PN COMPREHENSIVE A – LATEST VERSION
100% VERIFIED ANSWERS
,1. A client begins treatment with phenytoin (Dilantin). Which following should the nurse
reinforce as a measure to help minimize possible adverse effects of this medication?
A. Performing daily gum massage
2. A nurse who is facilitating a support group notices that one client in the group is extremely
talkative, to the point where others in the group have difficulty sharing their own ideas.
Which of the ff. strategies should the nurse use to facilitate the group process with this
client?
A. Speak privately to the client about this behavior.
3. The partner of a client who died from leukemia tells a nurse, “It’s so unfair that God took
him from me. I just can’t live without him.”. Which of the following actions by the nurse
is the priority?
A. Ask the client she has had suicidal thoughts.
4. A nurse is preparing to remove a client’s peripheral IV catheter. Which of the
following actions should the nurse plan to take?
A. Maintain the catheter parallel to the vein when withdrawing the catheter.
5. A nurse is reinforcing teaching to the parents of a newborn who has a new prescription for
nystatin (Mycostatin) for oral candidiasis. Which of the following should the nurse include
in the teaching?
A. Instill the medication 1 hr. after feeding.
6. A nurse is reinforcing teaching about an IV urography (IVP) with the parent of a 3yr. old
child. Which of the ff. statements indicates the parent understands the teaching?
A. My child will need to have a soapsuds enema before this procedure.
7. A nurse is reinforcing teaching with the parent of a school-age child who has
nephrotic syndrome with peripheral edema. Which of the ff. statements by the parent
indicates understanding of the teaching?
A. I will provide a low-sodium diet for my child.
8. A nurse is caring for a client who is on complete bed rest and is unable to change positon in
bed without assistance. The nurse delegates the task of repositioning the client every 2 hr. to
an assistive personnel(AP). Which of the ff. is an appropriate method to ensure that the AP
has performed the task correctly?
A. Check that the client is in a new position every 2hr.
9. A newly hired nurse discovers that some medication doses provided on a client’s
medication record have not been updated since yesterday. Coworkers admit that new
, changes in the medication orders have not been processed yet, but they advise the nurse to
administer the new prescriptions anyway. The nurse should notify which of the ff.?
A. The nurse manager.
10.A registered nurse and a licensed practice nurse (LPN) on a medical–surgical unit are
collaborating to provide care for a group of clients. The LPN should recognize that which of
the ff. tasks are not within the LPN scope of practice?
A. Develop a plan of care for a client who requires bladder training.
11.Which of the ff. should a nurse recognize as indicative of a positive client response to
systematic desensitization for treatment of a phobia?
A. The client remains relaxed when thinking of the phobia.
12.A nurse in a long-term care facility is reviewing standard precaution guidelines with an
assistive personnel(AP). The nurse should instruct the AP that which of the ff. should be
used to clean up a blood spill?
A. Chlorine bleach solution.
13.A nurse is caring for a client who is 3 days postoperative ff. a transurethral resection of the
prostate and has an indwelling urinary catheter. Which of the ff. findings should the nurse
expect?
A. Yellow urine with red sediment.
14.A nurse is preparing to administer cephalexin (Keflex) to a client when he states, “ I just
remembered that I have an allergy to penicillin. “Which of the ff. actions should the nurse
take?
A. Call the provider who prescribed the medication.
15.A nurse is observing a newly licensed nurse who is providing tracheostomy care for a
client. The nurse identifies proper performance of the procedure when the newly licensed
nurse selects which of the ff. solutions to clean the inner cannula?
A. Hydrogen peroxide.
16.A nurse is working with an interpreter to explain a diagnostic procedure to a client who does
not speak English. Which of the ff. actions should the nurse take?
A. Ensure the interpreter is culturally compatible with the client.
17.A client 12 hr. postoperative cholecystectomy was given morphine 10mg intravenously at
0700. The nurse marking rounds at 0720 should recognize which of the ff. as an adverse
effect of the medication?
A. Respiratory rate 10/min
18.A nurse is inserting an indwelling catheter into a female client who has urinary retention.
