Patient Education Custom Adaptive Quizzes

The parents of a school-aged child with newly diagnosed celiac disease ask a nurse what the intestinal biopsy revealed. Before responding in terms that the parents will understand, what should the nurse consider about the results of the biopsy? 1 The mucosal wall exhibits trophic changes. 2 There is diffuse degenerative fibrosis of the acini. 3 The mucosal wall has small areas of fatty plaques. 4 There are irregular areas of superficial ulcerations.

1 The mucosal wall exhibits trophic changes.

The nurse is preparing an individualized teaching plan for a client with osteoarthritis. The nurse recognizes which abnormality specific to osteoarthritis? 1 Ulnar drift 2 Heberden nodes 3 Swan-neck deformity 4 Boutonnière deformity

2 Heberden nodes

Which statement should the nurse include when providing anticipatory guidance to the parents of a 4-year-old client? Select all that apply. 1 "It is important to set limits with your child." 2 "Your child may begin to have more nightmares." 3 "It is important to enroll your child in swimming lessons." 4 "Your child may begin to exhibit more aggressive behavior." 5 "It is important to limit the amount of television that your child watches."

2 "Your child may begin to have more nightmares." 4 "Your child may begin to exhibit more aggressive behavior."

The nurse is teaching first aid to a group of community members. A participant asks what first aid should be administered, after calling 911, to a person who suffers extensive burns. Which response by the nurse is best? 1 "Apply ice to burned areas; this decreases pain." 2 "Cover the burned areas with a bed sheet; this provides protection." 3 "Do nothing; attempting to treat the burned areas may cause further damage." 4 "Use first aid cream to burned areas; this prevents infection and decreases pain."

2 "Cover the burned areas with a bed sheet; this provides protection."

A client has the habit of staying up and watching movies till 4 a.m. on weekends. The nurse educates the client about the risks of not following a proper sleep routine. The client responds by saying, "I understand your point, but I haven't had any major problems yet." Which stage of health behavior change does the nurse recognize? 1 Action 2 Preparation 3 Contemplation 4 Precontemplation

3 Contemplation

How can a nurse teach a preschooler about medical interventions most effectively? 1 By demonstration 2 With explanations 3 Using diversional play 4 By initiating therapeutic play

4 By initiating therapeutic play

What instructions should the nurse provide to a client after a long leg cast is removed? 1 Elevate the extremity when sitting. 2 Report discomfort or stiffness of the ankle. 3 Perform full range-of-motion exercises of the leg once daily. 4 Cleanse the leg by scrubbing with long, brisk motions

1 Elevate the extremity when sitting.

The nurse instructs a client that, in addition to building bones and teeth, calcium is also important for what? 1 Bile production 2 Blood production 3 Blood clotting 4 Digestion of fats

3 Blood clotting

A nurse is teaching preadolescents about puberty. What should the nurse tell them about the primary sex characteristics? 1 They are related to reproduction. 2 They develop at the same rate in most adolescents. 3 Each sex is identified by the primary sex characteristics. 4 Primary sex characteristics are apparent before secondary sex characteristics.

1 They are related to reproduction.

Amlodipine is prescribed for a client with hypertension. Which response to the medication should the nurse instruct the client to report to the healthcare provider? 1 Blurred vision 2 Dizziness on rising 3 Difficulty breathing 4 Excessive urination

3 Difficulty breathing

The nurse is caring for a client who is in the taking-in phase of the postpartum period. What area of health teaching will the client be most responsive to? 1 Perineal care 2 Infant feeding 3 Infant hygiene 4 Family planning

1 Perineal care

A nurse is teaching clients how to determine the estimated time of ovulation by taking their basal body temperature. What is the expected change in the basal temperature during ovulation? 1 A slight drop followed by an increase 2 A sudden rise followed by a decrease 3 A marked increase after which the temperature remains high 4 A marked decrease after which the temperature remains lower

1 A slight drop followed by an increase

A ventroperitoneal shunt is inserted in a 4-month-old infant with hydrocephalus. Which signs of shunt failure should the nurse teach the parents during preparations for the infant's discharge? Select all that apply. 1 Vomiting 2 Dehydration 3 Sunken eyeballs 4 Distended fontanels 5 Abdominal distention

1 Vomiting 4 Distended fontanels

A newborn with an anorectal anomaly undergoes anoplasty. At the 2-week follow-up visit, a series of anal dilations is started. What should the nurse recommend to the parents to help prevent the infant from becoming constipated? 1 Use a soy formula. 2 Breastfeed if possible. 3 Administer a suppository nightly. 4 Offer glucose water between feedings.

