1. The registered nurse (RN) recognizes which client group is at the greatest
risk for developing a urinary tract infection (UTI)? (Rank from highest risk to
lowest risk.)
- School-aged females
- Older males
- Older females
- Adolescent males: 1. older females
2. school-aged females
3. older males
4. adolescent males
2. The registered nurse (RN) is interviewing a female client who states she
has a persistent productive cough during the winter caused by bronchitis.
Which additional finding should the RN assess for bronchitis?
A.) Phlegm production & wheezing
B.) Smoking history
C.) Hemoptysis
D.) Night sweats: A.) phlegm production & wheezing
3. The registered nurse (RN) is caring for a client with tuberculosis (TB) who
is taking a combination drug regimen. The client complains about taking "so
many pills." What information should the RN provide to the client about the
prescribed treatement?
A.) The development of resistant strains of TB are decreased with a
combina-tion of drugs.
B.) Compliance to the medication regimen is challenging but should be
main-tained.
C.) Side effects are minimized with the use of a single medication but is less
effective.
D.) The treatment time is decreased from 6 months to 3 months with this
standard regimen.: A.) The development of resistant strains of TB are decreased
with a combination of drugs.
,4. A client with progressive hearing loss appears distressed when the
registered nurse (RN) asks open-ended questions about the client's health
history. Which forms of communication should the RN use? (SATA)
A.) Face the client so the client can see the RN's mouth.
B.) Increase one's speech volume when interacting with the client.
C.) Repeat information to the client if misunderstood.
D.) Check if the client's hearing aides are working properly.
E.) Reduce environmental noise surrounding the client.: A.) Face the client so
the client can see the RN's mouth.
D.) Check if the client's hearing aides are working properly.
E.) Reduce environmental noise surrounding the client.
Speaking clearly with enunciation and in a regular tone is easier for a client to
understand than increasing the volume of speech. If a client shows signs of
confusion, rephrasing the question, instead of repeating, should be done to
decrease client anxiety and facilitate understanding.
5. The registered nurse (RN) is administering haloperidol 0.5 mg IM PRN to a
client for the first time. What side effects should the RN assess the client for
during the initial dose?
A.) Bradykinesia.
B.) Dystonia.
C.) Somatization.
D.) Akathisia.: B.) Dystonia
6. An older client is admitted to the hospital with severe diarrhea. The
registered nurse (RN) is completing an assessment and notes the client has
dry mucous membranes and poor skin turgor. Which assessment data should
the RN gather to determine if the client has a fluid volume deficit?
A.) Lower extremity edema.
B.) Orthostatic hypotension.
C.) Elevated blood pressure.
, D.) Cheyne-Stokes respirations: B.) Orthostatic hypotension.
Orthostatic hypotension can be a sign of fluid volume deficit in an older client who
has experienced severe diarrhea.
7. The registered nurse (RN) notifies the spouse of a client who was admitted
to hospice with shallow respirations, of a change in the client's condition.
Over the past hour, the client's respiratory pattern has changed to a Cheyne
Stokes pattern. After receiving this information, the client's spouse begins
vacuuming around the bed. Which stage of grief is the spouse displaying
during the visit?
A.) Acceptance.
B.) Denial.
C.) Bargaining.
D.) Depression.: B.) Denial.
The spouse is exhibiting the first stage of denial of Kubler-Ross's grief model by
ignoring that the client's death is imminent.
8. The registered nurse (RN) is teaching a client who is being discharged after
treatment of tuberculosis (TB). Which cultural issues should the RN assess
when preparing the client for discharge? (Select all that apply.)
A.) Native language.
B.) Education level.
C.) Type of lifestyle.
D.) Financial resources.
E.) Previous medical history.: A.) Native language.
B.) Education level.
C.) Type of lifestyle.
D.) Financial resources.
9. The registered nurse (RN) is assisting the healthcare provider (HCP) with
the removal of a chest tube. Which intervention has the highest priority and
should be anticipated by the RN after the removal of the chest tube?
risk for developing a urinary tract infection (UTI)? (Rank from highest risk to
lowest risk.)
