PRACTICE A | QUESTIONS AND ANSWERS | VERIFIED ANSWERS |
LATEST EXAM
A nurse is assessing a preschooler who has a urinary tract infection (UTI).
Which of the following findings should the nurse expect?
1. Diarrhea
2. Abdominal pain
3. Increased thirst
4. Skin rash - CORRECT ANSWER - Abdominal Pain
Rat: The nurse should expect a preschooler who has a UTI to experience
abdominal pain. Other manifestations include constipation, dysuria, foul-
smelling urine, and fever.
A nurse is counseling a client who has a family history of colorectal cancer
about management of nutrition to help prevent gastrointestinal (GI) cancers.
Which of the following images indicates a food or beverage the nurse should
encourage the client to include liberally in his diet? - CORRECT ANSWER -
Fruits and Veggies
Rat: To help reduce the risk of cancers of the GI system, the nurse should
instruct the client to consume at least 2.5 cups of fruits and vegetables per day.
,A nurse is preparing to extinguish a small fire in a clients room. Which of the
following actions should the nurse take when using the fire extinguisher?
1. Aim the fire extinguisher at the top of the flames.
2. Pump the handles of the fire extinguisher up and down three times.
3. Sweep the fire extinguisher in a circular motion until the fire is extinguished.
4. Slide the pin on top of the fire extinguisher straight out. - CORRECT
ANSWER - Slide the pin on top of the fire extinguisher straight out.
Rat: The nurse should pull the pin on the top of the fire extinguisher to allow for
use to extinguish the fire.
A nurse is caring for a child who has celiac disease. Which of the following
items should the nurse remove from the child's meal tray?
1. Corn-flake cereal
2. Orange juice
3. Scrambled eggs
4. Oatmeal with raisins - CORRECT ANSWER - Oatmeal with raisins
Rat: Celiac disease is the intolerance to dietary gluten, which is a protein in
wheat, rye, oats, and barley. This intolerance causes diarrhea, weight loss,
abdominal pain, and fatigue. Therefore, the nurse should remove oatmeal from
the child's meal tray.
,A nurse at a providers office is counseling a client who reports insomnia. Which
of the following statements should the nurse make to include the clients
preferences into a sleep promotion plan?
1. "If alcoholic beverages are desired, consume them in the early evenings"
2. "Sleep in the location of your home where you feel your rest best"
3. "Turn on a favorite television show just before going to bed"
4. "Allow your sleep and wake times to vary depending on how you feel each
day" - CORRECT ANSWER - "Sleep in the location of your home where you
feel your rest best"
Rat: The nurse should encourage the client to sleep wherever she feels she gets
the most rest, whether it be a bed, couch, or chair.
A nurse is assessing the spiritual wellbeing and development of a preschooler.
The nurse asks the preschooler, "Why is it wrong to kick our baby sister?"
Which of the following responses should the nurse expect?
1. "It's not wrong because she made me mad."
2. "It's wrong because my dad said I can't kick her."
3. "It's wrong to kick her because the gods won't like it."
4. "It's wrong because she would get hurt and be sad." - CORRECT ANSWER
- "It's wrong because my dad said I can't kick her."
Rat: The nurse should expect the preschooler to be motivated to choose right
from wrong because of rules taught to him by his parents. The nurse should
understand that, even though the preschooler might know the rules, he is not yet
able to understand the rationale for the rules.
A nurse in a long term care facility is admitting a new client following a brief
stay in acute care. In adherence with the Joint Commission National Patient
, Safety Goals regarding medication administration, which of the following
actions should the nurse take?
A. Inform the client that he will not be receiving the medications he took prior
to his hospitalization.
B. Compare a list of the client's current medications with the ones he will take
in long-term care.
C. Eliminate any over-the-counter products from the client's current medication
list.
D. Omit the medication indications when listing the client's medication dose
information. - CORRECT ANSWER - Compare a list of the client's current
medications with the ones he will take in long-term care.
Rat: The Joint Commission National Patient Safety Goals regarding medication
reconciliation includes maintaining and communicating accurate client
medication information. The nurse should complete a medication reconciliation
to identify and resolve any discrepancies by comparing the client's list of current
medications with the medications he will take in the long-term care facility and
addressing any duplications, omissions, or interactions.
A nurse is caring for a client who is 2 days postoperative following an above-
the-knee amputation. The client states he is experiencing a dull, burning pain in
the leg that was amputated. Which of the following actions should the nurse
take to treat the client's neuropathic pain?
A. Inform the client that phantom limb pain is not real.
B. Administer a beta-blocking medication to the client.
C. Place the client on a soft mattress.
D. Loosen the bandage on the client's residual limb. - CORRECT ANSWER -
Administer a beta-blocking medication to the client