GRADE A WELL ANSWERED QUESTION AND ANSWER
A nurse on an inpatient unit is assisting with the discharge plan for a client who has
schizophrenia. Which of the folloving resources should the nurse include in the plan?
Contact information for enrollment in a 12-step program
Contact information for a community mental health center
A referral for respite care services
A list of primary prevention activities - (CORRECT ANSWER)Contact information for
a community mental health center
A nurse in a provider's office is reinforcing teaching with a client about performing
testicular self-examination. Which of the following instructions should the nurse
include?
"Palpate both testicles firmly with your fingertips.
Apply a cool compress to the scrotum prior to examination.
Perform the self-examination every 3 months.
Examine your testicles after a warm shower." - (CORRECT ANSWER)Examine your
testicles after a warm shower."
A nurse is planning care for a client who is 1 day postoperative following abdominal
surgery. Which of the following tasks should the nurse
delegate to an assistive personnel?
Showing the client how to use an incentive spirometer
Transferring the client from the bed to a chair
Checking the client's surgical dressing for bleeding
Determining whether the client has Incisional pain - (CORRECT
ANSWER)Transferring the client from the bed to a chair
A newly-licensed nurse tells another nurse that their password has expired and asks
for assistance with inputting data into a client's electronic medical record. Which of
the following statements should the nurse make?
You won't be able to input any data until you reset your password."
You can use my password on another terminal, but just this one time.
If you'd like to give me the data, I can enter it for you."
,The charge nurse can log on for you and watch you input the data. - (CORRECT
ANSWER)You won't be able to input any data until you reset your password."
A nurse on a postpartum unit is caring for a group of clients. Which of the following
clients is the nurse's priority?
A client who is 1 day postpartum and has not voided in 8 hr
'client who is 4 days postpartum and has lochia
Serosa
A client who is 3 days postpartum and has not had a bowel movement since prior to
admission
A client who is 2 days postpartum and whose fundus is 2 to 4 cm below the
umbilicus - (CORRECT ANSWER)A client who is 3 days postpartum and has not
had a bowel movement since prior to admission
A nurse is reinforcing home safety instructions with the guardian of an 18-month-old
toddler. Which of the following responses by the guardian indicates an
understanding of the teaching?
I will place my child in a drop-side crib for napping.
I will turn all pot handles toward the back of the stove."
I will set the temperature of the water heater to 130 degrees."
I will place my child's car seat forward-facing in the backseat." - (CORRECT
ANSWER)I will turn all pot handles toward the back of the stove."
A nurse is caring for a client who is at 6 weeks of gestation. Which of the following
laboratory findings should the nurse report to the provider?
WBC 7.000/mm
Hemoglobin 13 g/dL
Blood glucose 130 mg/dL
RBC 5.8 million/mm3 - (CORRECT ANSWER)Hemoglobin 13 g/dL
A nurse is preparing to give change-of-shift report to the oncoming nurse. Which of
the following information should the nurse include?
Expected laboratory results
Number of visitors
Routine care
, Medical diagnosis - (CORRECT ANSWER)Expected laboratory results
A nurse is reinforcing teaching with a client who has gestational diabetes mellitus.
Which of the following statements by the client indicates an
understanding of the teaching?
"My baby is at risk for being underweight at birth."
"My baby will be monitored for hypoglycemia after birth."
"I should ensure that only S percent of my daily calories come from protein sources."
I will check my blood glucose once every 8 hours." - (CORRECT ANSWER)"My
baby will be monitored for hypoglycemia after birth."
A nurse is selecting foods for a client who is in the manic phase of bipolar disorder.
Which of the following foods should the nurse offer the client?
Mashed potatoes
creamed corn
Spaghetti with meat sauce
Milkshake - (CORRECT ANSWER)Milkshake
A nurse is preparing to perform an irrigation to remove a buildup of cerumen from a
client's ear. Which of the following actions should the nurse
take?
Use cool water to flush the cerumen from the ear canal.
Aim the stream of water directly at the cerumen impaction.
Remind the client to use a cotton swab periodically to remove cerumen.
Instill cerumen-softening drops before the irrigation. - (CORRECT ANSWER)Instill
cerumen-softening drops before the irrigation
A nurse is contributing to the plan of care for an adolescent client following surgery
for a ruptured appendix. which of the following interventions should the nurse
recommend to include in the plan?
Offer the client a clear liquid diet when fully alert.
Discontinue antibiotic therapy on the first postoperative day.
