Exam 2020
A nurse is reinforcing information with a client who wishes to complete their advance
directives. Which of the following statements should the nurse make? - ANSWER You can decline to have certain medical procedures performed in your living will.
A nurse is reinforcing teaching with a client who is premenopausal. Which of the
following statements by the client indicates in understanding of the teaching? - ANSWER "I might have headaches due to a decline in my estrogen levels.
A nurse in a provider's office is calculating a client's BMI. Which of the following pieces
of the client data should the nurse use as a part of the calculation? - ANSWER Height A nurse is reinforcing teaching with a client about the use of a peak flow meter. Which of
the following actions should the nurse make first? - ANSWER Determine the client's knowledge of the use of the peak flow meter
A nurse is collecting data about a client's oral care. The client wears dentures and reports
having mouth sores. The nurse should identify which of the following oral care practices
by the client as a possible cause of the mouth sores? - ANSWER Wears dentures while sleeping at night.
A nurse is preparing to administer a medication from an ampule. Which of the following
is an appropriate action for the nurse to make? - ANSWER Use a filter needle to aspirate the medication.
A nurse on a medical-surgical unit is caring for a group of clients. Which of the following
findings should the nurse identify as a safety hazard? - ANSWER An assistive personnel raises all four side rails of a client's bed before leaving the
room A nurse is caring for a client who is 2 days postoperative following a below-the-
knee
amputation. Which of the following statements by the client should the nurse identify as
indicating an acceptance of the limb loss? - ANSWER I need to learn how to perform a dressing change on my leg.
A nurse on a medical-surgical unit is collecting data from a client who is postoperative
following abdominal surgery. The client's BP was 126/72 mm Hg 15 min ago. The nurse
now finds that the client's BP is 176/96 mm Hg. Which of the following actions should
the nurse make? - ANSWER Measure the client's BP in the other arm
A nurse is assisting with the admission of a client who has streptococcal pharyngitis.
Which of the following precautions should the nurse make? - ANSWER Wear a surgical mask when giving the client direct care
A nurse is caring for a client who has dyspnea with an oxygen saturation of 88%. Which