COMPREHENSIVE ONLINE PRACTICE 2020 REVIEW
QUESTIONS
A nurse is caring for a client who is in Buck's traction. Which of the following actions
should the nurse take?
Allow the weights to hang freely.
nurse should ensure the weights hang freely to provide the appropriate counterweight to
facilitate reduction and alignment of the client's fracture.
A nurse is caring for a client who takes prednisone daily for the treatment of chronic
asthma. The nurse should plan to monitor the client for which of the following adverse
effects?
Gastric ulcer formation
*The nurse should monitor the client for indications of a gastric ulcer formation, which is
a common adverse effect of prednisone.
A nurse is collecting data from a client who has hypokalemia. Which of the following
findings should the nurse expect?
Muscle weakness
*The nurse should expect a client who has hypokalemia to have bilateral muscle
weakness. Other manifestations of hypokalemia include hyporeflexia, muscle stiffness,
cramping, and paralysis.
Which of the following 4 client findings should the nurse report to the charge nurse?
A nurse is assisting in the care of a client who is postoperative following an
appendectomy.
When recognizing cues, the nurse should identify that the findings of pain, nausea,
heart rate, and oxygen saturation are unexpected findings br a client who is
postoperative following an appendectomy. Therefore, these findings should be reported
to the charge nurse.
A nurse is reviewing a client's electronic medical record and finds that an assistive
personnel (AP) recorded the client's temperature as 35.3° C (95.5° F) 2 hr earlier.
Which of the following actions should the nurse take first?
Check the client's temperature.
,A nurse is reinforcing teaching with a female client who requests information about how
to lose weight. Which of the following statements should the nurse take?
"Consume 1,800 calories per day."
A nurse at a long-term care facility is part of a team preparing a report on the quality of
care at the facility. Which of the following information should the nurse recommend
including in the report to demonstrate improvement in care quality?
The facility had 12% fewer UTI over the past 6 months
Quality improvement relates to improving outcomes for clients, staff, or the facility. The
nurse should document a reduction in urinary tract infections as an improvement in care
quality.
A nurse is speaking with the partner of a client who has Alzheimer's disease. The
partner states, "I love him, but caring for him is wearing me out."
Which of the following responses should the nurse make?
lets discuss how caring for your partner is affecting your health
The nurse should use the therapeutic communication technique of offering self and
giving broad openings to support the partner. This facilitates the caregiver in
determining whether the current situation is having a negative effect on the partner's
health.
A nurse is reinforcing teaching with a client who has left-sided weakness and is learning
how to ambulate with a cane. The nurse should identify that the client understands the
teaching when the client places the cane in which of the following positions when
advancing forward? (You will find hot spots to select in the artwork below. Select only
the hot spot that corresponds to your answer.)
B is correct. The client should hold the cane on the stronger side of the body; in this
scenario, it would be in the right hand. When ambulating forward, the client should
move the cane forward first (in front of right foot) and then advance the weaker leg
forward next so that the client's body weight is evenly distributed between the cane and
stronger leg.
Select the 2 findings the nurse should report to the provider.
A nurse is assisting with the care of a client.
When analyzing cues, the nurse should identify that the dient's heart rate and dressing
status should be reported to the provider. These findings could be an indication that the
dient is experiencing a postoperative hemorrhage.
A nurse has administered medications to a group of clients. For which of the following
client situations should the nurse complete an incident report?
,A nurse is receiving change-of-shift report for a group of clients. The nurse should plan
to implement which of the following time-management strategies?
Prepare a priority list of client needs for the shift.
*The nurse should prepare a client priority to-do list, which could include administering
time-critical medications. This will allow the nurse to determine which clients should
receive care first.
A nurse is reinforcing teaching about home care for conjunctivitis with the parent of a
school-age child. Which of the following information should the nurse include?
separate the Childs used washcloth form those of others.
Due to the contagious nature of the infection, it is necessary to separate the washcloth
of a child who has conjunctivitis from those of others to prevent the spread of infection.
A nurse is caring for a client who has a prescription for famotidine 160 mg PO every 6
hr. Available is famotidine oral suspension 40 mg/5 mL. How many mL should the nurse
administer per dose? (Round the answer to the nearest whole number. Use a leading
zero if it applies. Do not use a trailing zero.)
20 mL
A nurse is discussing alopecia with a client who is scheduled to begin chemotherapy.
