Exam Questions and CORRECT Answers
When the client's serum sodium level is 120 mEq/L, the priority nursing assessment is to monitor
the status of which body system? - CORRECT ANSWER - Neurological
While assisting the client with meal selection, the nurse realizes that clients who practice Islam
or Judaism share an avoidance of: - CORRECT ANSWER - pork products.
The client wants to increase intake of an antioxidant in her diet. The nurse recommends
including vitamin C, which is best found in: - CORRECT ANSWER - Correct Answer:
tomatoes.
For a child who has ingested the remaining contents of an aspirin bottle, the nurse suspects signs
and symptoms consistent with: - CORRECT ANSWER - Correct Answer:
metabolic acidosis.
Which of the following techniques used by the new staff nurse for administering medications via
an enteral tube requires correction by the charge nurse? - CORRECT ANSWER - Correct
Answer:
Adding the medications to the tube feeding
After a surgical procedure, the client is advanced to a full liquid diet. The nurse is able to
recommend which one of the following foods for this client? - CORRECT ANSWER -
Correct Answer:
Yogurt
While doing a nutritional assessment of a low-income family, the community health nurse
determines that the family's diet is inadequate in protein content. The nurse suggests which of the
following lower-cost foods to increase protein content? - CORRECT ANSWER - Correct
Answer:
, Beans
The client has had throat surgery and is placed on a clear liquid diet. The nurse should offer the
patient: - CORRECT ANSWER - Correct Answer:
apple juice.
The majority of body fluid is located in which area? - CORRECT ANSWER - Correct
Answer:
Intracellular
The nurse recognizes that the client, on the basis of the imbalance that is present, will require
fluid replacement with isotonic solution. One of the isotonic solutions that may be ordered by the
physician is: - CORRECT ANSWER - Correct Answer:
Lactated Ringer solution.
One of the first indications of fluid volume deficit is: - CORRECT ANSWER - Correct
Answer:
tachycardia.
For the client with a vitamin D deficiency and inadequate calcium intake, the nurse observes for:
- CORRECT ANSWER - Correct Answer:
Chvostek sign
Chvostek sign - CORRECT ANSWER - an abnormal reaction to the stimulation of the
facial nerve.
A nasogastric tube is inserted in order for the client to receive intermittent tube feedings. The
action by the nurse that requires correction by the unit manager is: - CORRECT
ANSWER - Correct Answer:
instilling air into the NG tube to check for placement.