(206) Exam Complete Questions
Verified And Correct Answers
\.A nurse is reinforcing discharge teaching with a client who is postoperative following laser
surgery for open-angle glaucoma. Which of the following statements by the client indicates an
understanding of the instructions? - Answer- I will take a stool softener to prevent
constipation
\.A nurse is caring for a client who had a stroke and is having difficulty swallowing. The nurse
should recommend a referral to which of the following members of the interprofessional team?
- Answer- Speech therapist
\.A nurse is reinforcing teaching with a client who is 12 hr postpartum and has an episiotomy.
Which of the following instructions should the nurse include? - Answer- Change the perineal
pad with each void
\.A nurse is collecting data from a child who has acute Glomerulonephritis. Which of the
following findings should the nurse expect? - Answer- Periorbital edema
\.A nurse is preparing to administer a liquid medication to a 6-month-old infant who is crying.
Which of the following actions should the nurse take to reduce the risk of aspiration? - Answer-
Administer using a needless syringe in the buccal cavity
\.A nurse is reinforcing teaching with a client who has peptic ulcer disease. Which of the
following statements by the client indicates an understanding of the teaching? - Answer- I
will plan to have my meals at regular intervals
,\.A nurse is collecting data from a client who has substance use disorder and reports recently
taking opioids. Which of the following findings should the nurse identify as a manifestation of
opioid intoxication? - Answer- Pinpoint pupils
\.A nurse is reinforcing teaching with an adolescent who has a new prescription for cefazolin.
For which of the following findings should the nurse instruct the adolescent to monitor and
report to the provider? - Answer- Depression
\.A nurse is caring for a school-age child who has epistaxis. Which of them following actions
should the nurse take? - Answer- Apply pressure at the bridge of the child's nose
\.A nurse in a providers office is talking on the phone with the parent of a school-age child who
has varicella. - Answer- All vesicles have crusted over
\.A nurse is collecting data from a client who hgb is 8.8 mg/dL. Which of the following
statements should the nurse expect? - Answer- I feel tired all the time
\.A nurse is administering a cleansing enema to a client who reports mild cramping during
instillation of the solution. Which of the following actions should the nurse take? - Answer-
Slow the rate of instillation
\.A nurse receives report on four clients. The nurse should first collect data about the client who
has which of the following? - Answer- A decreased level of consciousness and vomiting
\.A nurse is setting up a sterile field prior to performing a dressing change. Which of the
following actions should the nurse take? - Answer- Open the outermost flap of the wrapper
toward the body
, \.A nurse is caring for a client who has bipolar disorder and is experiencing mania. Which of the
following actions should the nurse take? - Answer- Frequently remind the client of the
expectations for her behavior
\.A nurse is caring for a client who has viral pneumonia. Which of the following actions should
the nurse take? - Answer- Administer Azithromycin
\.A nurse is caring for an older adult client who is postoperative following a total hip
arthroplasty. The nurse is preparing to change the client's dressing. Which of the following
actions should the nurse take to demonstrate sensitivity to age-related changes? - Answer-
Use paper tape for securing the new dressing.
\.A nurse working in an inpatient mental health facility is assisting with the plan of care for a
client who has anorexia nervosa. Which of the following should the nurse recommend to
include in the plan of care? - Answer- Maintain continuity of staff members.
\.A nurse is assisting with an admission interview for a client who has schizophrenia. He tells the
nurse that he is receiving special audible messages from the Central Intelligence Agency that no
one else is able to hear. The nurse should identify that the client is having which of the following
alterations in perception? - Answer- Hallucination
\.A nurse is reinforcing teaching with a postpartum client about bathing her newborn. Which of
the following statements should the nurse include? - Answer- "Wash your newborn's head
under a stream of running water."
\.A nurse is reinforcing teaching about nonpharmacological pain relief with a client who is 6 hr
postpartum following a vaginal delivery. The client has an episiotomy and swelling of the labia.
Which of the following instructions should the nurse include? - Answer- Sit on soft pillows
throughout the day.