A nurse is caring for a client who is experiencing cycloplegia following the administration of
atropine eye drops during an eye examination. Which of the following findings should the nurse
expect as a result of cycloplegia?
A. Inability to tolerate bright lights
B. Pinpoint pupils
C. Blurred vision
D. Inability to perform upward gaze - AnswersC. Blurred vision
A nurse is reinforcing teaching with a client who has a prescription for doxycycline for the
treatment of a Helicobacter pylori infection. Which of the following instructions should the
nurse include in the teaching?
A. "Take this medication with meals to decrease gastrointestinal upset."
B. "Continue this medication if you become pregnant."
C. "Wear protective clothing while in the sun."
D. "Expect to have severe diarrhea while taking this medication." - AnswersC. "Wear protective
clothing in the sun."
A nurse on an antepartum unit is assisting the charge nurse with an in-service session for newly
licensed nurses. Which of the following descriptions should the nurse identify as referring to a
pudendal block? A. Using low-voltage electric currents to decrease pain
B. Eliminating sensation from the umbilicus to the thighs
C. Providing local anesthesia to the perineum during delivery
D. Removing sensation from the breasts to the feet - AnswersC. Providing local anesthesia to the
perineum during delivery
,A nurse is preparing to administer a partial dose of a prefilled opioid analgesic parenterally to a
client. Which of the following actions should the nurse plan to take?
A. Return the unused portion of the medication to the pharmacy
B. Dispose of the wasted medication into a sharps container
C. Record the amount of medication wasted on the controlled substance inventory record
D. Ask an assistive personnel (AP) to witness the wasting of the controlled substance -
AnswersC. Record the amount of medication wasted on the controlled substance inventory
record
A nurse on a mental health unit is planning care for a client who has anorexia nervosa with
purging behaviors. Which of the following interventions should the nurse include in the plan?
A. Set the client's weight gain goal at 2.3 kg (5 lb) per week
B. Allow the client to establish his own mealtimes
C. Stay with client for 1 hour following meals
D. Have the client weigh himself daily - AnswersC. Stay with the client for 1 hour following meals
A nurse in an employee assistance program is counseling a client who states, "I just feel
completely lost at work these days." The nurse replies, "You feel like you are not getting things
done." Which of the following therapeutic communication techniques is the nurse using?
A. Presenting reality
B. Encouraging comparison
C. Offering general leads
D. Attempting to translate words into feelings - AnswersD. Attempting to translate words into
feelings
A nurse on an inpatient mental health unit is attending an interdisciplinary treatment team
meeting for a client who has bipolar disorder with rapid cycling. The client is being prepared for
, discharge following his fourth admission in the last year. Which of the following referrals should
the nurse make for the client first?
A. Assertive community treatment
B. Support group
C. Private counseling
D. Vocational rehabilitation services - AnswersA. Assertive community treatment
A nurse is collecting data from a newborn following a vaginal birth with the assistance of a
vacuum extractor device. The newborn has head swelling that crosses the suture line. The nurse
should document this finding as which of the following conditions?
A. Cephalohematoma
B. Caput succedaneum
C. Nevus flammeus
D. Erythema toxicum - AnswersB. Caput succedaneum
A nurse is providing education to a client who is 4 weeks postpartum and is breastfeeding. The
client asks about expected weight loss. Which of the following responses should the nurse
make?
A. "Losing 2.2 pounds each month would be acceptable."
B. "Losing 4.4 pounds each month would be acceptable."
C. "Losing 5.5 pounds each month would be acceptable."
D. "Losing 6.6 pounds each month would be acceptable." - AnswersA. "Losing 2.2 pounds each
month would be acceptable."
A nurse in an acute care facility is preparing to admit a client who has myasthenia gravis. Which
of the following supplies should the nurse place at the client's bedside?
A. Metered-dose inhaler
B. Continuous passive motion machine