Test
1. Why is it important to insert the catheter an additional inch after observing
urine flow during the insertion process?
It helps the client relax during the procedure.
It prevents the catheter from becoming dislodged.
Inserting the catheter an additional inch ensures proper placement
in the bladder.
It allows for better visualization of the urine color.
2. What is the appropriate nursing intervention for a client experiencing grief
after a spontaneous abortion?
Chart the vital signs and amount of vaginal bleeding
Offer to call the social worker to discuss the possibility of abortion
Express sorrow for the client's grief and offer to sit with her
Reassure the client that the infertility specialist can help
3. What dietary recommendation is most beneficial for preventing the
development of decubitus ulcers in patients?
Provide the client with vitamin supplements
Encourage the client to eat foods high in protein
Limit the client's carbohydrate consumption
Increase the client's fluid intake
4. A client who does not appear to be pregnant comes to the antepartal clinic
and tells the nurse that she thinks she may be "about two months pregnant". If
, the client is pregnant, which sign may the nurse expect her to exhibit?
Quickening
Lightening
Edema of the feet
Amenorrhea
5. Which of the following activities can a practical nurse perform
independently?
Complete an admission assessment in the normal newborn nursery
Discontinue a central venous catheter that has become dislodged
Monitor a continuous narcotic epidural for a postoperative client
Observe a client rotate the subcutaneous site for an insulin pump
6. A new mother is at the clinic with her 4-week old for a well baby check up.
The nurse should tell the mother to anticipate that the infant will demonstrate
which millstone by 2-months of age.
Turns from side to back and returns
Consistently returns smiles to mother
Holds head up and supports weight with arms
Finds hands and plays with fingers
7. A patient presents with cold feet and diminished pedal pulses. Which arterial
sites should the nurse prioritize for assessment?
D. Popliteal artery, E. Radial artery
C. External femoral artery, E. Radial artery
, A. Posterior tibialis artery, D. Dorsalis pedis artery
B. Popliteal artery, C. External femoral artery
8. The factors directly responsible for high blood pressure are:
cardiac output, peripheral resistance, heart rate
cardiac output, stroke volume, heart rate
preload and afterload.
cardiac output, peripheral resistance, blood volume
9. If a nurse observes that a child has multiple unexplained injuries and the
caregiver is evasive about their cause, what should be the nurse's priority
action?
Document the injuries and wait for further evidence.
Confront the caregiver about the injuries.
Report the findings to the appropriate authorities for suspected
child abuse.
Provide immediate treatment for the child's injuries.
10. What is the primary nursing intervention to prevent infection in a patient with
burns?
Application of topical antibacterial cream
Use of careful hand washing technique
Administration of plasma expanders
Limiting visitors to the burned client
, 11. Discuss why smoking is considered a significant risk factor for Angina
Pectoris.
Smoking has no effect on heart health.
Smoking is beneficial for circulation.
Smoking contributes to the development of coronary artery
disease, which can lead to Angina Pectoris.
Smoking only affects lung function, not cardiovascular health.
12. Which organ is located in the right upper hypochondriac region of the
abdomen?
Liver
Spleen
Duodenum
Gastric Pylorus
13. In a clinical scenario, if a patient is given a hypertonic saline solution, what
effect would you expect on the patient's cells?
The cells will swell and possibly burst.
The cells will lose water and shrink.
The cells will remain unchanged in size.
The cells will absorb more nutrients.
14. Susan has been admitted for severe bleeding following a therapeutic
abortion. She is crying when the practical nurse comes in to assess her. What
should the practical nurse do?
Ask Susan if she would like to talk about why she is crying