Question 1
1. A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a
set of dentures prior to leaving the unit for the operating room. What would be the most
appropriate intervention by the nurse?
A) Explain to the client that the dentures must come out as they may get lost or broken in
the operating room
B) Ask the client if there are second thoughts about having the procedure
C) Notify the anesthesia department and the surgeon of the client's refusal
D) Ask the client if the preference would be to remove the dentures in the operating room
receiving area
CORRECT ANSWER
D: Ask the client if the preference would be to remove the dentures in the operating
room receiving area
Question 2
2. The nurse has been teaching adult clients about cardiac risks when they visit the
hypertension clinic. Which form of evaluation would best measure learning?
A) Performance on written tests
B) Responses to verbal questions
C) Completion of a mailed survey
D) Reported behavioral changes
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@THE STUDY VAULT
,CORRECT ANSWER
D: Reported behavioral changes
Question 3
3. The nurse is planning care for an 18 month-old child. Which action should be included in
the child's care?
A) Hold and cuddle the child frequently
B) Encourage the child to feed himself finger food
C) Allow the child to walk independently on the nursing unit
D) Engage the child in games with other children
CORRECT ANSWER
B: Encourage the child to feed himself finger food
Question 4
4. A partner is concerned because the client frequently daydreams about moving to
Arizona to get away from the pollution and crowding in southern California. The nurse
explains that
A) Such fantasies can gratify unconscious wishes or prepare for anticipated future events
B) Detaching or dissociating in this way postpones painful feelings
C) This conversion or transferring of a mental conflict to a physical symptom can lead to
marital conflict
D) To isolate the feelings in this way reduces conflict within the client and with others
CORRECT ANSWER
A: Such fantasies can gratify unconscious wishes or prepare for anticipated future events
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@THE STUDY VAULT
,Question 5
5. An appropriate goal for a client with anxiety would be to
A) Ventilate anxious feelings to the nurse
B) Establish contact with reality
C) Learn self-help techniques
D) Become desensitized to past trauma
CORRECT ANSWER
C: Learn self-help techniques
Question 6
6. While the nurse is administering medications to a client, the client states "I do not want
to take that medicine today." Which of the following responses by the nurse would be
best?
A) "That's OK, its all right to skip your medication now and then."
B) "I will have to call your doctor and report this."
C) "Is there a reason why you don't want to take your medicine?"
D) "Do you understand the consequences of refusing your prescribed treatment?"
CORRECT ANSWER
C: "Is there a reason why you don't want to take your medicine?"
Question 7
7. While caring for a client, the nurse notes a pulsating mass in the client's peri umbilical
area. Which of the following assessments is appropriate for the nurse to perform?
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@THE STUDY VAULT
, A) Measure the length of the mass
B) Auscultate the mass
C) Percuss the mass
D) Palpate the mass
CORRECT ANSWER
B: Auscultate the mass
Question 8
8. A client is admitted to the hospital with a history of confusion. The client has difficulty
remembering recent events and becomes disoriented when away from home. Which
statement would provide the best reality orientation for this client?
A) "Good morning. Do you remember where you are?"
B) "Hello. My name is Elaine Jones and I am your nurse for today."
C) "How are you today? Remember, you're in the hospital."
D) "Good morning. You're in the hospital. I am your nurse Elaine Jones."
CORRECT ANSWER
D: "Good morning. You're in the hospital. I am your nurse Elaine Jones."
Question 9
9. The nurse is teaching the parents of a 3 month-old infant about nutrition. What is the
main source of fluids for an infant until about 12 months of age?
A) Formula or breast milk
B) Dilute nonfat dry milk
C) Warmed fruit juice
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@THE STUDY VAULT
1. A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a
set of dentures prior to leaving the unit for the operating room. What would be the most
appropriate intervention by the nurse?
A) Explain to the client that the dentures must come out as they may get lost or broken in
the operating room
B) Ask the client if there are second thoughts about having the procedure
C) Notify the anesthesia department and the surgeon of the client's refusal
D) Ask the client if the preference would be to remove the dentures in the operating room
receiving area
CORRECT ANSWER
D: Ask the client if the preference would be to remove the dentures in the operating
room receiving area
Question 2
2. The nurse has been teaching adult clients about cardiac risks when they visit the
hypertension clinic. Which form of evaluation would best measure learning?
A) Performance on written tests
B) Responses to verbal questions
C) Completion of a mailed survey
D) Reported behavioral changes
1
@THE STUDY VAULT
,CORRECT ANSWER
D: Reported behavioral changes
Question 3
3. The nurse is planning care for an 18 month-old child. Which action should be included in
the child's care?
A) Hold and cuddle the child frequently
B) Encourage the child to feed himself finger food
C) Allow the child to walk independently on the nursing unit
D) Engage the child in games with other children
CORRECT ANSWER
B: Encourage the child to feed himself finger food
Question 4
4. A partner is concerned because the client frequently daydreams about moving to
Arizona to get away from the pollution and crowding in southern California. The nurse
explains that
A) Such fantasies can gratify unconscious wishes or prepare for anticipated future events
B) Detaching or dissociating in this way postpones painful feelings
C) This conversion or transferring of a mental conflict to a physical symptom can lead to
marital conflict
D) To isolate the feelings in this way reduces conflict within the client and with others
CORRECT ANSWER
A: Such fantasies can gratify unconscious wishes or prepare for anticipated future events
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@THE STUDY VAULT
,Question 5
5. An appropriate goal for a client with anxiety would be to
A) Ventilate anxious feelings to the nurse
B) Establish contact with reality
C) Learn self-help techniques
D) Become desensitized to past trauma
CORRECT ANSWER
C: Learn self-help techniques
Question 6
6. While the nurse is administering medications to a client, the client states "I do not want
to take that medicine today." Which of the following responses by the nurse would be
best?
A) "That's OK, its all right to skip your medication now and then."
B) "I will have to call your doctor and report this."
C) "Is there a reason why you don't want to take your medicine?"
D) "Do you understand the consequences of refusing your prescribed treatment?"
CORRECT ANSWER
C: "Is there a reason why you don't want to take your medicine?"
Question 7
7. While caring for a client, the nurse notes a pulsating mass in the client's peri umbilical
area. Which of the following assessments is appropriate for the nurse to perform?
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@THE STUDY VAULT
, A) Measure the length of the mass
B) Auscultate the mass
C) Percuss the mass
D) Palpate the mass
CORRECT ANSWER
B: Auscultate the mass
Question 8
8. A client is admitted to the hospital with a history of confusion. The client has difficulty
remembering recent events and becomes disoriented when away from home. Which
statement would provide the best reality orientation for this client?
A) "Good morning. Do you remember where you are?"
B) "Hello. My name is Elaine Jones and I am your nurse for today."
C) "How are you today? Remember, you're in the hospital."
D) "Good morning. You're in the hospital. I am your nurse Elaine Jones."
CORRECT ANSWER
D: "Good morning. You're in the hospital. I am your nurse Elaine Jones."
Question 9
9. The nurse is teaching the parents of a 3 month-old infant about nutrition. What is the
main source of fluids for an infant until about 12 months of age?
A) Formula or breast milk
B) Dilute nonfat dry milk
C) Warmed fruit juice
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@THE STUDY VAULT
