Guide
A hospice nurse is caring for a preschooler who has a terminal illness. One of the child's
parents tells the nurse that it is too difficult to cope any longer and has decided to move out
of the house. Which of the following responses should the nurse make?
A: "Let's talk about a few ways you have dealt with stress in the past."
B: "I believe that you will regret that decision. Your family needs your support."
C: "I agree that you have to do what is best for your well-being at this time."
D: "I think you should try to put your feelings aside and focus solely on your child."
ANSWERA: "Let's talk about a few ways you have dealt with stress in the past."
A nurse is teaching a client ways to prevent osteoporotic fractures due to osteoporosis.
Which of the following information should the nurse include in the teaching?
A: "Maintain bone health by eating fruits, vegetables, and protein." B: "Tamsulosin can slow
the progression of bone deterioration."
C: "Walk 20 minutes two times a week to manage osteoporosis."
D: "Start to increase vitamin C and magnesium in your diet."
ANSWERA: "Maintain bone health by eating fruits, vegetables, and protein."
A nurse is teaching a client who has hypothyroidism about taking levothyroxine. Which of
the following statements should the nurse make?
A: "You'll need to take this medication once a day at bedtime."
B: "This medication causes adverse effects if the dosage is too high or too low."
C: "Continuing this medication therapy long-term will eventually cure your
hypothyroidism."
D: "Potassium supplements can reduce the effectiveness of this medication."
ANSWERB: "This medication causes adverse effects if the dosage is too high or too low."
,A nurse in an emergency department is assessing a preschooler who has severe
dehydration as a result of gastroenteritis and is receiving isotonic IV fluids. Which of the
following findings should the nurse identify as an indication that the treatment is effective?
A: Urine output 0.5 mL/kg/hr
B: Capillary refill 3 seconds
C: Heart rate 148/min
D: Brisk skin turgor
ANSWERD: Brisk skin turgor
A nurse is caring for a client who has left hemiparesis following a stroke. Which of the
following actions should the nurse take?
A: Use a gait belt and stand on the client's right side to assist with ambulation.
B: Encourage the client to use wide-grip utensils when eating with the right hand.
C: Place personal items on the bedside table close to the bed on the client's left side.
D: Remove rolled toilet paper from the holder for easier access for the client
ANSWERB: Encourage the client to use wide-grip utensils when eating with the right hand.
A nurse is teaching about herbal supplements with a group of newly licensed nurses. Which
of the following herbal supplements should the nurse include in the teaching for treating
hyperlipidemia?
A: Feverfew
B: Gingko
C: Valerian
D: Garlic
ANSWERD. Garlic
, A nurse is admitting a client who has an acute bacterial wound infection and a temperature
of 39.8° C (103.6° F). Which of the following actions should the nurse take?
A: Obtain a wound culture 30 min after initiating IV antibiotics.
B: Place a fan on the lowest setting in the client's room.
C: Apply a cooling blanket directly on the client's skin.
D: Set the temperature of the client's room to 22.2° C (72° F).
ANSWERD: Set the temperature of the client's room to 22.2° C (72° F).
A nurse is assessing a client who is 1 hour postoperative following a transurethral resection
of the prostate (TURP) for treatment of benign prostatic hyperplasia. For which of the
following assessment findings should the nurse notify the provider?
A: Urine color is light pink.
B: The suprapubic area is soft to palpation.
C: The catheter tubing has multiple red clots.
D: The bowel sounds are hypoactive
ANSWERC: The catheter tubing has multiple red clots.
A nurse is planning care for a client who had surgery for osteomyelitis from a past
musculoskeletal trauma to the lower leg. Which of the following interventions should the
nurse include in the plan of care?
A: Position the affected leg flat when sitting up in bed.
B: Instruct the client to perform weight-bearing activities on the affected leg.
C: Check for paresthesia of the affected leg.
D: Apply heat to the surgical incision area of the affected leg.
ANSWERC: Check for paresthesia of the affected leg.