EXAM QUESTIONS AND ANSWERS
A3nurse3is3assisting3with3the3plan3of3care3for3a3client3following3a
transurethral3resection3of3the3prostate.3Which3of3the3following3interventions3should3th
e3nurse3include3in3the3plan3of3care?3-3ANSWERS--
The3nurse3should3irrigate3the3bladder3using3strict3sterile3technique3and3maintain3close
d3catheter3drainage3system3to3minimize3the3rick3of3infection.
A3nurse3is3reviewing3a3client's3electronic3medical3record3and3finds3that3an3assistive3p
er3sonnel3recorder3the3client's3temperature3as335.33degrees3Celsius3(95.53degrees3F)
323hrs3earlier.3Which3of3the3following3actions3should3the3nurse3take3firsT?3-
3ANSWERS--check3the3clients3temp
A3nurse3is3receiving3change-of-
shift3report3for3four3clients.3Which3of3the3following3clients3should3the3nurse3see3first?3-
3ANSWERS--A3client3whose3urinary3output3was3100mL3for3the3past3123hrs
A3nurse3in3reinforcing3teaching3about3weight3loss3with3a3female3older3adult3client3who
3is3overweight.3Which3of3the3following3statements3should3the3nurse3include3in3teachin
g?3-3ANSWERS--keep3fat3intake3to3no3more3that330%3of3daily3caloric3intake.
A3nurse3is3collecting3data3from3a3client3who3has3iron3deficiency3anemia.3Which3of3the3
following3findings3should3the3nurse3expect?3-3ANSWERS--difficulty3concentrating
A3Nurse3is3collecting3data3from3an3older3adult3client3who3is3483hr3postoperative3followi
ng3abdominal3surgery.3The3provider3writes3a3prescription3to3advance3the3client3to3a3re
3gular3Diet.3For3which3of3the3following3findings3should3the3nurse3notify3the3provider?3-
3ANSWERS--The3client3has3absent3bowel3sounds
A3parent3brings3her3adolescent3son3to3an3urgent3care3center3and3states.3"He3is3high3o
n3something3and3needs3help"3The3client3is
exhibiting3agitation3and3paranoia3and3reports3visual3hallucinations.3The3nurse3should3
suspect3intoxication3with3which3of3the3following3substances?3-3ANSWERS--
Methamphetamines
A3nurse3notices3an3assistive3personnel3taking3a3nap3in3the3break3room3during3he3mea
l3t3ime.3The3AP3appears3drowsy3while3performing3routine3tasks.3Which3of3the3followin
g3a3ctions3should3the3nurse3take?3-3ANSWERS--
Report3the3observations3about3the3ap3to3the3unit's3nurse3manager.
A3nurse3is3reinforcing3teaching3with3a3client3who3has3a3fluid3volume3deficit3about3sele
c3ting3foods3that3have3a3high3water3content.3The3nurse3should3include3that3which3of3th
e3following3raw3foods3contains3the3highest3amount3of3water3per313cup3serving?3-
3ANSWERS--cherry3tomatoes
, The3nurse3is3position3a3client3who3is3scheduled3for3a3lumbar3puncture.3The3nurse3sho
uld3assist3the3client3into3which3of3the3following3positions?3-3ANSWERS--
lateral3recumbent
A3nurse3is3talking3with3a3client3whose3son3died3in3a3motor-
3vehicle3crash323weeks3ago.3The3client3states3"I3really3thought3I'd3be3back3to3my3usual
3routines3by3now,3but3I3can't3think3of3anythingelse3except3my3son3is3gone"3Which3of3th
e3following3responses3should3the3nurse3make?3-3ANSWERS--
Grieving3for3your3son3is3hard3work.3It3will3take3as3much3time3as3you3need3to3come3to3t
erms3with3your3loss.
A3nurse3is3assisting3with3monitoring3a3client3who3is3at3403weeks3of3gestation3and3is3in3
active3labor.3The3nurse3recognizes3late3deceleration3on3the3fetal3monitor3tracing.3Whi
chof3the3following3actions3should3the3nurse3take?3-3ANSWERS--
Place3the3client3in3the3lateral3position.
A3nurse3manager3is3providing3an3in-
service3on3hand3hygiene3to3assistive3personnel.3which3of3the3following3information3sh
ould3the3nurse3manager3include3in3the3in-service?3-3ANSWERS--
Remove3rings3when3washing3hands3with3soap3and3water
A3nurse3is3reinforcing3home3safety3instructions3with3the3parent3of3a3newborn.3Which3o
f3the3following3statements3should3the3nurse3include3in3the3instructions?3-
3ANSWERS--Place3your3baby's3crib3away3from3heat3vents.
A3nurse3is3preparing3to3administer3a3client's3morning3medications.
Which3of3the3follow3ing3actions3should3the3nurse3take3to3verify3the3client's3identity?3-
3ANSWERS--Scan3the3facility3identification3board.
A3nurse3is3caring3for3a3client3following3a3bronchoscopy3procedure.3Which3of3the3follow
ing3actions3should3the3nurse3perform3first?3-3ANSWERS--check3for3a3gag3reflex
While3administering3a3medication3to3a3client,3a3nurse3notices3a3trayed3electrical3cord3
connecting3the3client's3continuous3passive3motion3machine3to3the3electrical3outlet.3W
hich3of3the3following3actions3should3the3nurse3take?3-3ANSWERS--
Remove3the3device3from3the3client's3room.
A3nurse3is3caring3for3a3client3who3is343hr3postoperative3following3a3total3thyroidectomy
.3Which3of3the3following3manifestations3should3the3nurse3report3to3the3provider3as3indi
cating3possible3hypocalcemia?3-3ANSWERS--Tingling3of3fingers
A3nurse3is3caring3for3a3client3who3has3a3Penrose3drain.3To3ensure3proper3placement3
an3d3functioning3of3the3drain,3which3of3the3following3should3the3nurse3expect3to3obser
ve?3-3ANSWERS--The3safety3pin3is3present3at3the3distal3end3of3the3drain.
A3community3health3nurse3is3helping3to3reinforce3teaching3about3hepatitis3A3with3a3gr
oup3of3employees3at3a3childcare3facility.
Which3of3the3following3characteristics3should3t3he3nurse3identify3as3an3external3factor3
that3can3impede3learning3for3the3participants?3-3ANSWERS--
Poor3lighting3in3the3learning3setting