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,Question 1
The nurse is providing discharge teaching for a client who has peptic ulcer disease caused by H.
pylori infection. Which statement by the client indicated that additional teaching is needed?
A. "I will avoid drinking coffee, even if it is decaffeinated."
B. "I will take a multivitamin every morning with breakfast."
C. "I will go to my tai chi class to wind down after a busy day."
D. "I will take my medication ever day until my heartburn is gone."
Correct Answer
D. "I will take my medication ever day until my heartburn is gone."
Question 2
During the preoperative interview, the client's statement that would alert the nurse to an
increased risk during surgery is "I-
A. am a reformed smoker; I haven't had a cigarette in 10 years."
B. rarely eat red meat; it usually makes me feel bloated."
C. take a couple of aspirin every day for my headaches."
D. take a large assortment of vitamins daily."
Correct Answer
C. take a couple of aspirin every day for my headaches."
Question 3
A client has a leg wound that is in Stage II of the inflammatory response. For what sign or
symptom does the nurse assess?
A. Noticeable rubor
B. Purulent drainage
C. Swelling and pain
D. Warmth at the site
Correct Answer
B. Purulent drainage
Question 4
,The nurse is assessing a group of clients for their risk of kidney disease. Which racial/ethnic
group is at the greatest risk as they age?
A. Latino Americans
B. African Americans
C. Jewish Americans
D. Asian Americans
Correct Answer
B. African Americans
Question 5
An older client expresses concern about developing new "age spots." Which instruction most
important for the nurse to provide to the client?
A. "Limit the time you spend in the sun."
B. "Monitor for signs of infection."
C. "Monitor spots for color change."
D. "Use skin creams to prevent drying."
Correct Answer
C. "Monitor spots for color change."
Question 6
In the emergent care of a client with a pelvic fracture, the nurse must be especially alert for
indications of the complication of?
A. deep vein thrombosis
B. hyperthermia
C. hypovolemic shock
D. infection
Correct Answer
A. deep vein thrombosis
Question 7
, An obese client has reflux and asks how being overweight could cause this condition. Which by
the nurse is best?
A. "You eat more food, more often, than non-obese people do."
B. "The weight adds extra pressure, which helps push stomach contents up."
C. "Obese people tend to eat more high-fat food, which presents a risk."
D. "Obesity is not related to reflux, but losing weight would be healthy."
Correct Answer
B. "The weight adds extra pressure, which helps push stomach contents up."
Question 8
A client in the oncology clinic reports her family is frustrated at her ongoing fatigue 4 months
after radiation therapy for breast cancer. What response by the nurse is most appropriate?
A. "Are you getting adequate rest and sleep each day?"
B. "It is normal to be fatigued even for months afterward."
C. "This is not normal and I'll let the provider know."
D. "Try adding more vitamins B and C to your diet."
Correct Answer
B. "It is normal to be fatigued even for months afterward."
Question 9
A client who has sustained a crush injury to the right lower leg reports numbness and tingling of
the affected extremity. The skin of the right leg appears pale. Which is the
nurse's first intervention?
A. Assess pedal pulses
B. Apply oxygen by nasal cannula
C. Increase the IV flow rate
D. Document the finding
Correct Answer
A. Assess pedal pulses
Question 10