2 Breastfeed if possible.

Which between-meal snack should a nurse tell the parents of a preschooler with a urinary tract infection to offer their child? 1 Skim milk 2 Fresh fruit 3 Hard candy 4 Cream soup

1 Skim milk

A school nurse is teaching a group of teachers' aides about the play characteristics of 5-year-old kindergartners. In what type of play do these children engage? 1 Parallel 2 Ritualistic 3 Aggressive 4 Cooperative

4 Cooperative

A client admitted to the hospital for chest pain is diagnosed with stable angina. Which information should the nurse include in the teaching session? 1 It is relieved by rest. 2 It is precipitated by light activity. 3 It is described as sharp or knifelike. 4 It is unaffected by the administration of vasodilators.

1 It is relieved by rest.

A person sustains deep partial-thickness burns while working on a boat in a town marina and seeks advice from the nurse in the first aid station. The nurse encourages the client to seek medical attention but the client refuses. Which instruction will the nurse provide to the person? 1 "Go see a primary healthcare provider if blisters appear." 2 "Go see a primary healthcare provider if urinary output decreases." 3 "Go see a primary healthcare provider if edema and redness occur." 4 "Go see a primary healthcare provider if white patches develops."

2 "Go see a primary healthcare provider if urinary output decreases."

A healthcare provider prescribes inhaled corticosteroids for a 6-year-old child with asthma. The nurse concludes that the mother understands the teaching about the side effects of this medication when the mother makes which statement? 1 "I'll watch for frequent urination." 2 "I'll check for white patches in the mouth." 3 "I'll be alert for short episodes of not breathing." 4 "I'll monitor for an increased blood glucose level."

2 "I'll check for white patches in the mouth."

Which parental statement indicates a correct understanding of toddler actions associated with the sensorimotor stage of development? 1 "My child is expected to use past tense verbs." 2 "My child should be able to gesture up and down." 3 "My child should begin to use two- to three-word phrases." 4 "My child is expected to find hidden objects in several locations."

2 "My child should be able to gesture up and down."

The nurse is teaching a client who underwent a hypophysectomy for hyperpituitarism about self-management. Which actions performed by the client could cause complications on the second post-operative day? Select all that apply. 1 Nose blowing 2 Teeth brushing 3 Bending forward 4 Breathing through the mouth 5 Lying in a semi-Fowler's position

1 Nose blowing 2 Teeth brushing 3 Bending forward

The nurse is teaching a sex education course to high school students. What information should the nurse provide regarding the rationale for an increase in gonorrhea prevalence? Select all that apply. 1 Symptoms of the disease are vague. 2 Screening blood tests are expensive. 3 The incubation period is relatively short. 4 Causative organisms have become resistant to treatment. 5 Diagnostic tests for the causative organism are not yet available.

1 Symptoms of the disease are vague. 3 The incubation period is relatively short. 4 Causative organisms have become resistant to treatment.

The nurse is planning a prenatal class about the changes that occur during pregnancy and the necessity of routine health care throughout pregnancy. Which cardiovascular compensatory mechanisms should the nurse explain to the class? Select all that apply. 1 Systemic vasodilation 2 Increased blood volume 3 Increased blood pressure 4 Increased cardiac output 5 Enlargement of the heart 6 Decreased erythrocyte production

2 Increased blood volume 4 Increased cardiac output 5 Enlargement of the heart

The nurse is planning a teaching session for the parents of a toddler. Which statement regarding toddler behavior indicative of centration should the nurse include in the session? 1 "You child may yell at the chair for causing a fall." 2 "Your child may not want to eat certain foods due to the color." 3 "Your child may not be able to understanding that others have a different perspective." 4 "Your child may refuse to sleep in the bedroom if the bed is moved to another location."

2 "Your child may not want to eat certain foods due to the color."

A healthcare provider prescribes selegiline 5 mg twice a day for a client with a diagnosis of Parkinson disease. What is most important for the nurse to teach the client? 1 Eat food high in tyramine. 2 Ensure that an opioid is not taken currently. 3 Take the medication in the morning and evening. 4 Monitor for signs of hypoglycemia and hyperglycemia.

2 Ensure that an opioid is not taken currently.

Potassium chloride effervescent tablets are prescribed for a client who is to be discharged from the emergency department. What information should the nurse include when teaching the client about this medication? 1 Chew the tablet completely. 2 Take the medication with food. 3 Take the medication at bedtime. 4 Use warm water to dissolve the tablet

2 Take the medication with food.

A nurse is providing discharge instructions to a client diagnosed with cirrhosis and varices. Which information should the nurse include in the teaching session? Select all that apply. 1 Adhering to a low-carbohydrate diet 2 Avoiding aspirin and aspirin-containing products 3 Limiting alcohol consumption to two drinks weekly 4 Avoiding acetaminophen and products containing acetaminophen 5 Avoiding coughing, sneezing, and straining to have a bowel movement

2 Avoiding aspirin and aspirin-containing products 4 Avoiding acetaminophen and products containing acetaminophen 5 Avoiding coughing, sneezing, and straining to have a bowel movement

A toddler has just had a cast applied for a fractured wrist. The wrist and elbow are immobilized. What information should the nurse include in the home care instructions before discharge? Select all that apply. 1 Resume usual activities. 2 Report swelling of fingers. 3 Keep the affected shoulder immobilized. 4 Elevate casted arm when the child is standing. 5 Lower the casted arm when the child is lying down.

