SCRIPT QUESTIONS ACCURATE
ANSWERS
◉ A client taking furosemide (Lasix), reports difficulty sleeping. What
question is important for the nurse to ask the client?
"What dose of medication are you taking?"
"Are you eating foods rich in potassium?"
"Have you lost weight recently?"
"At what time do you take your medication?" Answer: "At what time do
you take your medication?"
◉ What is the correct procedure for performing an opthalmoscopic
examination on a client's right retina?
Instruct the client to look at examiner's nose and not move his/her eyes
during the exam.
Set ophthalmoscope on the plus 2 to 3 lens and hold it in front of the
examiner's right eye.
From a distance of 12 to 15 inches and slightly to the side, shine the
light into the client's pupil.
For optimum visualization, keep the ophthalmoscope at least 3 inches
from the client's eye. Answer: From a distance of 12 to 15 inches and
slightly to the side, shine the light into the client's pupil.
,◉ Which symptoms should the nurse expect a client to exhibit who is
diagnosed with a pheochromocytoma?
Numbness, tingling, and cramps in the extremities.
Headache, diaphoresis, and palpitations.
Cyanosis, fever, and classic signs of shock.
Nausea, vomiting, and muscular weakness. Answer: Headache,
diaphoresis, and palpitations.
◉ When providing discharge teaching for a client with osteoporosis, the
nurse should reinforce which home care activity?
A diet low in phosphates.
Skin inspection for bruising.
Exercise regimen, including swimming.
Elimination of hazards to home safety. Answer: Elimination of hazards
to home safety.
◉ The nurse is planning to initiate a socialization group for older
residents of a long-term facility. Which information would be most
useful to the nurse when planning activities for the group?
The length of time each group member has resided at the nursing home.
A brief description of each resident's family life.
The age of each group member.
,The usual activity patterns of each member of the group. Answer: The
usual activity patterns of each member of the group.
◉ Which finding should the nurse identify as most significant for a
client diagnosed with polycystic kidney disease (PKD)?
Hematuria.
2 pounds weight gain.
3+ bacteria in urine.
Steady, dull flank pain.
Submit Answer: 3+ bacteria in urine.
◉ During an interview with a client planning elective surgery, the client
asks the nurse, "What is the advantage of having a preferred provider
organization insurance plan?" Which response is best for the nurse to
provide?
Neither plan allows selections of healthcare providers or hospitals.
There are fewer healthcare providers to choose from than in an HMO
plan.
An individual may select healthcare providers from outside of the PPO
network.
An individual can become a member of a PPO without belonging to a
group. Answer: An individual may select healthcare providers from
outside of the PPO network.
, ◉ A client who is HIV positive asks the nurse, "How will I know when I
have AIDS?" Which response is best for the nurse to provide?
"Diagnosis of AIDS is made when you have 2 positive ELISA test
results."
"Diagnosis is made when both the ELISA and the Western Blot tests are
positive."
"I can tell that you are afraid of being diagnosed with AIDS. Would you
like for me to call your minister?"
"AIDS is diagnosed when a specific opportunistic infection is found in
an otherwise healthy individual." Answer: "AIDS is diagnosed when a
specific opportunistic infection is found in an otherwise healthy
individual."
◉ A client has a staging procedure for cancer of the breast and ask the
nurse which type of breast cancer has the poorest prognosis. Which
information should the nurse offer the client?
Stage II.
Invasive infiltrating ductal carcinoma.
T1N0M0.
Inflammatory with peau d'orange. Answer: Inflammatory with peau
d'orange.
◉ The nurse working in a postoperative surgical clinic is assessing a
woman who had a left radical mastectomy for breast cancer. Which
factor puts this client at greatest risk for developing lymphedema?
She sustained an insect bite to her left arm yesterday.
She has lost twenty pounds since the surgery.