compass module A questions
Which is a goal for organized athletics for school-age children?
A lifelong enjoyment of fitness
A client tells the nurse, "I keep reverting to my old habit of drinking soda, although I have stopped drinking as much." Which stage of health behavior change has the client reached?
Action stage
A client with gastroesophageal reflux disease (GERD) is being treated with dietary management. The client states, "I like to have a glass of juice every day." Which juice will the nurse recommend?
Apple
Which choice is not part of a low-residue diet?
Apples
A client is diagnosed with chronic pancreatitis. Which dietary instruction is important for the nurse to share with the client?
Avoid ingesting alcoholic beverages.
Which property of water would the nurse explain as the rationale for a client being scheduled to do range-of-motion exercises in a pool?
Buoyant force
Which suggestion would the nurse make to a client with morning sickness?
Eat dry crackers before you get out of bed."
The nurse is counseling the parents of an adolescent child on the benefits of social development in the child's maturation process. Which statement by the nurse needs correction to convey an appropriate message to the parents?
Feelings of immortality in the child are undesirable and should be condemned
Which information would the nurse include in a socialization and cognition teaching session with the parents of a 15-month-old child?
Imitation of parental activities
A pathology report states a client's urinary calculus is composed of uric acid. Which food item would the nurse instruct the client to avoid?
Liver
The nurse is about to perform a wound irrigation on a client who had a left hemispheric stroke 1 year ago. Which assessment is most important for the nurse to perform before beginning the irrigation?
Pain
A child is diagnosed with dehydration resulting from diarrhea. The child's condition improves and a regular diet is started. Which foods would the nurse suggest that the parents offer their child? Select all that apply. One, some, or all responses may be correct.
Poached eggs Strained bananas Animal crackers
A regimen of rest, exercise, and physical therapy is prescribed for a client with rheumatoid arthritis. Which purpose of the regimen would the nurse teach to the client?
Preventing additional joint damage
Which intervention is most beneficial in preventing a catheter-associated urinary tract infection in a postoperative client?
Removing the catheter within 24 hours
In which stage of Piaget's theory of growth and development does an infant develop an action pattern to deal with the environment?
Sensorimotor
Which finding for a 6-month-old infant would necessitate further developmental assessment by the nurse?
Showing little response when an activity is stopped
The nurse provides dietary teaching for a client with calcium oxalate kidney stones. The nurse would instruct the client to limit the intake of which item?
Sodium
An 11-year-old preadolescent has just been found to have type 1 diabetes. The child, who likes sweets, asks about sugar and sugar substitutes in the diet. Which information would the nurse and the dietitian give the child?
Sugar substitutes such as saccharin, aspartame, or sucralose can be used.
Which treatment is beneficial for a client with muscle spasm?
Thermotherapy
The nurse provides moist heat for a client with cartilage degeneration. Which rational explains the use of this nursing intervention?
To increase blood flow to the area
Which strategy would the nurse use to prepare a preschooler for surgery?
Using a doll to demonstrate perioperative care
Which parent teaching would the nurse provide the parents of an infant being discharged after surgery for pyloric stenosis?
"Hold the baby while continuing to feed a regular formula slowly and burp frequently."
The nurse is teaching the parent about inspecting her or his infant's crib. Which statement made by the parent indicates a need for further education?
"I should attach crib toys with hanging strings."
Which statement by the client who suffered a strained ankle 2 days earlier (which is still swollen and painful) indicates the need for further teaching?
"I should use ice packs until the swelling goes down."
Which response would the nurse have when the mother of a 10-month-old exclaims, "Look how much weight he's gained even though he drinks only orange juice"?
"Let's talk about his nutrition."
A family member of a dying client states, "My father is staring at an empty corner of the room talking to someone who is not there." Which suggestion by the nurse would provide the most comfort to the client during this time? Select all that apply. One, some, or all responses may be correct.
"You can reassure him this is part of the transition from life." "It is important that you provide him reassurance at this time." "This is a good time to encourage your father to verbalize his feelings."
