Success in Every Examination with Thorough
Explanations and Correct Responses
The nurse should expect a client who has POAG to report a progressive loss of peripheral
vision. The nurse should perform visual field testing to determine the severity of the
peripheral vision loss. The nurse should also expect diagnostic assessment to indicate
increased intraocular pressure.
A nurse is assessing a client who has left-sided heart failure. Which of the following
findings should the nurse expect? (Select all that apply.)
Nocturia
Dependent edema
Dyspnea
Hacking cough
Anorexia - CORRECT ANSWER- -Nocturia
Dyspnea
Hacking cough is correct
A nurse in an emergency department was caring for an adolescent who died following a
motor vehicle crash. Which of the following reactions should the nurse expect the client's
10-year-old sibling to exhibit?
,The sibling believes the client will wake up in a few hours.
The sibling is curious about what will happen to the client's body.
The sibling will continue to treat the client as though he were still
alive.
The sibling will alienate themselves from her family and friends. - CORRECT ANSWER- -The
sibling is curious about what will happen to the client's body.
A nurse is providing teaching for a client who has a new diagnosis of benign prostatic
hyperplasia (BPH). Which of the following instructions should the nurse include to promote
elimination?
"Drink at least 24 ounces of water each hour."
"Void as soon as you feel the urge."
"Expect a prescription for a diuretic."
"Take an antihistamine each night at bedtime." - CORRECT ANSWER- -"Void as soon as you
feel the urge."
The nurse should instruct a client who has BPH on measures to prevent distension of the
bladder and urinary retention. Encouraging the client to void as soon as the urge develops
decreases the risk of bladder distension.
, A nurse is assessing a client who reports vision impairment and is diagnosed with primary
open-angle glaucoma (POAG). Which of the following findings should the nurse expect?
Progressive loss of peripheral vision
Opacity of the lens of the client's eye
Impaired central vision
Report of seeing floating dark spots - CORRECT ANSWER- -Progressive loss of peripheral
vision
The nurse should expect a 10-year-old child to be inquisitive about what happens to the
body and what will occur during funeral or memorial services.
A nurse is assessing a client who reports gastrointestinal distress. Which of the following
findings should indicate to the nurse that the client has cholecystitis?
Abdominal pain triggered by spicy food
Abdominal pain that radiates to the right shoulder
Abdominal pain in the right lower quadrant
Abdominal pain that is continuous over several days - CORRECT ANSWER- -Abdominal
pain that radiates to the right shoulder