Exam 1 Practice Questions

If hearing loss is detected early, proper intervention can help a child achieve normal language development. What is the latest age that hearing loss should be detected to ensure that a child achieves normal language development? Record your answer using a whole number. ______________ months

3

A client is admitted to the hospital for the medical management of burns over 18% of the body's surface. What should the nurse teach the client to help manage pain during dressing changes? A. Deep breathing exercises B. Progressive muscle relaxation C. Active range-of-motion exercises D. Important elements of wound care

A.

A pregnant client's history reveals opioid abuse. What is the nurse's initial plan for providing pain relief measures during labor? A. Scheduling pain medication at regular intervals B.Administering the medication only when the pain is severe C. Avoiding the administration of medication unless it is requested D. Recognizing that less pain medication will be needed by this client compared with other women in labor

A.

A young adult who is unconscious after an accident is brought to the emergency department. The client's pupils are equal and responsive to light. As part of the neurologic assessment, the nurse applies a painful stimulus to the client's left lower leg. Which is an expected response in a healthy adult? A. Withdrawing the leg B. Making no movement C. Plantar flexing the left foot D. Flexing the upper extremities

A.

An IV catheter is to be inserted into a 3-year-old toddler's peripheral vein. As local topical anesthetic is applied, the toddler starts to cry and asks whether the insertion is going to hurt. How should the nurse respond? A. "Yes, it may hurt, but not for very long." B. "Maybe it will hurt, but remember that big kids don't cry." C. "Yes, it may hurt, but if you hold still it won't hurt too much." D. "It will hurt a little, but I'm good at getting the needle into your arm."

A.

What is a common characteristic of Sjögren's syndrome (SS)? A. Dry eyes B. Muscle cramping C. Urinary tract infection D. Elevated blood pressure

A.

Which anatomical area in the brain regulates a client's verbal expression? A. Broca's area B. Wernicke's area C. Association area D. Supplemental area

A.

Which anesthetic drug is commonly used for short procedures on pediatric clients? A. Fentanyl B. Morphine C. Meperidine D. Hydromorphone

A.

Which beta-adrenergic blocker is used to reduce a client's intraocular pressure? A. Timolol B. Travopost C. Carbachol D. Apraclonidine

A.

Which key feature does the nurse associate with a stage 2 pressure ulcer? A. Presence of nonintact skin B. Development of sinus tracts C. Damage to the subcutaneous tissues D. Appearance of a reddened area over a bony prominence

A.

Why would a client with acquired immunodeficiency syndrome (AIDS) be administered pregabalin? A. To reduce neuropathic pain B. To reduce cognitive difficulty C. To reduce swallowing difficulty D. To reduce muscle and joint pain

A.

A client has expressive aphasia. The client's family members ask how they can help the client regain as much speech function as possible. Which information should the nurse share with the family? A. Speak louder than usual during visits while looking directly at the client. B. Encourage the client to speak while allowing time to respond. C. Give positive reinforcement for correct communication. D. Tell the client to use the correct words when speaking.

B.

A client presents with chief complaints of unexplained weight gain and back pain from a compression fracture of the vertebrae. On assessment, there is truncal obesity with excessively thin extremities, a moon-shaped face, a buffalo hump, thin hair, and adult acne. The symptoms described are suggestive of what disease? A. Addison disease B. Cushing disease C. Multiple sclerosis D. Kaposi sarcoma

B.

A nurse teaches a client about wearing thigh-high antiembolism elastic stockings. What would be appropriate to include in the instructions? A. "You do not need to wear them while you are awake, but it is important to wear them at night." B. "You will need to apply them in the morning before you lower your legs from the bed to the floor." C. "If they bother you, you can roll them down to your knees while you are resting or sitting down." D. "You can apply them either in the morning or at bedtime, but only after the legs are lowered to the floor."

B.

After abdominal surgery a client suddenly reports numbness in the right leg and a "funny feeling" in the toes. What should the nurse do first? A. Tell the client to drink more fluids. B. Instruct the client to remain in bed. C. Gently rub the client's legs for circulation. D. Tell the client about the dangers of prolonged bed rest.

B.

On the third postoperative day after a subtotal gastrectomy, a client reports having severe abdominal pain. The nurse palpates the client's abdomen and determines rigidity. What should be the nurse's first action? A. Assist the client to ambulate. B. Obtain the client's vital signs. C. Administer the prescribed analgesic. D. Encourage using the incentive spirometer.

