Content Review Practice Questions

The nurse is providing education to the unlicensed assistive personnel (UAP) in preparation for communication with a hearing impaired patient client. Which statements by the UAP indicates that teaching has been effective? Select all that apply. A. "Speak using a normal tone of voice." B. "Speak clearly when communicating with the client." C. "Speak slowly and directly into the client's impaired ear." D. "Face the client directly when carrying on a conversation." E. "Be aware of signs that the client does not understand the conversation."

A. "Speak using a normal tone of voice." B. "Speak clearly when communicating with the client." D. "Face the client directly when carrying on a conversation." E. "Be aware of signs that the client does not understand the conversation."

The nurse is caring for a client who possibly may need kidney dialysis. When evaluation the client's renal function to report to the health care provider, which data will the nurse use? Select all that apply A. A client's 24-hour urinary output B. Glomerular filtration rate C. Trending vital signs D. A client's flank pain level E. The blood count report F. Serum creatinine level

A. A client's 24-hour urinary output B. Glomerular filtration rate F. Serum creatinine level

The nurse is applying a topical corticosteroid to a client with eczema. The nurse understands that it is safe to apply the medication to which body areas? Select all that apply. A. Back B. Axilla C. Eyelids D. Soles of the feet E. Palms of the hands

A. Back D. Soles of the feet E. Palms of the hands

The nurse calls the primary health care provider (PHCP) regarding a new medication prescription, because the dosage prescribed is higher than the recommended dosage. The nurse is unable to locate the PHCP, and the medication is due to be administered. Which action should the nurse take? A. Contact the nursing supervisor B. Administer the dosage prescribed C. Hold the medication until the PHCP can be contacted D. Administer the recommenced dose until the PHCP can be located

A. Contact the nursing supervisor

The charge nurse is planning the assignment for the day. Which factors should the nurse remain mindful of when planning the assignment? Select all that apply. A. The acuity level of the clients B. Specific requests from the staff C. The clustering of the rooms on the unit D. The number of anticipated client discharges E. Client needs and workers' needs and abilities

A. The acuity level of the clients E. Client needs and workers' needs and abilities

The nurse is teaching the client who has been diagnosed with tuberculosis how to avoid spreading the disease to family members. Which statements indicate that the client has understood the nurse's instructions? Select all that apply. A. "I will need to dispose of my old clothing when I return home." B. "I should always cover my mouth and nose when sneezing." C. "It is important that I isolate myself from the family when possible." D. "I should use paper tissues to cough in and dispose of them promptly." E. "I will avoid crowds"

B. "I should always cover my mouth and nose when sneezing." D. "I should use paper tissues to cough in and dispose of them promptly."

The nurse is teaching the client with an ileal conduit how to prevent a urinary tract infection. Which measure would be most effective? A. Avoid people with respiratory tract infections B. Maintain a daily fluid intake of 2L to 3L C. Use sterile technique to change the appliance D. Irrigate the stoma daily

B. Maintain a daily fluid intake of 2L to 3L

Which goal for the client's care should take priority during the first days of hospitalization for an exacerbation of ulcerative colitis? A. Promoting self-care and independence. B. Managing diarrhea. C. Maintaining adequate nutrition. D. Promoting rest and comfort.

B. Managing diarrhea

The client is in the oliguric phase of acute renal failure. For which risk should the nurse assess the client? A. Pulmonary edema B. Metabolic alkalosis C. Hypotension D. Hypokalemia

B. Pulmonary edema

Nursing staff members are sitting in the lounge taking their morning break. An unlicensed assistive personnel (UAP) tells the group that she thinks that the unit secretary has acquired immunodeficiency syndrome (AIDS) and proceeds to tell the nursing staff that the secretary probably contracted the disease from her husband, who is supposedly a drug addict. The registered nurse should inform the UAP that making this accusation has violated which legal tort? A. Libel B. Slander C. Assault D. Negligence

