Exam Questions Merged With Correct
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A 20 year old female client calls the nurse to report a lump she found
in her breast. Which response is the best for the nurse to provide? -
ANSWER-Most lumps are benign, but it is always best to come in form
an examination.
A 32 year old female client complains of severe abdominal pain each
month before her menstrual period, painful intercourse, and painful
defecation. Which additional history should the nurse obtain that is
consistent with the client's complaints? - ANSWER-Inability to get
pregnant
A 46 year old female client is admitted for acute renal failure
secondary to diabetes and hypertension. Which test is the best
indicator of adequate glomerular filtration? - ANSWER-Serum
creatinine
A 49 year old female client arrives at the clinic for an annual exam and
asks the nurse why she becomes excessively diaphoretic and feels
,warm during nighttime. What is the nurse's best response? - ANSWER-
Discuss perimenopause and related comfort measures
A 51 year old truck driver who smokes two packs of cigarettes a day
and is 30 pounds overweight is diagnosed with having a gastric ulcer.
Which content is most important for the nurse to include in the
discharge teaching for this client? - ANSWER-Information about
smoking cessation
A 57 year old male client is scheduled to have a stress thallium test
the following morning and is NPO after midnight. At 0130, he is
agitated because he cannot eat and is demanding food. Which
response is best for the nurse to provide to this client? - ANSWER-The
test you are having tomorrow requires that you have nothing by
mouth tonight
A 58 year old client who has been post menopausal for five years is
concerned about the risk of osteoporosis because her mother has the
condition. Which information should the nurse offer? - ANSWER-
Calcium loss from bones can be slowed by increasing calcium intake
and exercise
A 58 year old client, who has no health problems, asks the nurse
about the Pneumovax vaccine. The nurse's response to the client
should be based on which information? - ANSWER-The immunization
is administered once to older adults or persons with a history of
chronic illness
A 67 year old woman who lives alone tripped on a rug in her home
and fractured her hip. Which predisposing factor probably led to the
, fracture in the proximal end of her femur? - ANSWER-Osteoporosis
resulting from hormonal changes
A 77 year old female client is admitted to the hospital. She is
confused, has no appetite, is nauseated and vomiting, and is
complaining of a headache. Her pulse rate is 43 beats per minute. It is
most important for the nurse to assess for which finding? - ANSWER-
Takes digitalis
A client experiencing uncontrolled atrial fibrillation is admitted to the
telemetry unit. What initial medication should the nurse anticipate
administering to the client? - ANSWER-Digoxin
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? - ANSWER-
Inflammatory with peau d'orange
A client has been hospitalized with a femur fracture and is being
treated with traction. which action by the nurse is the priority when
caring for this client? - ANSWER-Assess neurovascular status
A client has been taking oral corticosteroids for the past five days
because of seasonal allergies. Which assessment finding is of most
concern to the nurse? - ANSWER-Purulent sputum
A client has taken steroids for 12 years to help manage chronic
obstructive pulmonary disease (COPD). When making a home visit,
which nursing function is of greatest importance to this client? Assess
the client's - ANSWER-temperature