EXAM TEST QUESTIONS AND
ANSWERS
Following56discharge56teaching,56a56male56client56with56duodenal56ulcer56tells56the56nurse56the56he56w
ill56drink56plenty56of56dairy56products,56such56as56milk,56to56help56coat56and56protect56his56ulcer.56Wh
at56is56the56best56follow-up56action56by56the56nurse?56-56CORRECT56ANSWER56-
Review56with56the56client56the56need56to56avoid56foods56that56are56rich56in56milk56and56cream
A56male56client56with56hypertension,56who56received56new56antihypertensive56prescriptions56at56his56
last56visit5 6 returns56to56the56clinic56two56weeks56later56to56evaluate56his56blood56pressure56(BP).56His5
6BP56is56158/10656and56he56admits56that56he56has56not56been56taking56the56prescribed56medication56
because56the56drugs56make56him56"feel56bad".56In56explaining56the56need56for56hypertension56control
,56the56nurse56should56stress56that56an56elevated56BP56places56the56client56at56risk56for56which56patho
physiological56condition?56-56CORRECT56ANSWER56-Stroke56secondary56to56hemorrhage
The56nurse56observes56an56unlicensed56assistive56personnel56(UAP)56positioning56a56newly56admitted56
client56who56has56a56seizure56disorder.56The56client56is56supine56and56the56UAP56is56placing56soft56pill
ows56along56the56side56rails.56What56action56should56the56nurse56implement?56-
56CORRECT56ANSWER56-
Instruct56the56UAP56to56obtain56soft56blankets56to56secure56to56the56side56rails56instead56of56pillows
An56adolescent56with56major56depressive56disorder56has56been56taking56duloxetine56(Cymbalta)56for56t
he56past561256days.56Which56assessment56finding56requires56immediate56follow-up56-
56CORRECT56ANSWER56-Describes56life56without56purpose
A5660-year-
old56female56client56with56a56positive56family56history56of56ovarian56cancer56has56developed56an56abdo
minal56mass56and56is56being56evaluated56for56possible56ovarian56cancer.56Her56Papanicolau56(Pap)56s
mear56results56are56negative.56What56information56should56the56nurse56include56in56the56client's56tea
ching56plan56-56CORRECT56ANSWER56-56Further56evaluation56involving56surgery56may56be56needed
,A56client56who56recently56underwent56a56tracheostomy56is56being56prepared56for56discharge56to56ho
me.56Which56instructions56is56most56important56for56the56nurse56to56include56in56the56discharge56plan
?56-56CORRECT56ANSWER56-Teach56tracheal56suctioning56techniques
In56assessing56an56adult56client56with56a56partial56rebreather56mask,56the56nurse56notes56that56the56ox
ygen56reservoir56bag56does56not56deflate56completely56during56inspiration56and56the56client's56respirat
ory56rate56is561456breaths56/56minute.
What56action56should56the56nurse56implement56-56CORRECT56ANSWER56-Document56the56assessment56data
Rational:56reservoir56bag56should56not56deflate56completely56during56inspiration56and56the56client's56r
espiratory56rate56is56within56normal56limits.
During56shift56report,56the56central56electrocardiogram56(EKG)56monitoring56system56alarms.56Which56c
lient56alarm56should56the56nurse56investigate56first?56-56CORRECT56ANSWER56-
Respiratory56apnea56of563056seconds
During56a56home56visit,56the56nurse56observed56an56elderly56client56with56diabetes56slip56and56fall.56W
hat56action56should56the56nurse56take56first?56-56CORRECT56ANSWER56-
Check56the56client56for56lacerations56or56fractures
At56060056while56admitting56a56woman56for56a56schedule56repeat56cesarean56section56(C-
Section),56the56client56tells56the56nurse56that56she56drank56a56cup56a56coffee56at56040056because56she
56wanted56to56avoid56getting56a56headache.56Which56action56should56the56nurse56take56first?56-
56CORRECT56ANSWER56-Inform56the56anesthesia56care56provider
After56placing56a56stethoscope56as56seen56in56the56picture,56the56nurse56auscultates56S156and56S256he
art56sounds.56To56determine56if56an56S356heart56sound56is56present,56what56action56should56the56nurs
e56take56first56-56CORRECT56ANSWER56-56Listen56with56the56bell56at56the56same56location
A5666-year-
old56woman56is56retiring56and56will56no56longer56have56a56health56insurance56through56her56place56of
56employment.56Which56agency56should56the56client56be56referred56to56by56the56employee56health56nu
rse56for56health56insurance56needs?56-56CORRECT56ANSWER56-Medicare
,A56client56who56is56taking56an56oral56dose56of56a56tetracycline56complains56of56gastrointestinal56upset.
56What56snack56should56the56nurse56instruct56the56client56to56take56with56the56tetracycline?56-
56CORRECT56ANSWER56-Toasted56wheat56bread56and56jelly
Following56a56lumbar56puncture,56a56client56voices56several56complaints.56What56complaint56indicate
d56to56the56nurse56that56the56client56is56experiencing56a56complication?56-56CORRECT56ANSWER56-
"I56have56a56headache56that56gets56worse56when56I56sit56up"
An56elderly56client56seems56confused56and56reports56the56onset56of56nausea,56dysuria,56and56urgency5
6with56incontinence.56Which56action56should56the56nurse56implement56-56CORRECT56ANSWER56-
Obtain56a56clean56catch56mid-56stream56specimen
The56nurse56is56assisting56the56mother56of56a56child56with56phenylketonuria56(PKU)56to56select56foods5
6that56are56in56keeping56with56the56child's56dietary56restrictions.56Which56foods56are56contraindicated5
6for56this56child?56-56CORRECT56ANSWER56-Foods56sweetened56with56aspartame
Before56preparing56a56client56for56the56first56surgical56case56of56the56day,56a56part-
time56scrub56nurse56asks56the56circulating56nurse56if56a56356minute56surgical56hand56scrub56is56adequa
te56preparation56for56this56client.56Which56response56should56the56circulating56nurse56provide?56-
56CORRECT56ANSWER56-
Direct56the56nurse56to56continue56the56surgical56hand56scrub56for56a56556minute56duration
Which56breakfast56selection56indicates56that56the56client56understands56the56nurse's56instructions56ab
out56the56dietary56management56of56osteoporosis?56-56CORRECT56ANSWER56-
Bagel56with56jelly56and56skim56milk
The56charge56nurse56of56a56critical56care56unit56is56informed56at56the56beginning56of56the56shift56that56l
ess56than56the56optimal56number56of56registered56nurses56will56be56working56that56shift.56In56planning
56assignments,56which56client56should56receive56the56most56care56hours56by56a56registered56nurse56(R
N)56-56CORRECT56ANSWER56-An5682-year-old56client56with56Alzheimer's56disease56newly-
fractures56femur56who56has56a56Foley56catheter56and56soft56wrist56restrains56applied
A56mother56brings56her566-year-
old56child,56who56has56just56stepped56on56a56rusty56nail,56to56the56pediatrician's56office.56Upon56inspe
ction,56the56nurse56notes56that56the56nail56went56through56the56shoe56and56pierced56the56bottom56of
56the56child's56foot.56Which56action56should56the56nurse56implement56first?56-56CORRECT56ANSWER56-
, Cleanse56the56foot56with56soap56and56water56and56apply56an56antibiotic56ointment