B. Slander (slander is verbal and libel is written)

During dialysis, the client has disequilibrium syndrome. What should the nurse do first? A. Administer oxygen per nasal cannula B. Slow the rate of dialysis C. Reassure the client that the symptoms are normal D. Place the client in modified Trendelenburg's position

B. Slow the rate of dialysis

The client with tuberculosis is to be discharged home with nursing follow-up. Which aspect of nursing care will have the highest priority? A. Offering the client emotional support B. Teaching the client about the disease and its treatment C. Coordinating various agency services D. Assessing the clients environment for sanitation

B. Teaching the client about the disease and its treatment

The health education nurse provides instructions to a group of clients regarding measures that will assist in preventing skin cancer. Which instructions should the nurse provide. Select all that apply. A. Sunscreen should be applied every 8 hours B. Use sunscreen when participating in outdoor activities C. Wear a hat, opaque clothing and sunglasses when in the sun. D. Avoid sun exposure in the late afternoon and early evening hours E. Examine your body monthly for any lesions that may be suspicious

B. Use sunscreen when participating in outdoor activities C. Wear a hat, opaque clothing and sunglasses when in the sun. E. Examine your body monthly for any lesions that may be suspicious

A client with atrial fibrillation is receiving a continuous heparin infusion at 1000 units/hour. The nurse determines that the client is receiving the therapeutic effect based on which results? A. Prothrombin time of 12.5 seconds B. Activated partial thromboplastin time of 28 seconds C. Activated partial thromboplastin time of 60 seconds D. Activated partial thromboplastin time longer than 120 seconds

C. Activated partial thromboplastin time of 60 seconds

A client diagnosed with diabetes mellitus requires the immediate amputation of a leg. The client is very upset and states, "This is the doctor's fault! I did everything that I was told to do!" When considering the grieving process, how should the nurse respond to the client's statement? A. Notify the agency's risk management department B. Help the client consider alternatives to treatment C. Allow the client to use anger as a coping mechanism D. Ask the client to list all previous health care providers

C. Allow the client to use anger as a coping mechanism

The nurse who works on the night shift enters the medication room and finds a coworker with a tourniquet wrapped around the upper arm. The coworker is about to insert a needle, attached to a syringe containing clear liquid, into the antecubital area. Which is the most appropriate action by the nurse? A. Call security B. Call police C. Call the nursing supervisor D. Lock the coworker in the medication room until help is obtained

C. Call the nursing supervisor

A client with pneumonia has a temperature of 102.6 ° F (39.2 ° C), is diaphoretic, and has a productive cough. The client is able to ambulate. What should the nurse do? A. Change the client's position every 4 hours B. Use nasotracheal suctioning to clear secretions. C. Change the bedsheets frequently D. Offer the use of a bedpan every 2 hours

C. Change the bedsheets frequently

A nurse is assessing a client with chronic emphysema. Which finding requires immediate intervention? A. Using pursed-lip breathing and prolonged expiration B. Circumoral cyanosis C. Crackles auscultated posteriorly halfway up the left lung D. Appearance of a barrel chest

C. Crackles auscultated posteriorly halfway up the left lung

The nurse is preparing to care for a dying client, and several family members are at the client's bedside. Which therapeutic techniques should the nurse use when communicating with the family. Select all that apply. A. Discourage reminiscing B. Make the decision for the family C. Encourage expression of feelings, concerns, and fears D. Explain everything that is happening to all family members E. Touch and hold the client's or family member's hand if appropriate F. Be honest and let the client and family know they will not be abandoned by the nurse

C. Encourage expression of feelings, concerns, and fears E. Touch and hold the client's or family member's hand if appropriate F. Be honest and let the client and family know they will not be abandoned by the nurse

The nurse administers theophylline to a client. When evaluation the effectiveness of this medication, what is an expected outcome? A. Suppression of the client's respiratory infection B. Decrease in bronchial secretions C. Less difficulty breathing D. Thinning of tenacious, purulent sputum

