100% Accurate Answers
1. A nurse is assisting a client who has heart failure in selecting low-sodium
foods. Which of the following foods should the nurse recommend as
containing the lowest amount of sodium?
3 oz baked chicken
one baked potato
one slice of oatmeal bread
1 cup of applesauce
2. If a parent reports that their toddler still has trouble sleeping despite
following a bedtime routine, what should the nurse suggest next?
Encourage the parent to stop the bedtime routine.
Evaluate the child's sleep environment for comfort and distractions.
Suggest giving the child caffeine in the evening.
Advise the parent to let the child sleep with them.
3. If a client does not feel any fetal movement during the nonstress test, what
should the nurse's immediate action be?
Assess the fetal heart rate and notify the healthcare provider.
Reassure the client that movements can vary.
Encourage the client to drink juice to stimulate movement.
Continue the test without any changes.
4. A patient is anxious about undergoing an upper gastrointestinal series with
fluoroscopy. How should the nurse address this patient's concerns while
, providing necessary information?
The nurse should provide reassurance, explain the procedure in
detail, and answer any questions the patient may have.
The nurse should tell the patient to relax and not worry about the
procedure.
The nurse should inform the patient that the test is not necessary.
The nurse should recommend that the patient skip the test if they are
anxious.
5. What is an appropriate intervention for a nurse when a client monopolizes a
group therapy session?
Ignore the client and let others speak.
Schedule one-on-one discussion time with the client.
Encourage the client to share more.
Ask the client to leave the session.
6. A patient with chest pain has taken one sublingual nitroglycerin tablet but still
reports pain after 5 minutes. What should the nurse advise the patient to do
next?
Wait 15 minutes before taking another dose.
Call 911 immediately without taking another dose.
Take another sublingual nitroglycerin tablet after waiting 5 minutes.
Take an oral pain reliever instead.
7. If an older adult client is experiencing weight loss and fatigue, which dietary
strategy should the nurse recommend to improve their nutritional status?
, Increase the intake of high-calorie, nutrient-rich foods.
Suggest a diet high in processed foods.
Recommend only drinking water to stay hydrated.
Advise the client to skip meals to reduce calorie intake.
8. Describe the calculation process the nurse would use to determine the
volume of morphine to administer for a 2 mg dose.
The nurse multiplies the prescribed dose (2 mg) by the concentration
(10 mg/mL) to find the volume in mL.
The nurse subtracts the prescribed dose (2 mg) from the
concentration (10 mg/mL) to find the volume in mL.
The nurse divides the prescribed dose (2 mg) by the concentration
(10 mg/mL) to find the volume in mL.
The nurse adds the prescribed dose (2 mg) to the concentration (10
mg/mL) to find the volume in mL.
9. Why is it important for a nurse to suggest structured physical activities for a
client in an acute manic episode?
Structured physical activities help channel excess energy and
reduce impulsivity.
Structured physical activities can lead to increased social interactions.
Structured physical activities are not recommended during manic
episodes.
Structured physical activities may worsen manic symptoms.
10. In nursing practice, what is the primary reason for collecting data about a
client?
, To prepare medication orders
To assess the client's health status
To schedule follow-up appointments
To document nursing interventions
11. Why is measuring urine output considered an appropriate task for delegation
to assistive personnel in a long-term care setting?
Measuring urine output is not relevant in the care of clients with
urinary tract infections.
Measuring urine output is a complex task that involves interpreting
results and making clinical decisions.
Measuring urine output requires advanced clinical skills and should
only be done by registered nurses.
Measuring urine output is a routine task that does not require
clinical judgment and can be safely performed by assistive
personnel.
12. Jennifer Drew, a 20-year-old junior in college, is seen in the college clinic
with complaints of a sore throat, muscle soreness, and general malaise for
the past 3 days. Her temperature is 38.3º C (102º F). The physician makes a
tentative diagnosis of infectious mononucleosis. Ms. Drew is admitted to the
hospital to prevent the spread of mononucleosis. Which of the following
precautions should be taken by the nurses caring for her?
Enteric isolation
Good hand-washing techniques
Strict isolation
Respiratory isolation