100% VERIFIED ANSWERS
,1. A client begins treatment with phenytoin (Dilantin). Which following should the nurse
reinforce as a measure to help minimize possible adverse effects of this medication?
A. Performing daily gum massage
2. A nurse who is facilitating a support group notices that one client in the group is extremely
talkative, to the point where others in the group have difficulty sharing their own ideas.
Which of the ff. strategies should the nurse use to facilitate the group process with this
client?
A. Speak privately to the client about this behavior.
3. The partner of a client who died from leukemia tells a nurse, “It’s so unfair that God took
him from me. I just can’t live without him.”. Which of the following actions by the nurse
is the priority?
A. Ask the client she has had suicidal thoughts.
4. A nurse is preparing to remove a client’s peripheral IV catheter. Which of the
following actions should the nurse plan to take?
A. Maintain the catheter parallel to the vein when withdrawing the catheter.
5. A nurse is reinforcing teaching to the parents of a newborn who has a new prescription for
nystatin (Mycostatin) for oral candidiasis. Which of the following should the nurse include
in the teaching?
A. Instill the medication 1 hr. after feeding.
6. A nurse is reinforcing teaching about an IV urography (IVP) with the parent of a 3yr. old
child. Which of the ff. statements indicates the parent understands the teaching?
A. My child will need to have a soapsuds enema before this procedure.
7. A nurse is reinforcing teaching with the parent of a school-age child who has
nephrotic syndrome with peripheral edema. Which of the ff. statements by the parent
indicates understanding of the teaching?
A. I will provide a low-sodium diet for my child.
8. A nurse is caring for a client who is on complete bed rest and is unable to change positon in
bed without assistance. The nurse delegates the task of repositioning the client every 2 hr. to
an assistive personnel(AP). Which of the ff. is an appropriate method to ensure that the AP
has performed the task correctly?
A. Check that the client is in a new position every 2hr.
9. A newly hired nurse discovers that some medication doses provided on a client’s
medication record have not been updated since yesterday. Coworkers admit that new
, changes in the medication orders have not been processed yet, but they advise the nurse to
administer the new prescriptions anyway. The nurse should notify which of the ff.?
A. The nurse manager.
10.A registered nurse and a licensed practice nurse (LPN) on a medical–surgical unit are
collaborating to provide care for a group of clients. The LPN should recognize that which of
the ff. tasks are not within the LPN scope of practice?
A. Develop a plan of care for a client who requires bladder training.
11.Which of the ff. should a nurse recognize as indicative of a positive client response to
systematic desensitization for treatment of a phobia?
A. The client remains relaxed when thinking of the phobia.
12.A nurse in a long-term care facility is reviewing standard precaution guidelines with an
assistive personnel(AP). The nurse should instruct the AP that which of the ff. should be
used to clean up a blood spill?
A. Chlorine bleach solution.
13.A nurse is caring for a client who is 3 days postoperative ff. a transurethral resection of the
prostate and has an indwelling urinary catheter. Which of the ff. findings should the nurse
expect?
A. Yellow urine with red sediment.
14.A nurse is preparing to administer cephalexin (Keflex) to a client when he states, “ I just
remembered that I have an allergy to penicillin. “Which of the ff. actions should the nurse
take?
A. Call the provider who prescribed the medication.
15.A nurse is observing a newly licensed nurse who is providing tracheostomy care for a
client. The nurse identifies proper performance of the procedure when the newly licensed
nurse selects which of the ff. solutions to clean the inner cannula?
A. Hydrogen peroxide.
16.A nurse is working with an interpreter to explain a diagnostic procedure to a client who does
not speak English. Which of the ff. actions should the nurse take?
A. Ensure the interpreter is culturally compatible with the client.
17.A client 12 hr. postoperative cholecystectomy was given morphine 10mg intravenously at
0700. The nurse marking rounds at 0720 should recognize which of the ff. as an adverse
effect of the medication?
A. Respiratory rate 10/min
18.A nurse is inserting an indwelling catheter into a female client who has urinary retention.
