A nurse is caring for a client who has a depressed skull fracture of the bone that makes up
the larger part of the upper and side wall of the cranium. This fracture is located on which of
the following bones?
a. sphenoid
b. occipital
c. parietal
d. frontal - ANSWER Parietal
-sphenoid forms part of face
-occipital is the back of the skull
-frontal is the front of the skull
What is the primary dietary alteration for a client who has heart failure? -
ANSWER Sodium Restriction
ex: turkey sandwich with whole-wheat bread
A nurse is caring for a clinet who has multiple sclerosis and is receiving interferon beta-1a.
The nurse should identify that which of the following client statements indicates a potential
adverse effect of the medication?
a. my body aches all over
b. i have abdominal cramping
1
,c. my hair seems to be thinning
d. it hurts when i urinate - ANSWER My body aches all over
-adverse effects of interferon beta-1a include flu-like symptoms
A nurse is teaching a client with cystic fibrosis about daily chest physiotherapy. Which of the
following is the purpose of these treatments?
a. to encourage deep breaths
b. to mobilize secretions in the airways
c. to dilate the bronchioles
d. to stimulate the cough reflex - ANSWER To mobilize secretions in the airways
- the purpose is to loosen and promote the drainage of secretions from the lungs
A nurse is performing a nonstress test (NST) on a client who is at 41 weeks of gestation. The
client asks what the purpse of the test is/ Which of the following responses should the nurse
provide?
a. this test will determine if you are likely to deliver within the next week
b. this test will help determine if your baby is healthy
c. this test can see how you baby responds when you have contractions
d. this test will determine if you're baby's lungs are mature - ANSWER This test will
help determine if your baby is healthy
- This NST is used as a prenatal fetal assessment, it tracks fetal heart rate patterns expected
with fetal movement and can help identify fetal distress
A nurse cares for a client receiving chemotherapy. The latest blood work shows:
2
,platelet count 18,000/mm3
WBC count of 5,000/mm3
Which intervention does the nurse implement?
a. respiratory transmission precautions
b. contact transmission precautions
c. bleeding precautions
d. neutropenic precautions - ANSWER Bleeding precautions
-normal platelet count is 150,000-400,000/mm3
bleeding precautions should be implemented with a platelet count less than
A nurse is teaching a female client who has pyelonephritis about the disorder. Which of the
following pieces of information should the nurse include to help the client prevent a
recurrence?
a. douche after vaginal intercourse
b. wipe from front to back after defecation
c. avoid foods that are high in phosphate
d. add yogurt to your diet regularly - ANSWER Wipe from front to back after
defecation
-pyelonephritis (renal infection)
-phosphate can help kidney stones
-yogurt helps with genital tract infections
A nurse is accepting a transfer from the postanesthesia care unit (PACU) of a client who has
had a subtotal thyroidectomy. Which of the following pieces of equipment should the nurse
have available at the bedside for this client?
3
, a. cardiac monitor
b. defibrillator
c. thoracotomy tray
d. tracheostomy tray - ANSWER Tracheostomy tray
-laryngeal edema is common after thyroidectomy, which can result in airway obstruction and
emergency intubation can be difficult due to the swelling so a nurse should have this tray
-thoracotomy = for chest tube insertion
A nurse is planning dietary teaching for a client who has diabetes mellitus. Which of the
following actions should the nurse plan to take first?
a. obtain sample menus from the dietitian to give to the client
b. ask the client to identify the types of food she prefers
c. identify the recommended range of the client's blood glucose level
d. discuss long-term complications that can result from non-adherence to the dietary plan -
ANSWER Ask the client to identify the types of food she prefers
-Nursing process: assess, diagnosis, planning, implementation and evaluation
A nurse is providing dietary teaching to a client who has late-stage chronic kidney disease
(CKD). Which of the following nutrients should the nurse instruct the client to increase her
diet?
a. calcium
b. phosphorus
c. potassium
d. sodium - ANSWER Calcium
4
the larger part of the upper and side wall of the cranium. This fracture is located on which of
the following bones?
a. sphenoid
b. occipital
c. parietal
d. frontal - ANSWER Parietal
-sphenoid forms part of face
-occipital is the back of the skull
-frontal is the front of the skull
What is the primary dietary alteration for a client who has heart failure? -
ANSWER Sodium Restriction
ex: turkey sandwich with whole-wheat bread
A nurse is caring for a clinet who has multiple sclerosis and is receiving interferon beta-1a.
