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1. Amhospicemnursemismcaringmformampreschoolermwhomhasmamterminalmillness.mOnemofmthemchil
d'smparentsmtellsmthemnursemthatmitmismtoomdifficultmtomcopemanymlongermandmhasmdecidedmt
ommovemoutmofmthemhouse.mWhichmofmthemfollowingmresponsesmshouldmthemnursemmake?m-
mCORRECTmANSWERmA:m"Let'smtalkmaboutmamfewmwaysmyoumhavemdealtmwithmstressminmthem
past."
2. Amnursemismteachingmamclientmwaysmtompreventmosteoporoticmfracturesmduemtomosteoporosi
s.mWhichmofmthemfollowingminformationmshouldmthemnursemincludeminmthemteaching?m-
mCORRECTmANSWERmA:m"Maintainmbonemhealthmbymeatingmfruits,mvegetables,mandmprotei
n."
3. Amnursemismteachingmamclientmwhomhasmhypothyroidismmaboutmtakingmlevothyroxine.mWhic
hmofmthemfollowingmstatementsmshouldmthemnursemmake?m-
mCORRECTmANSWERmB:m"Thismmedicationmcausesmadversemeffectsmifmthemdosagemismtoomhi
ghmormtoomlow."
4. Amnurseminmanmemergencymdepartmentmismassessingmampreschoolermwhomhasmseveremdehy
drationmasmamresultmofmgastroenteritismandmismreceivingmisotonicmIVmfluids.mWhichmofmthemf
ollowingmfindingsmshouldmthemnursemidentifymasmanmindicationmthatmthemtreatmentmismeffe
ctive?m-mCORRECTmANSWERmD:mBriskmskinmturgor
,5. Amnursemismcaringmformamclientmwhomhasmleftmhemiparesismfollowingmamstroke.mWhichmofmth
emfollowingmactionsmshouldmthemnursemtake?m-
mCORRECTmANSWERmB:mEncouragemthemclientmtomusemwide-
gripmutensilsmwhenmeatingmwithmthemrightmhand.
6. Amnursemismteachingmaboutmherbalmsupplementsmwithmamgroupmofmnewlymlicensedmnurses.m
Whichmofmthemfollowingmherbalmsupplementsmshouldmthemnursemincludeminmthemteachingmf
ormtreatingmhyperlipidemia?m-mCORRECTmANSWERmD:mGarlic
7. Amnursemismadmittingmamclientmwhomhasmanmacutembacterialmwoundminfectionmandmamtemp
eraturemofm39.8°mCm(103.6°mF).mWhichmofmthemfollowingmactionsmshouldmthemnursemtake?m-
mCORRECTmANSWERmD:mSetmthemtemperaturemofmthemclient'smroommtom22.2°mCm(72°
8. Amnursemismplanningmcaremformamclientmwhomhadmsurgerymformosteomyelitismfrommampastmm
usculoskeletalmtraumamtomthemlowermleg.mWhichmofmthemfollowingminterventionsmshouldmt
hemnursemincludeminmthemplanmofmcare?m-
mCORRECTmANSWERmC:mCheckmformparesthesiamofmthemaffectedmleg.
9. Amnursemismassessingmthemeyesmandmearsmofmam2-year-oldmtoddlermatmamwell-
childmvisit.mWhichmofmthemfollowingmfindingsmshouldmthemnursemreportmtomthemprovider?m-
mCORRECTmANSWERmB:mPresencemofmstrabismus
10. Amnursemismteachingmamclientmwhomhasmatherosclerosismaboutmself-
care.mWhichmofmthemfollowingminstructionsmshouldmthemnursemincludeminmthemteaching?m-
mCORRECTmANSWERmC:mIncreasemfibermintakemtomatmleastm30mgmpermday.
11. Amnursemismassessingmamclientmwhomhasmasmanmulcermduemtomperipheralmvascularmdisease.m
Whichmofmthemfollowingmfindingsmshouldmthemnursemidentifymasmanmindicationmthatmthemcli
entmhasmamvenousmulcermrathermthanmanmarterialmulcer?m-
mCORRECTmANSWERmB:mDiscolorationmandmedemamofmthemrightmankle
, 12. Amnursemismprovidingmdischargemteachingmtomamclientmwhomismpostoperativemfollowingmamtr
ansurethralmresectionmofmthemprostatem(TURP)mformtreatmentmofmbenignmprostaticmhyperpl
asia.mWhichmofmthemfollowingminstructionsmshouldmthemnursemincludeminmthemteaching?m-
mCORRECTmANSWERmD:m"PerformmKegelmexercisesmseveralmtimesmthroughoutmthemday."
13. Amnursemismassessingmamclientmwhomhasmleft-
sidedmheartmfailure.mWhichmofmthemfollowingmfindingsmshouldmthemnursemexpect?m(Selectma
llmthemapply.)m-mCORRECTmANSWERmA:mNocturia
14. C:mDyspnea
15. D:mHackingmcough
16. Amnursemismassessingmamclientmwhomism1mhourmpostoperativemfollowingmamtransurethralmres
ectionmofmthemprostatem(TURP)mformtreatmentmofmbenignmprostaticmhyperplasia.mFormwhich
mofmthemfollowingmassessmentmfindingsmshouldmthemnursemnotifymthemprovider?m-
mCORRECTmANSWERmC:mThemcathetermtubingmhasmmultiplemredmclots.
17. Amnursemismteachingmamclientmwhomhasmgastroesophagealmrefluxmdiseasemaboutmwaysmtomp
reventmreflux.mWhichmofmthemfollowingminformationmshouldmthemnursemincludeminmthemteac
hing?m-mCORRECTmANSWERmD:mPlanmtomfinishmeatingmatmleastm3mhrmbeforembedtime.
18. Amnursemismprovidingmteachingmformamclientmwhomhasmamnewmdiagnosismofmbenignmprostatic
mhyperplasiam(BPH).mWhichmofmthemfollowingminstructionsmshouldmthemnursemincludemtompr
omotemelimination?m-mCORRECTmANSWERmB:m"Voidmasmsoonmasmyoumfeelmthemurge."
19. Amnursemismassessingmformmanifestationsmofmhyponatremiaminmamclientmwhomhasmbeenmtaki
ngmtwicemthemprescribedmdosemofmamdiuretic.mWhichmofmthemfollowingmfindingsmshouldmthe
mnursemexpect?m-mCORRECTmANSWERmC:mDecreasedmlevelmofmconsciousness
20. Amnursemismteachingmamclientmwhomhasmasthmamhowmtomusemampeakmflowmmeter.mWhichmof
mthemfollowingmstatementsmshouldmthemnursemidentifymasmanmindicationmthemclientmunderst
andsmthemteaching?m-