Comprehensive Practice Test |
Quiz_________________?
A 15 year- old client has been placed in a Milwaukee brace. Which statement made by the
client is incorrect and indicates a need for additional teaching?
"I should inspect my skin under the brace every day"
"The brace has to be worn all day and night."
"I will only have to wear this for six months."
"I can take it off when I shower or take a bath." -
Answer✅
C
The brace must be worn long-term, during periods of growth, usually for one to two years.
It is used to correct scoliosis, the lateral curvature of the spine.
Quiz_________________?
A 3 year-old has just returned from surgery for application of a hip spica cast. What nursing
action will be the priority?
A. Drying the cast using a hair dryer set to "warm"
B. Apply waterproof plastic tape to the cast around the genital area
C. Use the crossbar to help turn the child from side to side
1
, D. Position the child flat in bed, repositioning from back to stomach every two to four
hours -
Answer✅
B
The most important aspects of caring for the cast is to keep it clean and dry. Shortly after
returning from surgery, waterproof plastic tape will be applied around the genital area to
prevent soiling. The child should be turned every two hours to help facilitate drying, from
side to side and front to back, with the head elevated at all times. If a crossbar is used to
stabilize the legs, it should not be used to turn the child (it may break off). After the cast has
completely dried and it becomes damp, it can be either exposed to air or a hair dryer (set
to cool) may be used to help dry the cast.
Quiz_________________?
A 35 year-old female client talks to the nurse in her health care provider's office about her
new diagnosis of uterine fibroids. What statement by the woman is incorrect and indicates
that more teaching is needed?
A. "Uterine fibroids are noncancerous tumors that grow slowly."
B. "Fibroids occur more frequently in women my age but no one knows what causes them."
C. "I sometimes experience pelvic pressure and pain, heavy menstrual bleeding, and I feel
the need to urinate more often."
D. "Even if the fibroids cause no problems, they will still need to be taken out." -
Answer✅
D
Fibroids that cause no findings may require only "watchful waiting." The client may just need
pelvic exams or ultrasounds every once in a while to monitor the fibroid's growth.
Treatment for the symptoms of fibroids (such as painful menses and heavy periods) may
include oral contraceptives, IUDs, iron supplements to prevent or treat anemia (due to
heavy periods), NSAIDs for cramps or pain or even short-term hormonal therapy to help
shrink the fibroids. Surgical removal using myomectomy or hysterectomy is usually reserved
as a final alternative after other treatment options have failed to provide adequate relief. In
addition, concerns about loss of fertility with this diagnosis and its treatment may be
important to this client who is still in her childbearing years.
2
, Quiz_________________?
A 67 year-old client is admitted with substernal chest pressure that radiates to the jaw. The
admitting diagnosis is acute myocardial infarction (MI). What should be the priority nursing
diagnosis for this client during the first 24 hours?
A. Altered tissue perfusion
B. Activity intolerance
C. Anxiety
D. Risk for fluid volume excess -
Answer✅
A
In the immediate post MI period, altered tissue perfusion is priority, as an area of myocardial
tissue has been damaged by a lack of blood flow and oxygenation. Interventions should be
directed toward promoting tissue perfusion and oxygenation. The other problems are also
relevant, but tissue perfusion is the priority.
Quiz_________________?
A child is treated with succimer for lead poisoning. Which of these assessments should the
nurse perform first?
A. Check serum potassium level
B. Check blood calcium level
C. Test deep tendon reflexes
D. Check complete blood count (CBC) with differential -
Answer✅
D
Succimer (Chemet) is used in the management of lead or other heavy metal poisoning.
Although it has generally well tolerated and has a relatively low toxicity, it may cause
neutropenia. Therapy should be withheld or discontinued if the absolute neutrophil count
(ANC) is below 1200/µ.
3
, Quiz_________________?
A client asks the nurse to call the police and states: "I need to report that I am being abused
by a nurse." The nurse should take which action?
A. Assist with the report of the client's complaint to the police
B. Obtain more details of the client's claim of abuse by a nurse
C. Document the statement on the client's chart with a report to the manager
D. Focus on reality orientation to time, place and person -
Answer✅
B
The advocacy role of the professional nurse, as well as the legal duty of the reasonable
prudent nurse, requires the investigation of claims of abuse or violation of rights. The nurse
is legally accountable for actions delegated to others. The application of the nursing process
requires that the nurse gather more information, assessment before interventions and
before documenting or reporting the complaint.
Quiz_________________?
A client diagnosed with testicular cancer has undergone a unilateral orchiectomy. The client
expresses fears about his prognosis prior to discharge. What information would the nurse
want to include when helping the client better understand this type of cancer?
A. With early intervention, the cure rate for teticular cancer is about 50%
B. This surgery causes impotence and infertility
C. Testicular cancer has a five-year survival rate of 95% with early diagnosis and treatment
D. Intensive chemotherapy is the treatment of choice following surgery -
Answer✅
C
4
Quiz_________________?
