Exam, () 390 Questions And Correct
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Q1. A nurse is providing teaching about preventing mastitis to a client who is
postpartum and breastfeeding her newborn. Which of the following instructions
should the nurse include?
A. "Wear an underwire bra between feedings."
B. "Cover your breasts immediately after feedings."
C. "Apply cold compresses to your breasts before feedings."
D. "Try to have your baby empty your breasts with each feeding."
Correct Answer: D
Q2. A nurse is caring for a client who reports chest pain. Which of the following
findings indicates myocardial damage?
A. aPTT 80 seconds
B. Troponin I 1.8 ng/mL
C. Erythrocyte sedimentation rate 17 mm/hr
D. Human B-type natriuretic peptide 88 pg/mL
Correct Answer: B
Q3. A nurse is providing teaching about car seat safety to the parent of a term
newborn. Which of the following statements by the parent indicates an
understanding of the teaching?
A. "I should place a rolled blanket along each side of my baby's head in the car
seat."
B. "I should place my baby's car seat rear-facing until 6 months of age."
C. "I should put the car seat retainer clip at the level of my baby's belly button."
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,D. "I should position my baby's car seat at a 90-degree angle in the car."
Correct Answer: A
Q4. A nurse is performing high-frequency chest compressions using a mechanical
chest compression device for a child who has cystic fibrosis. Which of the
following findings indicates the treatment has been effective?
A. The child develops a dry, hacking cough
B. The child has increased nasal secretions
C. The child has increased sputum production
D. The child develops diminished breath sounds
Correct Answer: C
Q5. A nurse is caring for a client following a possible exposure to anthrax. Which
of the following actions should the nurse take?
A. Administer an antitoxin
B. Quarantine the client
C. Monitor the client for a productive cough
D. Begin prophylactic treatment with ciprofloxacin
Correct Answer: D
Q6. A nurse is caring for a client who has a newly implanted sealed internal
radiation device to treat cervical cancer. Which of the following is an appropriate
action for the nurse to take?
A. Prohibit visitors for the first 24 hrs
B. Keep a 3-foot distance from the radiation implant
C. Maintain the client on bed rest for 72 hr
D. Require the client wear a dosimeter badge
Correct Answer: C
Q7. A nurse is admitting a client to the medical-surgical unit. Which of the
following actions should the nurse take first?
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,A. Place the client's valuables in the facility's safe
B. Observe the client's level of mobility
C. Administer prescribed medications
D. Electronically enter the prescriptions from the provider
Correct Answer: B
Q8. A nurse at a public health clinic is caring for a group of clients. Which of the
following should the nurse identify as a reportable diagnosis to the CDC?
A. Herpes simplex virus (HSV) type 1
B. Hepatitis A
C. Human papillomavirus (HPV)
D. Pediculosis capitis
Correct Answer: B
Q9. A charge nurse is evaluating the time management skills of a newly licensed
nurse. Which of the following actions should the charge nurse identify as an
effective time management skill?
A. Delegates creation of a client's teaching plan to a licensed practical nurse
B. Completes activities for one client before moving to the next client
C. Focuses on activities rather than objectives
D. Skips break times to catch up on charting
Correct Answer: B
Q10. A nurse delegates tasks to a licensed practical nurse and an assistive
personnel. When admitting a client who is experiencing acute liver failure and
who has ascites and an NG tube, which of the following tasks is most appropriate
for the nurse to delegate to the LPN?
A. Insert an indwelling catheter if the client has not voided in 3 hr
B. Obtain the abdominal girth now and every 4 hr
C. Assess and document the level of consciousness every hour
D. Measure the amount of gastric drainage every 2 hr
Correct Answer: A
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, Q11. A nurse is assessing a client who has a long arm cast. For which of the
following findings should the nurse monitor when assessing for acute
compartment syndrome?
A. Edema
B. Shortness of breath
C. Petechiae
D. Change in mental status
Correct Answer: A
Q12. A nurse is caring for a client who has opioid use disorder and is experiencing
withdrawal. Which of the following findings should the nurse expect?
A. Hyperreflexia
B. Meiosis (mydriasis)
C. Euphoria
D. Hypothermia (hyperthermia)
Correct Answer: A
Q13. A nurse is planning to perform wound irrigation for a client who has an open
secondary wound. When creating a sterile field, which of the following actions
should the nurse take?
A. Set up the sterile field 7.6 cm below waist level
B. Hold the bottle of sterile solution with the palm over the label while pouring
C. Place the sterile items within 1 cm of the edge of the sterile border
D. Place the lid of a bottle of sterile solution within the sterile field
Correct Answer: B
Q14. A nurse is assessing a client who was brought to the emergency department
by his adult child. The client has visible contusions on all four extremities. Which
of the following actions should the nurse take?
A. Report the incident to Adult Protective Services
B. Interview the client with his adult child present
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