Updated | Real Proctored Questions &
Correct Answers
A nurse is collecting a sputum specimen for culture from a client who has a respiratory infection.
Which of the following actions should the nurse take?
A. Wear sterile gloves when collecting the specimen.
B. Offer the client oral hygiene after the collection
C. Collect the specimen in the evening.
D Collect 1 ml of sputum.
b
A nurse is assessing an older client. Which of the following findings should the nurse expect?
a. Decreased sense of balanced
b. Increased nighttime sleeping
c. Heightened sense of pain
d. Nighttime urinary incontinence
a
A nurse is completing discharge teaching about ostomy care with a client who has a new stoma.
Which of the following instructions should the nurse include in the teaching? (select all that
apply)
a. "Cut the opening of the pouch 1⁄8 of an inch larger than the stoma "
b. "Place a piece a gauze over the stoma while changing the pouch"
c. "Use povidone-iodine to clean around the stoma"
,d. "Empty the ostomy pouch when it becomes one-third full of contents"
e. expect the stoma to turn a purple-blue color as its heals"
a, b, d
A nurse is preparing to obtain informed consent from a client who speaks a different language
than the nurse. Which of the following actions should the nurse take?
a. "Request that an assistive personnel interpret the information for the client"
b. "Use proper medical terms when giving information to the client"
c. "Offer written information in the client's language"
d. "Avoid using gestures when speaking to the client"
c
A nurse is teaching a client about home care equipment. Which of the following information
should the nurse include in the teaching? (select all that apply)
a. "Avoid using wool blankets when receiving oxygen"
b. check the O2 delivery rate at least once a day
c. align the middle of the ball in the flow meter with the line of the prescribed flow rate
d. "Keep the oxygen delivery system 0.6 m (2 feet) from any heat source"
e. "Lay the oxygen tank flat when storing"
a, b, c,d
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
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
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
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.
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
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
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