QUESTIONS & A+ GRADED
ANSWERS
1. After receiving change-of-shift report, which of
the following clients should the nurse collect data
from first?
a. A client who has a history of pancreatitis
and reports severe abdominal pain
b. A client who has heart failure and reports
severe dyspnea
c. A client who is scheduled for abdominal
surgery in 1 hrs
d. A postoperative client who has diabetes
mellitus and a blood glucose of 280 mg/dK - correct answer ✔✔b. A client who has heart failure
and reports
severe dyspnea
A nurse is reviewing the laboratory results for
a client who is at 32 gestation. For which of the
following results should the nurse notify the
provider?
a. Hgb 12 g/dL
b. Platelet count 90,000/mm2
,c. Hematocrit 37%
d. Creatinine 0.7 mg/dL - correct answer ✔✔b. Platelet count 90,000/mm2
3. A nurse is preparing a client for surgery. The
client tells the nurse that he is concerned about the
safety of a large sum of money in his wallet.
Which of the following actions is appropriate for
the nurse to take?
a. Place the money in an envelope and lock it
in the client's medication drawer
b. Contact security personnel to place the
money in the facility safe
c. Hold the money for the client until he
returns from surgery
d. Label the money and leave it with the unit
secretary. - correct answer ✔✔d. Label the money and leave it with the unit
secretary.
4. A nurse is preparing to instill an otic suspension
into an adult client' ear. Which of the following
methods should the nurse plan to use?
a. Pull the auricle upward and outward.
b. Pull the auricle downward and backward.
c. Pull the auricle upward and backward.
d. Pull the auricle downward an outward. - correct answer ✔✔c. Pull the auricle upward and
backward.
,5. A nurse is caring for an older adult client who
has pneumonia. When reinforcing teaching about
the diagnosis age- related changes with the client's
family, which of the following alterations should
the nurse include?
a. Increased inflation of the basilar lungs
b. Increased elasticity of the thoracic cage
c. Hypertrophy of the bronchial mucous gland
d. Hyperactive cough reflex - correct answer ✔✔b. Increased elasticity of the thoracic cage
6. A client is participating in an anger
management session explain that his recent
behavior are related to his job loss. Which of the
following mechanism is the client using?
a. Projection
b. Rationalism
c. Repression
d. Sublimation - correct answer ✔✔d. Sublimation
7. A nurse is reinforcing teaching with the client
who is about to undergo a thoracentesis. Which if
the following statements by the client indicates an
understanding of the information?
a. "I will have general anesthesia during the
procedure."
, b. "I will lie flat for 6 hours before the
procedure."
c. "I will have the chest x-ray following the
procedure."
d. "I will breathe deeply through my nose
during the procedure." - correct answer ✔✔c. "I will have the chest x-ray following the
procedure."
8. A nurse is reviewing the medical record of a
client who is requesting an oral contraceptive.
Which of the following findings should the nurse
identify as a contraindication to the use of oral
contraceptive?
a. History of renal calculi
b. Migraines with aura
c. BMI of 26
d. History of cholecystectomy - correct answer ✔✔d. History of cholecystectomy
9. A nurse is reinforcing discharge teaching about
transmission precautions with a client who has
Hepatitis C. Which of the following information
should the nurse include?
a. Avoid sharing razors with other family
members.
b. Clean toilet surfaces with bleach after each
use