Test Questions And Answers
A nurse is preparing to administer an IM injection to an adult client who has a BMI of 30. Which
of the following needle lengths is appropriate to administer the injection in the ventrogluteal
muscle. - ANS 1 1/2 inch
A nurse is collecting data on a newly admitted client who is reporting abdominal discomfort.
When examining the abdomen, which of the following techniques should the nurse perform
next? - ANS Inspection
A nurse is caring for a client who is scheduled for a biopsy of a tumor located in the left lower
lobe of the lung. The client states, "I will quit smoking if the results don't come back positive for
cancer." This statement indicates the client is in which of the following stages of grief? - ANS
Bargaining
a nurse on a pediatric unit is caring for an infant who is diagnosed with
laryngotracheobronchitis. While preforming a respiratory examination, the nurse hears the
sound on the provided audio clip. Based on this finding, the nurse should conclude the client is
exhibiting which of the following breath sounds? - ANS Stridor
A nurse is caring for a client who has been prescribed a full liquid diet. Which of the following is
appropriate to include in the clients diet? - ANS Grape juice, ice cream
A nurse is caring for a client who is receiving vancomycin for a beta hemolytic streptococci
infection. For which of the following adverse effects should the nurse monitor? - ANS
Hearing loss
A nurse is caring for a client who is immobile and has developed a pressure ulcer. Which of the
following characteristics is associated with a stage II pressure ulcer? - ANS Partial
thickness skin loss
A nurse is reinforcing a teaching to a client who has fractured ankle and is learning to walk up
the stairs. Identify the sequence of the actions the client should be taught when using a modified
3-point crutch gait. - ANS Client stands, bearing weight on unaffected leg.
Client transfers body weight to the crutches.
Client advances the unaffected leg between the crutches.
Client shifts weight from crutches to the unaffected leg.
Client aligns crutches on the stair.