Complete Real Exam Questions and Correct Answers
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The nurse has reinforced instructions to a client with
tuberculosis about proper
handling & disposal of respiratory secretions. The nurse
determines that the
client understands the instructions if the client
verbalizes to take which
measure?
1. Discard used tissue in a plastic bag
2. Wash hands at least 4 times a day
3. Brush teeth & rinse the mouth once a day
4. Turn the head to the side if coughing or sneezing - ANSWER-
1. Discard used tissue in a plastic bag
A client who has been taking isoniazid for 1 1/2 months
complains to the nurse about numbness, paresthesia, &
tingling in the extremities. The nurse interprets that the client is
experiencing which adverse effect?
,1.
Hypercalcemia
2. Peripheral
neuritis
3. Small blood vessel
spasms
4. Impaired peripheral circulation - ANSWER-2.
Peripheral neuritis
The nurse is preparing a 2 year old child with suspected
nephrotic syndrome for
a renal biopsy to confirm the diagnosis. The mother asks the
nurse, "will my
child ever look thin again?" The nurse should respond
by giving which
statement?
1. "Do you feel guilty about your child's weight gain?"
2. "In most cases, medication & diet will control fluid retention"
3. " Wearing loose fitting clothing should help conceal the extra
weight"
4. When children are little, it's expected that they'll look a little
chubby" - ANSWER-2. "In most cases, medication & diet will
control fluid retention"
,The nurse is caring for a client hospitalized with acute
exacerbation of chronic obstructive pulmonary disease (COPD).
Which should the nurse expect to note in this client? Select all
that apply
1. Hypocapnia
2. Dyspnea on exertion
3. Presence of a productive cough
4. Difficulty breathing while talking
5. Increased oxygen saturation with exercise
6. A shortened expiratory phase of respiration - ANSWER-2.
Dyspnea on exertion
3. Presence of a productive cough
4. Difficulty breathing while talking
The nurse is preparing to administer an enema to an adult
client. Which interventions should the nurse plan to perform for
this procedure? Select all that apply
1. Apply disposable gloves
2. Place the client in the right Sim's position
3. Lubricate the enema tube & insert it approximately 4 in
, 4. Clamp the tubing if the client expresses discomfort during
the procedure 5. Hang the container containing the enema
solution 24 in above the client's anus
6. Ensure that the temperature of the solution is between 100 F
(37.8 C) & 105
F (40.5 C) - ANSWER-1. Apply disposable gloves
3. Lubricate the enema tube & insert it approximately 4 in
4. Clamp the tubing if the client expresses discomfort during
the procedure
6. Ensure that the temperature of the solution is between 100 F
(37.8 C) & 105 F (40.5 C)
The nurse is assigned to care for an adult client who had a
stroke & is aphasic.
Which interventions should the nurse use for communicating
with the client?
Select all that
apply.
1. Face the client when talking
2. Speak slowly & maintain eye contact
3. Use gestures when talking to enhance words
4. Avoid the use of body language when talking to the client
5. Give the client directions using short phrases & simple terms