CCI Quiz Questions

A nurse is teaching the parents of a child who is starting a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?

"The spacer increases the amount of medication delivered to the lung"

A nurse is preparing a teaching session about reducing the risk of complications of diabetes mellitus. which of the follow information should the nurse plan to include in the teaching?

- reduce cholesterol and saturated fat intake - increase physical activity and daily exercise -enroll in a smoking cessation program -maintain optimal blood pressure to prevent kidney damage

A nurse is teaching a client who has osteoarthritis. which of the following instructions should the nurse include in the teaching?

Take acetaminophen as the primary medication to treat the pain

A nurse is caring for a client who is postoperative following a right-sided mastectomy and has a drain connected to a portable drainage evacuator. which of the following actions should the nurse include in the care?

Take blood pressures on the unaffected arm

A nurse is caring for a client who has a history of dementia. The client is A&O x4 with advanced directives. The client is scheduled for a procedure that requires informed consent. Which of the following persons should sign the informed consent?

The client

A nurse is caring for a client who has asthma and is taking fluticasone. The nurse should monitor the client for which of the following adverse effects?

oral candidiasis

A nurse is assessing a client who is postoperative following a vaginal hysterectomy. which of the following findings is a manifestations of deep-vein thrombosis (DVT)?

unilateral leg edema

A nurse is reviewing the laboratory results of a client who has acute radiation syndrome and notes the client has leukopenia. which of the following assessment findings should the nurse identify as being consistent with leukocytosis?

Fever

A nurse is caring for a client who has BPH. which of the following medications should the nurse plan to administer?

Finasteride

Which topic should the nurse include in patient teaching for a patient with a venous stasis ulcer on the left lower leg?

Foam dressing to maintain moist environment

A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. which of the following instructions should the nurse provide the parents regarding administration of this medication?

Give with orange juice

A nurse is caring for a client with type 1 diabetes mellitus who reports feeling shaky and having palpitations. When the nurse finds the client's blood glucose to be 48mg/dL on the glucometer, he should give the client which of the following?

Graham crackers

A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. Which of the following complications is the nurse to monitor for?

Hemorrhage

A nurse is teaching a client who has COPD about purse-lipped breathing. which of the following statements should the nurse make?

" You should inhale through your nose and exhale through your mouth during purse-lipped breathing"

A nurse is teaching a female client who has a new prescription for transdermal sumatriptan to treat migraine headaches. Which of the following instructions should the nurse include?

" use contraception while taking this medication"

A nurse is caring for a client who is to start chemotherapy for advanced breast cancer. she tells the nurse she is worried about the adverse effects of the treatment. which of the following responses should the nurse make?

" what is it about the adverse effects that concern you?"

A nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes and has a prescription for glipizide. which of the following statements by the nurse describes the action of glipizide?

"Glipizide stimulates your pancreas to release insulin"

A nurse is caring for a client who experienced a lacerated spleen and has been on bedrest for several days. The nurse auscultates decreased breath sounds in the lower lobes of both lungs. The nurse should realize that this finding is most likely an indication of which of the following conditions?

Atelectasis

A nurse is planning care for a client who is 2 hr postoperative following a transurethral resection of the prostate. The client is receiving continuous bladder irrigation. Which of the following interventions should nurse include?

remind the client they might feel a constant urge to void

A client is receiving treatment for stage IV ovarian cancer and asks the nurse to discuss her prognosis. The client plans to have aggressive surgical, radiation and chemotherapy treatments. Which of the following prognoses should the nurse discuss with the client?

poor

A nurse working for a home health agency is teaching a client who has DM about disease management. Which of the following glycosylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling his glucose levels?

6.3 %

A nurse is teaching a client who has urinary incontinence about avoiding beverages that can cause bladder irritation. The nurse should include that which of the following foods and beverages is a bladder irritant?

Caffeinated beverages

A nurse is reviewing the laboratory results of a client who was admitted with history of multiple myeloma. The nurse should expect to find an increase in which of the following laboratory values?

Calcium

A nurse is instructing the mother of a toddler who has iron-deficiency anemia to increase iron in the child's diet in addition to the prescribed iron supplement. which of the following foods should the nurse recommend?

