Actual Questions and Answers Complete
1) A nurse is reinforcing teaching to a client who was recently prescribed a 2,000
mg sodium restricted diet. Which of the following nutritional selections by the
client indicates a need for further teaching?
¾ cup of canned tomato juice
The nurse would recognize that the client didn't understand because tomato juice has a
lot of sodium in it.
2)A nurse in a providers office is reinforcing teaching to the parents of a child
who has allergies and is prescribed Benadryl 25mg every six hours as needed.
Available is diphenhydramine 12.5/5mL. How many teaspoons of medicine does
the nurse need to instruct the parents to administer per dose?
2 tsp
3) A nurse is caring for a client who has been prescribed a full liquid diet. Which
of the following is appropriate to include in the clients diet?
Grape Juice, Ice Cream
4)A nurse is examining a client's lymphatic system. Identify the site nurse should
palpate to assess the posterior cervical lymph nodes.
Toward the back of the neck
5) A nurse is preparing to administer a tap water enema to a client. In which of the
following positions should the nurse place the client?
Sims
6) A nurse in a provider's office is caring for a client who has depression and is
taking St. Johns Wort. The herbal supplement is thought to improve which of the
following?
Mood
St. John's Wort is widely used in the U.S. and other countries as an herbal supplement
for treating mild to moderate depression and to relieve depression-related anxiety.
7) A nurse is caring for a client who is immobile and has developed a pressure
ulcer. Which of the following characteristics is associated with a stage II pressure
ulcer?
partial thickness skin loss
Characteristics for a stage II ulcer include partial thickness skin loss. The nurse would
know this because she is familiar with the stages of pressure ulcers.
8) A nurse on a pediatric unit is caring for an infant who is diagnosed with
larynotrachebronchitis. While performing a respiratory examination the nurse
hears which sound?
STRIDOR