Complete Practice Questions with
Detailed Rationales
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1. The nurse is assisting with the admission of a client who is scheduled
for a
colon resection. Which of the following statements made by the client
would
be most important for the nurse to clarify?
1. "I have urinary incontinence when I sneeze."
2. "I had successful cataract surgery 2 years ago."
3. "I take acetaminophen for occasional headaches."
4. "I usually have a few glasses of wine in the evening.":
2. The nurse is caring for a client who is scheduled to have an arterial
blood gas
(ABG) sample obtained. Which of the following tests should the nurse
anticipate
will be performed prior to the procedure?
1. Coombs' test
2. Schilling test
3. Ham test
4. Allen test:
,3. The nurse is contributing to a staff education program about client
confiden tiality. Which of the following information should the nurse
suggest including?
Select all that apply.
1. "The client is the sole owner of the client's medical record."
2. "Unneeded computer-generated worksheets must be shredded at
the end
of the shift to ensure client confidentiality."
3. "Personal computer passwords may not be shared with anyone,
including
other members of the client's health care team."
4. "Keep your voice low when speaking with the client because direct
interac tions with clients must be kept as private as possible."
5. "Medical information about the client may be shared with a police
officer
who brought the client into the emergency department (ED).":
4. The charge nurse in a long-term care facility has been advised that
the
following assigned clients will be admitted during the shift. The charge
nurse
should assign the only available private room to the client with
1. hepatitis C (HCV)
2. a positive varicella-zoster titer
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3. Pneumocystis pneumonia (PCP)
4. a positive cytomegalovirus (CMV) titer:
5. The nurse is contributing to the plan of care for a client with chronic
obstruc tive pulmonary disease (COPD). Which of the following
interventions should
the nurse suggest including in the client's plan of care?
1. Restrict the client's fluid intake to 500 mL daily.
2. Place the client in low-Fowler's position for meals.
3. Provide the client with a high-carbohydrate diet and high-
carbohydrate
snacks.
4. Provide the client with small, frequent meals, and schedule a rest
period
before and after meals:
6. The nurse is reinforcing teaching with the parents of a child who is
scheduled
for surgical repair of hypospadias in 3 hours. The nurse should reinforce
that
intended outcomes of the procedure include
1. relief from pain
2. relief from bladder obstruction
3. the ability to void while standing
, 4. the ability to achieve an erection:
7. The nurse is caring for a client who has an order for a sputum
specimen for
culture and sensitivity (C & S). Which of the following actions should
the nurse
take?
1. Request a prescription for a bronchodilator to be administered
before the
specimen is obtained.
2. Place the specimen in the refrigerator until it can be transported to
the
laboratory.
3. Tell the client to rinse the mouth with water before the specimen is
obtained.
4. Obtain the sputum specimen before the client goes to bed at night.:
8. The nurse in a pediatric outpatient care facility has received
telephone mes sages from parents of clients who were previously seen
at the facility. The nurse
should first telephone the parent of a client who has
1. acute otitis media and reports insomnia after taking amoxicillin 6
hours ago
2. a fracture of the left tibia and has placed a crayon in the cast
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