Tuna fish

A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. Which of the following client statements should indicate to the nurse for additional teaching?

" I will take my medications at the first sign of an attack"

A nurse is teaching a client who has type 1 diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching?

" I'll check my feet everyday for sores and bruises"

A nurse is teaching a client about self-administered peritoneal dialysis. Which of the following statements by the client indicates a need for further teaching?

" The microwave in my kitchen can warm the solution before I use it"

A nurse is teaching the family of an older adult who has a new diagnosis of dementia. Which of the following statements should the nurse include in the teaching?

"The signs of dementia are progressive and irreversible"

A nurse is teaching a client who has a new prescription for cimetidine to treat peptic ulcer disease (PUD). which of the following statements by the client indicates an understanding of the teaching?

- I can take this medication with or without food - I will eat five small meals a day

A nurse is teaching a client who has a hiatal hernia about dietary recommendations. which of the following client statements indicates an understanding of the teaching?

- I will consume less caffeine and fewer spicy foods - I will sleep with the head of my bed elevated - I will try not to gain weight

A college health nurse interprets the peak expiratory flow rate for a student who has asthma and finds that the student is in yellow zone of his asthma action plan. The nurse should base her actions on which of the following information?

- The nurse should use his quick relief inhaler -The students asthma is not well controlled -The students peak flow is 50% to 80% of his peak flow -The nurse should obtain a second expiratory flow rate

A nurse is preparing a presentation at a community center about osteoarthritis. The nurse should plan to include which of the following information?

- affects weight-bearing joints - crepitus can occur in affected joints - causes joint stiffness - causes joint pain

A nurse is planning care for a client who has thrombocytopenia. which of the following interventions should the nurse include in the plan?

Apply pressure to needle stick sites for 10 min.

A home health nurse visits a client who has COPD and receives oxygen at 2 L/min via nasal cannula. The client reports difficulty breathing. which of the following actions is nurse's priority?

Assess the client's respiratory status

A nurse is teaching a client who has hypertension and a new prescription for atenolol. Which of the following findings should the nurse include as adverse effects of this medication?

Bradycardia

A nurse is caring for a client who has valvular heart disease and is at risk for developing left-sided heart failure. which of the following manifestations should alert the nurse the client is developing this condition?

Breathlessness

The patient presents to the outpatient clinic with a venous ulcer located on the left ankle. What additional assessments findings would the nurse expect?

Brownish discoloration of the skin in the lower extremity

A nurse in a providers office is assessing a client who reports dyspnea and fatigue. physical assessment reveals tachycardia and weak peripheral pulses. The nurse should recognize these findings as manifestations of which of the following conditions?

Heart Failure

A nurse is assessing a client who has has-end stage kidney disease and is receiving hemodialysis. which of the following findings should the nurse identify as an indication the client is experiencing fluid overload?

The client has a 5 Ib weight gain since yesterday

A nurse is teaching a client who has asthma about how to use an albuterol inhaler. which of the following actions by the client's indicates an understanding of the teaching?

The client holds his breath for 10 seconds after inhaling the medication

A nurse is establishing health promotion goals for a female who smokes cigarettes,has hypertension, and a BMI of 26. which of the following goals should the nurse include?

The client will walk for 30 min 5 days a week

A nurse is reviewing the laboratory results of a client who has acute leukemia and received an aggressive chemotherapy treatment 10 days ago. Which of the following hematologic laboratory values should the nurse expect?

decreased platelet count decreased leukocyte count decreased erythrocyte count

A nurse is assessing a client who has developed atelectasis postoperatively. which of the following findings should the nurse expect?

increasing dyspnea

A nurse is proving teaching to a client who has a new diagnosis of fibromyalgia. Which of the following client statements indicates an understanding of the teaching?

low impact aerobics can help reduce episodes of pain

A nurse is caring for a middle adult client who just received a diagnosis of endometrial cancer. In taking a nursing history, which of the following manifestations is likely to be reported by this client?

postmenopausal bleeding

A nurse is caring for a client who asks to be screened for cervical cancer because a relative has been diagnosed with it. Which of the following tests should the nurse expect the provider to use?

A Papanicolaou test

A nurse is assessing a client who has mitral stenosis. which of the following findings should the nurse expect?

