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Question 1
A school-age client with diabetes is placed on an intermediate-acting insulin
and regular insulin before breakfast and before dinner. She will receive a
snack of milk and cereal at bedtime. What does the nurse tell the client the
snack is intended to do?
You Selected:
• Prevent late night hypoglycemia.
Correct response:
• Prevent late night hypoglycemia.
Question 2
A well-known public official of a small community is admitted tothe
emergency department following an episode of chest pain.
Several nurses from the medical unit are aware of the admission andaccess
the official’s electronic medical record to obtain a status update. What is the
best response for the nurse manager to make to the nurses regarding this
situation?
You Selected:
, • “Assessing the official’s medical record is a breach of
confidentiality.”
Correct response:
• “Assessing the official’s medical record is a breach of
confidentiality.”
Question 3
A four-year-old child is diagnosed as having acute lymphocytic leukemia.
The white blood cell (WBC) count, especially the neutrophil count, is low.
What is the most important intervention the
nurse should teach the parents?
You Selected:
• Protect your child from infections because his resistance to
infection is decreased
Correct response:
• Protect your child from infections because his resistance to
infection is decreased
Question 4
The nurse fis fcaring ffor fa fclient fwith finfluenza. fThe fmost feffectivefway
to fdecrease fthe fspread fof fmicroorganisms fis:
f
You f Selected:
• placing fthe fclient fin fisolation.
Correct f response:
• washing fthe fhands ffrequently.
,Question f5
A fclient fwith fa fhistory fof fhypertension fhas fbeen fprescribed fa fnew
antihypertensive fmedication fand fis freporting fdizziness. fWhich fis fthe
f
best fway ffor fthe fnurse fto fassess fblood fpressure?
f
You f Selected:
• in fthe fsupine, fsitting, fand fstanding fpositions
Correct f response:
• in fthe fsupine, fsitting, fand fstanding fpositions
Question f6
A fclient fhas fa fsoft fwrist-safety fdevice. fWhich fassessment ffindingfshould
the fnurse finvestigate ffurther?
f
You f Selected:
• cool, fpale ffingers
Correct f response:
• cool, fpale ffingers
Question f7
A fnurse fis fcaring ffor fa ffemale fclient fbefore fsurgery. fThe fclient fstatesfthat
f she fis fglad fthat fshe fwill fnot fbe fgoing fthrough fmenopause fas fa fresult fof
f her fsurgery fand fis fonly fhaving fher futerus fremoved. fThe fnurse freviews
f the fconsent fform fand fnotes fthat fthe fsurgery fis ffor fa ftotal fabdominal
, f hysterectomy fwith fa fsalpingo-oophorectomy. fWhat fshould fthe fnurse fdo
in fthis fsituation?
f
You f Selected:
• Contact fthe fsurgeon fto fexplain fthat fthe fclient fneeds ffurther
clarification fregarding fsurgery.
f
Correct f response:
• Contact fthe fsurgeon fto fexplain fthat fthe fclient fneeds ffurther
clarification fregarding fsurgery.
f
Question f8
A fyoung fclient fdiagnosed fwith fschizophrenia fis ftalking fwith fthe fnurse
f and fsays, f"You fknow, fwhen fI fthought feveryone fwas fout fto fgetfme, fI fwas
f staying fin fmy fapartment fall fthe ftime. fNow, fI fwould flike ftofget fout fand fdo
f things fagain." fWhat fis fthe fbest finitial fresponse fby fthefnurse?
You f Selected:
• "What factivities fdid fyou fenjoy fin fthe fpast?"
Correct f response:
• "What factivities fdid fyou fenjoy fin fthe fpast?"
Question f9
A fclient fwith fanemia fhas fbeen fadmitted fto fthe fmedical-surgical funit.fWhich
assessment ffindings fare fcharacteristic fof firon fdeficiency fanemia?
f
You f Selected:
• nausea, fvomiting, fand fanorexia