PN 3 EXAM SCRIPT COMPREHENSIVE
STUDY GUIDE
●● A nurse is providing discharge teaching for a client who has
colorectal cancer and is several days postoperative following a colon
resection colostomy placement. Which of the following instructions
should the nurse include?
..
"You may continue to feel the urge to defecate during the healing
process."
"The stoma should appear purplish in color for the next 2 weeks."
"Liquid stool should begin to appear in the pouch after 7 days."
"Contact your provider immediately if you have excessive gas in the
pouch."
Answer: "You may continue to feel the urge to defecate during the
healing process."
●● A nurse is assessing a newborn who is 4 hr old. Which of the
following findings should the nurse expect?
Answer: Blue hands and feet
Blue hands and feet (Acrocyanosis)
,• Expected finding in a newborn during the first 24-48 hours of life
Coused by immature peripheral circulation
• Central body (chest, ips) shoud remain pink
●● A nurse is providing discharge teaching to a client who is newly
diagnosed with epilepsy. Which of the following cient statements
Indicates an understanding of the instructions:
"I will walk on the treadmill at the gym rather than walking outdoors."
"I can stop the medication once l am seizure-free for 1 month."
"I can drink up to two glasses of wine with my evening meal."
"I will take a daily tub bath rather than a shower."
Answer: "I will walk on the treadmill at the gym rather than walking
outdoors."
●● A nurse manager is preparing a program about intimate partner
violence for staff at a prenatal clinic. Which of the following
Information sh the nurse manager include?
Answer: Cultural norms might prevent a client from reporting abuse.
●● A nurse is providing teaching to a client who is scheduled for a
scratch test to diagnose an allergy. Which of the following statements
should the nurse make?
,"The provider will evaluate the results of the skin test in 48 hours."
"The size of the reaction to the test indicates the degree of sensitivity."
"Take oral glucocorticoids for 1 week prior to this test."
"Use an antihistamine nasal spray prior to the test."
Answer: The size of the reaction to the test indicates the degree of
sensitivity.
●● A nurse is providing preconception counseling about folic acid for a
client who is trying to conceive. Which of the following client responses
indicates an understanding of the teaching?
"Folic acid will increase my milk production."
"Folic acid will increase my baby's healthy bone growth."
"Folic acid will decrease the risk of neural tube defects."
"Folic acid will reduce my baby's risk of developing heart disease."
Answer: "Folic acid will decrease the risk of neural tube defects."
●● A nurse is teaching a male client who has erectile dysfunction and a
new prescription for sildenafil. Which of the following information
should the nurse include in the teaching?
"Change positions slowly after taking this medication."
"Constipation is a common adverse effect of this medication."
"You should expect temporary visual changes while taking this
medication."
, "Take this medication twice per day."
Answer: "Change positions slowly after taking this medication."
●● A nurse is teaching a cilent who has multiple sclerosis and a new
prescription for Interferon-beta-1a. Which of the following statements
should the nurse make?
Answer: This medication might cause fu-like symptoms.
●● A nurse in a provider's office is assessing a client who is at 28 weeks
of gestation and has gestational hypertension. Which of the following
findings the client might be developing preeclampsia?
Answer: Proteinuria
●● A nurse is caring for a client who was admitted following an
ischemic stroke. Which of the following actions should the nurse take?
(Select all that
apply.)
a)Administer aspirin 650 mg every 6 hr for a headache.
b)Provide rest breaks between nursing care activities.
c)Monitor the client's vital signs every 4 hr.
d)Notify the provider of a systolic BP higher than 180 mm Hg.
e)Keep the client's head in a midline neutral position.
Answer: b)Provide rest breaks between nursing care activities.
STUDY GUIDE
●● A nurse is providing discharge teaching for a client who has
colorectal cancer and is several days postoperative following a colon
resection colostomy placement. Which of the following instructions
should the nurse include?
..
"You may continue to feel the urge to defecate during the healing
process."
"The stoma should appear purplish in color for the next 2 weeks."
"Liquid stool should begin to appear in the pouch after 7 days."
"Contact your provider immediately if you have excessive gas in the
pouch."
Answer: "You may continue to feel the urge to defecate during the
healing process."
●● A nurse is assessing a newborn who is 4 hr old. Which of the
following findings should the nurse expect?
Answer: Blue hands and feet
Blue hands and feet (Acrocyanosis)
,• Expected finding in a newborn during the first 24-48 hours of life
Coused by immature peripheral circulation
• Central body (chest, ips) shoud remain pink
●● A nurse is providing discharge teaching to a client who is newly
diagnosed with epilepsy. Which of the following cient statements
Indicates an understanding of the instructions:
"I will walk on the treadmill at the gym rather than walking outdoors."
"I can stop the medication once l am seizure-free for 1 month."
"I can drink up to two glasses of wine with my evening meal."
"I will take a daily tub bath rather than a shower."
Answer: "I will walk on the treadmill at the gym rather than walking
outdoors."
●● A nurse manager is preparing a program about intimate partner
violence for staff at a prenatal clinic. Which of the following
Information sh the nurse manager include?
Answer: Cultural norms might prevent a client from reporting abuse.
●● A nurse is providing teaching to a client who is scheduled for a
scratch test to diagnose an allergy. Which of the following statements
should the nurse make?
,"The provider will evaluate the results of the skin test in 48 hours."
"The size of the reaction to the test indicates the degree of sensitivity."
"Take oral glucocorticoids for 1 week prior to this test."
"Use an antihistamine nasal spray prior to the test."
Answer: The size of the reaction to the test indicates the degree of
sensitivity.
●● A nurse is providing preconception counseling about folic acid for a
client who is trying to conceive. Which of the following client responses
indicates an understanding of the teaching?
"Folic acid will increase my milk production."
"Folic acid will increase my baby's healthy bone growth."
"Folic acid will decrease the risk of neural tube defects."
"Folic acid will reduce my baby's risk of developing heart disease."
Answer: "Folic acid will decrease the risk of neural tube defects."
●● A nurse is teaching a male client who has erectile dysfunction and a
new prescription for sildenafil. Which of the following information
should the nurse include in the teaching?
"Change positions slowly after taking this medication."
"Constipation is a common adverse effect of this medication."
"You should expect temporary visual changes while taking this
medication."
, "Take this medication twice per day."
Answer: "Change positions slowly after taking this medication."
●● A nurse is teaching a cilent who has multiple sclerosis and a new
prescription for Interferon-beta-1a. Which of the following statements
should the nurse make?
Answer: This medication might cause fu-like symptoms.
●● A nurse in a provider's office is assessing a client who is at 28 weeks
of gestation and has gestational hypertension. Which of the following
findings the client might be developing preeclampsia?
Answer: Proteinuria
●● A nurse is caring for a client who was admitted following an
ischemic stroke. Which of the following actions should the nurse take?
(Select all that
apply.)
a)Administer aspirin 650 mg every 6 hr for a headache.
b)Provide rest breaks between nursing care activities.
c)Monitor the client's vital signs every 4 hr.
d)Notify the provider of a systolic BP higher than 180 mm Hg.
e)Keep the client's head in a midline neutral position.
Answer: b)Provide rest breaks between nursing care activities.