A heart murmur

A nurse observes mild hand tremors in a client who has diabetes mellitus. Which of the following actions should the nurse take after obtaining a glucose meter reading of 60 mg/dL?

Administer 15 g of carbohydrates

A nurse is assessing a client for hypoxemia during an asthma attack. which of the following manifestations should the nurse expect?

Agitation

A nurse is assessing an older adult client who is receiving digoxin. The nurse should recognize that which of the following findings is a manifestation of digoxin toxicity?

Anorexia

A nurse in the emergency department is assessing an older adult client who has community acquired pneumonia. which of the following findings should the nurse expect?

Confusion

A nurse is planning care for a client who has diverticulitis. Which of the following menu selections should the nurse include in the plan?

Grilled chicken with white rice

A nurse is providing discharge teaching to a client who has a new diagnosis of heart failure. which of the following instructions should the nurse include in the teaching?

Exercise at least three times per week

A nurse is developing a plan of care for a client who has COPD. The should include which of

Instruct the client to use pursed-lip breathing

A nurse is assessing a male client who has advanced peripheral artery disease (PAD). Which of the following findings should the nurse expect?

Leg pain at rest

A nurse is planning care for a client who has manifestations of a Clostridium difficile (C.diff) infection. Which of the following actions should the nurse plan to take?

Place the client on contact precautions

A nurse is discussing good food choices with a client who is recovering from an exacerbation of inflammatory bowel disease and is to start a low-lactose diet. which of the following foods is the best choice for the client?

Soy milk

A nurse is teaching a client who has postpartum and has been diagnosed with iron deficiency anemia. which of the following dietary recommendations should the nurse include in the teaching?

Spinach and beef

A nurse is caring for a client who has Crohn's disease. which of the following food choices would follow the recommended diet for clients who have Crohn's disease?

Toast with jelly

A nurse is providing teaching about dietary recommendations to a client who has iron deficiency anemia. which of the following dietary recommendations should the nurse include as a food that enhances iron absorption when consumed with nonheme iron?

Tomato juice

A nurse is planning nutritional teaching for a client who is experiencing fatigue due to iron deficiency anemia. which of the following foods should the nurse recommend to the client?

1 cup canned black beans

A nurse is teaching a client who has chronic kidney disease about limiting foods that are high in potassium. Which of the following foods should the nurse instruct the client to avoid?

- Tomatoes - Bananas -Raisins

A nurse is admitting a client who has tuberculosis and a productive cough. which of the following types of isolation precautions should the nurse initiate for the client?

Airborne

A nurse is teaching a community education course about the physical complications related to substance use disorder. Which of the following findings should the nurse identify as the primary cause of liver cirrhosis?

Alcohol

After radiation treatment, a client reports dryness, redness and scaling of his skin occurring within the designated radiation treatment markings. The nurse should instruct the client to take which of the following actions?

Apply hydrating lotions

A nurse is providing teaching for a client who has a new diagnosis of GERD. The client asks about foods he should avoid eating. Which of the following foods should the nurse tell him to avoid?

Chocolate

A nurse is assessing a client who has chronic kidney disease for fluid volume increase. Which of the following provides a reliable measure of fluid retention?

Daily weight

A nurse is teaching a client who has urolithiasis (renal calculi). The nurse should explain that which of the following conditions can increase the risk for renal calculi?

Dehydration

A nurse is providing discharge teaching for a client who is postoperative following a simple mastectomy. The client is to begin outpatient radiation therapy the next day. Which of the following instructions about maintaining skin integrity should the nurse include?

Do not apply heat to the area of irradiation

A home health nurse is assessing a patient who has heart failure and notes the patient has had a weight gain of 1.8 kg (4 Ib), as well as generalized edema, since the last visit 3 days ago. which of the following actions should the nurse take next?

Ensure the client has been taking their prescribed diuretic

A nurse is assessing a client who is postoperative and has anemia due to excess blood loss following surgery. which of the following findings should the nurse expect?

Fatigue

A nurse is preparing a client for radiation treatment who is postoperative following a mastectomy. The nurse should inform the client to expect which of the following adverse effects from the treatment?

Fatigue

A nurse is reviewing the laboratory data of a client following a hemodialysis treatment. The nurse should expect to find a decrease in which of the following laboratory values?

