A nurse is caring for a client who wears glasses. Which of the
following actions should the nurse take?
A. Store the glasses in a labeled case.
B. Clean the glasses with hot water.
C. Clean the glasses with a paper towel.
D. Store the glasses on the bedside table.
A school nurse is teaching a parent about absent seizures.
Which of the following information should the nurse include?
A. “This type of seizure can be mistaken for daydreaming.”
B. “This type of seizure lasts 30 to 60 seconds.”
C. “The child usually has an aura prior to onset.”
D. “This type of seizure has a gradual onset.”
A nurse is planning care for a client who has cancer and is
about to receive low dose brachytherapy via a vaginal implant
applicator. Which of the following interventions should the
nurse include in the plan of care?
A. Removal of vaginal packing
B. Insertion of an indwelling urinary catheter
C. Ambulation four times daily
, D. Maintenance of NPO status until therapy is complete
A nurse is teaching about preventative measures to a female
client who has chronic urinary tract infections. Which of the
following interventions should the nurse include in the teaching?
A. “Drink 2 liters of warm water per day”.
B. “Empty your bladder every 6 weeks.”.
C. “Soak in a warm bath everyday”.
D. “Take an oral estrogen tablet”.
A nurse is receiving change-of-shift report for a group of
clients. Which of the following clients should the nurse plan to
assess first?
A. A client who has sinus arrhythmia and is receiving
monitoring B. A client who has a hip fracture and a
new onset of tachypnea
C. A client who has epidural analgesia and weakness in the
lower extremities
D. A client who has diabetes and a hemoglobin A1C of 6.8%
A nurse is providing dietary teaching to a client who has a new
diagnosis of irritable bowel syndrome. Which of the following
recommendations should the nurse include?
A. Consume food high in bran fiber
B. Increase intake of milk products
C. Sweeten foods with fructose corn syrup
D. Increase foods high in gluten
, A nurse is caring for a 1-day-old newborns who has
jaundice and is receiving phototherapy. Which of the
following actions should the nurse take?
A. the infant 30 ml (1 oz) glucose water every 2 hr.
B. Keep the infants head covered with a cap.
C. Ensure that the newborn wears a diaper.
D. Apply lotion to the newborn every 4 hr.
a nurse is teaching a group of newly licensed nurses
about client advocacy. Which of the following statements by
a newly licensed nurse indicates an understanding of the
teaching?
A. “(Unable to read) I feel to be in his best health care decision”
B. “I will intervene if there is conflict between a client and his
provider”
C. “I should not advocate for a client unless he is able to ask
me himself”
D. “I will inform a client that his family should help make his
health care decisions.”
A nurse is preparing to reposition a client who had a stroke.
Which of the following actions should the nurse take?
A. Raise the side rails on both sides of the client’s
bed during repositioning.
B. Reposition the client without assistive devices.
C. Discuss the client’s preferences for determining a reposition
, schedule.
D. Evaluate the client’s ability to help with repositioning.
A
A nurse is caring for an infant who has coaction of the aorta.
Which of the following should the nurse identify as an expected
finding?
A. Weak femoral pulses
B. Frequent nosebleeds
C. Upper extremity hypotension
D. Increased intracranial pressure\