NR 304 EXAM 4 ALL QUESTIONS
WITH CORRECT ANSWERS
A nurse in a health care provider's (HCP) office is collecting a health history
from a client at risk for osteoporosis. Which of the following findings is a risk
factor for the development of osteoporosis?
Sedentary lifestyle
A nurse is caring for a client with an indwelling urinary catheter. Which of the
following actions should the nurse take to prevent infection?
Check the catheter tubing for kinks or twisting
A nurse is reviewing contraception options for four clients. The nurse should
identify that which of the following clients had a contraindication for receiving
oral contraceptives?
A 38-year-old client that reports smoking one pack of cigarettes every day
A community health nurse is developing a pamphlet about breast self-
examination (BSE) for a local health fair. Which of the following instructions
should the nurse include?
Breasts can be examined in the shower with soapy hands
A nurse is giving a presentation about preventing deep vein thrombosis (DVT).
Which of the following should the nurse include as a risk factor for this
disorder? (SELECT ALL THAT APPLY)
-Oral contraceptive use
-Immobility
During an assessment of the Cranial Nerves (CNs), the nurse finds the
following: asymmetry when the patient smiles or frowns, uneven lifting of
eyebrows, sagging of the lower eyelids, and escape of air when the nurse
pressed against the right puffed cheek. This would indicate dysfunction of
which Cranial Nerve (CNs)?
Motor component of CN VII (7)
, A nurse is teaching a client who has a new diagnosis of genital herpes. Which
of the following statements by the client indicates the need for further
teaching?
D. "Transmission of the disease will not occur when my lesions are gone"
A nurse is caring for a client that asks about the functions of the thymus,
spleen, and lymph nodes. Which of the following responses should the nurse
make?
'These organs support immunity"
A nurse is assessing a client who is experiencing prostatic hypertrophy.
Which of the following findings associated with urinary retention should the
nurse expect? (SELECT ALL THAT APPLY)
o Voiding small amounts of urine frequently
o Report of feeling pressure
Distended bladder
o Tenderness over the symphysis pubis
A nurse is assessing a postoperative client. Which finding is a manifestation
of deep-vein thrombosis (DVT)?
D. Unilateral leg edema
A nurse is caring for a client that is postoperative following abdominal
surgery. Which of the following findings should indicate to the nurse the
client's peristalsis is returning?
Passage of flatus
A nurse is preparing an instruction plan for a client with chronic constipation
secondary to irregular bowl habits. Which of the following should the nurse
plan to include in the instructions?
C. The client should follow a high-fiber diet to establish bowl regularity
A nurse in a health care provider's (HCP) office is assessing a client that
reports shoulder pain. Which of the following findings by the nurse indicates
rotator cuff injury?
Inability to abduct the arm at the shoulder
A nurse has written a plan of care for a man diagnosed with peripheral arterial
insufficiency. One of the nursing diagnoses in the care plan is altered
peripheral tissue perfusion related to compromised circulation. What is the
most appropriate intervention for this diagnosis?
WITH CORRECT ANSWERS
A nurse in a health care provider's (HCP) office is collecting a health history
from a client at risk for osteoporosis. Which of the following findings is a risk
factor for the development of osteoporosis?
Sedentary lifestyle
A nurse is caring for a client with an indwelling urinary catheter. Which of the
following actions should the nurse take to prevent infection?
Check the catheter tubing for kinks or twisting
A nurse is reviewing contraception options for four clients. The nurse should
identify that which of the following clients had a contraindication for receiving
oral contraceptives?
A 38-year-old client that reports smoking one pack of cigarettes every day
A community health nurse is developing a pamphlet about breast self-
examination (BSE) for a local health fair. Which of the following instructions
should the nurse include?
Breasts can be examined in the shower with soapy hands
A nurse is giving a presentation about preventing deep vein thrombosis (DVT).
Which of the following should the nurse include as a risk factor for this
disorder? (SELECT ALL THAT APPLY)
-Oral contraceptive use
-Immobility
During an assessment of the Cranial Nerves (CNs), the nurse finds the
following: asymmetry when the patient smiles or frowns, uneven lifting of
eyebrows, sagging of the lower eyelids, and escape of air when the nurse
pressed against the right puffed cheek. This would indicate dysfunction of
which Cranial Nerve (CNs)?
Motor component of CN VII (7)
, A nurse is teaching a client who has a new diagnosis of genital herpes. Which
of the following statements by the client indicates the need for further
teaching?
D. "Transmission of the disease will not occur when my lesions are gone"
A nurse is caring for a client that asks about the functions of the thymus,
spleen, and lymph nodes. Which of the following responses should the nurse
make?
'These organs support immunity"
A nurse is assessing a client who is experiencing prostatic hypertrophy.
Which of the following findings associated with urinary retention should the
nurse expect? (SELECT ALL THAT APPLY)
o Voiding small amounts of urine frequently
o Report of feeling pressure
Distended bladder
o Tenderness over the symphysis pubis
A nurse is assessing a postoperative client. Which finding is a manifestation
of deep-vein thrombosis (DVT)?
D. Unilateral leg edema
A nurse is caring for a client that is postoperative following abdominal
surgery. Which of the following findings should indicate to the nurse the
client's peristalsis is returning?
Passage of flatus
A nurse is preparing an instruction plan for a client with chronic constipation
secondary to irregular bowl habits. Which of the following should the nurse
plan to include in the instructions?
C. The client should follow a high-fiber diet to establish bowl regularity
A nurse in a health care provider's (HCP) office is assessing a client that
reports shoulder pain. Which of the following findings by the nurse indicates
rotator cuff injury?
Inability to abduct the arm at the shoulder
A nurse has written a plan of care for a man diagnosed with peripheral arterial
insufficiency. One of the nursing diagnoses in the care plan is altered
peripheral tissue perfusion related to compromised circulation. What is the
most appropriate intervention for this diagnosis?
