BSN 366 COMPREHENSIVE EXAMINATION
TEST WITH COMPLETE QUESTIONS AND
SOLUTIONS
◉ The nurse is monitoring neurological vital signs for a male client
who lost consciousness after falling and hitting his head. Which
assessment finding is the earliest and most sensitive indication of
altered cerebral function?
a. Unequal pupils.
b. Loss of central reflexes.
c. Inability to open the eyes.
d. Change in level of consciousness. Answer: D
◉ A nurse is planning to teach self-care measures to a female client
about prevention of yeast infections. Which instructions should the
nurse provide?
a. Use a douche preparation no more than once a month.
b. Increase daily intake of fiber and leafy green vegetables.
c. Select nylon underwear that is loose-fitting, white, and comfortable.
d. Avoid tight-fitting clothing and do not use bubble-bath or bath salts.
Answer: D
,◉ A client who has active tuberculosis (TB) is admitted to the
medical unit. What action is most important for the nurse to
implement?
a. Place an isolation cart in the hallway.
b. Fit the client with a respirator mask.
c. Don a clean gown for client care.
d. Assign the client to a negative air-flow room. Answer: D
◉ The nurse is planning to conduct nutritional assessments and diet
teaching to clients at a family health clinic. Which individual has the
greatest nutritional and energy demands?
a. A pregnant woman.
b. A teenager beginning puberty.
c. A 3-month-old infant.
d. A school-aged child. Answer: A
◉ What nursing delivery of care provides the nurse to plan and direct
care of a group of clients over a 24-hour period?
a. Team nursing.
b. Primary nursing.
c. Case management.
d. Functional nursing. Answer: B
,◉ Which approach should the nurse use when preparing a toddler for
a procedure?
a. Demonstrate the procedure using a doll.
b. Avoid asking the child to make choices.
c. Plan a teaching session to last about 20 minutes.
d. Show equipment but prevent child from handling it. Answer: A
◉ The nurse is caring for a client who is the daughter of a local
politician. When the nurse approaches a man who is reading the
names on the hall doors, he identifies himself as a reporter for the
local newspaper and requests information about the client's status.
Which standard of nursing practice should the nurse use to respond?
a. Caring.
b. Veracity.
c. Advocacy.
d. Confidentiality. Answer: D
◉ A male client diagnosed with antisocial personality disorder is
morbidly obese and is placed on a low fat, low calorie diet. At dinner
the nurse notes that he is trying to get other clients on the unit to give
him part of their meals. What intervention should the nurse
implement?
a. Remove the client from the table and have him sit alone.
b. Send the client back to his room and do not allow him to eat.
, c. Report the behavior to the on-call psychologist immediately.
d. Confront the client about the consequences of the behavior.
Answer: D
◉ Which information should the nurse give a client with chronic
kidney disease (CKD)?
a. Restrict calcium-rich foods.
b. Obtain monthly B12 injections.
c. Avoid salt substitutes.
d. Increase daily intake of fiber. Answer: C
◉ The nurse is assessing a client who complains of weight loss,
racing heart rate, and difficulty sleeping. The nurse determines the
client has moist skin with fine hair, prominent eyes, lid retraction, and
a staring expression. These findings are consistent with which
disorder?
a. Grave's disease.
b. Cushing syndrome.
c. Multiple sclerosis.
d. Addison's disease. Answer: A
◉ A young adult female arrives at the emergency department with a
black right eye and is bleeding from the left side of her head. She
reports that her boyfriend has been abusing her physically. The nurse
performs a history and physical examination. How should the nurse
document these findings?
TEST WITH COMPLETE QUESTIONS AND
SOLUTIONS
◉ The nurse is monitoring neurological vital signs for a male client
who lost consciousness after falling and hitting his head. Which
assessment finding is the earliest and most sensitive indication of
altered cerebral function?
a. Unequal pupils.
b. Loss of central reflexes.
c. Inability to open the eyes.
d. Change in level of consciousness. Answer: D
◉ A nurse is planning to teach self-care measures to a female client
about prevention of yeast infections. Which instructions should the
nurse provide?
a. Use a douche preparation no more than once a month.
b. Increase daily intake of fiber and leafy green vegetables.
c. Select nylon underwear that is loose-fitting, white, and comfortable.
d. Avoid tight-fitting clothing and do not use bubble-bath or bath salts.
Answer: D
,◉ A client who has active tuberculosis (TB) is admitted to the
medical unit. What action is most important for the nurse to
implement?
a. Place an isolation cart in the hallway.
b. Fit the client with a respirator mask.
c. Don a clean gown for client care.
d. Assign the client to a negative air-flow room. Answer: D
◉ The nurse is planning to conduct nutritional assessments and diet
teaching to clients at a family health clinic. Which individual has the
greatest nutritional and energy demands?
a. A pregnant woman.
b. A teenager beginning puberty.
c. A 3-month-old infant.
d. A school-aged child. Answer: A
◉ What nursing delivery of care provides the nurse to plan and direct
care of a group of clients over a 24-hour period?
a. Team nursing.
b. Primary nursing.
c. Case management.
d. Functional nursing. Answer: B
,◉ Which approach should the nurse use when preparing a toddler for
a procedure?
a. Demonstrate the procedure using a doll.
b. Avoid asking the child to make choices.
c. Plan a teaching session to last about 20 minutes.
d. Show equipment but prevent child from handling it. Answer: A
◉ The nurse is caring for a client who is the daughter of a local
politician. When the nurse approaches a man who is reading the
names on the hall doors, he identifies himself as a reporter for the
local newspaper and requests information about the client's status.
Which standard of nursing practice should the nurse use to respond?
a. Caring.
b. Veracity.
c. Advocacy.
d. Confidentiality. Answer: D
◉ A male client diagnosed with antisocial personality disorder is
morbidly obese and is placed on a low fat, low calorie diet. At dinner
the nurse notes that he is trying to get other clients on the unit to give
him part of their meals. What intervention should the nurse
implement?
a. Remove the client from the table and have him sit alone.
b. Send the client back to his room and do not allow him to eat.
, c. Report the behavior to the on-call psychologist immediately.
d. Confront the client about the consequences of the behavior.
Answer: D
◉ Which information should the nurse give a client with chronic
kidney disease (CKD)?
a. Restrict calcium-rich foods.
b. Obtain monthly B12 injections.
c. Avoid salt substitutes.
d. Increase daily intake of fiber. Answer: C
◉ The nurse is assessing a client who complains of weight loss,
racing heart rate, and difficulty sleeping. The nurse determines the
client has moist skin with fine hair, prominent eyes, lid retraction, and
a staring expression. These findings are consistent with which
disorder?
a. Grave's disease.
b. Cushing syndrome.
c. Multiple sclerosis.
d. Addison's disease. Answer: A
◉ A young adult female arrives at the emergency department with a
black right eye and is bleeding from the left side of her head. She
reports that her boyfriend has been abusing her physically. The nurse
performs a history and physical examination. How should the nurse
document these findings?