C. Less difficulty breathing

A client with peptic ulcer disease is admitted to the hospital for a gastric resection. The client reports a sudden sharp pain in the midepigastric area that radiates to the shoulder. What should the nurse do first? A. Establish an IV line B. Administer pain medication C. Notify the surgeon D. Call for a stat ECG

C. Notify the surgeon

A client is experiencing an acute asthmatic attack. Prior to treatment with levalbuterol, respirations were 40, pulse 132, O2 86% on room air, and there was audible wheezing. Which finding indicates achievement of the desired outcome of asthma treatment? A. Decreased peek expiratory flow (PEF) rate B. Wheezing inaudible with diminished breath sounds C. Pulse 96% and O2 92% on room air D. Inspiratory cycle twice as long as the expiratory cycle

C. Pulse 96% and O2 92% on room air

A client with allergic rhinitis asks the nurse what to do to decrease rhinorrhea. Which instruction would be appropriate for the nurse to give the client? A. "Use your nasal decongestant spray regularly to help clear your nasal passages." B. "Ask the health care provider for antibiotics. Antibiotics will help decrease the secretion." C. "It is important to increase your activity. A daily brisk walk will help promote drainage." D. "Keep a diary of when your symptoms occur. This can help you identify what precipitates your attacks."

D. "Keep a diary of when your symptoms occur. This can help you identify what precipitates your attacks."

The nurse employed in a long-term care facility is planning assignments for the clients on a nursing unit. The nurse needs to assign four clients and has a licensed practical nurse and 3 unlicensed assistive personnel (UAP) on a nursing team. Which client would the nurse most appropriately assign to the licensed practical nurse? A. A client who requires a bed bath B. An older client requiring frequent ambulation C. A client who requires hourly vital sign measurements D. A client requiring abdominal wound irrigation and dressing changes every 3 hours

D. A client requiring abdominal wound irrigation and dressing changes every 3 hours

The nurse has received the assignment for the shift. After making initial rounds and checking all of the assigned clients, which client should the nurse plant to care for first? A. A client who is ambulatory demonstrating steady gait B. A postoperative client who has just received an opioid pain medication C. A client scheduled for physical therapy for the first crutch-walking session D. A client with a white blood cell count of 14,000 and temperature of 38.4 degrees Celsius

D. A client with a white blood cell count of 14,000 and temperature of 38.4 degrees Celsius

A client has renal colic due to renal lithiasis. What is the nurse's first priority in managing care for this client? A. Do not allow the client to ingest fluids. B. Encourage the client to drink at least 500 mL of water each hour. C. Request the central supply department to send supplies for straining urine. D. Administer an opioid analgesic as prescribed.

D. Administer an opioid analgesic as prescribed.

The client with gastroesophageal reflux disease (GERD) has a chronic cough. The nurse should further assess the client for which other possible problem? A. Development of laryngeal cancer B. Irritation of the esophagus C. Esophageal scar tissue formation D. Aspiration of gastric contents

D. Aspiration of gastric contents

A client brought to the emergency department states that he has accidentally been taking 2 times his prescribed dose of warfarin for the past week. After noting that the client has no evidence of obvious bleeding, the nurse plans to take which course of action? A. Prepare to administer an antidote B. Draw a sample for type and crossmatch and transfuse the client C. Draw a sample for an activated partial thromboplastin time (aPTT) level D. Draw a sample for prothrombin time (PT) and international normalized ratio (INR)

D. Draw a sample for prothrombin time (PT) and international normalized ratio (INR)

A client with a well-managed ileostomy has sudden onset go abdominal cramps, vomiting, and watery discharge from the ileostomy. What should the nurse tell the client to do? A. Take an antiemetic B. Increase fluid intake to 3L/day C. Use 30mL of milk of magnesia daily D. Notify the health care provider

D. Notify the health care provider