nursin
Quiz 1
The nurse provides care for a client diagnosed with acute pancreatitis. The nurse intervenes
if the client makes which statement? (Select all that apply.)
1. “I may need to take antibiotics.”
2. “After I get better, I need to eat a high-fat diet.”
3. “I’m glad I won’t get sick like this again.”
4. “I’m glad my blood sugar will not be affected.”
5. “I should stop drinking alcohol.”
6. “I cannot have anything to eat or drink.”
The nurse in the day care center observes a toddler squatting and panting after chasing a
ball. Which action does the nurse take first?
1. Remove the child from the playground and encourage rest.
2. Check for sweating, color, and tachycardia.
3. Ask the child about a sore throat or achy joints.
4. Restrict the child from playing ball.
The nurse cares for clients in the outpatient clinic. In which order will the nurse return the
messages? Correct Answer
1. The "soft spot" on the head of the 4-day-old feels slightly elevated when asleep.
2. The circumcision site of the 3-day-old is slightly swollen.
3. The umbilical cord of the 5-day-old is soft and draining exudate.
4. When bed is bumped, a 2-day-old rapidly extends the extremities.
The parents of a child diagnosed with hemophilia ask the nurse to explain the cause of the
disease. Which response by the nurse is best?
1. "The father transmits the gene to the son."
2. "Both the mother and the father carry a recessive trait."
3. "The mother transmits the gene to her son."
, "There is a 50% chance that the mother will pass the trait to each of the
4.
daughters."
The 6-month-old is brought to the clinic for a well-baby checkup. During the exam, the nurse
expects to observe which assessment findings? Select all that apply.
1. A pincer grasp.
2. Sitting with support.
3. Tripling of the birth weight.
4. Presence of the posterior fontanelle
5. Playing peek-a-boo.
6. Rolling from back to abdomen.
A client with an endotracheal tube requires suctioning. Which statement is an accurate
description of how the nurse performs the procedure?
Inserts the suction catheter 4 in into the tube. Applies suction for 30 seconds, using
1.
a twirling motion as the catheter is withdrawn.
Hyperoxygenates the client. Inserts the suction catheter into the tube, and suctions
2.
while removing the catheter in a back and forth motion.
Explains the procedure to the client. Inserts the catheter gently while applying
3.
suction, and withdraws using a twisting motion.
Inserts the suction catheter until resistance is met, and then withdraws it slightly.
4.
Applies suction intermittently as the catheter is withdrawn.
A client comes to the outpatient psychiatric clinic for treatment of a fear of heights. The
nurse knows that phobias involve which behaviors?
1. Projection and displacement.
2. Sublimation and internalization.
3. Rationalization and intellectualization.
4. Reaction formation and symbolization.
The nurse cares for the prenatal client at 8 weeks’ gestation with a positive VDRL. When the
nurse prepares the teaching plan, it is most important for the nurse to include which
information?
, 1. Advise the client not to take any over-the-counter medications.
2. Instruct the client about the importance of taking all of the medication.
3. Inform the client to refrain from sexual activity.
4. Maintain the confidentiality of sexual partners or contacts.
The nurse performs range-of-motion (ROM) exercises for an elderly client recently
immobilized. The nurse identifies which statement as correct about range-of-motion?
1. Passive ROM exercises increase muscle strength.
2. A full ROM must be completed for the elderly client.
3. Exercises should be completed to the point of discomfort.
4. ROM assists the elderly to carry out activities of daily living (ADLs).
The nurse cares for an older client scheduled for a colon resection this morning. The nurse
notes the client had polyethylene glycol-electrolyte solution and a soapsuds enema the
previous evening. This morning the client passes a medium amount of soft brown stool.
Which conclusion by the nurse is most accurate?
1. The bowel preparation is incomplete.
2. The client ate something after midnight.
3. This is an expected finding before this type of surgery.
4. The client passed the last stool left in the colon.
The nurse cares for the newborn infant diagnosed with fetal alcohol syndrome. The nurse
expects to see which characteristics?
An infant large for gestational age (LGA), craniofacial abnormalities, and
1.
hydrocephalus.
