A community health nurse is teaching a group of older adult clients about interventions to
prevent pneumonia. Which of the following instructions should the nurse include in the
teaching? - ANSWER wash your hands when you return home from running errands
A nurse is reviewing the medical record of a client who has a family history of gallstones.
Which of the following should the nurse identify as a risk factor or developing cholecystitis? -
ANSWER Client is taking atorvastatin
- cholesterol
A nurse is assessing a client who is receiving morphine via a PCA pump to manage postoper-
ative pain. The client has a heart rate of 66/min and a respiratory rate of 9/min. Which of
the following medications should the nurse anticipate the provider with prescribe for the cli-
ent? - ANSWER naloxone
- flumazenil = benzo
- acetylcysteine = acetaminophen
- glucagon = hypoglycemia
A nurse is teaching a client who has gastroesophageal reflux disease about ways to prevent
reflux. Which of the following information should the nurse include in the teaching? - AN-
SWER plan to finish eating at at least 3 hours before bed
A nurse is assessing a client who has a calcium level of 6.3 mg/dL/ Which of the following
findings should the nurse expect? - ANSWER circumoral tingling
- hypocalcemia
- chvostek's sign
1
,A nurse is leading a small group discussion in an acute care mental health facility when one
client suddenly begins to experience a panic attack. Which of the following actions should
the nurse take? - ANSWER remain with the client until manifestations subside
A nurse in an emergency department is assessing a client who reports serve constipation.
The nurse should identify which of the following findings as an indication that the client
might have a small-bowel obstruction? - ANSWER visible peristaltic waves in the upper
abdomen
A nurse is reviewing the urinarlysis results of a client who has completed a 14-days course of
ciprofloxacin to treat pyelonephritis. Which of the following values should indicate to the
nurse that the client has a continuing infection? - ANSWER positive leukocyte esterase
A nurse is providing discharge teaching for a client who has lithotripsy to break up calculi in
the right kidney. Which of the following findings should the nurse instruct the client to re-
port to the provider? - ANSWER painful urination
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the fol-
lowing findings is a priority to report to the provider? - ANSWER hemoglobin 7.6 mg/dL
A nurse in an emergency department is caring for a client whose ABG results are pH 7.31,
PaCo2 50 mmHg, and HCO3- 25 mEq/:L after experiencing an airway obstruction. Which of
the following interventions is the nurse's priority for this client? - ANSWER apply oxygen
therapy to the client
A nurse is assessing a client who has Grave's disease. Which of the following findings should
the nurse expect? - ANSWER exophthalmos
- protrusion of the eyeballs
A nurse is providing teaching to a client who has a hearing impairment and has a new pre-
scription for a hearing aid. Which of the following client statements indicates an
2
, understanding of the teaching? - ANSWER I will make sure the hearing aid is off before
inserting it in my ear
A nurse is assessing a client who has an ulcer due to peripheral vascular disease. Which of
the following findings should the nurse identify as an indication that the client has a venous
ulcer rather than an arterial ulcer? - ANSWER discoloration and edema of the right ankle
A nurse is providing home care instructions to a client who has a short-arm plaster cast ap-
plies for a wrist fracture. Which of the following instructions should the nurse include? - AN-
SWER elevate the wrist above heart level
A nurse is providing discharge planning for a client who has gestational diabetes. Which of
the following interventions should the nurse identify as the priority? - ANSWER deter-
mine the client's knowledge regarding gestational diabetes
A school nurse is assessing a school-age child who has erythema infectiosum (fifth disease).
Which of the following manifestations should the nurse expect? - ANSWER facial erup-
tion
- slapped face
A nurse is teaching about foot care with a group of older adults who has type 1 DM. Which
of the following information should the nurse include in the teaching? - ANSWER trim
toenails straight across to prevent ingrown toenails
A nurse is teaching a client who has hypertension and a new prescription for atenolol. Which
of the following should the nurse include in the teaching? - ANSWER you should contact
your provider is your pulse rate drops below 60 per minute
A nurse is providing discharge teaching for a client who is postoperative following a tran-
surethral resection of the prostate (TURP) for treatment of BPH. Which of the following in-
struction should the nurse include in the teaching? - ANSWER perform kegel exercises
several times throughout the day
3
prevent pneumonia. Which of the following instructions should the nurse include in the
teaching? - ANSWER wash your hands when you return home from running errands
A nurse is reviewing the medical record of a client who has a family history of gallstones.
