PN Comprehensive Online Practice 2020 B – Q’s And A’s
A nurse is assisting with monitoring a client who is in labor and has
spontaneous rupture of membranes following a vaginal examination. The
provider reports the client's cervix is dilated to 1 cm with an unengaged
presenting part. Which of the following actions should the nurse take?
Correct Ans - Apply the external fetal heart rate monitor.
A Nurse is collecting data from a client who has bipolar disorder and is
experiencing acute mania. Which of the following findings is the nurse's
priority? Correct Ans - lack of sleep
A nurse is reinforcing teaching with a client who has a type 2 diabetes mellitus
and reports waking during the night with tremors and anxiety. which of the
following information should the nurse provide to help the client manage his
symptoms? Correct Ans - Eat a bedtime snack
a Nurse is reinforcing teaching for a client who has a coronary artery disease
and is taking low-dose aspirin daily. The nurse should include that this
medication has which of the following therapeutic effects for CAD?
Correct Ans - Antiplatelet
A nurse is collecting data from a client who has an unprepared femur fracture
and rates his pain as 8 on a scale of 0 to 10. The client is talking and caught
with a visitor. Which of the following of the prescribed medication should the
nurse administer? Correct Ans - Hydromorphone 5 mg orally.
A nurse is reinforcing preoperative teaching with a client scheduled for a
bowel retention with ileostomy. which of the following descriptions should
the nurse give of the expected output from a mature ileostomy? Correct
Ans - liquid with little odor
A nurse is caring for a client who is 16 hr postoperative following a total hip
arthroplasty. the client reports numbness, pain, and tingling in the affected
leg. Which of the following actions should the nurse take first? Correct Ans
- compare capillary refill in toes bilateraly
A nurse is reinforcing teaching with a client who has acute diverticulitis.
Which of the following statements by the client indicates an understanding of
,the teaching about the acute phase of diverticulitis? Correct Ans - "I
will receive the nutrient I need through my IV Fluid"
A nurse in reinforcing teaching with a client about cancer prevention. The
nurse should include that frequent consumption of which of the following
foods increases the risk of cancer? Correct Ans - Lamb
A nurse is assisting in teaching a group of staff nurses about hepatitis A. Which
of the following modes should the nurse include as a method of transmitting
hepatitis A? Correct Ans - Consumption of contaminated food.
A nurse is reinforcing teaching with a client who is bottle feeding he full-term
newborn with formula. Which of the following instructions should the nurse
include in the teaching? Correct Ans - Although is is unnecessary to be
rigid about feeding times, six to eight feedings every 24 hrs should support a
full-term newborn's nutrition adequately. Fewer feedings in the initial weeks
could delay the estabilment of an adequate weight-gain pattern.
A nurse is assisting with the plan of care for a client following a transurethral
resection of the prostate. Which of the following interventions should the
nurse include in the plan of care? Correct Ans - The nurse should
irrigate the bladder using strict sterile technique and maintain closed catheter
drainage system to minimize the rick of infection.
A nurse is reviewing a client's electronic medical record and finds that an
assistive personnel recorder the client's temperature as 35.3 degrees Celsius
(95.5 degrees F) 2 hrs earlier. Which of the following actions should the nurse
take firsT? Correct Ans - Check the client's temperature.
A nurse is receiving change-of-shift report for four clients. Which of the
following clients should the nurse see first? Correct Ans - A client
whose urinary output was 100mL for the past 12 hrs
A nurse in reinforcing teaching about weight loss with a female older adult
client who is overweight. Which of the following statements should the nurse
include in teaching? Correct Ans - keep fat intake to no more that 30%
of daily caloric intake.
, A nurse is collecting data from a client who has iron deficiency anemia. Which
of the following findings should the nurse expect? Correct Ans -
Difficulty concentrating.
A Nurse is collecting data from an older adult client who is 48 hr
postoperative following abdominal surgery. The provider writes a
prescription to advance the client to a regular Diet. For which of the following
findings should the nurse notify the provider? Correct Ans - The client
has absent bowel sounds.
A nurse is reinforcing discharge teaching with a client who is postoperative
following transurethral resection fo the prostate. Which of the following
instructions should the nurse include in the teaching? Correct Ans -
perform Kegel exercises daily.
A nurse is reinforcing teaching about ways to reduce solid fat consumption
with a client who has an elevate cholesterol level. which of the following
strategies should the nurse include in the teaching? Correct Ans -
purchase beef that is a loin cut.
A nurse is reinforcing teaching with a client who has a new prescription for
prednisone for the treatment of Addison's disease. which of the following
instructions should the nurse include in the teaching? Correct Ans -
You will need to schedule a bone density test.
A nurse is collecting data from a client who has type 2 diabetes mellitus and is
concerned about weight gain during pregnancy. Which of the following
responses should the nurse make? Correct Ans - You weight gain
should be the same as for someone without diabetes.
A nurse is reinforcing teaching with the parent of a preschooler who has
lactose intolerance. Which of the following statements by the parent indicates
an understanding of the teaching? Correct Ans - I should offer my child
yogurt that has a probiotic as a snack.
