NCSBN Practice Questions 46-60 Exam Questions with 100% Correct Answers

The nurse is providing discharge teaching for a client with a long leg cast. During instructions, the nurse should recommend which of these exercises for the affected extremity? A. Aerobic B. Range of motion C. Isometric D. Isotonic Correct Answer C A nurse should instruct the client on isometric exercises for the muscles of the casted extremity. This means the client should be instructed to alternately contract and relax muscles without moving the affected part. The client should also be instructed to do active range of motion exercises for every joint that is not immobilized at regular and frequent intervals of at least every four hours. The nurse is caring for a client with chronic renal failure who is undergoing peritoneal dialysis. The nurse notes that the dialysate solution is instilling very slowly. Which of the following actions would be appropriate for the nurse to implement? (Select all that apply.) A. Reposition the client B. Assess for headache and hypertension C. Assess for bruit or vibration D. Check tubing and catheter for kinks Correct Answer A,D Slow dialysate instillation may be due to a partially obstructed tube or catheter. Checking for kinks and repositioning may facilitate improved instillation of this fluid. Assessment for bruit or headache and hypertension are appropriate for hemodialysis situations, not peritoneal dialysis. A client exhibiting confusion has been placed in physical restraints by order of the health care provider. Which task could be assigned to an unlicensed assistive person (UAP)? A. Assist the client with activities of daily living B. Document mental status and muscle strength C. Monitor the client's physical safety D. Document client's status every two hours Correct Answer A The person to whom the activity is delegated must be capable of performing it. The UAP is capable of assisting clients with basic needs and routine tasks. Only the nurse can monitor and evaluate the client's condition. The nurse is reviewing medications with a client diagnosed with heart failure. The client asks the nurse how much longer he has to take the prescribed diuretic. Which is the best response by the nurse? A. "Please talk to your health care provider about medications and treatments." B. "You will have to take this medication for about a year." C. "The medication must be continued as long as the fluid problem needs to be controlled." D. "As you urinate more, you will need less medication to control fluid." Correct Answer C The most therapeutic response is the one that addresses the client's health condition and gives the client accurate information, which is that he will take the medication for as long as needed to treat his medical condition. The nurse should determine if the client understands why he is taking this and any other medications and to reinforce teaching on possible side effects or adverse effects and when to notify the health care provider. The charge nurse is making assignment for the health care team. Which of these tasks can be safely delegated to the licensed practical nurse (LPN)? A. Provide stoma care for a client with a well-functioning ostomy B. Care for a recent complicated double barrel colostomy C. Teach the initial ostomy care to a client and family members D. Assess the function of a newly created ileostomy Correct Answer A The care of a mature stoma and the application of an ostomy appliance may be delegated to a LPN. The condition of this client is stable, there's a low likelihood of any emergency and care of this client is not too complex. The other options require higher level care by the RN. The RN is the manager of care and is responsible for any initial teaching; the LPN can reinforce information once it has been introduced by the RN. A couple attempting to conceive asks the nurse when ovulation occurs. The woman reports a regular 32-day cycle. Which response by the nurse is correct? A. Days 11-13 B. Days 7-10 C. Days 14-16 D. Days 17-19 Correct Answer D Ovulation occurs 14 days prior to menses. Considering that the woman's cycle is 32 days, subtracting 14 from 32 suggests ovulation is at about the 18th day. The nurse is teaching the client scheduled for a thyroidectomy about taking potassium iodide (SSKI, ThyroShield) drops. What information shall the nurse include? A. Mix the medication with juice or milk. B. Take the medication on an empty stomach. C. Store the medication in the refrigerator. D. The medication will enlarge the thyroid gland. Correct Answer A