QUESTIONS WITH VERIFIED ANSWERS
QUESTION
A 69-year-old client is undergoing his second exchange of intermittent peritoneal
dialysis (IPD). Which of the following would require an intervention by the nurse?
MULTICHOICES
1. The client complains of pain during the inflow of the dialysate.
2. The client complains of constipation.
3. The dialysate outflow is cloudy.
4. There is blood-tinged fluid around the intra-abdominal catheter.
Correct Answer: ⬛
✓ 3. The dialysate outflow is cloudy.
QUESTION
The clinic nurse is performing diet teaching with a 67-year-old client with acute
gout. The nurse should teach the client to limit his intake of:
MULTICHOICES
1. Red meat and shellfish
2. Cottage cheese and ice cream
3. Fruit juices and milk
4. Fresh fruits and uncooked vegetables
Correct Answer: ⬛
✓ 1. Red meat and shellfish
QUESTION
A client is scheduled for a left lower lobectomy. The physician has ordered
diazepam (Valium) 2 mg IM for anxiety. The nurse would determine that the
,medication is appropriate if the client displays which of the following symptoms?
MULTICHOICES
1. Agitation and decreased level of consciousness.
2. Lethargy and decreased respiratory rate.
3. Restlessness and increased heart rate.
4. Hostility and increased blood pressure.
Correct Answer: ⬛
✓ 3. Restlessness and increased heart rate
QUESTION
A 59-year-old woman with bipolar disorder is receiving haloperidol (Haldol) 2 mg
PO tid. She tells the nurse, "Milk is coming out of my breasts." Which of the
following responses by the nurse is BEST?
MULTICHOICES
1. "You are seeing things that aren't real."
2. "Why don't we go make some fudge."
3. "You are experiencing a side effect of Haldol."
4. "I'll contact your physician to change your medication."
Correct Answer: ⬛
✓ 3. "You are experiencing a side effect of Haldol."
QUESTION
The physician orders ranitidine hydrochloride (Zantac) 150 mg PO qd for a client.
The nurse should advise the client the BEST time to take this medication is:
MULTICHOICES
1. Before breakfast.
2. With dinner.
3. With food.
4. At hs.
,Correct Answer: ⬛
✓ 4. At hs.
QUESTION
If a client develops cor pulmonale (right-sided heart failure), the nurse would
expect to observe:
MULTICHOICES
1. Increasing respiratory difficulty seen with exertion.
2. Cough productive of a large amount of thick, yellow mucus.
3. Peripheral edema and anorexia.
4. Twitching of extremities.
Correct Answer: ⬛
✓ 3. Peripheral edema and anorexia
QUESTION
The nurse is performing triage on a group of clients in the emergency department.
Which of the following clients should the nurse see FIRST?
MULTICHOICES
1. A 12-year-old oozing blood from a laceration of the left thumb due to cut on
a rusty metal can.
2. A 19-year-old with a fever of 103.8°F (39.8°C) who is able to identify her
sister but not the place and time.
3. A 49-year-old with a compound fracture of the right leg who is complaining
of severe pain.
4. A 65-year-old with a flushed face, dry mucous membranes, and a blood
sugar of 470 mg/dL.
Correct Answer: ⬛ ✓ 2. A 19-year-old with a fever of 103.8°F (39.8°C) who is able
to identify her sister but not the place and time.
, QUESTION
The nurse in the outpatient clinic teaches a client with a sprained right ankle to
walk with a cane. What behavior, if demonstrated by the client, would indicate
that teaching was effective?
MULTICHOICES
1. The client advances the cane 18 inches in front of her foot with each step.
2. The client holds the cane in her left hand.
3. The client advances her right leg, then her left leg, and then the cane.
4. The client holds the cane with her elbow flexed 60°.
Correct Answer: ⬛
✓ 2. The client holds the cane in her left hand.
QUESTION
A client returns to his room following a myelogram. The nursing care plan should
include which of the following?
MULTICHOICES
1. Encourage oral fluid intake.
2. Maintain the prone position for 12 hours.
3. Encourage the client to ambulate after the procedure.
4. Evaluate the client's distal pulses on the affected side.
Correct Answer: ⬛
✓ 1. Encourage oral fluid intake
QUESTION
The nurse is caring for a patient following an appendectomy. The patient takes a
deep breath, coughs, and then winces in pain. Which of the following statements,
if made by the nurse to the patient, is BEST?
MULTICHOICES
1. "Take three deep breaths, hold your incision, and then cough."
2. "That was good. Do that again and soon it won't hurt as much."