An infant with a small head circumference, low birth weight, and undeveloped
2.
cheekbones.
An infant with a large head circumference, low birth weight, and excessive rooting
3.
and sucking behaviors.
An infant with a normal head circumference, low birth weight, and respiratory
4.
distress syndrome.
, The nurse watches as a parent and infant interact. The infant throws a toy to the floor
numerous times. The parent picks up the toy and gives it back to the infant. If the parent
does not immediately return the toy, the infant cries loudly. Which statement by the nurse
is best?
“Be sure to wipe the toy off each time before you give it back. These floors are
1.
filthy.”
2. “Your baby is either stubborn or wants attention, I cannot figure out which.”
3. “I remember when my own baby used to do that.”
4. “I bet your baby is about 11 months old. This is normal behavior.”
The nurse admits an older adult client who reports fever and chills to the medical unit.
Which assessment finding most concerns the nurse?
1. The client’s HR 120 beats/min and BP is 90/60 mm Hg.
2. The client's RR is 18 breaths/min and BP is 110/70 mm Hg.
3. The client's white blood cell count is 16000/µL (16.00×109/L).
4. The client's platelet count is 325 ×10 3/µL (325×109/L).
The nurse provides care for a client in an outpatient clinic who reports vaginal itching.
Which recommendation to the client by the nurse isappropriate?
1. “Supplement your diet with yogurt and dairy products.”
2. “Douche with an over-the-counter preparation.”
3. “Wash the area with soap and water several times a day.”
4. “Wear underwear that is lined with a cotton crotch.”
The nurse supervises care of a client in Buck traction. Which observations does the nurse
determine are appropriate? (Select all that apply.)
1. The nurse removes the foam boot three times per day to inspect the skin.
2. The staff turns the client to the unaffected side.
3. The staff provides back care for the client once per shift.
4. The nurse asks the client to dorsiflex the foot on the affected leg.
5. The staff offers magazines to the client when the client reports pain.
6. The staff elevates the foot of the client ’s bed.
Quiz 1
The nurse provides care for a client diagnosed with acute pancreatitis. The nurse intervenes
if the client makes which statement? (Select all that apply.)
1. “I may need to take antibiotics.”
2. “After I get better, I need to eat a high-fat diet.”
3. “I’m glad I won’t get sick like this again.”
4. “I’m glad my blood sugar will not be affected.”
5. “I should stop drinking alcohol.”
6. “I cannot have anything to eat or drink.”
The nurse in the day care center observes a toddler squatting and panting after chasing a
ball. Which action does the nurse take first?
1. Remove the child from the playground and encourage rest.
2. Check for sweating, color, and tachycardia.
3. Ask the child about a sore throat or achy joints.
4. Restrict the child from playing ball.
The nurse cares for clients in the outpatient clinic. In which order will the nurse return the
messages? Correct Answer
1. The "soft spot" on the head of the 4-day-old feels slightly elevated when asleep.
2. The circumcision site of the 3-day-old is slightly swollen.
3. The umbilical cord of the 5-day-old is soft and draining exudate.
4. When bed is bumped, a 2-day-old rapidly extends the extremities.
The parents of a child diagnosed with hemophilia ask the nurse to explain the cause of the
disease. Which response by the nurse is best?
1. "The father transmits the gene to the son."
2. "Both the mother and the father carry a recessive trait."
3. "The mother transmits the gene to her son."
, "There is a 50% chance that the mother will pass the trait to each of the
4.
daughters."
The 6-month-old is brought to the clinic for a well-baby checkup. During the exam, the nurse
expects to observe which assessment findings? Select all that apply.
1. A pincer grasp.
2. Sitting with support.
3. Tripling of the birth weight.
4. Presence of the posterior fontanelle
5. Playing peek-a-boo.
6. Rolling from back to abdomen.
A client with an endotracheal tube requires suctioning. Which statement is an accurate
description of how the nurse performs the procedure?
Inserts the suction catheter 4 in into the tube. Applies suction for 30 seconds, using
1.
a twirling motion as the catheter is withdrawn.
