Exam questions and answers
graded a+
A nurse is planning care for a client who reports insomnia.
Which of the following actions should the nurse perform shortly
before bedtime?
a. Provide a late supper.
b. Offer a wet washcloth for the client to wash her face
c. Perform range-of-motion exercises
d. Prepare hot cocoa or tea for the client - ANSWERS>>>>>a
A nurse on a medical-surgical unit is receiving a change-of-shift
report for four clients. Which of the following clients should the
nurse see first?
a. A client who has acute abdominal pain of 4 on a scale from 0
to 10
b. A client who has pneumonia and an oxygen saturation of 96%
c. A client who has new onset of dyspnea 24hr after a total hip
arthroplasty •
d. A client who
has a urinary tract infection and low-grade fever -
ANSWERS>>>>>c
A nurse is reviewing a client's intake and output and notes the
following: 0.9% sodium chloride 600mL IV infusion, cefazolin 250
mg in dextrose 5% in water 100mL intermittent IV bolus, 200mL
,emesis, 40mL voided urine, and 20mL urine from straight
catheterization. The nurse should record the client's net fluid
intake as how many mL? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a
trailing zero.)
DOSAGE CALCULATION - ANSWERS>>>>>700 mL
A nurse is discussing incident reports with a group of newly
licensed nurses. The nurse should include that which if the
following requires the completion of an incident report?
a. A client's prescribed laboratory testing was not obtained
b. A client withdrew consent for a procedure
c. An oncoming nurse arrived to work late
d. A nurse transfused a unit of packed RBCs in 2 hr. -
ANSWERS>>>>>a
A nurse is caring for a client who has a new prescription for
negative-pressure therapy for a chronic wound. The nurse is
unfamiliar with the procedure. Which of the following resources
should the nurse consult to learn more about the intervention.
a. The client's plan of care
b. The nurse practice act
c. The material safety data sheet
d. The policy and procedure manual - ANSWERS>>>>>d
A nurse is performing postural drainage with percussion and
vibration for a client who has cystic fibrosis. Which of the
following actions should the nurse take?
,a. Cover the area of percussion with a towel.
b. Instruct the client to exhale quickly during vibration
c. Schedule postural drainage after meals
d. Perform percussion over the lower back - ANSWERS>>>>>d
A nurse is preparing to administer diphenhydramine 20 mg orally
to a 6-year-old child who has difficulty swallowing pills.
Available is diphenhydramine 12.5mg/5ml oral syrup. Which of
the following images indicates the correct number of mL the
nurse should administer? (round answer to the nearest whole
number.)
DOSAGE CALCULATION - ANSWERS>>>>>8ml
A nurse is admitting a client who is malnourished. The client
states, "My wedding ring is loose and I'm worried I will lose it if it
falls off."Which of the following is an appropriate response by the
nurse?
a. " I will place it in your drawer so it won't get lost."
b. I can pin it to your hospital gown so you won't lose it."
c. "I will hold onto it until a family member can take it home."
d. I can put it in a locked storage unit for you - ANSWERS>>>>>d
A charge nurse is teaching a group of newly licensed nurses
about the use of restraints. In which of the following clinical
situations should the nurse apply restraints?
a. If the client is pacing in the hallway
b. As a part of a fall prevention program
, c. At the request of the client's family
d. When the client poses a threat to self - ANSWERS>>>>>d
To ensure client safety, a nurse manager is planning to observe a
newly licensed nurse perform a straight catheterization on a
client. In which of the following roles is the nurse manager
functioning?
a. Case manager
b. Client educator
c. Client care provider
d. Client advocate - ANSWERS>>>>>d
A charge nurse in a long-term care facility is preparing an
educational program about delirium for newly hired nurses.
Which of the following statements should the nurse plan to
include?
a. "Delirium does not affect a client's perception of her
environment."
b. "Delirium does not affect a client's sleep cycle."
c. "Delirium has an abrupt onset."
d. "Delirium has a slow progression." - ANSWERS>>>>>c
A nurse is speaking with a client who has recently received a
diagnosis of a chronic illness. The client states, " The doctor must
be wrong. I can't be that sick". The nurse should inform the client
that their reaction is an example of which of the following
expected responses to grief?
a. Acceptance