EXAM QUESTIONS AND VERIFIED CORRECT
ANSWERS JUST RELEASED
When a schizophrenic client claims to see demons in the room, what is the best
documentation the nurse should make for the record?
A.
Experiencing hallucinations
B.
Frightened by hallucinations
C.
States, Seeing demons in my room
D.
Having distorted sensory perceptions - answer>>>Correct Answer: C.
States, Seeing demons in my room
Charting must be clear and objective as possible. Quoting the client is always appropriate.
Incorrect Answers: A. This provides a conclusion and is not in the client's own words.
B. This is a judgment and should not be documented.
D. This is a diagnostic statement and should not be documented.
Vital Concept:Documentation should be factual and accurate, free from judgment, and as
much as possible include the client's own words.
The primary risk for oral cancer is:
A.
Lack of dietary vitamin B12
B.
Inadequate dental care
C.
,Excessive alcohol
D.
Use of mouthwash - answer>>>Correct Answer: C.
Excessive alcohol
Abuse of alcohol and tobacco are the leading causes of oral cancer. Vitamin B12,
inadequate dental care and use of mouthwash have NOT been associated as primary risk
factors for oral cancer.
A procedure involving a barium enema increases the possibility of contact between the
patient's body fluids and the radiographer. Which of the following is recommended in this
situation?
A.
Use of a disposable gown and gloves
B.
Uniform
C.
Gloves only
D.
Shoe covering
E.
Head covering - answer>>>Correct Answer: A.
Use of a disposable gown and gloves
Contact precautions that should be observed include mask, gloves, and disposable gown,
in addition to observation of universal or standard precautions. A head covering or a shoe
covering is intended to protect the patient. Uniforms are not a barrier to infection.
A client of 30 weeks' gestation is diagnosed as placenta previa. Which of the following
should NOT be performed by the nurse?
A.
,Monitor fetal heart rate
B.
Provide side lying position
C.
Monitor maternal vital signs
D.
Vaginal examination - answer>>>Correct Answer: D.
Vaginal examination
Vaginal examination should be avoided in case of placenta previa because it can stimulate
uterine activity.
A nurse is speaking with a client who has a chronic productive cough and a new
prescription for a sputum specimen. The client asks, "What will I do if they find that I have
cancer?" Which of the following responses should the nurse make?
A.
"Why do you think you might have cancer?"
B.
"I don't see any reason for you to worry about that."
C.
"I think that's something you need to discuss with your doctor."
D.
"I'm hearing that you are concerned that you might have cancer." - answer>>>Correct
Answer: D.
"I'm hearing that you are concerned that you might have cancer."
This response illustrates the therapeutic communication techniques of seeking
clarification and restating. It demonstrates the nurse's willingness to explore the client's
fears and encourages communication.
, Incorrect Answers:A. This response illustrates the nontherapeutic communication
technique of requesting an explanation. Asking "why" questions can be intimidating and
might cause the client to become defensive.
B. This response illustrates the nontherapeutic communication technique of giving false
reassurance.
C. By offering to pass the client's concerns to someone else, the nurse is demonstrating
that she does not wish to discuss the issue. This is a dismissive action.
Vital Concept:By using the therapeutic technique of restating, the nurse is acknowledging
how the client feels. This gives the client an opportunity to explore their feelings or clarify
any misunderstood communication by the nurse.
A nurse is reviewing postpartum nutrition needs with a client who is breastfeeding. Which
of the following statements by the client indicates an understanding of the instructions?
A.
"I can continue to smoke as long as I do it 30 minutes prior breastfeeding."
B.
"I should take folic acid to increase my milk supply."
C.
"I will continue adding 200 calories per day to my diet."
D.
"I will continue taking my vitamins while I am breastfeeding." - answer>>>Correct Answer:
D.
"I will continue taking my vitamins while I am breastfeeding."
Clients who breastfeed are instructed to consume a well-balanced, nutritious diet and can
continue to take vitamin supplements. This can assist the client to ensure they receive
adequate nutrition while breastfeeding. The client should balance their calories burned
and consumed as well.