AND ANSWERS (GRADED A+)
A nurse is reinforcing teaching with a client about menopause. Which of the following
statements by the client indicates an understanding of the teaching?
a) "I will need hormone replacement therapy for
the rest of my life."
b) "I should expect to have an increased risk for
breast cancer."
c) "The use of black cohosh will decrease
vaginal bleeding."
d) "I should use a vaginal douche to prevent
dryness." -Answer-B. "I should expect to have an increased risk for breast cancer."
A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease.
Which of the
following dietary instructions should the nurse include?
a) Chew food thoroughly.
b) Use a straw when drinking liquids.
c) Drink carbonated beverages with meals.
d) Limit meals to three per day with no snacking
in between. -Answer-A. Chew food thoroughly
A nurse is preparing a client for a colposcopy following an abnormal Papanicolaous
(Pap) test. Which of the following actions should the nurse take?
a) Place the client in the Sims' position.
b) Reinforce teaching that the procedure
involves dilation of the cervix.
c) Insert a tampon following the procedure.
d) Instruct the client to avid sexual intercourse
until the cervix is healed. -Answer-D. Instruct the client to avid sexual intercourse
until the cervix is healed.
A nurse is assisting with the development of the plan of care for a client who has a low
WBC count. Which of the following interventions should the nurse include?
a) Encourage the client to eat a low-protein diet.
b) Prohibit fresh flowers in the client's room.
c) Obtain the client's rectal temperature every 4
hr.
d) Initiate airborne precautions for the client. -Answer-B. Prohibit fresh flowers in the
client's room.
,A nurse is reinforcing teaching with a female client who has a history of urinary tract
infections. Which of the following instructions should the nurse include?
a) Use a vaginal douche once a week.
b) Empty the bladder at least every 6 hr.
c) Increase milk consumption to make the urine
more alkaline.
d) Urinate before and after sexual intercourse. -Answer-D. Urinate before and after
sexual intercourse.
A nurse is caring for a client who has a prescription for a sequential compression device
(SCD). Which of the following actions should the nurse take when applying the SCD?
a) Ensure two fingers fit between the leg and the sleeve.
b) Wrap excess tubing to the side of each leg.
c) Ensure pressure of the device is at 25 mmHg.
d) Place each service under each leg with theopening at the calf. -Answer-A. Ensure
two fingers fit between the leg and the
sleeve.
A nurse is caring for a client who has bladder cancer
and is 1 day postoperative following placement of an
ileal conduit. Which of the following information
should the nurse report to the provider? (Click on the
"Exhibit" button for additional information about the client. There are three tabs that
contain separate
categories of data.")
a) Platelet count
b) Stoma color
c) Bowel sounds
d) Urine output -Answer-B. Stoma color
A nurse is collecting data about immunizations for a 65-year-old client who has no
identified risk factors for disease. The nurse should identify the client's need for which of
the following immunizations?
a) Inactivated polio virus
b) Herpes zoster
c) Human papilloma virus
d) Measles, mumps, and rubella -Answer-B. Herpes zoster
A nurse is reinforcing teaching with a client about colorectal cancer. Which of the
following risk factors should the nurse include?
a) Biliary colic
b) Duodenal ulcer
c) Chronic constipation
d) Ulcerative colitis -Answer-D. Ulcerative colitis
A nurse is assisting with the transfer of a client from
, a medical-surgical unit to an intensive care unit following a change in status. Which of
the following information should the nurse include in the transfer
documentation? (Select all that apply.)
a) Primary health problem
b) Scheduled times for dressing changes
c) Current medication prescriptions
d) Number of family members who have visited
e) Admission vital signs from 1 week ago -Answer-A. Primary health problem
B. Scheduled times for dressing changes
C. Current medication prescriptions
A nurse is collecting data from a client prior to administering hydrochlorothiazide for mild
hypertension. Which of the following findings should the nurse identify as a
contraindication to administering the medication?
a) 2+ pedal edema
b) Potassium 2.8 mEq/L
c) Allergy to shellfish
d) History of GERD -Answer-B. Potassium 2.8 mEq/L
A nurse is caring for a client who has a terminal illness and is in the active phase of
dying. The client
refuses further hydration and nourishment. Which of the following actions should the
nurse take?
a) Request a prescription for IV fluids.
b) Ask the client's health care surrogate for permission to withhold nourishment.
c) Provide regular oral care for the client with a moist swab.
d) Explain the importance of oral hydration to the chest. -Answer-C. Provide regular oral
care for the client with a
moist swab.
A nurse is caring for a client who has a terminal illness and is in the active phase of
dying. The client
refuses further hydration and nourishment. Which of the following actions should the
nurse take?
a) Request a prescription for IV fluids.
b) Ask the client's health care surrogate for permission to withhold nourishment.
c) Provide regular oral care for the client with a moist swab.
d) Explain the importance of oral hydration to the chest. -Answer-c) Provide regular oral
care for the client with a moist swab.
A nurse is caring for a client who has returned to the unit following a cardiac
catheterization using a femoral approach. Which of the following methods should the
nurse use to monitor for complications?
a) Check the client's blood pressure while the
client lies supine, sits, and stands.
b) Palpate the client's brachial pulses and