Which of the following statements should the nurse make?
your oncologist might prescribe a cold cap to war during treatment to reduce hair loss
The nurse should inform the client that cold caps cause vasoconstriction, which can
help to decrease hair loss by reducing the ability of the chemotherapy medication to
reach the hair follicles.
A nurse on a medical-surgical unit is delegating tasks to an assistive personnel (AP).
Which of the following tasks should the nurse delegate to the
AP?
Obtaining a client's vital signs prior to discharge
Obtaining vital signs does not require use of the nursing process and is within the range
of function for an AP, Therefore, the nurse should delegate this task to the AP.
, A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of
the following actions should the nurse take?
open the outer package flap of the catheterization kit away form the body
A home health nurse is caring for an older adult client who just returned home following
a total knee arthroplasty. Which of the following actions should the nurse take first?
Determine the client's mobility status.
*The first action the nurse should take when using the nursing process is to determine
the client's mobility status. The nurse should begin collecting data about the client's
ability to move freely within their environment while preventing injury. The nurse should
begin by placing the client in the position providing the most support, then moving in
increments to positions requiring less support and higher levels of tolerance.
A nurse is delegating the collection of a sputum specimen to an assistive personnel
(AP). At which of the following times should the nurse instruct the AP to collect the
specimen?
As soon as the client awakens in the morning
*Sputum from the base of the lungs provides the best specimen for collection. The AP
should obtain the specimen early in the morning because overnight fluid accumulates in
the base of the lungs while the client is sleeping.
Complete the following sentence by using the lists of options.
A nurse on the medical-surgical unit is assisting with the care of a client who was
admitted from the emergency department (ED).
The client is at risk for developing confusion due to sodium level
Upon analyzing cues, the nurse should identify that the client is at risk for confusion due
to a sodium level that is greater than the expected reference range. Hypernatremia
places the client at risk for a decreased level of consciousness, falls, and seizure
activity. Therefore, the nurse should assist in monitoring the client's level of
consciousness and place the client on fall and seizure precautions.
A nurse is reviewing the laboratory results for a client who is at 29 weeks of gestation.
For which of the following results should the nurse notify the provider?
Platelet count 95,000 mm3
QUESTIONS
A nurse is caring for a client who is in Buck's traction. Which of the following actions
should the nurse take?
Allow the weights to hang freely.
nurse should ensure the weights hang freely to provide the appropriate counterweight to
facilitate reduction and alignment of the client's fracture.
A nurse is caring for a client who takes prednisone daily for the treatment of chronic
asthma. The nurse should plan to monitor the client for which of the following adverse
effects?
Gastric ulcer formation
*The nurse should monitor the client for indications of a gastric ulcer formation, which is
a common adverse effect of prednisone.
A nurse is collecting data from a client who has hypokalemia. Which of the following
findings should the nurse expect?
Muscle weakness
*The nurse should expect a client who has hypokalemia to have bilateral muscle
weakness. Other manifestations of hypokalemia include hyporeflexia, muscle stiffness,
cramping, and paralysis.
Which of the following 4 client findings should the nurse report to the charge nurse?
A nurse is assisting in the care of a client who is postoperative following an
appendectomy.
When recognizing cues, the nurse should identify that the findings of pain, nausea,
heart rate, and oxygen saturation are unexpected findings br a client who is
postoperative following an appendectomy. Therefore, these findings should be reported
to the charge nurse.
A nurse is reviewing a client's electronic medical record and finds that an assistive
personnel (AP) recorded the client's temperature as 35.3° C (95.5° F) 2 hr earlier.
Which of the following actions should the nurse take first?
Check the client's temperature.
,A nurse is reinforcing teaching with a female client who requests information about how
to lose weight. Which of the following statements should the nurse take?
"Consume 1,800 calories per day."
A nurse at a long-term care facility is part of a team preparing a report on the quality of
care at the facility. Which of the following information should the nurse recommend
including in the report to demonstrate improvement in care quality?
The facility had 12% fewer UTI over the past 6 months
Quality improvement relates to improving outcomes for clients, staff, or the facility. The
nurse should document a reduction in urinary tract infections as an improvement in care
quality.
A nurse is speaking with the partner of a client who has Alzheimer's disease. The
partner states, "I love him, but caring for him is wearing me out."
