EXAM
A nurse is collecting data from a client who has type 2 diabetes mellitus and is concer
ned about weight gain during pregnancy.
Which of the following responses should the nurse make? --ANSWER: your weight
gain should be the same as for someone without diabetes
A nurse is reinforcing teaching with the parent of a preschooler who has lactose
intoler ance. Which of the following statements by the parent indicates an
understanding of the teaching? --ANSWER: I should offer my child yogurt that has a
probiotic as a snack.
A nurse is caring for a client who is 16 hr postoperative following a total hip arthropla
sty. the client reports numbness, pain, and tingling in the followingected leg. Which
of the following actions should the nurse take first? --ANSWER: compare capillary
refill in toes bilaterally
A nurse is reinforcing teaching with a client who has acute diverticulitis. Which of the
following statements by the client indicates an understanding of the teaching about the
acute phase of diverticulitis? --ANSWER: "I will receive the nutrient I need through
my IV Fluid"
A nurse in reinforcing teaching with a client about cancer prevention. The nurse shoul
d include that frequent consumption of which of the following foods increases the risk
of cancer? --ANSWER: lamb
A nurse is assisting in teaching a group of stafollowing nurses about hepatitis A.
Which of the following modes should the nurse include as a method of transmitting
hepatitis A? --ANSWER: consumption of contaminated foods
A nurse is reinforcing teaching with a client who is bottle feeding he full-term
newborn with formula. Which of the following instructions should the nurse include
in the teaching? --ANSWER: Although it is unnecessary to be rigid about feeding
times, six to eight feedings every 24 hrs should support a full- term newborn's
nutrition adequately.
Fewer feedings in the initial weeks could delay the establishment of an adequate
weight-gain pattern.
A nurse is reinforcing teaching with a client who has hypothyroidism and a
prescriptio n for levothyroxine. Which of the following instructions should the nurse
include in th e teaching? --ANSWER: you will need to take the medication for the rest
of your life
A nurse is collecting data from a postpartum client who had a vaginal birth 2 days ago.
Which of the following findings is the nurse's priority to report to the provider? --
ANSWER: Client reports during with urination.
, A nurse is reinforcing reaching with a client about a planned thoracentesis. Which of
the following information should the nurse include in the teaching? --ANSWER: You
will need to be monitored for 1 hour after the procedure."
A nurse is contributing to the plan of care for an older adult
client who has difficulty in sleeping. Which of the following interventions should the
nurse include in the plan? --ANSWER: Establish a regular exercise routine 2 hr or
more before bedtime.
A nurse in a provider's office is reinforcing teaching with a client who has a new
prescription for ferrous sulfate elixir. Which of the following statements by the client
should indicate to the nurse an understanding of the teaching? --ANSWER: "I will
rinse my mouth after taking this medication"
A licensed practical nurse on a medical surgical unit is working with an RN and an As
sistive personnel. Which of the following assignments should the LPN expect to
receive? --ANSWER: Administering an NG tube feeding to a client who had a stroke
A nurse is caring for a client who has schizophrenia and is experiencing auditory
hallucinations. Which of the following actions should the nurse take? --ANSWER:
Offer the client headphones to listen to music.
A nurse is reinforcing teaching with a client about taking warfarin to treat atrial
fibrillation. Which of the following statements by the client indicates an
understanding of the teaching? --ANSWER: If I forget to take a dose, I can take it
later on the same day."
A nurse is working with an interpreter to explain a diagnostic procedure to a client wh
o doesn't speak the same language as the nurse. Which of the following actions should
the nurse take? --ANSWER: Ensure the interpreter is culturally compatible with the
client.
A nurse is reinforcing discharge teaching with a client who has dependent personality
disorder. Which of the following instructions should the nurse include in the
dischargeteaching? --ANSWER: Demonstrate assertiveness.
A nurse is contributing to the discharge plan for a client who had a knee arthroplasty.
Which of the following actions should the nurse identify as the priority? --ANSWER:
Check the client's mobility
A nurse in a long-
term care facility is assisting with the admission of a client who requires
oropharyngeal suctioning. Which of the following supplies does the nurse need to
perform this task? --ANSWER: Yankauer catheter|
A nurse is collecting data from a client who is 24 hr post op from an open colon
resection, has a clamped NG tube, and is resuming a clean liquid diet. Which of the
following findings should the nurse report to the provider? --ANSWER: Client reports
vomiting green-tinged fluid.