Exam Prep | Graded A+
1. Why is it appropriate for the nurse to delegate blood sugar testing to UAP in the
case of a hyperglycemic patient?
Only nurses can interpret blood sugar results.
Blood sugar testing is a routine task that does not require nursing
judgment.
UAP are trained to provide medication management.
Blood sugar testing is only necessary for diabetic patients.
2. What is one of the key preventive measures against the spread of lice among
children?
Children should wear long sleeves
Children are not to share hats, scarves and combs
Children should avoid physical education classes
Children should wash their hair daily
3. If a client with a nasogastric tube begins to show signs of discomfort and dry mouth,
what should the nurse prioritize in their care plan?
Encourage the client to chew gum for comfort.
Increase the frequency of oral care with a tooth sponge.
Adjust the nasogastric tube to improve drainage.
Administer intravenous fluids to hydrate the client.
,4. What physical sign might a nurse observe in a patient with right-sided congestive
heart failure?
Jugular vein distention
Pitting edema
Wheezing
Cyanosis
5. What is the most accurate indicator of fluid balance for a client with altered renal
function being treated at home?
blood
pressure heart
rate urine output
weekly weight
6. A client has been diagnosed with Zollinger-Ellison syndrome. Which information is
most important for the nurse to reinforce with the client?
With the average age at diagnosis at 50 years the peptic ulcers may occur at
unusual areas of the stomach or intestine
It is a condition in which one or more tumors called gastrinomas form in the
pancreas or in the upper part of the small intestine (duodenum)
Treatment consists of medications to reduce acid and heal any peptic ulcers
and, if possible, surgery to remove any tumors
, It is critical to report promptly to your health care provider any findings of
peptic ulcers
7. Which statement by the nurse reflects the use of a therapeutic statement? "You
look very sad. How long have you been this way? Have you been taking care of
yourself?"
"You look upset. Would you like to talk about it?"
"I understand your husband passed away. I couldn't bear that."
"I'd like to know more about your children. Tell me about them."
8. What is one intervention a nurse can use to promote comfort for a client with
pneumonia?
Encourage long discussions
Keep conversations short
Increase room temperature
Provide a warm compress
9. Why is it important for children not to share personal items like hats and combs in
preventing lice transmission?
Sharing personal items can facilitate the spread of lice from one child to
another.
Sharing personal items helps children bond and socialize.
Sharing personal items is a common practice in schools.
Sharing personal items is encouraged for hygiene education.
10. Why is the nurse's comment about birth control considered prejudiced in the
context of cultural sensitivity?
, The comment shows concern for the client's health and well-
being.
The comment indicates a lack of knowledge about family planning methods.