QUESTIONS WITH CORRECT ANSWERS HIGHLIGHTED LATEST
UPDATE
• A nurse is planning to obtain a 12-lead ECG for a client who has a history of
cardiac dysrhythmias. Which of the following actions should the nurse plan to
take?
• tell the client to expect a mild stinging sensation during the test
• attach a blood pressure cuff to the clients upper arm
• assist the client to the orthopneic position
• instruct the client to remain as still as possible during the recording
• A home health nurse is conducting a home inspection for a client who is at risk for
falls. Which of the following instructions should the nurse provide for the client?
• place area rugs on slick floor surfaces
• move the clients bed to the main floor of the house
• keep lighting in the home dim
-place the bedside table 2 feet away from the bed
• A nurse is reinforcing teaching about common discomforts during the first
trimester with a client who is at 10 weeks of gestation. Which of the following
examples should the nurse include?
• burning during urination
• leukorrhea
• swelling of the face
• diarrhea
• A nurse is monitoring a cliene nurse take when collecting data about the client's
respirations
• count the client's respirations for 15 seconds
• observe the movements of the client's chest wall
• place the client in a supine position
• inform the client when beginning to observe his respirations
• A nurse is caring for a client who suddenly develops chest pain and dyspnea. Which
of the following actions should the nurse take first?
• place the client on bedrest
• elevate the head of the client's bed
, • prepare the client for a ventilation perfusion scan
• obtain the clients ABG levels
• A community health nurse is assisting in the development of a brochure about
hypertension. Which of the following actions should the nurse take?
• explain medical terminology using basic, one-syllable words
• present information from complex to simple
• write the information at an 8th-grade reading level
• use a 12 point font size
• A nurse is reinforcing teaching with the support person of a client who is in the
first stage of labor. Which of the following instructions should the nurse include
regarding effleurage?
• apply steady pressure with this tennis ball to her sacral area
• help her to focus on an object in the room
• gently stroke her abdomen during contractions
• assist her to breathe in deeply at the beginning of each contraction
• A nurse is reinforcing teaching with a newly licensed nurse about transcribing
medication prescriptions. Which of the following prescriptions should the newly
licensed nurse identify is an accurate transcription?
• Heparin 5000 U subcutaneous every 8 hr
• MgSO4 10 g PO daily
• Doxazosin .5 mg PO at bedtime
• Lorazepam 0.5 mg PO PRN at bedtime
10.A nurse is reviewing laboratory data from a client who has diabetes mellitus.Which of the
following laboratory tests is the most accurate indicator of long -term disease management?
-Glycosylated hemoglobin.
-Urine ketones.
-Glucose tolerance test.
-Fasting blood glucose
• A nurse is reinforcing teaching with a client who has a new prescription for
ciprofloxacin. Which of the following information should the nurse include in the teaching?
• Restrict your daily fluid intake while taking this medication
-take an antacid if the medication causes gastrointestinal upset
• this medication can increase your risk for sunburn
• expect to experience diarrhea while taking this medication
,12. A charge nurse is discussing confidentiality requirements with a newly licensed nurse when
sharing a client's medical information. Which of the following individuals should the charge
nurse identify as appropriate with whom to share client information?
-a nurse from another unit after a client commits suicide
• a client's employer who is concerned about safety due to substance use
• a social worker who is assigned to an involuntarily committed school-age client
• a client’s partner after the client reports intimate partner abuse
• A nurse is caring for a client who follows a kosher diet. Which of the following menu items
should the nurse include on the tray?
• clam chowder
• shrimp salad
• roasted salmon
• pulled-pork sandwich
• A nurse is caring for a client who has been admitted to the mental health unit.
While reinforcing teaching about the clients prescribed medications, the nurse
communicates truthfully about the adverse effects of the medications. Which of the
following ethical concepts is the nurse exhibiting?
• autonomy
• beneficence
• veracity
• justice
• A nurse on a mental health unit is reinforcing with a client who has anorexia nervosa.
Which of the following statements by the client indicates an understanding of the
teaching?
• the treatment goal is to be within 60 percent of my ideal body weight
• the staff will weight me every night before I go to bed
• the staff will watch me closely for 1 hour after each meal
• I should gain half of a pound per week to meet my treatment goal
• A nurse is reinforcing teaching about preventing dental caries with the parent of a 12-
month-old toddler. Which of the following instructions should the nurse provide?i
• clean the teeth with a small, soft-bristled toothbrush
• use a 5-inch strip of toothpaste on the toothbrush
• position the bristles of your child’s toothbrush against the teeth at a 90-degree angle
, • floss between your child’s teeth before brushing
• A nurse is caring for a client who has major depressive disorder and is taking an
antidepressant. The nurse should identify which of the following findings as the priority to
report to the provider?
• the client neglects personal hygiene
• the client is withdrawn and uncommunicative
• the client has a sudden increase in energy
• the client reports a change in sleeping patterns
• A nurse in an acute care setting is preparing to administer medications to a client.
Which of the following information should the nurse obtain to identify the client?
• clients telephone number
• name of the client’s provider
• clients full medical diagnosis
• room number of the client
• A nurse overhears two assistive personnel discussing a client’s medical history in the
hallway. Which of the following actions
should the nurse take first?
• speak to the staff members in private about the client confidentiality
• report the incident to the charge nurse
• participate in an in-service about client confidentiality
• tell the staff members to stop their discussion
• A nurse is caring for a child who has terminal cancer. Which of the following responses
by the child’s school-age brother should the nurse expect?
• alienates himself from his peers
• believes his bad behavior is causing his brother’s death
• regresses to an earlier developmental level
• believes that his brother’s death will be reversible
• A nurse is contributing to the plan of care for a client who has schizophrenia and is
experiencing auditory hallucinations. The client reports hearing voices. Which of the
following interventions should the nurse plan to take?
• reinforce that, although the voices are real to the client, the nurse does not hear them
• ensure that the client avoids other forms of auditory stimulations, such as music or
television
-provide extended periods of alone time for the client
-discourage the client from discussing the hallucinations