and Answers to Pass the Exam
1. 1. A 64 year-old client scheduled for surgery with a general
anesthetic refuses to remove a set of dentures prior to leaving the
unit for the operating room. What would be the most appropriate
intervention by the nurse?
A) Explain to the client that the dentures must come out as they
may get lost or broken in the operating room
B) Ask the client if there are second thoughts about having the
procedure
C) Notify the anesthesia department and the surgeon of the client's
refusal
D) Ask the client if the preference would be to remove the dentures
in the operating room receiving area
Answer: D: Ask the client if the preference would be to remove the dentures in the
operating room receiving area
2. 2. The nurse has been teaching adult clients about cardiac risks
when they visit the hypertension clinic. Which form of evaluation
would best measure learning?
A) Performance on written tests
,B) Responses to verbal questions
C) Completion of a mailed survey
D) Reported behavioral changes
Answer: D: Reported behavioral changes
3. 3. The nurse is planning care for an 18 month-old child. Which
action should be included in the child's care?
A) Hold and cuddle the child frequently
B) Encourage the child to feed himself finger food
C) Allow the child to walk independently on the nursing unit
D)Engage the child in games with other children
Answer: B: Encourage the child to feed himself finger food
4. 4. A partner is concerned because the client frequently
daydreams about moving to Arizona to get away from the
pollution and crowding in southern California. The nurse explains
that
A) Such fantasies can gratify unconscious wishes or prepare for
anticipated
future events
B) Detaching or dissociating in this way postpones painful feelings
C) This conversion or transferring of a mental conflict to a physical
,symptom can lead to marital conflict
D) To isolate the feelings in this way reduces conflict within the client
and with others
Answer: A: Such fantasies can gratify unconscious wishes or prepare for anticipated future events
5. 5. An appropriate goal for a client with anxiety would be to
A) Ventilate anxious feelings to the nurse
B) Establish contact with reality
C) Learn self-help techniques
D) Become desensitized to past trauma
Answer: C: Learn self-help techniques
6. 6. While the nurse is administering medications to a client, the
client states "I do not want to take that medicine today." Which of
the following responses by the nurse would be best?
A) "That's OK, its all right to skip your medication now and then."
B) "I will have to call your doctor and report this."
C) "Is there a reason why you don't want to take your medicine?"
D) "Do you understand the consequences of refusing your
prescribed treat- ment?"
Answer: C: "Is there a reason why you don't want to take your medicine?"
, 7. 7. While caring for a client, the nurse notes a pulsating mass in
the client's peri umbilical area. Which of the following assessments
is appropriate for the nurse to perform?
A) Measure the length of the mass
B) Auscultate the mass
C) Percuss the mass
D) Palpate the mass
Answer: B: Auscultate the mass
8. 8. A client is admitted to the hospital with a history of
confusion. The client has difficulty remembering recent events and
becomes disoriented when away from home. Which statement would
provide the best reality orientation for this
client?
A) "Good morning. Do you remember where you are?"
B) "Hello. My name is Elaine Jones and I am your nurse for today."
C) "How are you today? Remember, you're in the hospital."
D)"Good morning. You're in the hospital. I am your nurse Elaine Jones."
Answer: D: "Good morning. You're in the hospital. I am your nurse Elaine Jones."
9. 9. The nurse is teaching the parents of a 3 month-old infant
about nutrition. What is the main source of fluids for an infant