QUESTIONS AND CORRECT
SOLUTIONS
AnurseissubmittingadietaryrequestforaclientwhodevoutlyfollowsMormondietarypractices.Th
enurseshouldasktheclientiftheywouldlikewhichofthefollowingfoodsorbeveragesexcludedfro
mmeals?
A.Bacon
B.Coffee
C.Shrimp
D.Milk-Correctanswer~B.Coffee
Anurseisassessingaclientwhohasarashontheirhandsandforearmsafterworkinginagarden.Then
urseshouldidentifythatwhichofthefollowingfindingsindicatescontactdermatitis?
A.Pustulesinascatterpatternacrosstheerythematousarea
B.Elevationsoftheskinwithdarkenedareasandirregularborders
C.Well-definedmarginsoftheerythematousarea
D.Straight,black,threadlikelesions-Correctanswer~C.Well-
definedmarginsoftheerythematousarea
Ahomehealthnurseisteachingaclientaboutfireextinguishers.Whichofthefollowinginstructionss
houldthenurseincludeintheteaching?
A.Storeafireextinguishernexttothekitchenstove.
,B.Callthefiredepartmentbeforeusingafireextinguisher.
C.UseaclassAextinguishertoputoutanelectricalfire.
D.Aimthehoseofthefireextinguishertowardthetopoftheflames.-
Correctanswer~B.Callthefiredepartmentbeforeusingafireextinguisher.
Anurseisperformingafallriskassessmentforaclient.Whichofthefollowingfindingsshouldthenurs
eidentifyasafallrisk?
A.Theclientusesaraisedtoiletseat.
B.Theclienttakesaflaxseedsupplement.
C.Theclientlooksatthegroundwhilewalking.
D.Theclienthasahistoryofurinaryfrequency.-
Correctanswer~D.Theclienthasahistoryofurinaryfrequency.
Aclientwhohasahistoryofurinaryfrequencyisatriskforafallduetofrequentlygettingoutofbedatni
ghttogotothebathroom.Thenurseshouldplaceacommodenexttotheclient'sbedtoreducetherisk
forinjury
Anurseisassessinga10-month-
oldinfantwhohasaurinarytractinfection(UTI).whichofthefollowingfindingsshouldthenurseexp
ect?
A.Decreasedappetite
B.Generalizedrash
C.Decreasedrespiratoryrate
D.Constipation-Correctanswer~A.Decreasedappetite
ManifestationsofaUTIinaninfantincludepoorfeeding,irritability,fever,andvomiting
,Anurseispreparingtoadministeracetaminophendrops60mgPOtoaninfantwhohasafever.Theam
ountavailableis160mg/5mL.HowmanymLshouldthenurseadminister?(Roundtheanswertothe
nearesttenth.Usealeadingzeroifitapplies.Donotuseatrainingzero.)-Correctanswer~1.9mL
Anurseisteachingaclienttoself-
administer8unitsofNPHinsulinand2unitsofregularinsulininthesamesyringe.Whichofthefollowi
ngclientstatementsindicatesanunderstandingoftheteaching?
A."I'lldrawupregularinsulinintothesyringebeforetheNPHinsulin."
B."I'llinjectairintotheregularinsulinvialbeforetheNPHvial."
C."I'llinject10unitsofairintotheregularinsulinvial."
D."I'llinject10unitsofairintotheNPHinsulinvial."-
Correctanswer~A."I'lldrawupregularinsulinintothesyringebeforetheNPHinsulin."
Anurseonamentalhealthunitisplanninganin-
serviceforanewlyhiredstaffabouttheuseofrestraints.Whichofthefollowinginformationshouldth
enurseinclude?
A.Documentaclient'sconditionevery15minwhileinrestraints.
B.RequestaprescriptionforPRNrestraintsforaclientwhohasahistoryofviolence.
C.Restrainaclientasaconsequenceofnotfollowingrulesontheunit.
D.Limitthetimeanadultclientisinrestraintsto5hr.-
Correctanswer~A.Documentaclient'sconditionevery15minwhileinrestraints.
Anurseisapartofaninformaticscommitteetoimprovesafetywithmedicationsadministration.Whi
chofthefollowingrecommendationsshouldthenursemaketodecreasetheriskoferrorsatthebedsi
de?
A.DisableInternetaccessfromcomputersusedformedicationadministration.
B.Useanelectronicmedicationadministrationrecordfordocumentation.
C.Createacomputer-specificpasswordthatstaffshareforeachcomputerontheunit.
, D.Askproviderstohandwriteprescriptionsthatarethenscannedintothecomputer.-
Correctanswer~B.Useanelectronicmedicationadministrationrecordfordocumentation.
Anurseisdiscussinginformedconsentwithagroupofnewlylicensednurses.Whichofthefollowinga
ctionsistheresponsibilityofthenurseswhenobtaininginformedconsent?
A.Answeraclient'squestionsabouttherisksofaprocedure.
B.Provideinformationaboutalternativetreatmentoptions.
C.Explainthestepsofthemedicalproceduredocumentedontheconsentform.
D.Verifythattheclientvoluntarilygaveconsentfortheprocedure.-
Correctanswer~D.Verifythattheclientvoluntarilygaveconsentfortheprocedure
Anurseisteachingaclientwhohasanewdiagnosisofobstructivesleepapnea.Whichofthefollowing
statementsshouldthenurseinclude?
A."Obstructivesleepapneaoccurswhenyoustopbreathingforatleast10seconds."
B."Obstructivesleepapneaiscausedbyadysfunctioninthebrain."
C."Obstructivesleepapneaincreasesyourriskfordevelopingdiabetesmellitus."
D."Obstructivesleepapneacausesexcessiveepisodesofdeepsleep."-
Correctanswer~A."Obstructivesleepapneaoccurswhenyoustopbreathingforatleast10seconds.
"
Anurseisteachingtheparentofa5-month-
oldinfantwhoisbreastfedabouttheintroductionsofcomplementaryfoods.Whichofthefollowings
tatementsshouldthenursemake?
A."Waituntilyourbabyis8monthsoldtobeginsolidfoods."
B."Startbyspoon-feedingyourbaby¼cupofanewfood."
C."Introduceuptothreenewfoodstoyourbabyeveryweek."
D."Giveyourbabyiron-fortifiedinfantricecerealsbeforestartingotherfoods."-
Correctanswer~D."Giveyourbabyiron-fortifiedinfantricecerealsbeforestartingotherfoods."