A person is badly disfigured by the lawnmower blade when mowing a lawn. Based on Erikson's psychosocial stages of development which age, at the time of injury, will be associated with the greatest risk of long-term psychological effects?
12 years
The school nurse would teach the students that the ovum is no longer viable at which time interval after ovulation?
24 hours
Which age group is in Freud's phallic stage of psychosexual development and Erikson's psychosocial phase of initiative versus guilt?
3 to 5 years
Which entry in the food journal of a toddler concerns the nurse the most?
36 ounces of apple juice throughout the day
Which assessment findings signify correct placement of a nasogastric tube into a preterm infant's esophagus for feedings? Select all that apply. One, some, or all responses may be correct.
Aspiration produces a small quantity of light-yellow or light-green liquid Testing of the aspirate with the use of a nitrazine strip reveals that the gastric fluid is acidic.
The nurse is preparing to teach a client about self-injection of insulin. Which action by the nurse will increase the effectiveness of the teaching session?
Assess the client's barriers to learning self-injection techniques.
The nurse is teaching a parenting class. Which would the nurse suggest about managing the behavior of a young school-age child?
Be consistent about established rules.
Which activity demonstrates fine motor skills in infants aged 2 to 4 months?
Bringing objects from hand to mouth
Which foods would the nurse encourage for a child with acute glomerulonephritis (AGN)?
Corn on the cob, baked chicken, rice, apple, and milk
Which nutrient would the nurse instruct the client to increase while on oral contraceptives?
Folic acid
Which action can the nurse take to ensure that Buck's traction is being applied correctly?
Hang the weight to apply traction, but limit it to 10 lb (4.5 kg).
A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with acute pneumonia. The client is in moderate respiratory distress. The nurse would place the client in which position to enhance comfort?
High Fowler using the bedside table to rest the arms
Which goal would the nurse identify for a toddler with dehydration caused by diarrhea?
Improvement of fluid balance
Which involuntary physiologic response in a client experiencing pain should the nurse monitor for?
Perspiring
Which step of the nursing process is directly affected if the nurse does not make a nursing diagnosis?
Planning
Which verbalization by the parents of a child who has cystic fibrosis (CF) provides evidence that they understand the child's dietary needs?
Provide high-calorie foods between meals
Which recommendation would the nurse make to the family of a child with juvenile idiopathic arthritis who has difficulty getting ready for school in the morning due to joint pain and stiffness?
Provide warm, moist heat to the affected joints before arising.
Before administering a nasogastric feeding to a preterm infant, the nurse aspirates a small amount of residual fluid from the stomach. Which action would the nurse take next?
Return the aspirate and administer the full feeding
Which findings is the nurse likely to notice when caring for an 18-month-old child?
The toddler can hold urine for a period of 1 to 2 hours.
Which description characterizes using knowledge technology to enhance client care decisions?
Using a clinical decision support tool to determine if a client should receive the maximum dose of a pain medication
A client who reports that she has been following the recommended pregnancy diet is diagnosed with gestational hypertension. Which instruction would the nurse give about her diet at this time?
change nothing
The nurse is teaching clients how to determine the estimated time of ovulation by taking their basal body temperature. Which is the expected change in the basal temperature during ovulation?
A slight drop followed by an increase Correct answer
A client required an extensive episiotomy because her newborn was large. Which nursing intervention will minimize edema and lessen discomfort associated with an episiotomy?
Applying ice packs to the perineum
The nurse is assessing a client who reports shortness of breath. Which activity best ensures that the nurse obtains accurate and complete data to prevent a nursing diagnostic error?
Assess the client's lungs.
A client with advanced bone cancer is experiencing cachexia. The nurse reviews the nutritional components of palliative care with the client's family members. The nurse recognizes that the teaching is designed to achieve which outcome?
Enhance the quality of the client's life
A client with burns over 35% of the body reports chilling. Which action will the nurse take to promote client comfort?
Limit room drafts
Which type of vision problem would the nurse document when a client describes being able to see near objects clearly, but objects in the distance are blurry?
