COMPLETE EXAM QUESTIONS AND ANSWERS
1.The registered nurse (RN) recognizes which client group is at
the greatest risk for developing a urinary tract infection (UTI)?
(Rank from highest risk to lowest risk.)
- School-aged females
- Older males
- Older females
- Adolescent males
ANS 1. older females
2. school-aged females
3. older males
4. adolescent males
2.The registered nurse (RN) is interviewing a female client who
states she has a persistent productive cough during the winter
caused by bronchitis. Which additional finding should the RN
assess for bronchitis?
A.) Phlegm production & wheezing
B.) Smoking history
C.) Hemoptysis
,D.) Night sweats
ANS A.) phlegm production & wheezing
3.The registered nurse (RN) is caring for a client with
tuberculosis (TB) who is taking a combination drug regimen.
The client complains about taking "so many pills." What
information should the RN provide to the client about the
prescribed treatment?
A.) The development of resistant strains of TB are decreased
with a combina- tion of drugs.
B.) Compliance to the medication regimen is challenging but
should be main- tained.
C.) Side effects are minimized with the use of a single
medication but is less effective.
D.) The treatment time is decreased from 6 months to 3 months
with this standard regimen.
ANS A.) The development of resistant strains of TB are decreased with
a combination of drugs.
4.A client with progressive hearing loss appears distressed
when the regis- tered nurse (RN) asks open-ended questions
about the client's health history. Which forms of communication
should the RN use? (SATA)
,A.) Face the client so the client can see the RN's mouth.
B.) Increase one's speech volume when interacting with the client.
C.) Repeat information to the client if misunderstood.
D.) Check if the client's hearing aides are working properly.
E.) Reduce environmental noise surrounding the client.
ANS A.) Face the client so the client can see the RN's mouth.
D.) Check if the client's hearing aides are working properly.
E.) Reduce environmental noise surrounding the client.
Speaking clearly with enunciation and in a regular tone is easier for a
client to un- derstand than increasing the volume of speech. If a client
shows signs of confusion, rephrasing the question, instead of repeating,
should be done to decrease client anxiety and facilitate understanding.
5.The registered nurse (RN) is administering haloperidol 0.5 mg
IM PRN to a client for the first time. What side effects should
the RN assess the client for during the initial dose?
A.) Bradykinesia.
B.) Dystonia.
C.) Somatization.
D.) Akathisia.
ANS B.) Dystonia
, 6.An older client is admitted to the hospital with severe
diarrhea. The regis- tered nurse (RN) is completing an
assessment and notes the client has dry mucous membranes
and poor skin turgor. Which assessment data should the RN
gather to determine if the client has a fluid volume deficit?
A.) Lower extremity edema.
B.) Orthostatic hypotension.
C.) Elevated blood pressure.
D.) Cheyne-Stokes respirations
ANS B.) Orthostatic hypotension.
Orthostatic hypotension can be a sign of fluid volume deficit in an older
client who has experienced severe diarrhea.
7.The registered nurse (RN) notifies the spouse of a client who
was admitted to hospice with shallow respirations, of a change
in the client's condition. Over the past hour, the client's
respiratory pattern has changed to a Cheyne Stokes pattern.
After receiving this information, the client's spouse begins
vacuuming around the bed. Which stage of grief is the spouse
displaying during the visit?
A.) Acceptance.
B.) Denial.