Which of the following responses should the nurse make?
lets discuss how caring for your partner is affecting your health
The nurse should use the therapeutic communication technique of offering self and
giving broad openings to support the partner. This facilitates the caregiver in
determining whether the current situation is having a negative effect on the partner's
health.
A nurse is reinforcing teaching with a client who has left-sided weakness and is learning
how to ambulate with a cane. The nurse should identify that the client understands the
teaching when the client places the cane in which of the following positions when
advancing forward? (You will find hot spots to select in the artwork below. Select only
the hot spot that corresponds to your answer.)
B is correct. The client should hold the cane on the stronger side of the body; in this
scenario, it would be in the right hand. When ambulating forward, the client should
move the cane forward first (in front of right foot) and then advance the weaker leg
forward next so that the client's body weight is evenly distributed between the cane and
stronger leg.
Select the 2 findings the nurse should report to the provider.
A nurse is assisting with the care of a client.
When analyzing cues, the nurse should identify that the dient's heart rate and dressing
status should be reported to the provider. These findings could be an indication that the
dient is experiencing a postoperative hemorrhage.
A nurse has administered medications to a group of clients. For which of the following
client situations should the nurse complete an incident report?
,A nurse is receiving change-of-shift report for a group of clients. The nurse should plan
to implement which of the following time-management strategies?
Prepare a priority list of client needs for the shift.
*The nurse should prepare a client priority to-do list, which could include administering
time-critical medications. This will allow the nurse to determine which clients should
receive care first.
A nurse is reinforcing teaching about home care for conjunctivitis with the parent of a
school-age child. Which of the following information should the nurse include?
separate the Childs used washcloth form those of others.
Due to the contagious nature of the infection, it is necessary to separate the washcloth
of a child who has conjunctivitis from those of others to prevent the spread of infection.
A nurse is caring for a client who has a prescription for famotidine 160 mg PO every 6
hr. Available is famotidine oral suspension 40 mg/5 mL. How many mL should the nurse
administer per dose? (Round the answer to the nearest whole number. Use a leading
zero if it applies. Do not use a trailing zero.)
20 mL
A nurse is discussing alopecia with a client who is scheduled to begin chemotherapy.
Which of the following statements should the nurse make?
your oncologist might prescribe a cold cap to war during treatment to reduce hair loss
The nurse should inform the client that cold caps cause vasoconstriction, which can
help to decrease hair loss by reducing the ability of the chemotherapy medication to
reach the hair follicles.
A nurse on a medical-surgical unit is delegating tasks to an assistive personnel (AP).
Which of the following tasks should the nurse delegate to the
AP?
Obtaining a client's vital signs prior to discharge
Obtaining vital signs does not require use of the nursing process and is within the range
of function for an AP, Therefore, the nurse should delegate this task to the AP.
, A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of
the following actions should the nurse take?
open the outer package flap of the catheterization kit away form the body
A home health nurse is caring for an older adult client who just returned home following
a total knee arthroplasty. Which of the following actions should the nurse take first?
Determine the client's mobility status.
*The first action the nurse should take when using the nursing process is to determine
the client's mobility status. The nurse should begin collecting data about the client's
ability to move freely within their environment while preventing injury. The nurse should
begin by placing the client in the position providing the most support, then moving in
increments to positions requiring less support and higher levels of tolerance.
A nurse is delegating the collection of a sputum specimen to an assistive personnel
(AP). At which of the following times should the nurse instruct the AP to collect the
specimen?
As soon as the client awakens in the morning
*Sputum from the base of the lungs provides the best specimen for collection. The AP
should obtain the specimen early in the morning because overnight fluid accumulates in
the base of the lungs while the client is sleeping.
Complete the following sentence by using the lists of options.
A nurse on the medical-surgical unit is assisting with the care of a client who was
admitted from the emergency department (ED).
The client is at risk for developing confusion due to sodium level
Upon analyzing cues, the nurse should identify that the client is at risk for confusion due
to a sodium level that is greater than the expected reference range. Hypernatremia
places the client at risk for a decreased level of consciousness, falls, and seizure
activity. Therefore, the nurse should assist in monitoring the client's level of
consciousness and place the client on fall and seizure precautions.
A nurse is reviewing the laboratory results for a client who is at 29 weeks of gestation.
For which of the following results should the nurse notify the provider?
Platelet count 95,000 mm3