The nurse should identify that which of the following client statements indicates a potential
adverse effect of the medication?
a. my body aches all over
b. i have abdominal cramping
1
,c. my hair seems to be thinning
d. it hurts when i urinate - ANSWER My body aches all over
-adverse effects of interferon beta-1a include flu-like symptoms
A nurse is teaching a client with cystic fibrosis about daily chest physiotherapy. Which of the
following is the purpose of these treatments?
a. to encourage deep breaths
b. to mobilize secretions in the airways
c. to dilate the bronchioles
d. to stimulate the cough reflex - ANSWER To mobilize secretions in the airways
- the purpose is to loosen and promote the drainage of secretions from the lungs
A nurse is performing a nonstress test (NST) on a client who is at 41 weeks of gestation. The
client asks what the purpse of the test is/ Which of the following responses should the nurse
provide?
a. this test will determine if you are likely to deliver within the next week
b. this test will help determine if your baby is healthy
c. this test can see how you baby responds when you have contractions
d. this test will determine if you're baby's lungs are mature - ANSWER This test will
help determine if your baby is healthy
- This NST is used as a prenatal fetal assessment, it tracks fetal heart rate patterns expected
with fetal movement and can help identify fetal distress
A nurse cares for a client receiving chemotherapy. The latest blood work shows:
2
,platelet count 18,000/mm3
WBC count of 5,000/mm3
Which intervention does the nurse implement?
a. respiratory transmission precautions
b. contact transmission precautions
c. bleeding precautions
d. neutropenic precautions - ANSWER Bleeding precautions
-normal platelet count is 150,000-400,000/mm3
bleeding precautions should be implemented with a platelet count less than
A nurse is teaching a female client who has pyelonephritis about the disorder. Which of the
following pieces of information should the nurse include to help the client prevent a
recurrence?
a. douche after vaginal intercourse
b. wipe from front to back after defecation
c. avoid foods that are high in phosphate
d. add yogurt to your diet regularly - ANSWER Wipe from front to back after
defecation
-pyelonephritis (renal infection)
-phosphate can help kidney stones
-yogurt helps with genital tract infections
A nurse is accepting a transfer from the postanesthesia care unit (PACU) of a client who has
had a subtotal thyroidectomy. Which of the following pieces of equipment should the nurse
have available at the bedside for this client?
3
, a. cardiac monitor
b. defibrillator
c. thoracotomy tray
d. tracheostomy tray - ANSWER Tracheostomy tray
-laryngeal edema is common after thyroidectomy, which can result in airway obstruction and
emergency intubation can be difficult due to the swelling so a nurse should have this tray
-thoracotomy = for chest tube insertion
A nurse is planning dietary teaching for a client who has diabetes mellitus. Which of the
following actions should the nurse plan to take first?
a. obtain sample menus from the dietitian to give to the client
b. ask the client to identify the types of food she prefers
c. identify the recommended range of the client's blood glucose level
d. discuss long-term complications that can result from non-adherence to the dietary plan -
ANSWER Ask the client to identify the types of food she prefers
-Nursing process: assess, diagnosis, planning, implementation and evaluation
A nurse is providing dietary teaching to a client who has late-stage chronic kidney disease
(CKD). Which of the following nutrients should the nurse instruct the client to increase her
diet?
a. calcium
b. phosphorus
c. potassium
d. sodium - ANSWER Calcium
4
