500 QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES /UNTIL NOW GRADED A
A nurse is monitoring a client who had a cystoscopy six hours ago. The nurse should inform the
physician of which these manifestations? a. The client has pink-tinged urine.
b. The client reports burning on urination.
c. The client's white blood cell count is 15,000 mm3.
d. The client appears drowsy.
c. The client's white blood cell count is 15,000 mm3.
Which of these actions should a nurse perform prior to a client's scheduled hemodialysis? a.
Administer prophylactic antibiotics.
b. Weigh the client.
c. Give the client normal saline solution to drink.
d. Measure the urine specific gravity.
b. Weigh the client.
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Which of these behaviors, if taken by a staff nurse on a psychiatric unit, indicates a correct
understanding of therapeutic techniques?
a. A nurse smiles when speaking with clients who are manic.
b. A nurse uses touch to communicate concern with a depressed client.
c. A nurse sets consistent limits with manipulative clients.
d. A nurse shares own anxiety reduction techniques with a client who has panic attacks.
c. A nurse sets consistent limits with manipulative clients.
A client has been in bed for the past three days. Which of these measures should a nurse include
before assisting the client out of bed?
a. Having the client drink a glass of water.
b. Raising the head of the bed.
c. Flexing the client's knees.
d. Assessing the lung sounds.
b. Raising the head of the bed.
A client who has insulin-dependent diabetes mellitus asks a nurse, "What should I do when I feel
nervous, sweaty, and hungry?" The nurse should give the client which of these instructions? a.
"Lie down and rest."
b. "Eat a carbohydrate snack."
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,c. "Take your prn dose of insulin."
d. "Add a slice of bread to your next meal."
b. "Eat a carbohydrate snack."
Which of these tasks should a licensed practical nurse (LPN) delegate to a nursing assistant? a.
Checking the 11 A.M. blood sugar for a client who has ketoacidosis.
b. Measuring the pulse oximetry level for a client who has status asthmaticus.
c. AMbulating a client who had a hip replacement three days ago.
d. Changing the dressing for a client who had wound debridement last week.
c. AMbulating a client who had a hip replacement three days ago.
A 36-week-pregnant woman awakens to find she is having profuse, red vaginal bleeding. A
nurse should prepare the woman to have an immediate sonogram to determine the:
a. location of the placenta.
b. uterine response to labor.
c. the fetus's current weight.
d. condition of the uterine vascular bed.
location of the placenta.
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A nurse is planning to interview a client who speaks limited English. Which of these strategies
should the nurse include?
a. Smile frequently during the interview interview to reduce the client's anxiety.
b. Observe the client for indicators of confusion or not understanding questions.
c. Maintain constant eye contact throughout the interview.
d. Keep the interview short to decrease the client's fatigue.
b. Observe the client for indicators of confusion or not understanding questions.
A nurse takes the weight of a normal 2-year-old child who comes in to the pediatric clinic for a
well-child visit. If the child weighted 7 lbs, 2 oz. at birth, how much should the nurse expect the
child to weight at this visit?
a. 14 lbs, 2 oz.
b. 18 lbs, 6 oz.
c. 28 lbs, 8 oz.
d. 45 lbs, 10 oz.
c. 28 lbs, 8 oz.
A nurse has been discussing the nutritional needs of children with a group of parents in a clinic.
Which of these statements, if made by the parent of a 2-year-old child, should the nurse follow
up?
a. "I give my child slices of cheese as an afternoon snack."
b. "I give my child a cup of skim milk as an afternoon snack."
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