questions to practice

The nurse is caring for a client who is unresponsive during a postictal state. Which position is correct for this client? 1-orthopneic 2-dorsal recumbent 3-sims 4-reverse Trendelenburg

3

A pediatric nurse is teaching a group of new parents about what to expect regarding their infants eyes and vision. What points should the nurse include? (SATA) 1-at 4wks of age, the infant should be able to gaze at objects 2-infants should have tears by the age of 1 month 3-visual acuity is about 20/300 at 4 months of age 4-during the first 2 months of life, infants eyes may appear to be crossed 5-depth perception begins around the 5th month of age

1,3,4,5 -infants don't have tears until 3 months of age

A client admitted with a diagnosis of end stage kidney disease has been prescribed a diet containing no more than 1 gram of phosphate per day. Which food item, if found on the client's meal tray should be removed by the nurse? 1-skinless chicken breast 2-green beans 3-asparagus 4-ice cream

4 -milk products are high in phosphate

The client with a new diagnosis of hypertension has been instructed to maintain a low sodium diet. Which foods does the nurse plan to teach the client to include on a low sodium diet? (SATA) 1-lemonade 2-broccoli 3-apple 4-smoked sausage 5-boiled shrimp 6-tomato soup

1,2,3

What food should the nurse include when teaching an older adult about increasing vit B12 intake? (SATA) 1-beef liver 2-feta cheese 3-fresh spinach 4-shrimp 5-tuna 6-tofu

1,2,4,5

What developmental milestone does the nurse expect to see in a 4yr old child? (SATA) 1-can say first and last name 2-draws a person with 2-4 body parts 3-copied a triangle 4-can tell what is real and make believe 5-sings a song from memory 6-talks about likes and interests

1,2,5,6

The nurse is assessing a newborn to determine gestational age. What findings by the nurse would indicate the infant is premature? (SATA) 1-folded ear pinna springs back slowly 2-peripheral cyanosis on feet and hands 3-shoulders and chest have moderate lanugo 4-vernix covering axilla, back and buttocks 5-feet soles entirely covered with creases

1,3,4

Which food item would the nurse include when planning diet instructions to promote bone growth for a client with a broken tibia? 1-lettuce 2-apples 3-yogurt 4-green beans

3

The nurse is repositioning a client who is in the supine position to the right lateral position. Which nursing intervention would be implemented to position the client in the right lateral position? 1-the right leg is positioned on a pillow in front of the left leg 2-both knees are kept in the extension position 3-both feet are placed in the inversion position 4-the left shoulder should be positioned forward

4

The parents of a nine-month-old ask the nurse for toy recommendations. What recommendation should the nurse take? 1-mobile 2-tricycle 3-marbles 4-pull toy

4

Which clients should the nurse recommend receive the HPV vaccine? (SATA) 1-twelve-year-old male 2-eight-year-old female 3-twenty-five-year-old bisexual male 4-twenty-two-year-old female with compromised immune system 5-twenty nine year old male who has not received the HPV vaccine

1,3,4 -vaccine given to 11-12yrs and anyone not previously vaccinated up to age 26

After reinforcing dietary teaching to a client diagnosed with Crohn's disease, the nurse recognizes client understanding when the client selects which low-residue foods? (SATA) 1-broccoli 2-oatmeal 3-green peas 4-spagetti 5-cantaloupe 6-raisins

2,4,5

A nurse is planning to provide education to a client wishing to breastfeed. What instructions should the nurse include when teaching this client? (SATA) 1-apply warm compresses to breast just prior to breastfeeding 2-establish a routine for breastfeeding 3-massage breasts during feeding 4-wear well-fitting bra continuously for first 24hrs after birth 5-wash hands before breastfeeding

1,3,5

A client arrives at the emergency room with severe right foot pain and is admitted with a diagnosis of gout. The nurse is reviewing diet habits and life style with the client to develop a teaching care plan. The nurse has identified what habits may contribute to an exacerbation of gout? (SATA) 1-a daily glass of white wine 2-bacon and eggs on weekends 3-smoking two cigars every day 4-one half liter of soda daily 5-baked cod twice a week 6-a BMI of 31.5kg

1,4,5,6

What developmental milestone does the nurse expect to see in a two-month-old baby? (SATA) 1-responds to own name 2-holds head up 3-rolls over from stomach to back 4-pushes down on legs when feet are on a hard surface 5-turns head towards sound 6-reaches for toy with one hand

2,5