Potassium

A nurse is contributing to the pain of care for clients who have rheumatoid arthritis. which of the following plans incorporates integrative health?

Provide message therapy and corticosteroid medications to clients

Which information is most important for the nurse to include when teaching a patient newly diagnosed with hypertension?

Severe and target organ disease can be asymptomatic

A patient with a history of hypertension treated with a diuretic and an ACE inhibitor arrives in the ED. The patient reports a severe headache and nausea and has a BP of 238/118 mm Hg. Which questions should the nurse ask to follow up on these findings?

"Have you consistently taken your medications?"

A nurse is teaching a client who is starting to take methotrexate to treat rheumatoid arthritis. which of the following instructions should the nurse include in the teaching?

Drink at least 2 liters of water daily

A nurse is assessing a client who has chronic venous insufficiency. which of the following findings should the nurse expect?

Edema

A nurse is assessing a client who has type 1 DM and finds the client lying in bed, sweating, and reporting feeling anxious. which of the following complications should the nurse expect?

Hypoglycemia

A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for the client?

Leuprolide

A nurse is planning care for a client who has leukemia and a platelet count of 130,000/mm3. which of the following interventions should the nurse include in the plan of care?

Limit IM injections

A nurse is planning care for a client who has immunosuppression following chemotherapy. which of the following interventions should the nurse include in the plan of care?

Limit the number of health care workers entering the room

A nurse is caring for a client who is receiving peritoneal dialysis? The nurse should monitor for which of the following manifestations of peritonitis?

Nausea and vomiting

A nurse working on a medical unit is caring for a client who is prescribed seizure precautions. Which of the following interventions should the nurse include in the client's plan of care?

Obtain IV access

A nurse is in a client's room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first?

Turn the client's head to the side

A nurse is reviewing the medication record for a client who has chronic kidney disease. which of the following medications should the nurse identify as having the potential to cause nephrotoxicity?

Vancomycin

A nurse is teaching a client who is receiving radiation therapy about skin care. which of the following instructions should the nurse include?

Walk outside in the early mornings

A nurse is caring for a client who is 5 hr postoperative following a TURP. the nurse notes that the client's indwelling urinary catheter has not been drained in the past hour. Which of following actions should the nurse take first?

check the tubing for kinks

A nurse is assessing a client who has a plural effusion. which of the following findings should the nurse expect?

dullness percussed over the client's lung fields

A nurse is caring for a client scheduled to receive external radiation of the neck for cancer of the larynx. During a pre-treatment exam, the nurse explains to the client that the most likely side effect would be...

dysphagia

A nurse is providing education to a school-age child who has a new diagnosis of asthma. which of the following statements should the nurse include in the teaching?

" Avoid triggers that cause an attack"

A nurse is providing teaching for a client who has GERD about ways to manage his condition. Which of the following instructions should the nurse include?

" Eat four small meals each day"

A nurse is providing discharge instructions for a client who has congestive heart failure. which of the following client statements indicates to the nurse that the teaching was effective?

" I plan to slow down if I am tired the day after exercising"

A nurse is teaching about self-monitoring to a client who has type 1 diabetes mellitus. which of the following statements by the client indicates an understanding of the teaching?

" I will check my blood glucose every 4 hours when I am sick"

A nurse is instructing a client how to decrease the nausea associated with chemotherapy and radiation. Which of the following statements indicates an understanding of teaching?

" I will eat foods that are served at room temperature"

A client who has coronary artery disease tells the nurse he is afraid of dying from a heart attack. which of the following responses should the nurse make?

" Tell me more about these fears of dying from a heart attack."

A nurse is caring for a client who has cancer and is scheduled for immediate chemotherapy. The client tells the nurse that she wants to try nontraditional treatments first. which of the following responses should the nurse make?

" Tell me more about your concerns about taking chemotherapy"

A nurse is providing teaching to a client who has a new diagnosis of Type 2 DM. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia?

-Blurred vision - Tachycardia -Moist, clammy skin

A nurse is caring for a client with DM who is prescribed regular insulin via a sliding scale. After administering the correct dose at 0715, the nurse should ensure the client receives breakfast at which of the following time?

0745