-action-is-an-example-of-protecting-client-confidentiality?---correct-answers--Giving-change-of-
shift-report-to-a-nurse-outside-the-client's-room.
What-should-a-nurse-do-when-assisting-with-postmortem-care-for-a-client-who-was-a-devout-follower-of-
Islam?---correct-answers--Position-the-client's-head-toward-Mecca.
, What-statement-by-a-mother-indicates-understanding-of-breastfeeding-teaching-for-her-5-day-old-
newborn?---correct-answers--I-should-have-my-baby-latch-on-to-my-nipple-and-areola-during-feeding.
What-intervention-should-a-nurse-implement-for-a-client-with-varicella-zoster?---correct-answers--Assign-
the-client-to-a-negative-pressure-airflow-room.
What-instruction-should-a-nurse-give-to-prepare-a-client-for-testing-the-plantar-Babinski-reflex?---correct-
answers--Lie-down-and-I-will-stroke-the-bottom-of-your-foot.
What-resource-should-a-nurse-recommend-to-a-family-caring-for-an-older-adult-client-with-early-onset-
dementia?---correct-answers--Adult-day-care-facility.
What-should-a-nurse-instruct-a-client-who-experiences-syncope-after-starting-enalapril?---correct-
answers--C.-Rise-slowly-from-a-sitting-position-to-a-standing-position.
Which-food-should-a-nurse-recommend-for-a-client-with-irritable-bowel-syndrome?---correct-answers--A.-
Yogurt.
What-important-information-should-a-nurse-teach-guardians-of-a-child-with-cystic-fibrosis?---correct-
answers--C.-Have-your-child-wear-a-medical-identification-wristband.
What-action-should-a-nurse-take-when-a-client-requests-a-tub-bath?---correct-answers--A.-Check-on-the-
client-every-10-min-during-the-bath.
What-indicates-a-client's-understanding-of-actions-to-take-when-experiencing-chest-pain-with-stable-
angina?---correct-answers--C.-'I-will-stop-what-I-am-doing-and-lie-down.'
What-supply-should-a-nurse-ensure-a-client-has-upon-discharge-if-oxygen-is-prescribed-at-1-to-2-L/min?---
correct-answers--A.-Nasal-cannula.
What-is-the-first-action-a-charge-nurse-should-take-upon-noticing-the-smell-of-alcohol-on-a-nurse's-
breath?---correct-answers--C.-Remove-the-nurse-from-the-client-care-area.