Questions and 100% Correct
Answers | Grade A+
,The nurse is interviewing a client who is being treated for obsessive-compulsive disorder
(OCD). Which of the following is the most important question the nurse should ask this
client?
1. "Do you find yourself forgetting simple things?"
2. "Do you find it hard to stay on a task?"
3. "Do you have trouble controlling upsetting thoughts?"
4. "Do you experience feelings of panic in a closed area?"
Ans: 3.
Which of the following actions by the nurse would be considered negligence?
1. Obtaining a Guthrie blood test on a 4-day-old infant
2. Massaging lotion on the abdomen of a 3-year-old diagnosed with Wilms' tumor
3. Instructing a 5-year-old asthmatic to blow on a pinwheel
4. Playing kickball with a 10-year-old with juvenile arthritis (JA)
Ans: 2.
The nurse on a postpartum unit is preparing 4 clients for discharge. It would be MOST
important for the nurse to refer which of the following clients for home care?
1. A 15-year-old primipara who delivered 7-lb. male 2 days ago
, 2. An 18-year-old multipara who delivered a 9-lb. female by cesarean section 2 days ago
3. A 20-year-old multipara who delivered 1 day ago and is reporting cramping
4. A 22-year-old who delivered by cesarean section and is reporting burning on urination
Ans: 4.
A client is telling the nurse about his perception of his thought patterns. Which of the
following statements by the client would validate the diagnosis of schizophrenia
1. "I can't get the same thoughts out of my head."
2. "I know I sometimes feel on top of the world, then suddenly down."
3. "Sometimes I look up and wonder where I am."
4. "It's clear that this is an alien laboratory and I am in charge"
Ans: 4.
A nursing team consists of an RN, an LPN/LVN, and an NAP. The nurse should assign
which of the following clients to the LPN/LVN?
1. A 72-year-old client with diabetes who requires a dressing change for a stasis ulcer
2. A 42-year-old client with cancer of the bone reporting pain
3. A 55-year-old client with terminal cancer being transferred to hospice home care
4. A 23-year-old client with a fracture of the right leg who asks to use the urinal
Ans: 1.