Nursing Exam Questions with Answers Tested and Verified Updated Complete Solutions

A nurse is providing family planning education for a client who wishes to conceive. The client brings her calendar to the appointment with her days of menses circled. The nurse should identify that ovulation is expected to occur on which of the following calendar dates? - Ovulation occurs 13-15 days after day one of menses. A nurse in an acute care mental health facility is planning care for a client who has bipolar disorder and who is experiencing acute mania. Which of the following actions should the nurse plan to take? - Provide the client with finger foods to eat. A nurse is caring for an infant who has Tetralogy of Fallot. The nurse notes that the infant exhibits a sudden onset of cyanosis and is hyperpneic. Which of the following actions should the nurse take? - Place the infant in a knee-chest position. A nurse is providing discharge teaching to a client following gastric bypass surgery for management of obesity. Which of the following client statements indicates an understanding of the teaching? - "I will remain in a reclining position for 30 minutes after I eat." A nurse is teaching a client who has genital herpes simplex virus. Which of the following statements should the nurse include in the teaching about this sexually transmitted infection? - "You should cleanse the lesions with a saline solution twice each day." A nurse is caring for a client who has a terminal illness and is approaching death. Which of the following actions should the nurse take? - Apply a thin coating of lip balm to the client's lips. A nurse in an emergency department is assessing a client who was in a motor-vehicle crash. The client has a blood alcohol concentration of 0.18% and states, "I would never drink and drive." The nurse should identify that the client is demonstrating use of which of the following defense mechanisms? - Denial A nurse is caring for a newly-admitted client who is at 37 weeks gestation and is experiencing moderate placental abruption. Which of the following actions should the nurse take? - Insert a large-bore IV catheter. A nurse is planning care for a client who has a benign chondroma of the tibia. Which of the following interventions should the nurse plan to include? - Palpate for changes in the muscle of the affected extremity. A nurse is caring for a client who is experiencing hypovolemic shock due to postpartum hemorrhage. After notifying the provider, which of the following actions should the nurse take next? - Massage the client's fundus. An intensive care nurse is providing education about organ and tissue donation to the parent of an adolescent who has died following a motor-vehicle crash. Which of the following responses by the parent indicates an understanding of the teaching? - "No one will notice the organs were donated if we have an open casket at the funeral." A nurse in an emergency department is creating a plan of care for a client who reports a recent sexual assault. Which of the following interventions should the nurse plan to include? - Explain to the client the reason each procedure is conducted. A community health nurse is assessing an older adult client. Which of the following situations should the nurse identify as a possible indication of undue influence? - The client's niece moves into her home to provide care. A nurse is preparing to administer immunizations to a 2-month-old infant at a well-child visit. Which of the following immunizations should the nurse plan to administer? - Haemophilus influenza type b (Hib) A nurse is discussing palliative care with the family of a client who is terminally ill. Which of the following information should the nurse include? - Palliative care includes a variety of therapies. A nurse is creating a plan of care for a newborn who has a myelomeningocele. Which of the following interventions should the nurse include? - Place the newborn in a pronekneeling position. A nurse is caring for a client who has major depressive disorder. Which of the following client responses should the nurse identify as an overt statement indicating the potential for suicide? - "I just can't go on living like this any longer." A nurse is caring for a client who is in active labor. The nurse notices an abnormal pattern on the fetal heart monitor. Which of the following actions should the nurse take for late decelerations? - Administer oxygen by nonrebreather facemark at 10L/min A nurse is assessing a client who is in the early stages of Alzheimer's disease. Which of the following findings should the nurse expect? - The client misplaces familiar objects. A nurse is assessing an adolescent who has sickle cell anemia and is experiencing a vast-occlusive crisis. Which of the following manifestations should the nurse expect? - Hematuria A nurse is planning care for a client who has adenocarcinoma and associated thrombocytopenia. Which of the following actions should the nurse plan to take? - Initiate fall precautions for the client. A nurse is providing teaching to a client who has epilepsy and is starting to take carbamazepine. The nurse should instruct the client to monitor for which of the following manifestations as an adverse effect of this medication? - Blurred vision A nurse is caring for a newborn who was born prematurely. Which of the following findings is the priority for the nurse to investigate further? - Grunting on expiration