Consolidation Exam Questions
Semester 5
Which of the following foods would be an appropriate option for the client with dysphagia?
a. Ground meat with gravy
b. Toasted bagel with peanut butter.
c. Scrambled eggs
d. Cheese and crackers
e. Mashed fruits or vegetables. ANS: e. Mashed fruits or vegetables.
An IV needs to be inserted for an 11-year-old client. While waiting in the treatment room, the nurse
observes that the client seems composed, and when the nurse asks if they want their mother to stay
with them, the client says "i'm fine" Which of the following is the best interpretation of this situation?
a. School-aged children do not usually want a parent present during the procedure
b. School-aged children become embarrassed when their parents are in the room
c. School-aged children are unusually brave
d. School-aged children often do not request support even though they need and want it ANS: d. School-
aged children often do not request support even though they need and want it
The nurse has received a report about a client in labor. The client's last vaginal examination was
recorded as 5cm. 50x + 1 What is the nurse's interpretation of this assessment?
a. The cervix is effaced 5 cm and dilated 50% with the presenting part 1 cm below the ischial spines
b. The cervix is dilated 5cm and effaced 50% with the presenting part 1 cm above the ischial spines
c. The cervix is dilated 5cm and effaced 50% with the presenting part 1 cm below the ischial spines.
d. The cervix is effaced 5 cm and dilated 50% with the presenting part 1 cm above the ischial spines ANS:
c. The cervix is dilated 5cm and effaced 50% with the presenting part 1 cm below the ischial spines.
A breastfeeding client develops engorged breasts at 3 days postpartum. Which of the following actions
would help this client reduce engorgement?
,a. Skip feeding to let the breasts rest
b. Reduce fluid intake for 24 hours
c. Avoid using a breast pump.
d. Breastfeed the infant every 2-3 hours ANS: d. Breastfeed the infant every 2-3 hours
The nurse understands that the frequency of contractions during labor are determined by
a. the time between the beginning of one contraction and the beginning of the next
b. the time between the beginning of one contraction and the end of the next contraction
c. the time between the end of one contraction and the beginning of the next
d. the time between the beginning and the end of the contraction ANS: a. the time between the
beginning of one contraction and the beginning of the next
Which of the following behaviors reported by the parent of an 18-month-old toddler would the nurse
report to the pediatrician as a cause for concern?
a. The child is messy when feeding themselves
b. The child has temper tantrums.
c. The child knows twenty words
d. The child walks by holding onto furniture ANS: d. The child walks by holding onto furniture
Which of the following is a priority nursing intervention when caring for an infant with an upper
respiratory tract infection?
a. Give small amounts of fluids frequently to prevent dehydration
b. Keep the infant warm with extra blankets to prevent chills
c. Give a cool bath to reduce fever
d. Encourage food intake to meet important caloric needs during infection. ANS: a. Give small amounts
of fluids frequently to prevent dehydration
,The client has returned to the post-operative recovery room after having a cesarean section and an
epidural. What is the nurse's priority action?
a. Perform a newborn assessment
b. Ask the client if they would like to feed the baby.
c. Assess the client's level of consciousness.
d. inspect the client's lochia ANS: c. Assess the client's level of consciousness.
The nurse is providing health teaching to a support group for anxiety. Which of the following are
appropriate health teaching measures to include?
(Select all that apply)
a. Decrease caloric intake to reduce weight gain.
b. Maintain a healthy balanced diet
c. Drinking 2-3 glasses of wine after dinner.
d. Appropriate sleep schedule.
e. Interaction with social supports ANS: b. Maintain a healthy balanced diet
d. Appropriate sleep schedule.
e. Interaction with social supports
You are the nurse caring for a client with the following cardiac rhythm heart rate is 58. Which of the
following symptoms would require priority monitoring
a. Ataxia flushing, restlessness
b. Headache, diarrhea, polydipsia
c. Hypovolemia, edema, cough
d. Hypotension angina, dizziness, confusion ANS: d. Hypotension angina, dizziness, confusion
, The nurse is providing discharge information to their client's care provider regarding their new
tracheostomy. Which statement, made by the care provider, would indicate a correct understanding of
the teaching?
a. "Ensure the tracheostomy holder is tight against the skin
b. "We should suction the tracheostomy tube every 4 hours when awake"
c. "I may cut a gauze pad to fit around the tracheal tube"
d. "We need to clean the stoma site every 8 hours and more frequently if there are secretions or sign of
infection ANS: d. "We need to clean the stoma site every 8 hours and more frequently if there are
secretions or sign of infection
When performing a sterile procedure at the bedside, the unregulated care provider can assist by helping
the nurse
a. document assessment findings
b. assess the site for drainage.
c. monitor the other assigned clients
d. position the client ANS: d. position the client
The nurse is repositioning the immobile client and notices redness over a bony prominence. Upon
assessment, the nurse notes the red spot blanches when touched with fingertips. The nurse understands
this to indicate
a. this client has sensitive skin and requires special bed sheets
b. a stage three pressure ulcer requiring the appropriate dressing
c. reactive hyperemia injured area a reaction that causes the blood vessels to dilate in the injured area
d. A local skin infection requiring antibiotics ANS: c. reactive hyperemia injured area a reaction that
causes the blood vessels to dilate in the injured area
A client has been admitted to hospital. The prescriber has ordered a medication that the experienced
nurse has never heard of but the client has been taking it at home. What is the nurse's best course of
action?
