Correct Answers Graded A Perfect Score
A 36-year-old adult male reports eating the following each day, on average: 2 servings of milk and
alternatives, 2 servings of fruit, 3 servings of vegetables, 3 servings of meat and alternatives, and 8
servings of grain products. When following the recommendations of Eating Well with Canada's Food
Guide, the nurse would counsel the client to do which of the following? - Answer -Increase the
number of servings of vegetables & fruits.
male should consume 8/10 servings of vegetables and fruit per day
A 55-year-old female is about 9 kg more than her desired weight. She has been on a low-calorie diet with
no improvement. Which of the following statements reflects a healthy approach to the desired weight
loss? - Answer -adults engage in 30 to 60 minutes of moderate physical activity on most days of
the week to achieve a healthy weight.
A 58-year-old male is in hospital with a fractured right ankle. He was placed in a cast yesterday but is not
to weight bear. You walk into the room to find him hopping on his left foot to the bathroom and he
refuses to use a bedpan. What should you do? - Answer -Instruct the patient on the use of
crutches with a swing-thorough gait and urge him to use the call bell for assistance to use the washroom.
A client with diabetes has very dry skin on her feet. To promote skin integrity of this client's feet, the
nurse will suggest that the client do which of the following? - Answer -use unscented lotion
A client with Ineffective Peripheral Tissue Perfusion would be expected to have which of the following
findings? - Answer -Absent posterior tibial and pedal pulses
A dying client states, "Part of what makes dying hard is that I don't know for sure where I'm going. Nurse,
what do you believe happens in the here-after?" Which ethical guideline should guide your response? -
Answer -First, assess client beliefs.
A new wound that is infected will be observed to have which type of discharge? - Answer -
purosanguinous discharge, yellow also known as purulent.
A normal oxygen saturation is: - Answer -95-100%
A patient is a chronic carrier of an infection. To prevent the spread of the infection to other patients or
health-care providers, the nurse emphasizes interventions that do which of the following? -
Answer -block the portal of exit from the reservoir
A posterior tibial pulse is located - Answer -inner ankle below the medial malleolus
A resident in the long term care center
becomes incontinent. The nurse: - Answer -assess the incontinence and provide interventions to
promote the return of continence
, A wound considered to be primary intention - Answer -surgical incision
After the death of several long-term clients, which of the following actions indicates that the nurse is
demonstrating ineffective coping? - Answer -The nurse offers to work extra shift for several weeks.
An 85-year-old client has had a cerebrovascular accident (stroke) resulting in right-side facial drooping
and difficulty swallowing. The client is unable to move or maintain a position unaided. Which of the
following would be appropriate site(s) for taking the client's temperature? - Answer -Axillary,
tympanic, or temporal artery
An adult client has shallow respirations at 8
breaths per minute and his heart rate
is 146 beats per minute. His vital signs
would be described as: - Answer -tachycardia and bradypnea
Appropriate treatment for an adolescent client with acne includes which of the following? -
Answer -washing with medicated soap, followed by application of medicated cream
arrhythmia - Answer -Abnormal heart rhythm
At 7:15 AM, two nursing students, Tina and Jan, are assigned the task of feeding breakfast to four
incapacitated residents. What instruction should the nurse include in this delegation? - Answer -
Which residents have dysphagia (difficulty swallowing) and dietary restrictions.
Clean Technique (Medical)
asepsis is applied when the nurse - Answer -completes hand hygiene before care
Clients should be taught that repeatedly ignoring the sensation of needing to defecate can result in
which of the following? - Answer -constipation
Corrine, a 30-year-old newly-wed, has had several bladder infections in the past year. Which of the
following nursing interventions would help prevent future urinary tract infections? - Answer -
Instruct the client to empty the bladder completely
(Residual urine in the bladder provides a warm, moist, dark, environment for bacteria to grow)
Dysuria and hematuria - Answer -Painful urination/Presence of blood in the urine
Failure to clean your stethoscope between
clients can transmit MRSA by: - Answer -indirect contact transmission
Following the irrigation of an indwelling catheter, it is critical for the nurse to do? - Answer -
Determine urine output.
(to evaluate the amount of irrigation instilled and the total amount of irrigation and urine returned to
ensure that the irrigation fluid is not being retained)