CDC Practice Exam A
A nurse manager is developing a facility policy about the use of a fax machine to
communicate information from a client's electronic medical record (EMR). What
should the nurse include in the policy?
Use a coversheet when sending a fax from the health care unit
A nurse is caring for a client who is 2 days post operative following an above the
knee amputation. The client states he is experiencing a dull, burning pain in the
leg that was amputated. What should the nurse do to treat the patient neuropathic
pain?
Administer a beta-blocking medication to the client.
A nurse is assessing a client who has fibromyalgia. What treatment modality
prescription should the nurse expect for the clients mixed pain?
Pregabalin PO twice daily
A nurse is planning a menu for a client who practices Seventh-Day Adventism.
What food selection should the nurse take?
Scrambled-eggs
A nurse is providing teaching to a client who has chronic-fatigue syndrome, what
should the nurse say?
Take NSAIDs for body aches and pains.
A nurse is using therapeutic communication to attempt de-escalation with a client
who is yelling at staff members. What statement should the nurse make?
Tell me what is causing your anger at this moment.
A home health nurse manager is assisting in the implementation of an electronic
medical record (EMR) system for client care. What actions should the nurse
manager take the promote interoperability.
Recommend a single coding system for each department to use.
A nurse is planning care for a client who has breast cancer and is scheduled for
chemotherapy. The client reports experiencing chemotherapy-induced nausea
and vomiting (CINV) during her previous round of treatment. What intervention
should the nurse include in the patient's plan of care?
Administer ondansetron to the client prior to chemotherapy administration.
A nurse is teaching a client about strategies to prevent constipation. What
instructions should the nurse include?
"Perform moderate exercises daily"
"Add more whole grains to you diet"
"Increase your fluid intake"
A nurse is documenting an assessment in a client's electronic health record who
an assistive personnel (AP) asks to enter the morning blood glucose for the
client. What actions should the nurse take?
Request that the AP use another computer to enter the data.
A nurse is performing a focused assessment on a client who has chronic pain die
to fibromyalgia. What should the nurse ask to assess the quality of the client's
pain?
Can you describe what your pain feels like?
, A nurse is preparing to leave the room of a client who is on isolation precautions.
What action should the nurse take when removing a tied surgical mask?
Remove the mask by securely holding the ties and moving it away from the face.
A nurse is assessing for acute pain in a client who is postoperative. The client
has dementia and is nonverbal. What finding should the nurse identify as a need
for administration of a PRN pain medication?
Rapid breathing.
A nurse is administering ophthalmic solution to a client who has bacterial
conjunctivitis. What action should the nurse take?
Have the patient lie supine
A nurse is preparing a client for an elective vaginal hysterectomy when the client
states, "My doctor said there are more conservative ways to treat my problem. I
realize now that I don't want this surgery, but I already singed that consent form"
What response should the nurse make?
You have the right to refuse this and any other procedure, even after you have signed
the consent form.
A nurse in a mental health facility is preparing an educational program for a
group of staff nurses about the proper use of restraints. What information should
the nurse plan to include?
An adult client may be in a mechanical restraint for up to 4 hours.
A nurse is preparing to administer intermittent enteral nutrition via a client's NG
tube. In what order should the nurse take action?
1.Assist the client to an upright position
2.Aspirate 5mL of gastric content
3.Test the pH of gastric aspirate
4.Measure gastric residual volume
5. Flush the NG tube with 30 mL of water.
A nurse is planning a community health program about substance use disorders.
What information should the nurse include when discussing the guidelines for
safe limits of alcohol consumption?
A healthy woman of any age should consume no more than 7 drinks in a week.
A nurse in a mental health facility is caring for a client who is exhibiting violent
behavior and has been placed in seclusion. What actions should the nurse take?
Document the client's status every 15 min.
A nurse is preparing to administer acetaminophen 120 mg PO to a toddler.
Available is acetaminophen drops 80 mg/0.8 mL. How many mL should the nurse
administer?
1.2 mL
A nurse is caring for an adolescent client who is in critical condition following a
motor vehicle crash in which he was the passenger. The client's parent shouts at
the nurse, asking why her son is dying instead of the driver. What action should
the nurse take to provide emotional support to the parent?
Inform the parent that anger is a natural response when dealing with loss.
A nurse is preparing to document care in a client's medical record. In adherence
with the Joint Commission National Patient Safety Goals regarding
communication errors, what entries should the nurse make?
