1. A nurse is reinforcing teaching with a postpartum client. Which of the follow-
ing should the nurse explain as the most important reason for staff to wear
identification?
Answer Reducing the risk of newborn abduction
2. A nurse is reinforcing teaching with a client who plans to bottle feed her
newborn. Which of the following statements indicates an understanding of the
instructions?
Answer I will feed my baby six to eight times a day
3. A nurse is reinforcing teaching with a client diagnosed with osteoarthritis
who reports joint pain,swelling, and stiffness. Which of the following client
statements indicates understanding of the teaching?
Answer I will exercise my joints as much as i can when they are inflamed
4. A nurse is reinforcing teaching with a client who is scheduled for a mam-
mogram. Which of the following instructions should the nurse include in the
,teaching?
Answer Refrain from using deodorant on the morning of the test
5. A nurse is preparing a clients insulin regimen. Which of the following insulin's
can be mixed?
Answer Insulin aspart, regular insulin, insulin lispro
6. A nurse is reinforcing discharge teaching with a client who is postoperative
following laser surgery for open-angle glaucoma. Which of the following state-
ments by the client indicates an understanding of the instructions?
Answer I will take a stool softener to prevent constipation
7. A nurse is caring for a client who had a stroke and is having difficulty swallow-
ing. The nurse should recommend a referral to which of the following members
of the interprofessional team?
Answer Speech therapist
8. 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
9. A nurse is collecting data from a child who has acute Glomerulonephritis.
Which of the following findings should the nurse expect?
Answer Periorbital edema
10. 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
, 11. 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
12. A nurse in long-term care facility has received change-of-shift report about
four clients. Which of the following clients should the nurse attend to first?
Answer A client who has COPD and dementia and was agitated during the night shift
13. 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
14. A nurse in a urgent care clinic is collecting data from a client who reports
having diarrhea for the past 3 days. Which of the following findings indicates
hypokalemia?
Answer Muscle weakness