A 15 year- old client has been placed in a Milwaukee brace. Which statement made by the
client is incorrect and indicates a need for additional teaching?
"I should inspect my skin under the brace every day"
"The brace has to be worn all day and night."
"I will only have to wear this for six months."
"I can take it off when I shower or take a bath." -
Answer✅
C
The brace must be worn long-term, during periods of growth, usually for one to two years.
It is used to correct scoliosis, the lateral curvature of the spine.
Quiz_________________?
A 3 year-old has just returned from surgery for application of a hip spica cast. What nursing
action will be the priority?
A. Drying the cast using a hair dryer set to "warm"
B. Apply waterproof plastic tape to the cast around the genital area
C. Use the crossbar to help turn the child from side to side
1
, D. Position the child flat in bed, repositioning from back to stomach every two to four
hours -
Answer✅
B
The most important aspects of caring for the cast is to keep it clean and dry. Shortly after
returning from surgery, waterproof plastic tape will be applied around the genital area to
prevent soiling. The child should be turned every two hours to help facilitate drying, from
side to side and front to back, with the head elevated at all times. If a crossbar is used to
stabilize the legs, it should not be used to turn the child (it may break off). After the cast has
completely dried and it becomes damp, it can be either exposed to air or a hair dryer (set
to cool) may be used to help dry the cast.
Quiz_________________?
A 35 year-old female client talks to the nurse in her health care provider's office about her
new diagnosis of uterine fibroids. What statement by the woman is incorrect and indicates
that more teaching is needed?
A. "Uterine fibroids are noncancerous tumors that grow slowly."
B. "Fibroids occur more frequently in women my age but no one knows what causes them."
C. "I sometimes experience pelvic pressure and pain, heavy menstrual bleeding, and I feel
the need to urinate more often."
D. "Even if the fibroids cause no problems, they will still need to be taken out." -
Answer✅
D
Fibroids that cause no findings may require only "watchful waiting." The client may just need
pelvic exams or ultrasounds every once in a while to monitor the fibroid's growth.
Treatment for the symptoms of fibroids (such as painful menses and heavy periods) may
include oral contraceptives, IUDs, iron supplements to prevent or treat anemia (due to
heavy periods), NSAIDs for cramps or pain or even short-term hormonal therapy to help
shrink the fibroids. Surgical removal using myomectomy or hysterectomy is usually reserved
as a final alternative after other treatment options have failed to provide adequate relief. In
addition, concerns about loss of fertility with this diagnosis and its treatment may be
important to this client who is still in her childbearing years.
2
, Quiz_________________?
A 67 year-old client is admitted with substernal chest pressure that radiates to the jaw. The
admitting diagnosis is acute myocardial infarction (MI). What should be the priority nursing
diagnosis for this client during the first 24 hours?
A. Altered tissue perfusion
B. Activity intolerance
C. Anxiety
D. Risk for fluid volume excess -
Answer✅
A
In the immediate post MI period, altered tissue perfusion is priority, as an area of myocardial
tissue has been damaged by a lack of blood flow and oxygenation. Interventions should be
directed toward promoting tissue perfusion and oxygenation. The other problems are also
relevant, but tissue perfusion is the priority.
Quiz_________________?
A child is treated with succimer for lead poisoning. Which of these assessments should the
nurse perform first?
A. Check serum potassium level
B. Check blood calcium level
C. Test deep tendon reflexes
D. Check complete blood count (CBC) with differential -
Answer✅
D
Succimer (Chemet) is used in the management of lead or other heavy metal poisoning.
Although it has generally well tolerated and has a relatively low toxicity, it may cause
neutropenia. Therapy should be withheld or discontinued if the absolute neutrophil count
(ANC) is below 1200/µ.
3
, Quiz_________________?
A client asks the nurse to call the police and states: "I need to report that I am being abused
by a nurse." The nurse should take which action?
A. Assist with the report of the client's complaint to the police
B. Obtain more details of the client's claim of abuse by a nurse
C. Document the statement on the client's chart with a report to the manager
D. Focus on reality orientation to time, place and person -
Answer✅
B
The advocacy role of the professional nurse, as well as the legal duty of the reasonable
prudent nurse, requires the investigation of claims of abuse or violation of rights. The nurse
is legally accountable for actions delegated to others. The application of the nursing process
requires that the nurse gather more information, assessment before interventions and
before documenting or reporting the complaint.
Quiz_________________?
A client diagnosed with testicular cancer has undergone a unilateral orchiectomy. The client
expresses fears about his prognosis prior to discharge. What information would the nurse
want to include when helping the client better understand this type of cancer?
A. With early intervention, the cure rate for teticular cancer is about 50%
B. This surgery causes impotence and infertility
C. Testicular cancer has a five-year survival rate of 95% with early diagnosis and treatment
D. Intensive chemotherapy is the treatment of choice following surgery -
Answer✅
C
4
