College) | Most Tested Questions & 100% Correct
Answers
1. What is the next nursing action after determining that a client's pulse is
present, regular, and full during a neurovascular assessment?
Assess for color, feeling, discomfort, and movement
Notify the healthcare provider of assessment finding
Discontinue elevating the client's affected extremity
Document the neurovascular assessment as normal
2. Why is it important for a nurse to assess drooling in a patient with Parkinson's
disease?
Drooling is a sign of dehydration in all patients.
Drooling indicates the need for more medication.
Drooling is unrelated to Parkinson's disease symptoms.
Drooling can indicate difficulties with swallowing and oral motor
control in Parkinson's disease.
3. Which intervention should the practical nurse (PN) reinforce for a client with
pruritus?
do not take any type of tub bath
keep fingernails trimmed short
discourage use of scan lubricants
Encourage a warm sleeping environment
,4. What is the concentration of the progesterone solution provided to the
nurse?
100 mg/mL
50 mg/mL
25 mg/mL
10 mg/mL
5. What position is typically used for a client undergoing a thoracentesis?
Prone position
Lateral position
Upright position
Supine position
6. A nurse is instructing a client who is scheduled for a transurethral resection of
the prostate (TURP) about his postoperative care. Which of the following
information should the nurse include in the teaching?
You will be on bed rest for the first 2 days after the procedure
You may have a continuous sensation of needing to void even
though you have a catheter
Your urine should be clear yellow the evening after the surgery
You will be instructed to limit your fluid intake after the procedure
7. The nursing care plan for a client in the diuresis stage of acute kidney injury
(AKI) should include monitoring for which complication?
Urinary retention
Excess fluid volume
, Electrolyte imbalance
Acute pain
8. Why is it important for a client with pruritis to keep their fingernails trimmed
short?
Trimmed nails reduce the risk of infection from skin conditions.
Short nails allow for better application of topical treatments.
Keeping fingernails trimmed short helps prevent skin damage from
scratching.
Short nails are more aesthetically pleasing for the client.
9. A client with newly diagnosed Crohn's disease asks the nurse about dietary
restrictions. How should the nurse respond?
Advise the client to limit foods that are high in calcium and iron.
Explain that the need to restrict fluids is the primary limitation.
Instruct the client to avoid foods with gluten, such as wheat bread.
Describe the use of an elimination diet to find trigger foods.
10. The nurse is caring for a patient who reports headache, fever, and neck
stiffness. Which diagnostic test should the nurse prepare the patient for?
Magnetic resonance imaging (MRI)
Computerized tomography (CT) Scan
Blood culture
Lumbar Puncture
, 11. A patient presents with a serum potassium level of 2.8 mEq/L before surgery.
What should the nurse's immediate action be?
Document the level and monitor the patient.
Proceed with the surgery as scheduled.
Notify the physician and prepare to administer potassium
supplements.
Increase the patient's fluid intake.
12. Why is it important for the nurse to visualize the abdominal incision when a
client expresses concern about their surgical site?
To document the client's feelings in the medical record.
To provide emotional support to the client.
To assess for any signs of dehiscence or complications at the
incision site.
To prepare for potential surgery.
13. Why is it important for the nurse to assess the client's pain in this scenario?
Assessing the client's pain helps to identify the severity and nature
of the pain, guiding further interventions.
The assessment is only needed if the client requests it.
It is not necessary to assess pain after five months of treatment.
The nurse should focus on teaching the client about pain
management techniques instead.
14. What is one recommended intervention for a client experiencing pruritis?
Instruct the client to keep fingernails trimmed short