Questions and Verified Answers
A nurse is assessing a client in the emergency department. Which of
the following actions should the nurse take first? (exhibit)
a. Place the client on a cooling blanket
B. Obtain arterial blood gas levels
C. Elevate the head of the client's bed to 30
D. Administer an analgesic -Answer:-B. Obtain arterial blood gas
levels
A nurse is providing teaching to the parents of a newborn about
newborn genetic screening. Which of the following statements
should the nurse include in the teaching?
A. "This test should be performed after your baby is 24 hours old"
B. "A nurse will draw blood from your baby's inner elbow"
C. "Your baby will be given 2 ounces of water to drink prior to the
test"
D. "This test will be repeated when your baby is 2 months old" -
Answer:-A. "This test should be performed after your baby is 24
hours old"
A nurse is teaching a prenatal class about infection prevention at a
community center. Which of the following statements by a client
indicates an understanding of the teaching?
,A. "I can visit my nephew who has chickenpox 5 days after the sores
have crusted"
B. "I can clean my cat's litter box during my pregnancy"
C. "I should take antibiotics when I have a virus"
D. "I should wash my hands for 10 seconds with hot water after
working in the
garden" -Answer:-A. "I can visit my nephew who has chickenpox 5
days after the sores have crusted"
A nurse is caring for a client who has end-stage kidney disease. The
client's adult child asks the nurse about becoming a living kidney
donor for her father. Which of the following conditions in the child's
medical history should the nurse identify as a contraindication to
the procedure?
A. Primary glaucoma
B. Amputation
C. Hypertension
D. Osteoarthritis -Answer:-C. Hypertension
A home health nurse is planning care for a client who has
Alzheimer's disease. Which of
the following actions should the nurse include in the plan of care?
A. Replace the carpet with hardwood floors
B. Place locks at the tops of exterior doors
C. Wear clothing with zippers instead of buttons?
,D. Encourage physical activity prior to bedtime -Answer:-B. Place
locks at the tops of exterior doors
A nurse is caring for a client who repeatedly refuses meals. The
nurse overhears an assistive personal (AP) telling the client, "If you
don't eat, I'll put restraints on your wrists and feed you." The nurse
should intervene and explain to the AP that this statement
constitutes which of of the following torts?
a. Malpractice b. Negligence c. Assaultd. Battery -Answer:-c.
ASSAULT
A nurse is reviewing a client's laboratory results prior to surgery.
Which of the following findings should the nurse report to the
provider?
A. Bicarbonate 26 mEq/L--- 22-28 norm calcium 8-10
b. Chloride 100 mEq/L -- norm is 96-106
c. Potassium 3.8 mEq/L norm 3.5-5
d. Sodium 160 mEq/L - norm is 135-145 -Answer:-d. Sodium 160
mEq/L - norm is 135-145
A charge nurse is evaluating a newly licensed nurse's understanding
of advance directives. Which of the following statements by the
newly licensed nurse indicates an understanding of advance
directives?
A. "I'll refer clients who do not have advance directives for legal
assistance"
, B. "I have to witness a client's signature on his advance directives"
C. "I have to document whether or not a client has prepared his
advance directives"
"D. I'll encourage clients to follow their provider's wishes for end-of-
life care" -Answer:-C. "I have to document whether or not a client
has prepared his advance directives"
A clinic nurse is assessing an 8-year-old child during an annual
physical examination. Which of the following findings indicates the
need for intervention by the nurse?
A. The client eats at least one snack daily
B. The client's height has increased by 6.35 cm (2.5 in) 2 inches/year
C. The client's weight has increased by 0.9 kg (2 lb)- should gain at
least 4-6 lbs
D. The client drinks 3 cups of 1% milk per day -Answer:-C. The
client's weight has increased by 0.9 kg (2 lb)- should gain at least 4-
6 lbs
A nurse is assessing a client who presents to the labor and delivery
unit reporting the onset of contractions. Which of the following
findings should the nurse identify as a manifestation of false labor?
A. Presence of a bloody show
B. Intermittent, painless contractions
C. Slow change in dilation and effacement
D. Contraction intensity increased by ambulation -Answer:-B.
Intermittent, painless contractions