- School-aged females
- Older males
- Older females
- Adolescent males: 1. older females
2. school-aged females
3. older males
4. adolescent males
2. The registered nurse (RN) is interviewing a female client who states she
has a persistent productive cough during the winter caused by bronchitis.
Which additional finding should the RN assess for bronchitis?
A.) Phlegm production & wheezing
B.) Smoking history
C.) Hemoptysis
D.) Night sweats: A.) phlegm production & wheezing
3. The registered nurse (RN) is caring for a client with tuberculosis (TB) who
is taking a combination drug regimen. The client complains about taking "so
many pills." What information should the RN provide to the client about the
prescribed treatement?
A.) The development of resistant strains of TB are decreased with a
combina-tion of drugs.
B.) Compliance to the medication regimen is challenging but should be
main-tained.
C.) Side effects are minimized with the use of a single medication but is less
effective.
D.) The treatment time is decreased from 6 months to 3 months with this
standard regimen.: A.) The development of resistant strains of TB are decreased
with a combination of drugs.
,4. A client with progressive hearing loss appears distressed when the
registered nurse (RN) asks open-ended questions about the client's health
history. Which forms of communication should the RN use? (SATA)
A.) Face the client so the client can see the RN's mouth.
B.) Increase one's speech volume when interacting with the client.
C.) Repeat information to the client if misunderstood.
D.) Check if the client's hearing aides are working properly.
E.) Reduce environmental noise surrounding the client.: A.) Face the client so
the client can see the RN's mouth.
D.) Check if the client's hearing aides are working properly.
E.) Reduce environmental noise surrounding the client.
Speaking clearly with enunciation and in a regular tone is easier for a client to
understand than increasing the volume of speech. If a client shows signs of
confusion, rephrasing the question, instead of repeating, should be done to
decrease client anxiety and facilitate understanding.
5. The registered nurse (RN) is administering haloperidol 0.5 mg IM PRN to a
client for the first time. What side effects should the RN assess the client for
during the initial dose?
A.) Bradykinesia.
B.) Dystonia.
C.) Somatization.
D.) Akathisia.: B.) Dystonia
6. An older client is admitted to the hospital with severe diarrhea. The
registered nurse (RN) is completing an assessment and notes the client has
dry mucous membranes and poor skin turgor. Which assessment data should
the RN gather to determine if the client has a fluid volume deficit?
A.) Lower extremity edema.
B.) Orthostatic hypotension.
C.) Elevated blood pressure.
, D.) Cheyne-Stokes respirations: B.) Orthostatic hypotension.
Orthostatic hypotension can be a sign of fluid volume deficit in an older client who
has experienced severe diarrhea.
7. The registered nurse (RN) notifies the spouse of a client who was admitted
to hospice with shallow respirations, of a change in the client's condition.
Over the past hour, the client's respiratory pattern has changed to a Cheyne
Stokes pattern. After receiving this information, the client's spouse begins
vacuuming around the bed. Which stage of grief is the spouse displaying
during the visit?
A.) Acceptance.
B.) Denial.
C.) Bargaining.
D.) Depression.: B.) Denial.
The spouse is exhibiting the first stage of denial of Kubler-Ross's grief model by
ignoring that the client's death is imminent.
8. The registered nurse (RN) is teaching a client who is being discharged after
treatment of tuberculosis (TB). Which cultural issues should the RN assess
when preparing the client for discharge? (Select all that apply.)
A.) Native language.
B.) Education level.
C.) Type of lifestyle.
D.) Financial resources.
E.) Previous medical history.: A.) Native language.
B.) Education level.
C.) Type of lifestyle.
D.) Financial resources.
9. The registered nurse (RN) is assisting the healthcare provider (HCP) with
the removal of a chest tube. Which intervention has the highest priority and
should be anticipated by the RN after the removal of the chest tube?
