comp quiz practice questions

The nurse is collecting admission data from a newly admitted client. Which question should the nurse include when asking the client about orthopnea?

"How many pillows do you use?"

A nurse is caring for a neonate and is using measures to help maintain the neonate's temperature. Which intervention would be most effective in helping to prevent evaporative heat loss?

immediately drying the neonate

A client in the 13th week of pregnancy develops hyperemesis gravidarum. Which laboratory finding indicates the need for intervention?

Ketones in urine

The nurse is gathering data from a female client that states she has had difficulty conceiving. Which statement made by the client would the nurse find most significant related to the difficulty getting pregnant?

"I had gonorrhea that went untreated for about 3 months."

The nurse is preparing to discharge a client after reinforcing glucose monitoring instructions. What statement made by the client demonstrates that further instructions are required?

"I need to check my glucose level only when I feel like my levels are too low or high."

A client needs to have a fecal occult blood test performed on three consecutive bowel movements. To prepare the client for this test, the nurse provides information about the required dietary restrictions. The nurse knows the teaching has been successful when the client makes which statement?

"I should not eat any poultry, red meat, and turnips for 4 days before I begin this test."

A client who has been taking imipramine, 125 mg P.O. daily, for 1 week wants to stop taking the medication because the client still feels depressed. Which response by the nurse would be most appropriate at this time?

"Imipramine must build up to a therapeutic level; it may take 3 to 4 weeks to reduce depression."

The nurse is teaching a client who receives nitrates for the relief of chest pain. Which of the following instructions should the nurse emphasize?

"Lie down for 5 to 10 minutes after taking the drug."

The nursing instructor asks the nursing student why should an infant be quiet and seated upright when the nurse checks his or her fontanels. Which is the best response?

"Lying down and crying can cause the fontanels to bulge."

During a private conversation, a client with borderline personality disorder asks the nurse to keep his secret and then displays multiple, self-inflicted, superficial lacerations on his forearms. What is the most appropriate way for the nurse to respond?

"The team needs to know when something important occurs in treatment. I need to tell the others, but let's talk about it first."

A client is suspected of impending anaphylaxis secondary to hypersensitivity to a medication. What is the priority action by the nurse?

Administer oxygen.

A nurse is screening clients for their risk of developing cardiovascular disease. The nurse identifies which client to be at the greatest risk?

50-year-old black male

A client is admitted to the emergency department frightened and reports hearing voices with instructions to do bad things. Which intervention should be the nurse's priority?

Assess the nature of the commands by asking the client what the voices are saying.

A primigravid client is admitted to the labor and delivery area in the early first stage of labor. She is breathing with each contraction. Which action taken by the nurse helps the client deal with the pain of labor?

Assist the client in performing effleurage.

When planning care for a client who has ingested phencyclidine (PCP), which of the following is the highest priority?

Client's safety needs

An 8-year-old child is brought to the clinic with watery eyes and clear nasal drainage that has lasted more than 10 days, without fever. The nurse observes that the child has dark circles under the eyes and a crease above the tip of the nose. Which intervention should be the nurse's priority?

Collect data about potential environmental allergy triggers.

A client is 8 weeks pregnant. When developing the plan of care, which teaching topic would be most appropriate at this time?

Common discomforts of pregnancy

After a 33-year-old male client displays violent behavior, he is placed in restraints. Which intervention by the nurse takes priority for this client?

Continuously monitoring the client

A nurse is reinforcing education to a client with prostatitis who is receiving co-trimoxazole double strength. Which education is appropriate for this client?

Drink six to eight glasses of fluid daily while taking this medication.

The nurse is caring for a client with stroke in evolution. Which nursing intervention is priority

Have tracheal suction available at all times.

The nurse explains to new parents the importance of maintaining their infant's safety during hospitalization. Which action best ensures the infant's safety?

Instructing the mother to notify staff when she showers to avoid leaving the infant unattended

A pregnant client asks the nurse whether she can take castor oil for her constipation. How should the nurse respond?

No, it can initiate premature uterine contractions."

A nurse is caring for a 17-year-old brought to the mental health facility by a family member who is concerned about the client's recent 20-lb (9 kg) weight loss, and weight loss total of 50 lb (22.7 kg) in the last year. What interventions are essential in the treatment of an adolescent diagnosed with an eating disorder? Select all that apply.

Provide a highly structured environment. Monitor the clients' weight, vitals, intake and output, caloric intake, and exercise. Assist the client in changing the negative perception to a positive one, and assist in setting realistic goals.

A client is admitted to the inpatient adolescent unit after being arrested for attempting to sell cocaine to an undercover police officer. The nurse assists in writing a behavioral contract. Which action would the nurse incorporate to best promote compliance by this client?

The contract should be written jointly by the client and nurse.

A nurse is caring for a client with a pressure ulcer. Which nursing interventions are appropriate for this client? Select all that apply.

Turn and reposition the client at least every 2 hours. Post a turning schedule at the client's bedside and adapt position changes to the client's situation.

The nurse is caring for a client with thrombocytopenia. What is the best way to protect this client?

Use the smallest needle possible for injections.

A client with a diagnosis of diabetes insipidus is being treated with desmopressin acetate. The client asks, "What is this medication?" What is the best response by the nurse?

a synthetic vasopressin

A child is diagnosed with diabetes insipidus. Which characteristics will the nurse recognize in the health history?

abrupt onset of polyuria, nocturia, and polydipsia

At a previous visit, the parents of an infant with cystic fibrosis (CF) received instruction from the nurse in the administration of pancrelipase. At a follow-up visit, which finding in the infant suggests that the parents are not administering the pancreatic enzymes as instructed?

fatty stools

When collecting data on a child with cellulitis, which symptoms would the nurse expect to find?

fever, edema, tenderness, and warmth at the site

An appropriate way for the nurse to set limits for a newly admitted client who puts out cigarettes on the floor of the room designated for smoking is to:

hand the client an ashtray and state that he must use it or he won't be allowed to smoke.

A preschooler has vomiting, diarrhea, and a potassium level of 3.0 mEq/L. The physician prescribes an I.V. infusion of dextrose 5% in water and half-normal saline solution with 10 mEq of potassium chloride. The nurse knows that a child with vomiting and diarrhea needs fluids and potassium chloride to:

meet physiologic needs.