PN Learning System Comprehensive
Final Quiz
A nurse On the pediatric unit is assisting with the plan of care for a preschooler who will have a surgical
procedure in the morning. The child has been crying despite his parents presence at his bedside. The
nurse should recommend engaging the child in therapeutic play for the care plan because it offers which
of the following benefits?
Decreases the child's fear of the dark
Allows the child to manipulate toy medical equipment
Provides an opportunity to analyze the child's emotions
Encourages parents to engage with their child - ANS Allows the child to manipulate toy medical
equipment
A major function of play therapy is making potentially unmanageable situations manageable through
symbolic representation, which provides children with opportunities to learn to cope. A preschooler
does not have the language development to express his fear of the unfamiliar medical equipment in the
hospital. The nurse encourages the child to touch the equipment to decrease the child's fear and
intimidation in a safe environment using age-appropriate vocabulary. The use of toys enables children to
transfer anxieties, fears, fantasies, and guilt to objects rather than people.
A nurse is collecting data from a school age child who has celiac disease. Which of the following findings
should the nurse expect?
Elevated sweat chloride
Steatorrhea
Clubbing of the fingers
Jaundice - ANS Steatorrhea
Foul, fatty, frothy stools, known as steatorrhea, are a manifestation of celiac disease, a malabsorption
syndrome.
,A hospice nurse is visiting with the family member of a client. The family member states that the client
has insomnia almost nightly. Which of the following practices should the nurse identify as contributing
to the clients insomnia?
The client watches television in her bed during the day.
The client drinks warm milk before bedtime.
The client goes to bed at 2200 every night.
The client gets up to use the bathroom once during the night. - ANS The client watches television in her
bed during the day
To promote sleep, the client should avoid watching television in bed. She should be in bed only for sleep
or sexual activities.
A nurse is caring for a client during Her first prenatal visit and notes that she is lactose intolerant. Which
of the following foods should the nurse include on the list of calcium sources for this client?
Collard greens
Cottage cheese
Orange juice
Broccoli - ANS Collard greens
Collard greens are a good source of lactose-free calcium. One cup of collard greens provides
approximately the same amount of calcium as the equivalent volume of 240 mL (8 oz) of milk. They also
contain folic acid, which is a nutrient women should consume during pregnancy to prevent birth defects.
A client at a routine prenatal care visit asks the nurse if it is common to develop vaginal yeast infections
during pregnancy. Which of the following responses should the nurse make?
,"Have you discussed this with your doctor yet?"
"The hormonal changes of pregnancy change the acidity of the vagina, making yeast infections more
common."
"Women who are already prone to vaginal yeast infections get them during pregnancy."
"Why are you concerned about yeast infections during pregnancy?" - ANS The hormonal changes of
pregnancy change the acidity of the vagina, making yeast infections more common
*This is an information-seeking question; therefore, the therapeutic response is an answer that provides
the client with the information she is requesting.
A nurse in a prenatal clinic is collecting data from several clients. which of the following client reports
should the nurse identify as an expected physiologic adaptation to pregnancy?
Spotting with urination
Breast tenderness
Thick, white vaginal discharge
Facial swelling - ANS Breast tenderness
*Breast tenderness is common during the first and third trimesters of pregnancy. The nurse should
explain to the client that this is expected and that she should wear a well-fitting, supportive bra to help
alleviate the tenderness.
A nurse is caring for a child who has epistaxis. Which of the following actions should the nurse take?
Administer aspirin.
Tilt the child's head back and apply pressure.
Instruct the child to lie down and rest.
, Apply continuous pressure to the lower part of the child's nose. - ANS Apply continuous pressure to the
lower part of the child's nose
*With the child sitting up and breathing through his mouth, the nurse should apply continuous pressure
with her thumb and forefinger to the soft lower area of the nose for 10 min. Most bleeding from the
nose stops within that period.
A nurse is reviewing the laboratory report for a client who has CDK. The nurse finds the following
laboratory test results: potassium 6.8, calcium 7.4, hemoglobin 10.2, and phosphate 4.8. Which of the
following findings is the priority for the nurse to report to the provider?
Hypocalcemia
Hyperkalemia
Anemia
Hyperphosphatemia - ANS Hyperkalemia
*The nurse should apply the urgent versus nonurgent priority-setting framework. Using this framework,
the nurse should consider urgent needs the priority need because they pose more of a threat to the
client. The nurse may also need to use Maslow's hierarchy of needs, the ABC priority-setting framework,
or nursing knowledge to identify which finding is the most urgent. Therefore, hyperkalemia which can
cause life-threatening cardiac dysrhythmias is the priority for the nurse to report to the provider.
A nurse at a family planning clinic is preparing to give a presentation to clients about to use a
diaphragm. Which of the following information should the nurse plan to include in the session?
"Use spermicidal jelly whenever you use your diaphragm."
"Insert the diaphragm about 8 hours before sexual activity."
"You should remove the diaphragm 30 minutes after intercourse."