2 Report swelling of fingers. 4 Elevate casted arm when the child is standing.

During her first visit to the prenatal clinic a client tells the nurse that she has a cat and is responsible for changing the cat's litter box. The client asks whether doing this will be harmful to her or the fetus. How should the nurse reply? 1 "Cat litter is not harmful during pregnancy." 2 "Exposure to cat litter for short periods of time is not harmful." 3 "There are several factors that determine a person's response to the toxins in cat litter." 4 "Fetal abnormalities are associated with exposure to cat litter, even after minimal contact."

3 "There are several factors that determine a person's response to the toxins in cat litter."

A healthcare provider prescribes ampicillin for a client with an infection. What information should the nurse include in the teaching plan about this medication? 1 Take the ampicillin with meals. 2 Store the ampicillin in a light-resistant container. 3 Notify the healthcare provider if diarrhea develops. 4 Continue the drug until a negative culture is obtained.

3 Notify the healthcare provider if diarrhea develops.

A client is ready to walk with crutches after knee surgery. Which crutch-walking technique will the nurse most likely need to reinforce after the client returns from physical therapy? 1 Two-point 2 Four-point 3 Three-point 4 Swing-through

3 Three-point

The nurse is teaching a client about management of low back pain. Which statements made by the client indicate effective learning? Select all that apply. 1 "I should sleep in a prone position." 2 "I should sleep with my legs out straight." 3 "I should keep a check on my body weight." 4 "I should stop exercising if the pain gets severe." 5 "I should exercise by leaning forward without bending the knees."

3 "I should keep a check on my body weight." 4 "I should stop exercising if the pain gets severe."

The nurse is caring for a client with bulimia nervosa. Which outcome criteria are important to discuss with the client? Select all that apply. 1 Resuming menstruation 2 Achieving 85% of ideal body weight 3 Abstaining from binge-purge behaviors 4 Describing a realistic perception of body shape 5 Demonstrating three learned skills for managing stress

3 Abstaining from binge-purge behaviors 4 Describing a realistic perception of body shape 5 Demonstrating three learned skills for managing stress

Aspirin is prescribed for a client with rheumatoid arthritis. Which clinical indicators of aspirin toxicity should the nurse teach the client to report? Select all that apply. 1 Nausea 2 Joint pain 3 Blood in the stool 4 Ringing in the ears 5 Increased urine output

3 Blood in the stool 4 Ringing in the ears

A 35-year-old client is scheduled for a vaginal hysterectomy. She asks the nurse about the changes she should expect after surgery. How should the nurse respond? 1 "You will stop ovulating." 2 "Surgical menopause will happen immediately." 3 "Sexual intercourse will be uncomfortable when you resume it." 4 "A hysterectomy doesn't affect the chronological age when menopause usually occurs."

4 "A hysterectomy doesn't affect the chronological age when menopause usually occurs."

A client has an abdominal perineal resection with the formation of a colostomy for cancer of the rectum. The nurse evaluates that teaching about colostomy care is understood when the client makes what statement? 1 "I will call the clinic and report if I notice a loss of sensation to touch in the stoma tissue." 2 "I will call the clinic and report when mucus is passed from the stoma between irrigations." 3 "I will call the clinic and report expulsion of flatus while the irrigating fluid is running out." 4 "I will call the clinic and report if I have difficulty inserting the irrigating tube into the stoma."

4 "I will call the clinic and report if I have difficulty inserting the irrigating tube into the stoma."

