Questions with 100%
CORRECT ANSWERS
1. A nurse is reinforcing information with a client who wishes to complete their advance
directives. Which of the following statements should the nurse make?
a) “You must have advance directives in place in order to refuse recommended
treatment.”
b) “An attorney is needed in order for you to name a designee in your health care
proxy.”
c) “You can decline to have certain medical procedures performed in your living will.”
d) “A living will can be an oral statement that you agree upon with your provider.”
2. A nurse is reinforcing teaching with a client who is premenopausal. Which of the
following statements by the client indicates in understanding of the teaching? a) “I
should stop receiving Papanicolaou tests once I reach menopause.”
b) “The best time to perform a breast self-examination is on the first day of my period.”
c) “I can expect to have regular periods until I am in menopause.”
d) “I might have headaches due to a decline in my estrogen levels.”
3. A nurse in a provider’s office is calculating a client’s BMI. Which of the following
pieces of the client data should the nurse use as a part of the calculation? a) Daily calorie
intake
b) Height
c) Abdominal girth
d) Blood pressure
4. A nurse is reinforcing teaching with a client about the use of a peak flow meter. Which
of the following actions should the nurse make first?
a) Determine the client’s knowledge of the use of the peak flow meter.
b) Show the client a video demonstration of peak flow meter use.
c) Observe the client using the peak flow meter.
d) Emphasize the importance of the daily use of the peak flow meter.
5. A nurse is collecting data about a client’s oral care. The client wears dentures and
reports having mouth sores. The nurse should identify which of the following oral care
, practices by the client as a possible cause of the mouth sores? a) Soaks dentures in water
after removal.
b) Applies an adhesive to seal dentures in place.
c) Wears dentures while sleeping at night.
d) Rinses dentures after meals.
6. A nurse is preparing to administer a medication from an ampule. Which of the following
is an appropriate action for the nurse to make?
a) Inject air into the ampule prior to drawing the medication into a syringe.
b) Add 0.5 mL of diluent to the medication.
c) Cleanse the tip of the ampule with an alcohol swab after opening.
d) Use a filter needle to aspirate the medication.
, 7. A nurse on a medical-surgical unit is caring for a group of clients. Which of the
following findings should the nurse identify as a safety hazard?
a) An assistive personnel places a weight-sensitive sensor mat on the mattress beneath
the client’s buttocks.
b) An assistive personnel raises all four side rails of a client’s bed before leaving the
room.
c) A client who has bilateral wrist restraints has a capillary refill less than 2 seconds.
d) A client who has a transcutaneous electrical nerve stimulation unit reports a buzzing
sensation at the application site.
8. A nurse is caring for a client who refuses a prescribed medical procedure. Which of the
following actions should the nurse take to act as the client’s advocate?
a) Evaluate the client’s concerns and communicate them to the provider.
b) Ask the client’s partner to find out why the client has refused the procedure.
c) Explain the necessity of the procedure to the client.
d) Contact the unit’s social worker to report the client’s refusal.
9. A nurse is assisting with scoliosis screenings for students at a public school. Which of
the following findings should the nurse recognize as an indication of scoliosis? a)
Expansion of the upper intercostal spaces.
b) Increased convex curve of the cervical spine.
c) Increased concave curve of the thoracic spine.
d) Unequal height of the shoulders.
10. A nurse is disinfecting the room of a client who has a Clostridium difficile infection.
Which of the following solutions should the nurse use? a)
Isopropyl alcohol.
b) Triclosan.
c) Chlorhexidine.
d) Chlorine bleach.
11. A nurse is preparing to administer sucralfate 80 mg/kg/day to divide into four doses per
day to a child who weighs 35 kg. The amount available is sucralfate oral suspension 1 g/
10 mL. How many mL should the nurse administer per dose? (Round to the nearest
whole number.) mL (80x35÷1*1000 x10) /4 =7 mL