Comprehensive Final Quiz
"Use spermicidal jelly whenever you use your diaphragm." - answers✔✔A nurse at a family planning
clinic is preparing to give a presentation to clients about how to use a diaphragm. Which of the following
information should the nurse plan to include in the session?
"If the client seems confused, i'll raise all four side rails so that he doesn't hurt himself." - answers✔✔A
nurse is reviewing the use of side rails with an assistive personnel (AP). Which of the following
statements by the AP indicates that further instruction is required?
The client watches television in her bed during the day. - answers✔✔A hospice nurse is visiting with the
family member of a client. The family member states that the client has insomnia almost nightly. Which
of the following practices should the nurse identify as contributing to the client's insomnia?
Apply pressure to the catheter removal site for 10 min. - answers✔✔A nurse is caring for a client who
has a platelet count of 50,000/mm3. After discontinuing the client's peripheral IV site, which of the
following actions should the nurse take?
"Extended periods of immobility increase your risk for osteoporosis." - answers✔✔A nurse is talking
with a group of clients at a senior center about the risk factors for osteoporosis. Which of the following
statements should the nurse include?
"Shampoo your hair before the procedure, and don't put any styling products on it afterward." -
answers✔✔A nurse is reinforcing teaching with a client who is going to have an electroencephalogram
(EEG) in the morning. Which of the following information should the nurse provide the client?
A 4 day-old newborn who has an elevated bilirubin level and requires phototherapy. - answers✔✔A
community health nurse is contributing to the plan of care for four high-risk newborns who were
discharged yesterday. Which of the following newborns should the nurse recommend to care for first?
,"I will perform intermittent self-catheterization every 2 to 3 hours." - answers✔✔A nurse is reinforcing
teaching with a client who has a spinal cord injury and will need to perform intermittent urinary self-
catheterization at home after discharge. Which of the following statements indicates that the client
understands the procedure?
"It's almost time for your appointment. Let me do your hair for you and brush your teeth." -
answers✔✔A nurse at a long-term care facility hears an assistive personnel (AP) talking with an older
adult client who has dementia with periods of confusion. Which of the following statements indicates
that the AP requires further instructions?
Pulse oximetry of 85% - answers✔✔A nurse is caring for a client who is postoperative following a
laparotomy and has an indwelling urinary catheter and a Jackson-Pratt drain in place. Which of the
following findings should indicate that the client is developing a postoperative complication?
Stop the infusion - answers✔✔A nurse is monitoring a client who is receiving a transfusion of packed red
blood cells. Which of the following actions should the nurse take first when suspecting a transfusion
reaction?
"We can work together to find out how you can get a mail-in ballot." - answers✔✔A nurse in an acute
mental health facility is caring for a client who has schizophrenia. The client asks the nurse, "Can I vote
in the upcoming presidential election?" Which of the following responses should the nurse make?
Locks the brakes on the bed and the wheelchair before moving the client. - answers✔✔A nurse in a
rehabilitation facility is observing an assistive personnel (AP) help a client transfer from the bed to a
wheelchair. Which of the following actions indicates to the nurse that the AP understands how to
perform this task?
"Your risk for ectopic pregnancy increases with an IUD." - answers✔✔A nurse is reinforcing teaching
with a client who has come to the family planning clinic requesting an intrauterine device (IUD). Which
of the following information should the nurse reinforce with the client?
Durable power of attorney document - answers✔✔A nurse is assisting with the admission of a client to
the medical unit and asks him if he has advance directives. The client states, "I have a document with me
that names someone who can make health care decisions for me if I am not able." The nurse should
identify that the client is referring to which of the following documents?
, Hct 55% - answers✔✔A nurse is caring for a client who has dehydration. Which of the following
laboratory values should the nurse expect for this client?
Metabolic Acidosis - answers✔✔A nurse on a medical-surgical unit is caring for a client who develops
deep, rapid respirations. Arterial blood gas analysis includes these values: pH 7.25, PaCO2 40, and HCO3-
18. Which of the following acid-base imbalances should the nurse identify and report to the provider?
chest pain - answers✔✔A nurse is reinforcing teaching with a client who has hypothyroidism and is
taking levothyroxine. The nurse should instruct the client to report which of the following
manifestations to the provider?
Performing hand hygiene before and after contact with the client - answers✔✔A nurse is caring for a
client who has pseudomembranous colitis due to a Clostridium difficile infection. Which of the following
interventions is the nurse's priority?
Reading the newspaper - answers✔✔A nurse is reviewing the medical history of a client who has
presbyopia. With which of the following activities should the nurse expect the client to have difficulty?
"It will help our child if we structure our daily routine." - answers✔✔A nurse is reinforcing teaching with
the family of a child who has autism spectrum disorder. Which of the following statements indicates
that the family understands the instructions?
Evacuate clients from the unit. - answers✔✔A nurse is discussing fire safety with newly hired nurses.
The nurse should identify which of the following actions as the priority if a fire occurs in the healthcare
facility?
Report the suspected abuse to local authorities - answers✔✔A newly licensed nurse in an urgent care
center is caring for a child who has bruises that the nurse suspects are due to child abuse. Which of the
following actions should the nurse take?
The client has had an exposure to tuberculosis. - answers✔✔A nurse is evaluating the injection site for a
client who had a Mantoux skin test 48 hr ago. The nurse finds 10 mm of induration with slight redness.
Which of the following conclusions should the nurse make?