Myopia
The client with a suprapubic prostatectomy for cancer of the prostate has continuous bladder irrigations (CBI) in place after surgery. Which primary goal is the nurse trying to achieve with the CBI?
Prevent the development of clots in the bladder.
Which activities would be encouraged of a child with juvenile idiopathic arthritis to prevent loss of joint function? Select all that apply. One, some, or all responses may be correct.
Riding a bicycle Walking to school Swimming in the community pool
Which priority teaching intervention would the nurse include in the care plan for a client who has insomnia?
Sleep and cognitive changes
Which skincare activity would the nurse delegate to the licensed practical/vocational nurse (LPN/LVN)?
change wound dressing
The parents of an infant who is to undergo insertion of a right ventriculoperitoneal shunt for hydrocephalus are taught about postoperative positioning that helps prevent pressure on the valve site. Which statement indicates that they understand the teaching?
"The flat left side-lying position is the safest position for our baby."
Which description would the nurse expect when the parents of a child with celiac disease describe their child's stools?
Large, pale, foul-smelling
A child with celiac disease has extensive mucosal damage, and as a result the digestion of disaccharides is impaired. Which substance would the nurse teach the parents to temporarily eliminate from their child's diet?
Milk
When teaching parents of children with cystic fibrosis (CF) ways to help their children achieve optimal growth and development, the nurse encourages a high-calorie diet. Which other important detail of the diet would be included in the teaching?
Moderate fat
Which outcome is likely if direct pressure is applied to the joints of a client who has an acute episode of rheumatoid arthritis?
Pain
The nurse teaches a client about limiting the discomfort associated with a hiatal hernia. Which statement by the client indicates the nurse's teaching is effective?
"After meals, I will rest in a sitting position for 1 hour."
Which would the nurse do first for a client with pink raised areas that are swollen and itchy after using a new soap?
Perform a full history and physical examination
A toddler undergoes the implantation of a low-profile (skin-level) device (button) for a gastrostomy. The gastrostomy is now healed, and the parents are being taught to care for the stoma. Which parental behavior indicates to the nurse that additional teaching is needed?
The button is being maintained in the same position within the stoma.
The nurse is teaching first aid to a group of community members. A participant asks which first aid should be administered, after calling 911, to a person who suffers extensive burns. Which response by the nurse is appropriate?
"Cover the burned areas with a bed sheet because this provides protection."
Which statement by a hospitalized client with acute pelvic inflammatory disease indicates the need for further teaching?
"I should participate in gentle exercise such as walking during treatment."
Which developmental milestones would the nurse expect in a 9-month-old infant? Select all that apply. One, some, or all responses may be correct.
Enjoys push-pull toys Sits steadily without support Feeds self with a baby spoon Responds to simple commands
A client with chronic obstructive pulmonary disease (COPD) receives information about a rehabilitation plan. To decrease hospital admissions and to live a more active life, which instruction would the nurse provide to the client?
Incorporate humidification into the home environment.
When discussing dietary needs during pregnancy, a client tells the nurse that milk causes her to be constipated at times. Which would the nurse teach the client?
Increase high-fiber foods and water intake and continue drinking milk.
Which strategies would the nurse teach a client who says, "I have been having trouble sleeping and feel wide awake as soon as I get into bed"? Select all that apply. One, some, or all responses may be correct.
Leaving the bedroom when unable to sleep Exercising in the afternoon rather than in the evening
According to Hersey's Situational Leadership Model, which type of leadership behavior should the nurse use when delegating client care activities to recently hired, unlicensed assistive personnel (UAP) who appear competent and motivated?
Participating
The nurse is taking care of a client with cirrhosis of the liver and ascites. Which lunch is an appropriate choice for a client with this disorder?
Penne pasta, spinach, banana, and decaffeinated iced tea
Which ability would the nurse list when asked by parents about the kinds of abilities school-age children should be able to demonstrate? Select all that apply. One, some, or all responses may be correct.
Preparing easy meals Sewing buttons on shirts Being responsible for pets Performing household chores Being home alone for a short time
