QUESTIONS AND ANSWERS VERIFIED ANSWERS
• A nurse in an urgent care clinic is collecting date from a client who reports exposure
to anthrax. Which of the following findings is an indication of the prodromal stage
of inhalation anthrax? - Dry cough
During this stage, it is difficult to distinguish the condition from influenza or pneumonia
because there is no sore throat or rhinitis
• A nurse is teaching a client who is using a patient-controlled analgesia (PCA) pump
to deliver morphine for pain management. Which of the following statements
should the nurse identify as an indication that the client understands the
instructions? - "I can still use my transcutaneous electrical nerve stimulation unit
while I'm pushing the PCA button."
• A nurse is using the Braden scale to predict the pressure ulcer risk of a client in a
long- term care facility. Using this scale, which of the following parameters should
the nurse evaluate? - Nutrition, sensory perception, moisture, activity, mobility, and
friction and shear are the parameters on the Braden scale
• A nurse is caring for a client who has a BMI of 29 and expresses a desire to lose
weight. Which of the following actions should the nurse take first? - Determine the
client's intention to change current eating habits. The nurse should first assess the
clients readiness to commit to a change in behavior
• A nurse is caring for a client who is unconscious. Which of the following actions
should the nurse take when providing oral care for the client? - Test for the presence
of the client's gag reflex. This is done to determine the risk of aspiration and
especially important for clients who are unconscious.
• A nurse is completing an assessment for a client who has a history of unstable angina.
Which of the following findings should the nurse expect? - Chest pain last for longer
than 15 mins. This is due to reduced blood flow in a coronary artery
• A nurse is teaching a client with lower extremity weakness how to use a 4 -point
crutch gait. Which of the following instructions should the nurse include in the
teaching? - Bear weight on both of your legs. The client should keep 3 points on the
ground at all times. Therefore, he must be able to bear weight on both legs.
• A nurse is preparing to administer a unit of packed RBCs to a client. Which of
the following pieces of information must the nurse verify with another nurse prior
to the administration? - The clients ID number
The clients name ABO compatibility Rh compatibility
, • A nurse collecting a health history from a female client who is undergoing screening
for breast cancer. Which of the following factors increases the clients risk of
developing breast cancer? - Age over 50 years
• A nurse is collecting a health history form a female client who is undergoing
screening for breast cancer. Which of the following increases the client's risk of
developing cancer?
• Age over 50 years
• A nurse is teaching a client who has pernicious anemia. The nurse should encourage
the client to increase consumption of which of the following foods? - Eggs. Rich in
Vit. B12
• A nurse is teaching a client about lifestyle changes to manage a chronic illness. Which
of the following strategies should the nurse use first to help the client make a
commitment to these lifestyle changes? - Help the client identify ways that these
changes will result in positive personal outcomes
• A nurse is caring for a client who requires a chest x-ray. Prior to the client being
transported for the procedure, which of the following actions should the nurse take
first? - Identify the client using 2 identifiers.
• A nurse is assessing the skin of a client who has frostbite. The client has small
blisters that contain blood, and the skin of the affected area does not blanch. The
nurse should classify this injury as which of the following? - Third-degree frostbite
• A nurse is caring for a client who had a left lower lobectomy to treat lung cancer.
Which of the following factors with have a significant impact on the plan of care for
this client?
• Lung cancer usually has metastasized before the client presents with symptoms.
• A nurse is assessing a client who had coronary artery bypass grafts for cardiac
tamponade. Which of the following actions should the nurse take? - Auscultate
blood pressure pulsus paradoxus.
• A nurse is caring for a client who has a prescription for silver sulfadiazine cream to
be applied to her burn wounds. The nurse should evaluate the client for which of
the following laboratory findings? - Leukopenia,
• A charge nurse is teaching adult CPR to a group of newly licensed nurses. Which of
the following actions should the charge nurse teach as the first response in CPR? -
Confirm unresponsiveness.
• A nurse is preparing to insert an indwelling urinary catheter for a female client. Which
of the following actions should the nurse have the client perform just before inserting
the catheter? - Bear down gently