Exam Questions
What-action-should-a-nurse-take-first-for-a-toddler-with-poor-dietary-intake?---correct-answers--Obtain-
the-child's-dietary-history.
What-instruction-should-a-nurse-include-about-the-MMR-vaccine-for-a-postpartum-client?---correct-
answers--Avoid-pregnancy-for-at-least-28-days-after-receiving-the-vaccine.
What-technique-should-a-nurse-use-when-performing-a-wet-to-dry-dressing-change?---correct-answers--
Clean-the-wound-from-the-center-to-the-outer-edges.
Which-statement-indicates-understanding-of-contraception-teaching-by-a-female-client?---correct-
answers--My-partner-will-use-condoms-with-spermicides.
What-defense-mechanism-is-a-client-with-bipolar-disorder-using-when-yelling-at-the-nurse-during-
medication-changes?---correct-answers--Displacement.
What-should-a-nurse-identify-as-a-possible-source-of-infection-for-an-immunocompromised-client?---
correct-answers--Soiled-linens-are-placed-on-the-floor.
What-action-should-a-nurse-take-prior-to-an-esophagogastroduodenoscopy-for-a-client-with-peptic-ulcer-
disease?---correct-answers--Ensure-that-the-client-gave-informed-consent.
,What-intervention-should-a-nurse-implement-for-a-client-who-has-been-assaulted?-(Select-all-that-apply)-
--correct-answers--Maintain-a-safe-and-private-environment-for-the-client;-Provide-resources-for-local-
support-services;-Request-a-consult-for-case-management.
What-is-a-key-consideration-for-a-nurse-caring-for-a-client-with-leukemia-experiencing-chronic-fatigue?---
correct-answers--Assess-the-client's-energy-levels-and-provide-appropriate-rest-periods.
What-intervention-should-a-nurse-include-in-the-care-plan-for-a-client-with-leukemia-experiencing-
chronic-fatigue?---correct-answers--Increase-protein-in-the-diet.
What-is-a-common-finding-in-a-client-with-placenta-previa?---correct-answers--Bright-red-vaginal-
bleeding.
What-are-the-responsibilities-of-a-nurse-regarding-a-client's-advance-directives?---correct-answers--1.-
Provide-written-information-about-advance-directives.-2.-Instruct-the-client-that-an-advance-directive-is-
a-legal-document-that-must-be-honored.-3.-Communicate-advance-directives-status-via-the-medical-
record-and-shift-report.-4.-Document-discussions-about-do-not-resuscitate-status.
Which-action-is-an-example-of-protecting-client-confidentiality?---correct-answers--Giving-change-of-
shift-report-to-a-nurse-outside-the-client's-room.
What-should-a-nurse-do-when-assisting-with-postmortem-care-for-a-Muslim-client?---correct-answers--
Allow-a-family-member-to-stay-with-the-client's-body-until-burial.
What-indicates-understanding-of-breastfeeding-teaching-in-a-mother-of-a-5-day-old-newborn?---correct-
answers--I-should-have-my-baby-latch-on-to-my-nipple-and-areola-during-feeding.
What-intervention-should-a-nurse-implement-for-a-client-with-varicella-zoster?---correct-answers--Assign-
the-client-to-a-negative-pressure-airflow-room.
How-should-a-nurse-prepare-a-client-for-testing-the-plantar-Babinski-reflex?---correct-answers--Lie-down-
and-I-will-stroke-the-bottom-of-your-foot.
,What-resource-should-a-nurse-recommend-for-a-family-caring-for-an-older-adult-client-with-early-onset-
dementia?---correct-answers--Adult-day-care-facility.
What-is-the-expected-intervention-for-a-client-experiencing-chronic-fatigue-due-to-leukemia?---correct-
answers--Encourage-strength-training-exercise.
What-should-a-nurse-expect-to-find-in-a-client-with-placenta-previa?---correct-answers--Bright-red-vaginal-
bleeding.
What-is-the-nurse's-role-regarding-advance-directives?---correct-answers--Communicate-advance-
directives-status-via-the-medical-record.
What-is-an-appropriate-action-to-maintain-client-confidentiality?---correct-answers--Discarding-
worksheets-containing-client-information-in-a-secure-manner.
What-should-a-nurse-do-to-respect-the-beliefs-of-a-devout-Muslim-client-after-death?---correct-answers--
Position-the-client's-head-toward-Mecca.
What-breastfeeding-practice-should-a-mother-follow-for-her-newborn?---correct-answers--My-baby-
should-breastfeed-5-to-10-minutes-on-each-breast.
What-is-the-correct-nursing-intervention-for-a-client-with-varicella-zoster?---correct-answers--Initiate-
contact-precautions-for-the-client.
What-is-the-correct-instruction-for-testing-the-plantar-Babinski-reflex?---correct-answers--Place-your-foot-
in-my-hand-and-I-will-tap-the-back-of-your-heel.
What-is-a-key-responsibility-of-a-nurse-regarding-advance-directives?---correct-answers--Instruct-the-
client-that-an-advance-directive-is-a-legal-document.
What-should-a-nurse-document-regarding-do-not-resuscitate-status?---correct-answers--Document-that-
the-provider-discussed-do-not-resuscitate-status-with-the-client.
, What-is-an-appropriate-recommendation-for-a-family-caring-for-an-older-adult-with-dementia?---correct-
answers--Suggest-adult-day-care-facility-for-support.
What-should-a-nurse-avoid-when-discussing-client-information?---correct-answers--Discussing-a-client's-
prognosis-with-assistive-personnel-who-is-not-involved-in-their-care.
What-is-the-appropriate-action-for-a-nurse-regarding-a-client's-advance-directives?---correct-answers--
Provide-the-client-with-written-information-about-advance-directives.
What-should-a-nurse-instruct-a-client-to-do-if-they-experience-syncope-after-starting-enalapril?---correct-
answers--Rise-slowly-from-a-sitting-position-to-a-standing-position.
Which-food-should-a-nurse-recommend-to-a-client-with-irritable-bowel-syndrome?---correct-answers--
Yogurt.
What-important-information-should-a-nurse-include-when-teaching-guardians-of-a-child-with-cystic-
fibrosis?---correct-answers--Have-your-child-wear-a-medical-identification-wristband.
What-action-should-a-nurse-take-when-a-client-requests-to-take-a-tub-bath?---correct-answers--Check-on-
the-client-every-10-min-during-the-bath.
What-indicates-a-client's-understanding-of-what-to-do-when-experiencing-chest-pain-with-stable-angina-
pectoris?---correct-answers--I-will-stop-what-I-am-doing-and-lie-down.
What-supplies-should-a-nurse-ensure-a-client-has-upon-discharge-when-prescribed-oxygen-at-1-to-2-
L/min?---correct-answers--Nasal-cannula.
What-is-the-first-action-a-charge-nurse-should-take-upon-noticing-the-smell-of-alcohol-on-a-nurse's-
breath?---correct-answers--Remove-the-nurse-from-the-client-care-area.
What-is-the-priority-action-for-a-nurse-caring-for-a-cyanotic-client-with-a-respiratory-rate-of-8/min?---
correct-answers--Establish-a-patent-airway-for-the-client.