Exam Questions And Answers
What action should a nurse take first for a toddler with poor dietary intake? - correct answer
<<<<<100%answer✔✔Obtain the child's dietary history.
What instruction should a nurse include about the MMR vaccine for a postpartum client? - correct
answer <<<<<100%answer✔✔Avoid pregnancy for at least 28 days after receiving the vaccine.
What technique should a nurse use when performing a wet-to-dry dressing change? - correct answer
<<<<<100%answer✔✔Clean the wound from the center to the outer edges.
Which statement indicates understanding of contraception teaching by a female client? - correct
answer <<<<<100%answer✔✔My partner will use condoms with spermicides.
What defense mechanism is a client with bipolar disorder using when yelling at the nurse during
medication changes? - correct answer <<<<<100%answer✔✔Displacement.
What should a nurse identify as a possible source of infection for an immunocompromised client? -
correct answer <<<<<100%answer✔✔Soiled linens are placed on the floor.
What action should a nurse take prior to an esophagogastroduodenoscopy for a client with peptic ulcer
disease? - correct answer <<<<<100%answer✔✔Ensure that the client gave informed consent.
What intervention should a nurse implement for a client who has been assaulted? (Select all that apply)
- correct answer <<<<<100%answer✔✔Maintain a safe and private environment for the client;
Provide resources for local support services; Request a consult for case management.
,What is a key consideration for a nurse caring for a client with leukemia experiencing chronic fatigue? -
correct answer <<<<<100%answer✔✔Assess the client's energy levels and provide appropriate rest
periods.
What intervention should a nurse include in the care plan for a client with leukemia experiencing
chronic fatigue? - correct answer <<<<<100%answer✔✔Increase protein in the diet.
What is a common finding in a client with placenta previa? - correct answer
<<<<<100%answer✔✔Bright red vaginal bleeding.
What are the responsibilities of a nurse regarding a client's advance directives? - correct answer
<<<<<100%answer✔✔1. Provide written information about advance directives. 2. Instruct the client
that an advance directive is a legal document that must be honored. 3. Communicate advance directives
status via the medical record and shift report. 4. Document discussions about do-not-resuscitate status.
Which action is an example of protecting client confidentiality? - correct answer
<<<<<100%answer✔✔Giving change-of-shift report to a nurse outside the client's room.
What should a nurse do when assisting with postmortem care for a Muslim client? - correct answer
<<<<<100%answer✔✔Allow a family member to stay with the client's body until burial.
What indicates understanding of breastfeeding teaching in a mother of a 5-day-old newborn? - correct
answer <<<<<100%answer✔✔I should have my baby latch on to my nipple and areola during
feeding.
What intervention should a nurse implement for a client with varicella zoster? - correct answer
<<<<<100%answer✔✔Assign the client to a negative pressure airflow room.
How should a nurse prepare a client for testing the plantar Babinski reflex? - correct answer
<<<<<100%answer✔✔Lie down and I will stroke the bottom of your foot.
What resource should a nurse recommend for a family caring for an older adult client with early onset
dementia? - correct answer <<<<<100%answer✔✔Adult day care facility.
,What is the expected intervention for a client experiencing chronic fatigue due to leukemia? - correct
answer <<<<<100%answer✔✔Encourage strength-training exercise.
What should a nurse expect to find in a client with placenta previa? - correct answer
<<<<<100%answer✔✔Bright red vaginal bleeding.
What is the nurse's role regarding advance directives? - correct answer
<<<<<100%answer✔✔Communicate advance directives status via the medical record.
What is an appropriate action to maintain client confidentiality? - correct answer
<<<<<100%answer✔✔Discarding worksheets containing client information in a secure manner.
What should a nurse do to respect the beliefs of a devout Muslim client after death? - correct answer
<<<<<100%answer✔✔Position the client's head toward Mecca.
What breastfeeding practice should a mother follow for her newborn? - correct answer
<<<<<100%answer✔✔My baby should breastfeed 5 to 10 minutes on each breast.
What is the correct nursing intervention for a client with varicella zoster? - correct answer
<<<<<100%answer✔✔Initiate contact precautions for the client.
What is the correct instruction for testing the plantar Babinski reflex? - correct answer
<<<<<100%answer✔✔Place your foot in my hand and I will tap the back of your heel.
What is a key responsibility of a nurse regarding advance directives? - correct answer
<<<<<100%answer✔✔Instruct the client that an advance directive is a legal document.
What should a nurse document regarding do-not-resuscitate status? - correct answer
<<<<<100%answer✔✔Document that the provider discussed do-not-resuscitate status with the
client.
, What is an appropriate recommendation for a family caring for an older adult with dementia? - correct
answer <<<<<100%answer✔✔Suggest adult day care facility for support.
What should a nurse avoid when discussing client information? - correct answer
<<<<<100%answer✔✔Discussing a client's prognosis with assistive personnel who is not involved in
their care.
What is the appropriate action for a nurse regarding a client's advance directives? - correct answer
<<<<<100%answer✔✔Provide the client with written information about advance directives.
What should a nurse instruct a client to do if they experience syncope after starting enalapril? - correct
answer <<<<<100%answer✔✔Rise slowly from a sitting position to a standing position.
Which food should a nurse recommend to a client with irritable bowel syndrome? - correct answer
<<<<<100%answer✔✔Yogurt.
What important information should a nurse include when teaching guardians of a child with cystic
fibrosis? - correct answer <<<<<100%answer✔✔Have your child wear a medical identification
wristband.
What action should a nurse take when a client requests to take a tub bath? - correct answer
<<<<<100%answer✔✔Check on the client every 10 min during the bath.
What indicates a client's understanding of what to do when experiencing chest pain with stable angina
pectoris? - correct answer <<<<<100%answer✔✔I will stop what I am doing and lie down.
What supplies should a nurse ensure a client has upon discharge when prescribed oxygen at 1 to 2
L/min? - correct answer <<<<<100%answer✔✔Nasal cannula.
What is the first action a charge nurse should take upon noticing the smell of alcohol on a nurse's
breath? - correct answer <<<<<100%answer✔✔Remove the nurse from the client care area.