"A diaphragm comes in one size and does not require fitting." - ANS Use spermicidal jelly whenever you
use your diaphragm
Final Quiz
A nurse On the pediatric unit is assisting with the plan of care for a preschooler who will have a surgical
procedure in the morning. The child has been crying despite his parents presence at his bedside. The
nurse should recommend engaging the child in therapeutic play for the care plan because it offers which
of the following benefits?
Decreases the child's fear of the dark
Allows the child to manipulate toy medical equipment
Provides an opportunity to analyze the child's emotions
Encourages parents to engage with their child - ANS Allows the child to manipulate toy medical
equipment
A major function of play therapy is making potentially unmanageable situations manageable through
symbolic representation, which provides children with opportunities to learn to cope. A preschooler
does not have the language development to express his fear of the unfamiliar medical equipment in the
hospital. The nurse encourages the child to touch the equipment to decrease the child's fear and
intimidation in a safe environment using age-appropriate vocabulary. The use of toys enables children to
transfer anxieties, fears, fantasies, and guilt to objects rather than people.
A nurse is collecting data from a school age child who has celiac disease. Which of the following findings
should the nurse expect?
Elevated sweat chloride
Steatorrhea
Clubbing of the fingers
Jaundice - ANS Steatorrhea
Foul, fatty, frothy stools, known as steatorrhea, are a manifestation of celiac disease, a malabsorption
syndrome.
,A hospice nurse is visiting with the family member of a client. The family member states that the client
has insomnia almost nightly. Which of the following practices should the nurse identify as contributing
to the clients insomnia?
The client watches television in her bed during the day.
The client drinks warm milk before bedtime.
The client goes to bed at 2200 every night.
The client gets up to use the bathroom once during the night. - ANS The client watches television in her
bed during the day
To promote sleep, the client should avoid watching television in bed. She should be in bed only for sleep
or sexual activities.
A nurse is caring for a client during Her first prenatal visit and notes that she is lactose intolerant. Which
of the following foods should the nurse include on the list of calcium sources for this client?
Collard greens
Cottage cheese
Orange juice
Broccoli - ANS Collard greens
Collard greens are a good source of lactose-free calcium. One cup of collard greens provides
approximately the same amount of calcium as the equivalent volume of 240 mL (8 oz) of milk. They also
contain folic acid, which is a nutrient women should consume during pregnancy to prevent birth defects.
A client at a routine prenatal care visit asks the nurse if it is common to develop vaginal yeast infections
during pregnancy. Which of the following responses should the nurse make?
,"Have you discussed this with your doctor yet?"
"The hormonal changes of pregnancy change the acidity of the vagina, making yeast infections more
common."
"Women who are already prone to vaginal yeast infections get them during pregnancy."
"Why are you concerned about yeast infections during pregnancy?" - ANS The hormonal changes of
pregnancy change the acidity of the vagina, making yeast infections more common
*This is an information-seeking question; therefore, the therapeutic response is an answer that provides
the client with the information she is requesting.
A nurse in a prenatal clinic is collecting data from several clients. which of the following client reports
should the nurse identify as an expected physiologic adaptation to pregnancy?
Spotting with urination
Breast tenderness
Thick, white vaginal discharge
Facial swelling - ANS Breast tenderness
*Breast tenderness is common during the first and third trimesters of pregnancy. The nurse should
explain to the client that this is expected and that she should wear a well-fitting, supportive bra to help
alleviate the tenderness.
A nurse is caring for a child who has epistaxis. Which of the following actions should the nurse take?
Administer aspirin.
Tilt the child's head back and apply pressure.
Instruct the child to lie down and rest.
, Apply continuous pressure to the lower part of the child's nose. - ANS Apply continuous pressure to the
lower part of the child's nose
*With the child sitting up and breathing through his mouth, the nurse should apply continuous pressure
with her thumb and forefinger to the soft lower area of the nose for 10 min. Most bleeding from the
nose stops within that period.
A nurse is reviewing the laboratory report for a client who has CDK. The nurse finds the following
laboratory test results: potassium 6.8, calcium 7.4, hemoglobin 10.2, and phosphate 4.8. Which of the
following findings is the priority for the nurse to report to the provider?
Hypocalcemia
Hyperkalemia
Anemia
Hyperphosphatemia - ANS Hyperkalemia
*The nurse should apply the urgent versus nonurgent priority-setting framework. Using this framework,
the nurse should consider urgent needs the priority need because they pose more of a threat to the
client. The nurse may also need to use Maslow's hierarchy of needs, the ABC priority-setting framework,
or nursing knowledge to identify which finding is the most urgent. Therefore, hyperkalemia which can
cause life-threatening cardiac dysrhythmias is the priority for the nurse to report to the provider.
A nurse at a family planning clinic is preparing to give a presentation to clients about to use a
diaphragm. Which of the following information should the nurse plan to include in the session?
"Use spermicidal jelly whenever you use your diaphragm."
"Insert the diaphragm about 8 hours before sexual activity."
"You should remove the diaphragm 30 minutes after intercourse."
"A diaphragm comes in one size and does not require fitting." - ANS Use spermicidal jelly whenever you
use your diaphragm
