Questions & Answers
1. If the nurse identifies that the postpartum client has pain during urination,
what should be the next step in the nursing process?
Provide the client with pain relief medication immediately.
Notify the healthcare provider for further evaluation and
intervention.
Document the finding and continue with routine assessments.
Encourage the client to drink more fluids and monitor the symptoms.
2. Why is it important for a newborn to be placed on their back to sleep?
It prevents the baby from rolling over.
It allows the baby to breathe better.
Placing a newborn on their back reduces the risk of Sudden Infant
Death Syndrome (SIDS).
It helps the baby digest food more easily.
3. If the nurse finds that the assistive personnel has been working excessive
hours leading to drowsiness, what intervention should the nurse implement to
prevent future occurrences?
Ignore the issue as it does not affect patient care.
Assign the AP to less critical tasks only.
Advocate for a review of the AP's work schedule to ensure
adequate rest.
Encourage the AP to take more breaks during their shift.
,4. A nurse is preparing to administer purified protein derivative (ppd) to a client
who has suspected tb. which of the following actions should the nurse plan
to take?
Inject with the bevel of the needle pointing down.
Insert the needle at a 45° angle.
Ensure the injection produces a wheal on the skin.
Aspirate the syringe prior to injecting the medication.
5. What symptom should a nurse prioritize reporting when assessing a
postpartum client who had a vaginal birth?
Client reports pain during urination.
Client expresses fatigue.
Client has a low-grade fever.
Client mentions breast tenderness.
6. An older adult client reports difficulty sleeping and expresses reluctance to
exercise due to fear of falling. What should the nurse do next?
Advise the client to avoid any physical activity.
Educate the client on safe, low-impact exercises that can be done at
home.
Encourage the client to exercise outdoors without supervision.
Suggest the client take sleep medication instead.
7. What is the primary purpose of hand hygiene in nursing practice?
To enhance patient comfort
To improve communication with patients
, To prevent the spread of infections
To reduce medication errors
8. Why is it important for a nurse to monitor a client for signs of bleeding after a
transurethral resection of the prostate?
To assess the effectiveness of pain management.
To determine the need for physical therapy.
To evaluate the client's nutritional status.
To detect potential complications early and ensure patient safety.
9. A Nurse is reinforcing teaching for a client who has a coronary artery disease
and is taking low-dose aspirin daily. The nurse should include that this
medication has which of the following therapeutic effects for CAD?
Antiplatelet
Analgesic
Antiarrhythmic
Antipyretic
10. The nurse is caring for a client who is prescribed haloperidol long term.
What assessment should the nurse prioritize?
Assessment of the client's skin integrity
Monitoring the client's CD4 T-cell count
Assessment for involuntary movements
Monitoring the client's white cell differential
, 11. If a client taking warfarin reports unusual bruising and prolonged bleeding
from minor cuts, what should the nurse's immediate action be?
Encourage the client to take more warfarin.
Assess the client for signs of bleeding complications.
Refer the client to a dietitian for dietary advice.
Advise the client to stop taking warfarin immediately.
12. Describe the nursing considerations for a client with a 4th degree perineal
laceration after vaginal delivery.
The nurse should monitor for signs of infection, provide pain
management, and educate the client on proper perineal care.
The nurse should focus solely on pain management and ignore signs
of infection.
The nurse should prioritize ambulation over wound care.
The nurse should only educate the client on dietary needs post-
delivery.
13. A nurse explains what to expect during a thoracentesis. Which client
statement validates teaching was effective?
"My breathing may be labored for several minutes."
"It will be difficult to swallow for a few hours."
"A cough may develop during aspiration of fluid."
"I need to be still during the procedure."