QUESTIONS AND ANSWERS GRADED A
LATEST VERSION 2023/2024
A nurse is reinforcing teaching with a postpartum client. Which of the following
should the nurse explain as the most important reason for staff to wear
identification? - CORRECT ANSWER Reducing the risk of newborn abduction
A nurse is reinforcing teaching with a client who plans to bottle feed her newborn.
Which of the following statements indicates an understanding of the instructions?
- CORRECT ANSWER I will feed my baby six to eight times a day
A nurse is reinforcing teaching with a client diagnosed with osteoarthritis who
reports joint pain,swelling, and stiffness. Which of the following client statements
indicates understanding of the teaching? - CORRECT ANSWER I will exercise my
joints as much as i can when they are inflamed
A nurse is reinforcing teaching with a client who is scheduled for a mammogram.
Which of the following instructions should the nurse include in the teaching? -
CORRECT ANSWER Refrain from using deodorant on the morning of the test
A nurse is preparing a clients insulin regimen. Which of the following insulin's can
be mixed? - CORRECT ANSWER Insulin aspart, regular insulin, insulin lispro
A nurse is reinforcing discharge teaching with a client who is postoperative
following laser surgery for open-angle glaucoma. Which of the following
,statements by the client indicates an understanding of the instructions? -
CORRECT ANSWER I will take a stool softener to prevent constipation
A nurse is caring for a client who had a stroke and is having difficulty swallowing.
The nurse should recommend a referral to which of the following members of the
interprofessional team? - CORRECT ANSWER Speech therapist
A nurse is reinforcing teaching with a client who is 12 hr postpartum and has an
episiotomy. Which of the following instructions should the nurse include? -
CORRECT ANSWER Change the perineal pad with each void
A nurse is collecting data from a child who has acute Glomerulonephritis. Which
of the following findings should the nurse expect? - CORRECT ANSWER
Periorbital edema
A nurse is preparing to administer a liquid medication to a 6-month-old infant who
is crying. Which of the following actions should the nurse take to reduce the risk
of aspiration? - CORRECT ANSWER Administer using a needless syringe in the
buccal cavity
A nurse is reinforcing teaching with a client who has peptic ulcer disease. Which of
the following statements by the client indicates an understanding of the teaching?
- CORRECT ANSWER I will plan to have my meals at regular intervals
A nurse in long-term care facility has received change-of-shift report about four
clients. Which of the following clients should the nurse attend to first? - CORRECT
ANSWER A client who has COPD and dementia and was agitated during the
night shift
, A nurse is collecting data from a client who has substance use disorder and
reports recently taking opioids. Which of the following findings should the nurse
identify as a manifestation of opioid intoxication? - CORRECT ANSWER Pinpoint
pupils
A nurse in a urgent care clinic is collecting data from a client who reports having
diarrhea for the past 3 days. Which of the following findings indicates
hypokalemia? - CORRECT ANSWER Muscle weakness
A nurse is contributing to the discharge plans for four clients. The nurse should
identify that which of the following clients requires an interdisciplinary care
conference? - CORRECT ANSWER A client who has hemiparesis and lives alone
A nurse is reinforcing teaching with an adolescent who has a new prescription for
cefazolin. For which of the following findings should the nurse instruct the
adolescent to monitor and report to the provider? - CORRECT ANSWER
Depression
A nurse is reinforcing teaching with a group of expectant parents regarding the
proper use of a car seat. Which of the following statements by a parent indicates
an understanding of the teaching? - CORRECT ANSWER I can place a rolled
towel on each side of my newborns head until he can hold his head up
A nurse is caring for a school-age child who has epistaxis. Which of them following
actions should the nurse take? - CORRECT ANSWER Apply pressure at the
bridge of the child's nose
A nurse is caring for four clients. Which of the following clients statements should
the nurse attend to first? - CORRECT ANSWER My heartburn pain is going into
my jaw now