A nurse manager is developing a facility policy about the use of a fax machine to
communicate information from a client's electronic medical record (EMR). What
should the nurse include in the policy?
Use a coversheet when sending a fax from the health care unit
A nurse is caring for a client who is 2 days post operative following an above the
knee amputation. The client states he is experiencing a dull, burning pain in the
leg that was amputated. What should the nurse do to treat the patient neuropathic
pain?
Administer a beta-blocking medication to the client.
A nurse is assessing a client who has fibromyalgia. What treatment modality
prescription should the nurse expect for the clients mixed pain?
Pregabalin PO twice daily
A nurse is planning a menu for a client who practices Seventh-Day Adventism.
What food selection should the nurse take?
Scrambled-eggs
A nurse is providing teaching to a client who has chronic-fatigue syndrome, what
should the nurse say?
Take NSAIDs for body aches and pains.
A nurse is using therapeutic communication to attempt de-escalation with a client
who is yelling at staff members. What statement should the nurse make?
Tell me what is causing your anger at this moment.
A home health nurse manager is assisting in the implementation of an electronic
medical record (EMR) system for client care. What actions should the nurse
manager take the promote interoperability.
Recommend a single coding system for each department to use.
A nurse is planning care for a client who has breast cancer and is scheduled for
chemotherapy. The client reports experiencing chemotherapy-induced nausea
and vomiting (CINV) during her previous round of treatment. What intervention
should the nurse include in the patient's plan of care?
Administer ondansetron to the client prior to chemotherapy administration.
A nurse is teaching a client about strategies to prevent constipation. What
instructions should the nurse include?
"Perform moderate exercises daily"
"Add more whole grains to you diet"
"Increase your fluid intake"
A nurse is documenting an assessment in a client's electronic health record who
an assistive personnel (AP) asks to enter the morning blood glucose for the
client. What actions should the nurse take?
Request that the AP use another computer to enter the data.
A nurse is performing a focused assessment on a client who has chronic pain die
to fibromyalgia. What should the nurse ask to assess the quality of the client's
pain?
Can you describe what your pain feels like?
, A nurse is preparing to leave the room of a client who is on isolation precautions.
What action should the nurse take when removing a tied surgical mask?
Remove the mask by securely holding the ties and moving it away from the face.
A nurse is assessing for acute pain in a client who is postoperative. The client
has dementia and is nonverbal. What finding should the nurse identify as a need
for administration of a PRN pain medication?
Rapid breathing.
A nurse is administering ophthalmic solution to a client who has bacterial
conjunctivitis. What action should the nurse take?
Have the patient lie supine
A nurse is preparing a client for an elective vaginal hysterectomy when the client
states, "My doctor said there are more conservative ways to treat my problem. I
realize now that I don't want this surgery, but I already singed that consent form"
What response should the nurse make?
You have the right to refuse this and any other procedure, even after you have signed
the consent form.
A nurse in a mental health facility is preparing an educational program for a
group of staff nurses about the proper use of restraints. What information should
the nurse plan to include?
An adult client may be in a mechanical restraint for up to 4 hours.
A nurse is preparing to administer intermittent enteral nutrition via a client's NG
tube. In what order should the nurse take action?
1.Assist the client to an upright position
2.Aspirate 5mL of gastric content
3.Test the pH of gastric aspirate
4.Measure gastric residual volume
5. Flush the NG tube with 30 mL of water.
A nurse is planning a community health program about substance use disorders.
What information should the nurse include when discussing the guidelines for
safe limits of alcohol consumption?
A healthy woman of any age should consume no more than 7 drinks in a week.
A nurse in a mental health facility is caring for a client who is exhibiting violent
behavior and has been placed in seclusion. What actions should the nurse take?
Document the client's status every 15 min.
A nurse is preparing to administer acetaminophen 120 mg PO to a toddler.
Available is acetaminophen drops 80 mg/0.8 mL. How many mL should the nurse
administer?
1.2 mL
A nurse is caring for an adolescent client who is in critical condition following a
motor vehicle crash in which he was the passenger. The client's parent shouts at
the nurse, asking why her son is dying instead of the driver. What action should
the nurse take to provide emotional support to the parent?
Inform the parent that anger is a natural response when dealing with loss.
A nurse is preparing to document care in a client's medical record. In adherence
with the Joint Commission National Patient Safety Goals regarding
communication errors, what entries should the nurse make?