Which of the following should the nurse identify as a risk factor or developing cholecystitis? -
ANSWER Client is taking atorvastatin
- cholesterol
A nurse is assessing a client who is receiving morphine via a PCA pump to manage postoper-
ative pain. The client has a heart rate of 66/min and a respiratory rate of 9/min. Which of
the following medications should the nurse anticipate the provider with prescribe for the cli-
ent? - ANSWER naloxone
- flumazenil = benzo
- acetylcysteine = acetaminophen
- glucagon = hypoglycemia
A nurse is teaching a client who has gastroesophageal reflux disease about ways to prevent
reflux. Which of the following information should the nurse include in the teaching? - AN-
SWER plan to finish eating at at least 3 hours before bed
A nurse is assessing a client who has a calcium level of 6.3 mg/dL/ Which of the following
findings should the nurse expect? - ANSWER circumoral tingling
- hypocalcemia
- chvostek's sign
1
,A nurse is leading a small group discussion in an acute care mental health facility when one
client suddenly begins to experience a panic attack. Which of the following actions should
the nurse take? - ANSWER remain with the client until manifestations subside
A nurse in an emergency department is assessing a client who reports serve constipation.
The nurse should identify which of the following findings as an indication that the client
might have a small-bowel obstruction? - ANSWER visible peristaltic waves in the upper
abdomen
A nurse is reviewing the urinarlysis results of a client who has completed a 14-days course of
ciprofloxacin to treat pyelonephritis. Which of the following values should indicate to the
nurse that the client has a continuing infection? - ANSWER positive leukocyte esterase
A nurse is providing discharge teaching for a client who has lithotripsy to break up calculi in
the right kidney. Which of the following findings should the nurse instruct the client to re-
port to the provider? - ANSWER painful urination
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the fol-
lowing findings is a priority to report to the provider? - ANSWER hemoglobin 7.6 mg/dL
A nurse in an emergency department is caring for a client whose ABG results are pH 7.31,
PaCo2 50 mmHg, and HCO3- 25 mEq/:L after experiencing an airway obstruction. Which of
the following interventions is the nurse's priority for this client? - ANSWER apply oxygen
therapy to the client
A nurse is assessing a client who has Grave's disease. Which of the following findings should
the nurse expect? - ANSWER exophthalmos
- protrusion of the eyeballs
A nurse is providing teaching to a client who has a hearing impairment and has a new pre-
scription for a hearing aid. Which of the following client statements indicates an
2
, understanding of the teaching? - ANSWER I will make sure the hearing aid is off before
inserting it in my ear
A nurse is assessing a client who has an ulcer due to peripheral vascular disease. Which of
the following findings should the nurse identify as an indication that the client has a venous
ulcer rather than an arterial ulcer? - ANSWER discoloration and edema of the right ankle
A nurse is providing home care instructions to a client who has a short-arm plaster cast ap-
plies for a wrist fracture. Which of the following instructions should the nurse include? - AN-
SWER elevate the wrist above heart level
A nurse is providing discharge planning for a client who has gestational diabetes. Which of
the following interventions should the nurse identify as the priority? - ANSWER deter-
mine the client's knowledge regarding gestational diabetes
A school nurse is assessing a school-age child who has erythema infectiosum (fifth disease).
Which of the following manifestations should the nurse expect? - ANSWER facial erup-
tion
- slapped face
A nurse is teaching about foot care with a group of older adults who has type 1 DM. Which
of the following information should the nurse include in the teaching? - ANSWER trim
toenails straight across to prevent ingrown toenails
A nurse is teaching a client who has hypertension and a new prescription for atenolol. Which
of the following should the nurse include in the teaching? - ANSWER you should contact
your provider is your pulse rate drops below 60 per minute
A nurse is providing discharge teaching for a client who is postoperative following a tran-
surethral resection of the prostate (TURP) for treatment of BPH. Which of the following in-
struction should the nurse include in the teaching? - ANSWER perform kegel exercises
several times throughout the day
3
