COMPLETE 180 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A nurse on a pediatric unit is caring for a toddler who has poor dietary intake.
Which of the following actions should the nurse take first?
A. Encourage the family to be with the child during mealtimes
B. Obtain the child's dietary history
C. Offer the child nutritious snacks between meals
D. Instruct the family to praise the child when they eat
Question 2:
A nurse is reinforcing teaching with a client who is postpartum about the measles,
mumps, and rubella (MMR) vaccine.
Which of the following instructions should the nurse include in the teaching?
A. Avoid breastfeeding for 3 days after receiving the vaccine.
B. Your partner should also receive the MMR vaccine.
C. If you are allergic to gluten you should not receive this vaccine.
D. Avoid pregnancy for at least 28 days after receiving the vaccine.
Question 3:
A nurse is preparing to perform a wet-to-dry dressing change for a client who has
an infected abdominal wound.
Which of the following techniques should the nurse use when performing this
dressing change?
A. Remove the tape by pulling from the center of the dressing
B. Wear sterile gloves to remove the dressing
C. Clean the wound from the center to the outer edges
D. Moisten the dressing before removal
Question 4:
A nurse is reinforcing teaching with a female client about contraception.
Which of the following statements by the client indicates an understanding of the
teaching?
A. My partner will use condoms with spermicides.
,B. My partner and I will both use a condom during intercourse.
,C. I will be able to remove my contraceptive sponge immediately after intercourse.
D. My partner and I will use petroleum jelly with latex condoms.
Question 5:
A nurse is caring for a client who has bipolar disorder. The client yells at the nurse
whenever medication changes are prescribed by the client's provider.
The nurse should identify that the client is using which of the following defense
mechanisms?
A. Conversion
B. Splitting
C. Displacement
D. Sublimation
Question 6:
A nurse is providing care to a client who is immunocompromised.
Which of the following should the nurse identify as a possible source of infection?
A. Soiled linens are placed on the floor
B. Waste containers are lined with single bags
C. Dampened cloths are used for dusting the area
D. Uncapped sharps are put in a puncture-resistant container
Question 7:
A nurse is caring for a client who has peptic ulcer disease and is scheduled to
undergo an esophagogastroduodenoscopy.
Which of the following actions should the nurse take prior to the procedure?
A. Administer an oral contrast solution
B. Ensure that the client gave informed consent
C. Inform the client the procedure will take 60 min
D. Ensure that the client's bladder is full
Question 8:
A nurse is assisting in the care of a client. Nurses' Notes 2000:
Client presents to emergency department and states, "I have been assaulted." Client
was immediately placed in a treatment room.
2015:
, "Client states they were out with friends this evening and had "a little too much to
drink." Client states that they fell asleep at their friend's house and when they woke
up all of their clothes were off and their genitals were sore. The client states, "I
think someone had sex with me, but I don't remember anything." Client reports
history of depression. Client is a full-time college student who lives with
roommates. Client admits to drinking socially but denies illicit drug use and
tobacco use.
Which of the following interventions should the nurse plan to implement?
Select all that apply.
A. Contact children and youth services
B. Provide resources to the client for the local Alcoholics Anonymous chapter
C. Request a consult for case management
D. Maintain a safe and private environment for the client
E. Administer sexually transmitted infection prophylaxis
F. Provide resources for local support services
Question 9:
A nurse is contributing to the plan of care for a client who has leukemia and is
experiencing chronic fatigue.
Which of the following interventions should the nurse plan to include?
A. Increase protein in the diet.
B. Increase the client's fluids to 4 L per day.
C. Encourage the client to have continual bed rest.
D. Encourage strength-training exercise.
Question 10:
A nurse is collecting data from a client who has placenta previa. Which of the
following findings should the nurse expect?
A. Bright red vaginal bleeding
B. Rigid abdomen
C. Increased fetal movement
D. Persistent uterine contractions
Question 11:
A nurse is assisting with the care of a client. Laboratory Results