NURSING PRACTICE QUESTIONS&ANSWER
2024/25.
1.When assessing a client's blood pressure, the nurse notes that the blood pressure reading in the
right arm is 10 mm Hg higher than the blood pressure reading in the left arm. The nurse
understands that this finding:
1.is a normal occurrence.
2.may indicate atherosclerosis.
3.can be attributed to aortic disease.
4.indicates lymphedema - 1.is a normal occurrence.
Tip: When auscultating blood pressures, readings between the arms can vary as much as 10
mm Hg and are often higher in the right arm. Readings that differ by 15 mm Hg or more
suggest atherosclerosis or disease of the aorta. Lymphedema is swelling in one or more
extremities that is the result from impaired flow of the lymphatic system.
2.A nurse is caring for a client admitted with cardiovascular disease. During the assessment of
the client's lower extremities, the nurse notes that the client has thin, shiny skin, decreased hair
growth, and thickened toenails. The nurse understands that this may indicate:
1.Venous insufficiency
2.Arterial Insufficiency
3.Phlebitis
4.Lymphedema –
2.Arterial Insufficiency
3.A nurse must establish and maintain an airway in a client who has experienced a near-
drowning in the ocean. For which potential danger should the nurse assess the client?
1.Alkalosis
2.Renal failure
3.Hypervolemia
4.Pulmonary edema –
TIPS.4.Pulmonary edema
4.A client reaches the point of acceptance during the stages of dying. What response should the
nurse expect the client to exhibit?
1.Apathy
2.Euphoria
3.Detachment
4.Emotionalism
- 3.Detachment
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NURSING PRACTICE QUESTIONS&ANSWER
2024/25.
5.Immediately after receiving spinal anesthesia a client develops hypotension. To what
physiological change does the nurse attribute the decreased blood pressure?
1.Dilation of blood vessels
2.Decreased response of chemoreceptors
3.Decreased strength of cardiac contractions
4.Disruption of cardiac accelerator pathways
- 1.Dilation of blood vessels
6.When a client files a lawsuit against a nurse for malpractice, the client must prove that there is
a link between the harm suffered and actions performed by the nurse that were negligent. This is
known as:
1.Evidence
2.Tort discovery
3.Proximate cause
4.Common cause
- 3.Proximate cause
7.Several recently licensed practical nurses are discussing whether they should purchase personal
professional liability insurance. Which statement indicates the most accurate information about
professional liability insurance?
1."If you have liability insurance, you are more likely to be sued."
2."Your employer provides you with the liability insurance you will need."
3."Liability insurance is not available for nursing professionals working in a hospital."
4."Personal liability insurance offers representation if the State Board of Nursing files charges
against you."
- 4."Personal liability insurance offers representation if the State Board of Nursing files
charges against you."
8.The nurse is preparing to assess the four abdominal quadrants of a client who complains of
stomach pain. When determining the order of the assessment, the nurse recognizes that it is
important to assess the symptomatic quadrant:
1.first.
2.second.
3.third.
4.last
- 4.last
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NURSING PRACTICE QUESTIONS&ANSWER
2024/25.
9.A 2-g sodium diet is prescribed for a client with stage 2 hypertension, and the nurse teaches the
client the rationale for this diet. The client reports distaste for the food. The primary nurse hears
the client request that the family "bring in a ham and cheese sandwich and fries." What is the
most effective nursing intervention?
1.Discuss the diet with the client and family.
2.Tell the client why salty foods should not be eaten.
3.Explain the dietary restriction to the client's visitors.
4.Ask the dietitian to teach the client and family about sodium restrictions
. - 1.Discuss the diet with the client and family
10.Which client assessment finding should the nurse document as subjective data?
1.B/P 120/82
2.Pain rating of five (5)
3.Potassium 4.0 mEq
4.Pulse oximetry reading of 96%
- 2.Pain rating of five (5)
11.The nurse is interviewing a client admitted for uncontrolled diabetes after binging on alcohol
for the past two weeks. The client states "I am worried about how I am going to pay my bills for
my family while I am hospitalized." Which statement by the nurse would best elicit information
from the client?
1."You are worried about paying your bills?"
2."Don't worry; your bills will get paid eventually."
3."When was the last time you were admitted for hyperglycemia?"
4."You really shouldn't be drinking alcohol because of your diagnosis of diabetes"
- 1."You are worried about paying your bills?"
12.A nurse is teaching Unlicensed Assistive Personnel (UAP) about ways to prevent the spread
of infection. It would be appropriate for the nurse to emphasize that the cycle of the infectious
process must be broken, which is accomplished primarily through:
1.Handwashing before and after providing client care.
2.Cleaning all equipment with an approved disinfectant after use.
3.Wearing personal protective equipment (PPE) when providing client care.
4.Using medical and surgical aseptic techniques at all times
- 1.Handwashing before and after providing client care.
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NURSING PRACTICE QUESTIONS&ANSWER
2024/25.
13.A client experiences a muscle sprain of the ankle. When assessing the injury, the nurse
discovers that a hematoma is developing, edema is present and that the client reports tenderness
when the ankle is palpated. The nurse anticipates that the plan of care will include the applying
of a/an:
1.Binder
2.Ice bag
3.Elastic bandage
4.Warm compress
- 2.Ice bag
14.A client expresses concern about the surgical consent that the client signed. How should the
nurse respond?
1.Share the client's concern with the family
2.Inform the health care provider of the client's concern
3.Reassure the client that the surgery will be successful
4.Cancel the surgery until the client feels more comfortable with the decision
- 2.Inform the health care provider of the client's concern
15.A nurse hired to work in a metropolitan hospital provides services for a culturally diverse
population. One of the nurses on the unit says it is the nurses' responsibility to discourage "these
people" from bringing all that "home medicine stuff" to their family members. Which response
by the recently hired nurse is most appropriate?
1."Hospital policies should put a stop to this."
2."Everyone should conform to the prevailing culture."
3."Nontraditional approaches to health care can be beneficial."
4."You are right because they may have a negative impact on people's health.
- 3."Nontraditional approaches to health care can be beneficial."
16.The nurse is having difficulty understanding a client's decision to have hospice care rather
than an extensive surgical procedure. Which ethical principle does the client's behavior
illustrate?
1.Justice
2.Veracity
3.Autonomy
4.Beneficence
- 3.Autonomy