Hyperoxygenates the client. Inserts the suction catheter into the tube, and suctions
2.
while removing the catheter in a back and forth motion.
Explains the procedure to the client. Inserts the catheter gently while applying
3.
suction, and withdraws using a twisting motion.
Inserts the suction catheter until resistance is met, and then withdraws it slightly.
4.
Applies suction intermittently as the catheter is withdrawn.
A client comes to the outpatient psychiatric clinic for treatment of a fear of heights. The
nurse knows that phobias involve which behaviors?
1. Projection and displacement.
2. Sublimation and internalization.
3. Rationalization and intellectualization.
4. Reaction formation and symbolization.
The nurse cares for the prenatal client at 8 weeks’ gestation with a positive VDRL. When the
nurse prepares the teaching plan, it is most important for the nurse to include which
information?
, 1. Advise the client not to take any over-the-counter medications.
2. Instruct the client about the importance of taking all of the medication.
3. Inform the client to refrain from sexual activity.
4. Maintain the confidentiality of sexual partners or contacts.
The nurse performs range-of-motion (ROM) exercises for an elderly client recently
immobilized. The nurse identifies which statement as correct about range-of-motion?
1. Passive ROM exercises increase muscle strength.
2. A full ROM must be completed for the elderly client.
3. Exercises should be completed to the point of discomfort.
4. ROM assists the elderly to carry out activities of daily living (ADLs).
The nurse cares for an older client scheduled for a colon resection this morning. The nurse
notes the client had polyethylene glycol-electrolyte solution and a soapsuds enema the
previous evening. This morning the client passes a medium amount of soft brown stool.
Which conclusion by the nurse is most accurate?
1. The bowel preparation is incomplete.
2. The client ate something after midnight.
3. This is an expected finding before this type of surgery.
4. The client passed the last stool left in the colon.
The nurse cares for the newborn infant diagnosed with fetal alcohol syndrome. The nurse
expects to see which characteristics?
An infant large for gestational age (LGA), craniofacial abnormalities, and
1.
hydrocephalus.
An infant with a small head circumference, low birth weight, and undeveloped
2.
cheekbones.
An infant with a large head circumference, low birth weight, and excessive rooting
3.
and sucking behaviors.
An infant with a normal head circumference, low birth weight, and respiratory
4.
distress syndrome.
, The nurse watches as a parent and infant interact. The infant throws a toy to the floor
numerous times. The parent picks up the toy and gives it back to the infant. If the parent
does not immediately return the toy, the infant cries loudly. Which statement by the nurse
is best?
“Be sure to wipe the toy off each time before you give it back. These floors are
1.
filthy.”
2. “Your baby is either stubborn or wants attention, I cannot figure out which.”
3. “I remember when my own baby used to do that.”
4. “I bet your baby is about 11 months old. This is normal behavior.”
The nurse admits an older adult client who reports fever and chills to the medical unit.
Which assessment finding most concerns the nurse?
1. The client’s HR 120 beats/min and BP is 90/60 mm Hg.
2. The client's RR is 18 breaths/min and BP is 110/70 mm Hg.
3. The client's white blood cell count is 16000/µL (16.00×109/L).
4. The client's platelet count is 325 ×10 3/µL (325×109/L).
The nurse provides care for a client in an outpatient clinic who reports vaginal itching.
Which recommendation to the client by the nurse isappropriate?
1. “Supplement your diet with yogurt and dairy products.”
2. “Douche with an over-the-counter preparation.”
3. “Wash the area with soap and water several times a day.”
4. “Wear underwear that is lined with a cotton crotch.”
The nurse supervises care of a client in Buck traction. Which observations does the nurse
determine are appropriate? (Select all that apply.)
1. The nurse removes the foam boot three times per day to inspect the skin.
2. The staff turns the client to the unaffected side.
3. The staff provides back care for the client once per shift.
4. The nurse asks the client to dorsiflex the foot on the affected leg.
5. The staff offers magazines to the client when the client reports pain.
6. The staff elevates the foot of the client ’s bed.
