Exam, Nursing Program, Comprehensive
Practice Questions with Verified Answers
Study Guide
A nurse is planning care for a client who has renal calculi.
Which of the following interventions should the nurse include to
promote elimination of the calculi?
Maintain bedrest until calculi are expelled.
Withhold thiazide diuretics.
Encourage intake of at least 3 L of fluid each day.
Collect all urine for 24 hr in a collection container.
- correct answer-Encourage intake of at least 3 L of fluid each
day.
The nurse should encourage the client to consume at least 3 L
of fluid each day. Increased fluid intake increases urine
production, promotes eliminiation of calculi, and helps prevent
recurrence.
A nurse is providing postoperative education for a client
following a laparoscopic cholecystectomy for cholelithiasis.
Which of the following client statements indicates an
understanding of the teaching?
"The adhesive bandages on my incision will fall off as the
incision heals."
"I will be able to take a shower in 1 week."
"I will need to follow a liquid diet for the first 3 days after
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surgery."
"I can begin to resume my normal activity level in 2 weeks." -
correct answer-"The adhesive bandages on my incision will
fall off as the incision heals."
The nurse should instruct the client that the small adhesive
bandages will lose their adhesiveness in 7 to 10 days. The
client can then remove the bandages or allow the bandages to
fall off over time as the incision heals.
A nurse is planning care to prevent hospital-acquired
methicillin-resistant Staphylococcus aureus (MRSA) infection
for a client who is immunocompromised. Which of the following
interventions should the nurse include to prevent this
antibioticresistant infection?
Initiate contact precautions for this client.
Bathe the client with chlorhexidine wipes.
Administer ceftaroline to the client as a prophylactic measure.
Avoid using alcohol-based hand sanitizers after caring for the
clien
t
- correct answer-Bathe the client with chlorhexidine wipes.
The nurse should bathe a client who is immunocompromised
with chlorhexidine wipes to decrease the risk of contracting
hospital-acquired MRSA.
A nurse is assessing a client who has developed type 1 herpes
simplex virus. Which of the following images should the nurse
identify as this type of viral infection?
1
, 2
- correct answer-Picture of lips.
Herpes simplex virus infection is a common viral infection in
adults. The nurse should identify that this image indicates the
type 1 herpes simplex viral infection because the infection
causes a recurring cold sore.
A nurse is assessing a client who has Graves' disease. Which
of the following findings should the nurse expect?
Somnolence
Cold intolerance
Exophthalmos
Dry, scaly skin
- correct answer-Exophthalmos
The nurse should expect a client who has Graves' disease, an
autoimmune form of hyperthyroidism, to experience
exophthalmos, which is protrusion of the eyeballs.
A nurse is teaching an older adult client who has peripheral
neuropathy about a new prescription for duloxetine. Which of
the following client statements indicates an understanding of
the teaching?
"It might take several weeks to notice an improvement in my
symptoms."
"I will need to take this medication on an empty stomach."
"I should take a daily ibuprofen for generalized aches."
"I will need to decrease my dietary sodium intake while taking
this medication." - correct answer-It might take several weeks
2
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to notice an improvement in my symptoms."
The nurse should instruct the client that duloxetine can take
several weeks to be effective. This medication is an
antidepressant that reduces the discomfort of peripheral
neuropathy.
A nurse is teaching a client who has scabies about a new
prescription for lindane lotion. Which of the following client
statements indicates an understanding of the treatment for this
parasitic infection?
"I will apply the lotion once a day for 1 week."
"I will rub in the lotion thoroughly from my face to my toes."
"I will wash the lotion off 12 hours after I apply it."
"I should avoid bathing for 6 hours prior to applying the lotion." -
correct answer-"I will wash the lotion off 12 hours after I apply
it."
The nurse should instruct the client to apply the lotion and leave
it in place for 8 to 12 hr and then remove it by washing it off.
A nurse is assessing a client who has appendicitis. Which of
the following findings should the nurse report to the provider
immediately?
WBC 16,000/mm³
Board-like abdomen
Nausea and vomiting
Temperature of 38° C (100.4° F) - correct answer-Board-like
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