A parent brings her adolescent son to an urgent care center and states. "He is
high on something and needs help" The client is exhibiting agitation and
paranoia and reports visual hallucinations. The nurse should suspect
A nurse is assisting with monitoring a client who is in labor and has
spontaneous rupture of membranes following a vaginal examination. The
provider reports the client's cervix is dilated to 1 cm with an unengaged
presenting part. Which of the following actions should the nurse take?
Correct Ans - Apply the external fetal heart rate monitor.
A Nurse is collecting data from a client who has bipolar disorder and is
experiencing acute mania. Which of the following findings is the nurse's
priority? Correct Ans - lack of sleep
A nurse is reinforcing teaching with a client who has a type 2 diabetes mellitus
and reports waking during the night with tremors and anxiety. which of the
following information should the nurse provide to help the client manage his
symptoms? Correct Ans - Eat a bedtime snack
a Nurse is reinforcing teaching for a client who has a coronary artery disease
and is taking low-dose aspirin daily. The nurse should include that this
medication has which of the following therapeutic effects for CAD?
Correct Ans - Antiplatelet
A nurse is collecting data from a client who has an unprepared femur fracture
and rates his pain as 8 on a scale of 0 to 10. The client is talking and caught
with a visitor. Which of the following of the prescribed medication should the
nurse administer? Correct Ans - Hydromorphone 5 mg orally.
A nurse is reinforcing preoperative teaching with a client scheduled for a
bowel retention with ileostomy. which of the following descriptions should
the nurse give of the expected output from a mature ileostomy? Correct
Ans - liquid with little odor
A nurse is caring for a client who is 16 hr postoperative following a total hip
arthroplasty. the client reports numbness, pain, and tingling in the affected
leg. Which of the following actions should the nurse take first? Correct Ans
- compare capillary refill in toes bilateraly
A nurse is reinforcing teaching with a client who has acute diverticulitis.
Which of the following statements by the client indicates an understanding of
,the teaching about the acute phase of diverticulitis? Correct Ans - "I
will receive the nutrient I need through my IV Fluid"
A nurse in reinforcing teaching with a client about cancer prevention. The
nurse should include that frequent consumption of which of the following
foods increases the risk of cancer? Correct Ans - Lamb
A nurse is assisting in teaching a group of staff nurses about hepatitis A. Which
of the following modes should the nurse include as a method of transmitting
hepatitis A? Correct Ans - Consumption of contaminated food.
A nurse is reinforcing teaching with a client who is bottle feeding he full-term
newborn with formula. Which of the following instructions should the nurse
include in the teaching? Correct Ans - Although is is unnecessary to be
rigid about feeding times, six to eight feedings every 24 hrs should support a
full-term newborn's nutrition adequately. Fewer feedings in the initial weeks
could delay the estabilment of an adequate weight-gain pattern.
A nurse is assisting with the plan of care for a client following a transurethral
resection of the prostate. Which of the following interventions should the
nurse include in the plan of care? Correct Ans - The nurse should
irrigate the bladder using strict sterile technique and maintain closed catheter
drainage system to minimize the rick of infection.
A nurse is reviewing a client's electronic medical record and finds that an
assistive personnel recorder the client's temperature as 35.3 degrees Celsius
(95.5 degrees F) 2 hrs earlier. Which of the following actions should the nurse
take firsT? Correct Ans - Check the client's temperature.
A nurse is receiving change-of-shift report for four clients. Which of the
following clients should the nurse see first? Correct Ans - A client
whose urinary output was 100mL for the past 12 hrs
A nurse in reinforcing teaching about weight loss with a female older adult
client who is overweight. Which of the following statements should the nurse
include in teaching? Correct Ans - keep fat intake to no more that 30%
of daily caloric intake.
, A nurse is collecting data from a client who has iron deficiency anemia. Which
of the following findings should the nurse expect? Correct Ans -
Difficulty concentrating.
A Nurse is collecting data from an older adult client who is 48 hr
postoperative following abdominal surgery. The provider writes a
prescription to advance the client to a regular Diet. For which of the following
findings should the nurse notify the provider? Correct Ans - The client
has absent bowel sounds.
A nurse is reinforcing discharge teaching with a client who is postoperative
following transurethral resection fo the prostate. Which of the following
instructions should the nurse include in the teaching? Correct Ans -
perform Kegel exercises daily.
A nurse is reinforcing teaching about ways to reduce solid fat consumption
with a client who has an elevate cholesterol level. which of the following
strategies should the nurse include in the teaching? Correct Ans -
purchase beef that is a loin cut.
A nurse is reinforcing teaching with a client who has a new prescription for
prednisone for the treatment of Addison's disease. which of the following
instructions should the nurse include in the teaching? Correct Ans -
You will need to schedule a bone density test.
A nurse is collecting data from a client who has type 2 diabetes mellitus and is
concerned about weight gain during pregnancy. Which of the following
responses should the nurse make? Correct Ans - You weight gain
should be the same as for someone without diabetes.
A nurse is reinforcing teaching with the parent of a preschooler who has
lactose intolerance. Which of the following statements by the parent indicates
an understanding of the teaching? Correct Ans - I should offer my child
yogurt that has a probiotic as a snack.
A parent brings her adolescent son to an urgent care center and states. "He is
high on something and needs help" The client is exhibiting agitation and
paranoia and reports visual hallucinations. The nurse should suspect