Semester 5
Which of the following foods would be an appropriate option for the client with dysphagia?
a. Ground meat with gravy
b. Toasted bagel with peanut butter.
c. Scrambled eggs
d. Cheese and crackers
e. Mashed fruits or vegetables. ANS: e. Mashed fruits or vegetables.
An IV needs to be inserted for an 11-year-old client. While waiting in the treatment room, the nurse
observes that the client seems composed, and when the nurse asks if they want their mother to stay
with them, the client says "i'm fine" Which of the following is the best interpretation of this situation?
a. School-aged children do not usually want a parent present during the procedure
b. School-aged children become embarrassed when their parents are in the room
c. School-aged children are unusually brave
d. School-aged children often do not request support even though they need and want it ANS: d. School-
aged children often do not request support even though they need and want it
The nurse has received a report about a client in labor. The client's last vaginal examination was
recorded as 5cm. 50x + 1 What is the nurse's interpretation of this assessment?
a. The cervix is effaced 5 cm and dilated 50% with the presenting part 1 cm below the ischial spines
b. The cervix is dilated 5cm and effaced 50% with the presenting part 1 cm above the ischial spines
c. The cervix is dilated 5cm and effaced 50% with the presenting part 1 cm below the ischial spines.
d. The cervix is effaced 5 cm and dilated 50% with the presenting part 1 cm above the ischial spines ANS:
c. The cervix is dilated 5cm and effaced 50% with the presenting part 1 cm below the ischial spines.
A breastfeeding client develops engorged breasts at 3 days postpartum. Which of the following actions
would help this client reduce engorgement?
,a. Skip feeding to let the breasts rest
b. Reduce fluid intake for 24 hours
c. Avoid using a breast pump.
d. Breastfeed the infant every 2-3 hours ANS: d. Breastfeed the infant every 2-3 hours
The nurse understands that the frequency of contractions during labor are determined by
a. the time between the beginning of one contraction and the beginning of the next
b. the time between the beginning of one contraction and the end of the next contraction
c. the time between the end of one contraction and the beginning of the next
d. the time between the beginning and the end of the contraction ANS: a. the time between the
beginning of one contraction and the beginning of the next
Which of the following behaviors reported by the parent of an 18-month-old toddler would the nurse
report to the pediatrician as a cause for concern?
a. The child is messy when feeding themselves
b. The child has temper tantrums.
c. The child knows twenty words
d. The child walks by holding onto furniture ANS: d. The child walks by holding onto furniture
Which of the following is a priority nursing intervention when caring for an infant with an upper
respiratory tract infection?
a. Give small amounts of fluids frequently to prevent dehydration
b. Keep the infant warm with extra blankets to prevent chills
c. Give a cool bath to reduce fever
d. Encourage food intake to meet important caloric needs during infection. ANS: a. Give small amounts
of fluids frequently to prevent dehydration
,The client has returned to the post-operative recovery room after having a cesarean section and an
epidural. What is the nurse's priority action?
a. Perform a newborn assessment
b. Ask the client if they would like to feed the baby.
c. Assess the client's level of consciousness.
d. inspect the client's lochia ANS: c. Assess the client's level of consciousness.
The nurse is providing health teaching to a support group for anxiety. Which of the following are
appropriate health teaching measures to include?
(Select all that apply)
a. Decrease caloric intake to reduce weight gain.
b. Maintain a healthy balanced diet
c. Drinking 2-3 glasses of wine after dinner.
d. Appropriate sleep schedule.
e. Interaction with social supports ANS: b. Maintain a healthy balanced diet
d. Appropriate sleep schedule.
e. Interaction with social supports
You are the nurse caring for a client with the following cardiac rhythm heart rate is 58. Which of the
following symptoms would require priority monitoring
a. Ataxia flushing, restlessness
b. Headache, diarrhea, polydipsia
c. Hypovolemia, edema, cough
d. Hypotension angina, dizziness, confusion ANS: d. Hypotension angina, dizziness, confusion
, The nurse is providing discharge information to their client's care provider regarding their new
tracheostomy. Which statement, made by the care provider, would indicate a correct understanding of
the teaching?
a. "Ensure the tracheostomy holder is tight against the skin
b. "We should suction the tracheostomy tube every 4 hours when awake"
c. "I may cut a gauze pad to fit around the tracheal tube"
d. "We need to clean the stoma site every 8 hours and more frequently if there are secretions or sign of
infection ANS: d. "We need to clean the stoma site every 8 hours and more frequently if there are
secretions or sign of infection
When performing a sterile procedure at the bedside, the unregulated care provider can assist by helping
the nurse
a. document assessment findings
b. assess the site for drainage.
c. monitor the other assigned clients
d. position the client ANS: d. position the client
The nurse is repositioning the immobile client and notices redness over a bony prominence. Upon
assessment, the nurse notes the red spot blanches when touched with fingertips. The nurse understands
this to indicate
a. this client has sensitive skin and requires special bed sheets
b. a stage three pressure ulcer requiring the appropriate dressing
c. reactive hyperemia injured area a reaction that causes the blood vessels to dilate in the injured area
d. A local skin infection requiring antibiotics ANS: c. reactive hyperemia injured area a reaction that
causes the blood vessels to dilate in the injured area
A client has been admitted to hospital. The prescriber has ordered a medication that the experienced
nurse has never heard of but the client has been taking it at home. What is the nurse's best course of
action?
