EXAM WITH
QUESTIONS AND CORRECT DETAILED ANSWERS
A hospice nurse is visiting with the son of a client who has terminal
cancer. The son reports sleeping very little during the past week due to
caring for his mother. Which of the following responses should the
nurse make?
A. "i can give you information about respite care if you are
interested."
b. "you should consider taking a sleeping pill before bed each night"
c. "it must be difficult taking care of someone who is terminally ill" d,
"you are doing a great job taking care of your mother"
A
A nurse is assessing a child who is being treated for bacterial
pneumonia. The nurse notes an increase in the child's glucose. The
nurse should identify this finding as an adverse effect of which of the
following medications
a. Methylprednisolone. B.
Ondansetron.
C. Guaifenesin.
,D. Amoxicillin
A
The nurse is providing teaching about folic acid to a client who is prima
gravida. Which of the following information should the nurse include in
the teaching?
A. "you should take folic acid to decrease the risk of transmitting
infections to your baby"
b. "you should consume a maximum of 300 micrograms of folic acid
every day".
C. "you can increase your dietary intake of folic acid by eating
cereals and citrus fruits".
D. "you can expect your urine to appear red-tingled while taking folic
acid supplements".
C
An elderly client who is 12 hours postoperative for a hernia repair
suddenly becomes agitated, staggers out into the corridor and
demands to be set free. After assisting the client back to bed and
administering pain medication. Which intervention is best for the
practical nurse (pn) to implement?
A. Notify the healthcare provider and request a prescription for
restraints to minimize the client's danger to self.
,B. Raise the side and notify the family to come sit with the client to
reorientate and cooperative.
C. Administer prescribed narcotic antagonist to reverse the effects
of any analgesic accumulation.
D. Instruct a uap to keep the upper side rails up and check on the
client every 15 minutes until the client is resting.
C. Administer prescribed narcotic antagonist to reverse the effects of
any analgesic accumulation.
A community health nurse is assessing an adolescent who is pregnant.
Which of the following assessments is the nurse's priority? A.
Social relationship with peers.
B. Plans for attending school while pregnant.
C. Medicaid?
D. Understanding of infant care.
C
A nurse manager is planning to teach staff about critical pathways.
Which of the following information should the nurse include?
A. Critical pathways have unlimited timeframe for completion
, b. Decrease health care costs. C.
Critical pathway if variances
d. Used to create the critical pathway.
B
A nurse is reviewing the medical record of a client who has
schizophrenia. Which of the following should the nurse report to
the provider? Exhibit 1 blood pressure: 102/56 mm hg. Heart rate:
95/min respiratory rate:
18/min temperature: 37.4c (99.3f) exhibit 2 medication
administration record clozapine 150 mg po twice daily
benztropine 0.5 mg po twice daily as needed for tremors. Exhibit
3 nurse's notes:
client reports feeling dizzy when changing positions, reports weight
gain of 1kg (2.2 lb.) In the past month. Also reports a sore throat for the
past 3 days and dry mouth. Client ate 75% of breakfast and reports
slightly nauseous.
A. Dietary intake
b. Heart rate.
C. Sore throat.
D. Blood pressure.
C