B.

The parents of a child who is scheduled for open-heart surgery ask why their child must be subjected to chest tubes after surgery. What should the nurse consider before responding in language that the parents will understand? A. Chest tubes increase tidal volume. B. Chest tubes facilitate drainage of air and fluid. C. Chest tubes maintain positive intrapleural pressure. D. Chest tubes regulate pressure on the pericardium and chest wall.

B.

Which structure lies inside and parallel to the sclera? A. Lens B. Choroid C. Conjunctiva D. Ciliary processes

B.

Which herbal therapies can be recommended to a client with breast pain? Select all that apply. A. Dong quai B. Chamomile C. Bugleweed D. Chaste tree fruit E. Black cohosh root

B. C. D.

A 4-year-old child being admitted for surgery arrives on the ambulatory surgical unit crying and pulling at the hospital gown while clutching a teddy bear. What is the best response by the nurse? A. "Please stop crying. Nobody will hurt you." B. "Hello, I'm your nurse. Let's go and see your room." C. "I know you feel scared. This must be your special teddy bear." D. "We want you to be happy here. Let's go to the playroom and play."

C.

A client who is diagnosed as having a herniated nucleus pulposus reports pain. What should the nurse most likely conclude is the cause of this client's pain? A. Inflammation of the lamina of the involved vertebra B. Shifting of two adjacent vertebral bodies out of alignment C. Compression of the spinal cord by the extruded nucleus pulposus D. Increased pressure of cerebrospinal fluid within the vertebral column

C.

A client with emphysema is admitted to the hospital with pneumonia. On the third hospital day, the client complains of a sharp pain on the right side of the chest. The nurse suspects a pneumothorax. What breath sound is most likely to be present when the nurse assesses the client's right side? A. Crackling B. Wheezing C. Decreased sounds D. Adventitious sounds

C.

An adolescent who had an inguinal hernia repair is being prepared for discharge home. The nurse provides instructions about resumption of physical activities. Which statement by the adolescent indicates that the client understands the instructions? A. "I can ride my bike in about a week." B. "I don't have to go to gym class for 3 months." C. "I can't perform any weightlifting for at least 6 weeks." D. "I can never participate in football again."

C.

During a critical incident stress debriefing (CISD) session conducted by the nurse for clients affected by a natural disaster, a client says, "The worst thing that happened on that day was that my child was severely injured and I was not in a position to help. I would like to forget that day as soon as possible. It was the most painful experience of my life." Which phase of CISD does this indicate? A. Reentry phase B. Thought phase C. Reaction phase D. Symptom phase

C.

Following a motor vehicle accident a client reports seeing frequent flashes of light. Which condition should the nurse be prepared to address? A. Glaucoma B. Scleroderma C. Detached retina D. Cerebral concussion

C.

The nurse is caring for a client who is in pain following surgery. The nurse informs the primary health care provider about the client's request for pain medication. What is the role of the nurse in this situation? A. Educator B.Manager C. Advocate D. Administrator

C.

While awaiting the biopsy report before removal of a bone tumor, the client reports being afraid of a diagnosis of cancer. How should the nurse respond? A. "Worrying is not going to help the situation." B. "Let's wait until we hear what the biopsy report says." C. "It is very upsetting to have to wait for a biopsy report." D. "Operations are not performed unless there are no other options."

C.

A client is being discharged after a first-trimester aspiration abortion. Which statement indicates to the nurse that the client has understood the instructions? A. "I'll be able to have sex in 4 or 5 days." B. "I can switch from sanitary pads to tampons after 24 hours." C. "I can expect my menstrual period to start again in 2 to 3 weeks." D. "I need to call you if I have to change my pad more than once in 4 hours."

D.

Which nursing action is most accurate when assessing the chest circumference of a newborn during the initial physical assessment? A. Measuring during expiration only B. Taking three measurements and recording the average C. Measuring during inspiration and plotting this data on the growth chart D. Placing the measuring tape around the rib cage at the nipple line

D.

Which outcome specific to a client with impaired verbal communication related to a psychologic barrier should be documented in the client's clinical record? A. Freedom from injury B. Engaging independently in solitary craft activities C. Identifying the consequences of acting-out behavior D. Interacting appropriately with others in the therapeutic milieu

D.