Assessment Exam Questions
with Correct Solutions
User [Date] [Course title]
, A nurse in a long-term care facility enters the day room and finds the window curtains on fire. Clients
are panicking and the room is filling with smoke. Indicate the emergency actions the nurse must take.
(Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) -
Correct Answer: - Remove the clients from the room
- Activate the fire alarm
- Close the door
- Extinguish the fire
A nurse is assessing a client following the application of an aquathermia pad. Which of the following is
the first indication to the nurse that the client is experiencing a superficial burn injury to the application
site?
A. Blistering
B. Erythema
C. Eschar
D. Absence of pain - Correct Answer: B. Erythema
Erythema is an indication that the client has experienced a superficial burn with damage limited to the
epidermis. Other manifestations include edema, pain, and increased sensitivity to heat.
A nurse is assessing a client who is experiencing prostatic hypertrophy. Which of the following findings
associated with urinary retention should the nurse expect? (Select all that apply.) - Correct Answer: -
Report of feeling pressure
- Tenderness over the symphysis pubis
- Distended bladder
- Voiding 30 mL frequently
Clinical findings of urinary retention include frequent voiding of 25 to 60 mL of urine.
A nurse is teaching a client who has diabetes about which dietary source should provide the greatest
percentage of calories. Which of the following statements indicates the client understands the teaching?