– High-Yield Practice Questions, Rationales & Exam Readiness
Study Guide
A nurse is reinforcing teaching with a postpartum client. Which of the following
should the nurse explain as the most important reason for staff to wear
identification? - CORRECT ANSWER -Reducing the risk of newborn abduction
A nurse is reinforcing teaching with a client who plans to bottle feed her newborn.
Which of the following statements indicates an understanding of the instructions? -
CORRECT ANSWER -I will feed my baby six to eight times a day
A nurse is reinforcing teaching with a client diagnosed with osteoarthritis who
reports joint pain,swelling, and stiffness. Which of the following client statements
indicates understanding of the teaching? - CORRECT ANSWER -I will exercise my
joints as much as i can when they are inflamed
A nurse is reinforcing teaching with a client who is scheduled for a mammogram.
Which of the following instructions should the nurse include in the teaching? -
CORRECT ANSWER -Refrain from using deodorant on the morning of the test
A nurse is preparing a clients insulin regimen. Which of the following insulin's can be
mixed? - CORRECT ANSWER -Insulin aspart, regular insulin, insulin lispro
A nurse is reinforcing discharge teaching with a client who is postoperative
following laser surgery for open-angle glaucoma. Which of the following
statements by the client indicates an understanding of the instructions? - CORRECT
ANSWER -I will take a stool softener to prevent constipation
,A nurse is caring for a client who had a stroke and is having difficulty swallowing.
The nurse should recommend a referral to which of the following members of the
interprofessional team? - CORRECT ANSWER -Speech therapist
A nurse is reinforcing teaching with a client who is 12 hr postpartum and has an
episiotomy. Which of the following instructions should the nurse include? - CORRECT
ANSWER -Change the perineal pad with each void
A nurse is collecting data from a child who has acute Glomerulonephritis. Which of
the following findings should the nurse expect? - CORRECT ANSWER -Periorbital
edema
A nurse is preparing to administer a liquid medication to a 6-month-old infant who
is crying. Which of the following actions should the nurse take to reduce the risk of
aspiration? - CORRECT ANSWER -Administer using a needless syringe in the buccal
cavity
A nurse is reinforcing teaching with a client who has peptic ulcer disease. Which of
the following statements by the client indicates an understanding of the teaching? -
CORRECT ANSWER -I will plan to have my meals at regular intervals
A nurse in long-term care facility has received change-of-shift report about four
clients. Which of the following clients should the nurse attend to first? - CORRECT
ANSWER -A client who has COPD and dementia and was agitated during the night
shift
A nurse is collecting data from a client who has substance use disorder and reports
recently taking opioids. Which of the following findings should the nurse identify as
a manifestation of opioid intoxication? - CORRECT ANSWER -Pinpoint pupils
, A nurse in a urgent care clinic is collecting data from a client who reports having
diarrhea for the past 3 days. Which of the following findings indicates
hypokalemia? - CORRECT ANSWER -Muscle weakness
A nurse is contributing to the discharge plans for four clients. The nurse should
identify that which of the following clients requires an interdisciplinary care
conference? - CORRECT ANSWER -A client who has hemiparesis and lives alone
A nurse is reinforcing teaching with an adolescent who has a new prescription for
cefazolin. For which of the following findings should the nurse instruct the adolescent
to monitor and report to the provider? - CORRECT ANSWER -Depression
A nurse is reinforcing teaching with a group of expectant parents regarding the
proper use of a car seat. Which of the following statements by a parent indicates
an understanding of the teaching? - CORRECT ANSWER -I can place a rolled towel
on each side of my newborns head until he can hold his head up
A nurse is caring for a school-age child who has epistaxis. Which of them following
actions should the nurse take? - CORRECT ANSWER -Apply pressure at the bridge
of the child's nose
A nurse is caring for four clients. Which of the following clients statements should the
nurse attend to first? - CORRECT ANSWER -My heartburn pain is going into my jaw
now
A nurse in a providers office is talking on the phone with the parent of a school-age
child who has varicella. - CORRECT ANSWER -All vesicles have crusted over