ANSWERS
"What spiritual beliefs are important to you?" is an example of which step of the
FICA process? correct answer
A 40 year old woman cares for her mother and 2 teenage children. What term
describes this? correct answer
A client asks the nurse about the purpose of incentive spirometry. Which
information should the nurse include in the explanation?
A. Increases lung volume
B. Clears mucus secretions
C. Prevents lung collapse
D. Decreases oxygen demand correct answer B. Clears mucus secretions
A client asks the nurse how long the chest tube will remain in place. Which
response by the nurse is best?
A. Until the lung has re-expanded
B. 1 week
C. 5 days
D. 2 days correct answer A. Until the lung has re-expanded
A client confesses to secretly eating large amounts of food and then feeling guilty
about it afterward. Which response by the nurse is appropriate?
A. "You might have Prader-Willi syndrome, which is a chromosomal disorder."
B. "Have you noticed any insomnia or weight loss associated with your behavior?"
,C. "It sounds as though you may be suffering from binge-eating disorder."
D. "Do you regularly eat nonfood items and regurgitate them?" correct answer C.
"It sounds as though you may be suffering from binge-eating disorder."
A client diagnosed with bronchitis asks the nurse about the function of the
bronchi. Which should the nurse include in the response?
A. Capture and help sweep the debris toward the mouth for removal when
coughing
B. Warm and moisten air as it moves through the respiratory tract to the alveoli
C. Help to keep the lungs inflated
D. Contain the heart, trachea, esophagus, and the great vessels correct answer B.
Warm and moisten air as it moves through the respiratory tract to the alveoli
A client has been diagnosed with severe hearing loss and otosclerosis. Which
treatment should the nurse expect will be prescribed?
A. Hearing aid
B. Antibiotics
C. Stapedectomy
D. Tympanoplasty correct answer C. Stapedectomy
A client has crackles and reports increasing shortness of breath. Which action
should the nurse take first?
A. Place the client in high Fowler position.
B. Administer a bronchodilator.
C. Assess the respiratory rate.
,D. Apply oxygen to the client. correct answer A. Place the client in high Fowler
position.
A client is being assessed for hearing loss. Which test would be used for the
assessment of the hearing function? (Select all that apply.)
A. Romberg test
B. Phalen's test
C. Whisper test
D. Weber test
E. Rinne test correct answer C. Whisper test
D. Weber test
E. Rinne test
A client is complaining of difficulty hearing. Which medications on the client's
home medication list would alert the nurse of the potential risk for hearing
impairment? (Select all that apply.)
A. Aminoglycoside
B. Salicylate
C. Alkylating agent
D. Loop diuretic
E. Angiotensin-converting enzyme inhibitor correct answer A. Aminoglycoside
B. Salicylate
C. Alkylating agent
D. Loop diuretic
, A client is prescribed an oral steroid drug to improve breathing. Which instruction
should the nurse provide to the client?
A. "Be sure to follow the step-wise reduction of the medication."
B. "You will probably be taking this medication long-term."
C. "If you feel side effects, cut the dosage in half."
D. "Stop the medication when your symptoms subside." correct answer A. "Be
sure to follow the step-wise reduction of the medication."
A client with sudden sensorineural hearing loss comes to the clinic. Which
medication should the nurse expect to be prescribed?
A. Aminoglycoside
B. Alkylating agent
C. Loop diuretic
D. Corticosteroid correct answer D. Corticosteroid
A family is learning to communicate with a member who has hearing loss. Which
technique uses hand shapes to represent sounds?
A. Cued speech
B. Sign language
C. Total communication
D. Oral approach correct answer A. Cued speech
A nurse is providing teaching for a client diagnosed with an olfactory deficit.
Which interventions specifically related to an olfactory deficit will the nurse
include in the teaching? (Select all that apply.)
A. Darken the rooms with shades.