Ensure that the client receives pain medication prior to ambulation.
A nurse on an inpatient unit is assisting with the discharge plan for a client who has
schizophrenia. Which of the folloving resources should the nurse include in the plan?
Contact information for enrollment in a 12-step program
Contact information for a community mental health center
A referral for respite care services
A list of primary prevention activities - (CORRECT ANSWER)Contact information for
a community mental health center
A nurse in a provider's office is reinforcing teaching with a client about performing
testicular self-examination. Which of the following instructions should the nurse
include?
"Palpate both testicles firmly with your fingertips.
Apply a cool compress to the scrotum prior to examination.
Perform the self-examination every 3 months.
Examine your testicles after a warm shower." - (CORRECT ANSWER)Examine your
testicles after a warm shower."
A nurse is planning care for a client who is 1 day postoperative following abdominal
surgery. Which of the following tasks should the nurse
delegate to an assistive personnel?
Showing the client how to use an incentive spirometer
Transferring the client from the bed to a chair
Checking the client's surgical dressing for bleeding
Determining whether the client has Incisional pain - (CORRECT
ANSWER)Transferring the client from the bed to a chair
A newly-licensed nurse tells another nurse that their password has expired and asks
for assistance with inputting data into a client's electronic medical record. Which of
the following statements should the nurse make?
You won't be able to input any data until you reset your password."
You can use my password on another terminal, but just this one time.
If you'd like to give me the data, I can enter it for you."
,The charge nurse can log on for you and watch you input the data. - (CORRECT
ANSWER)You won't be able to input any data until you reset your password."
A nurse on a postpartum unit is caring for a group of clients. Which of the following
clients is the nurse's priority?
A client who is 1 day postpartum and has not voided in 8 hr
'client who is 4 days postpartum and has lochia
Serosa
A client who is 3 days postpartum and has not had a bowel movement since prior to
admission
A client who is 2 days postpartum and whose fundus is 2 to 4 cm below the
umbilicus - (CORRECT ANSWER)A client who is 3 days postpartum and has not
had a bowel movement since prior to admission
A nurse is reinforcing home safety instructions with the guardian of an 18-month-old
toddler. Which of the following responses by the guardian indicates an
understanding of the teaching?
I will place my child in a drop-side crib for napping.
I will turn all pot handles toward the back of the stove."
I will set the temperature of the water heater to 130 degrees."
I will place my child's car seat forward-facing in the backseat." - (CORRECT
ANSWER)I will turn all pot handles toward the back of the stove."
A nurse is caring for a client who is at 6 weeks of gestation. Which of the following
laboratory findings should the nurse report to the provider?
WBC 7.000/mm
Hemoglobin 13 g/dL
Blood glucose 130 mg/dL
RBC 5.8 million/mm3 - (CORRECT ANSWER)Hemoglobin 13 g/dL
A nurse is preparing to give change-of-shift report to the oncoming nurse. Which of
the following information should the nurse include?
Expected laboratory results
Number of visitors
Routine care
, Medical diagnosis - (CORRECT ANSWER)Expected laboratory results
A nurse is reinforcing teaching with a client who has gestational diabetes mellitus.
Which of the following statements by the client indicates an
understanding of the teaching?
"My baby is at risk for being underweight at birth."
"My baby will be monitored for hypoglycemia after birth."
"I should ensure that only S percent of my daily calories come from protein sources."
I will check my blood glucose once every 8 hours." - (CORRECT ANSWER)"My
baby will be monitored for hypoglycemia after birth."
A nurse is selecting foods for a client who is in the manic phase of bipolar disorder.
Which of the following foods should the nurse offer the client?
Mashed potatoes
creamed corn
Spaghetti with meat sauce
Milkshake - (CORRECT ANSWER)Milkshake
A nurse is preparing to perform an irrigation to remove a buildup of cerumen from a
client's ear. Which of the following actions should the nurse
take?
Use cool water to flush the cerumen from the ear canal.
Aim the stream of water directly at the cerumen impaction.
Remind the client to use a cotton swab periodically to remove cerumen.
Instill cerumen-softening drops before the irrigation. - (CORRECT ANSWER)Instill
cerumen-softening drops before the irrigation
A nurse is contributing to the plan of care for an adolescent client following surgery
for a ruptured appendix. which of the following interventions should the nurse
recommend to include in the plan?
Offer the client a clear liquid diet when fully alert.
Discontinue antibiotic therapy on the first postoperative day.
Ensure that the client receives pain medication prior to ambulation.