A pregnant woman reports nausea and vomiting during the first trimester of pregnancy. The nurse explains that an increase in which hormone is the precipitating cause of the nausea and vomiting? 1 Estrogen 2 Progesterone 3 Luteinizing hormone 4 Chorionic gonadotropin

4 Chorionic gonadotropin

A nurse teaches a parent of a toddler how to perform a cellophane-tape test for pinworms. At what time should the nurse teach the parent to perform the test? 1 Immediately after meals 2 After a bowel movement 3 At bedtime, before the child's bath 4 Early morning, before the child gets up

4 Early morning, before the child gets up

A nurse is caring for a client who is learning how to take care of a newly created colostomy. When observing a return demonstration of the colostomy irrigation, the nurse evaluates that more teaching is required when the client carries out what procedure? 1 Clamps off the flow of fluid when feeling uncomfortable 2 Lubricates the tip of the catheter before inserting it into the stoma 3 Discontinues the insertion of fluid after only a half a liter of fluid is instilled 4 Hangs the irrigation bag on the door clothes hook during fluid insertion

4 Hangs the irrigation bag on the door clothes hook during fluid insertion

A client with bilateral varicose veins of the lower extremities questions the nurse about the brownish discoloration of the lower legs. What would be the best explanation by the nurse regarding the cause of this discoloration? 1 Inadequate arterial blood supply 2 Delayed healing of tissues after an injury 3 Increased production of melanin in the area 4 Leakage of red blood cells through the vascular wall

4 Leakage of red blood cells through the vascular wall

A nurse is teaching a client with hypertension about a sodium-restricted diet. Which information should the nurse emphasize? 1 Using salt-free natural seasonings can taste the same as salt. 2 Substituting table salt with potassium chloride can be done freely. 3 Desiring the taste for salt is inherent but can be overcome with help. 4 Liking the taste of table salt is learned, but it can be modified with practice.

4 Liking the taste of table salt is learned, but it can be modified with practice.

Thrombus formation is a danger for postoperative clients. Which independent interventions should the nurse perform to prevent this complication? Select all that apply. 1 Increase the client's intravenous (IV) flow rate. 2 Massage the client's extremities with lotion. 3 Place the client's legs in pneumatic stockings. 4 Instruct the client to avoid crossing the legs. 5 Instruct the client to dorsiflex the feet routinely.

4 Instruct the client to avoid crossing the legs. 5 Instruct the client to dorsiflex the feet routinely.

After 2 weeks of radiation therapy for cancer of the breast a client experiences some erythema over the area being irradiated. The area is sensitive but not painful. The client states that she has been using tepid water and a soft washcloth when cleansing the area and applying an ice pack three times a day. What does the nurse conclude from this information? 1 Further teaching on skin care is necessary. 2 No other intervention is needed at this time. 3 The radiation team should be notified of this problem. 4 Health teaching on the side effects of radiation is needed.

1 Further teaching on skin care is necessary.

A 3-year-old child with thalassemia (Cooley anemia) is being discharged from the hospital. What should the nurse include in the instructions to the parents? 1 Minimize the risk of infection. 2 Offer frequent iron-rich meals. 3 Encourage increased fluid intake. 4 Restrict activity, allowing only quiet play.

1 Minimize the risk of infection.

The nurse is teaching a client self-management care in preventing and spreading methicillin-resistant Staphylococcus aureus (MRSA). Which statements made by the client indicate the need for further learning? Select all that apply. 1 "I can share athletic equipment." 2 "I can participate in contact sports." 3 "I should sit on upholstered furniture." 4 "I should use antibacterial soaps for bathing." 5 "I should wash all infected skin areas before covering those areas."

1 "I can share athletic equipment." 2 "I can participate in contact sports." 3 "I should sit on upholstered furniture."

A nurse gives a teenager discharge instructions regarding cast care. The nurse concludes that the instructions have been understood when the teenager makes what statement? 1 "If I get itchy around the cast, I'll rub the itchy area gently." 2 "If I get itchy around the cast, I'll pat the area with an alcohol swab." 3 "If I get itchy around the cast, I'll ask my doctor for a prednisone prescription." 4 "If I get itchy around the cast, I'll sprinkle a layer of powder around the itchy spots."

1 "If I get itchy around the cast, I'll rub the itchy area gently."

A nurse is teaching the parents of a 5-year-old girl who is to continue chemotherapy at home. What statement indicates that the parents understand the discharge instructions? 1 "We'll let her eat at her own pace." 2 "We'll plan structured play activities each day." 3 "We'll encourage her to rinse her mouth with mouthwash." 4 "We'll keep her from coming into contact with children her age."

1 "We'll let her eat at her own pace."

After giving birth to a 7-lb 2-oz (3232 g) baby, a client decides that she will breastfeed. What information should the nurse provide to the client regarding breastfeeding? 1 An increase in lochial flow is expected. 2 Weight loss will occur rapidly. 3 Involution of the uterus will be delayed. 4 Application of heat to the breasts is contraindicated.

1 An increase in lochial flow is expected.

After 18 months of unsuccessful attempts at conception by a client, primary infertility related to anovulatory cycles is diagnosed. Clomiphene citrate is prescribed. When will the nurse instruct the client to take clomiphene? 1 Fifth day of her cycle 2 Last day of her period 3 Third day after her period begins 4 Sixteenth day of her cycle

1 Fifth day of her cycle