1 A nurse is providing preoperative teaching for an adolescent who is scheduled for a cardiac
catheterization. Which of the following instructions should the nurse include?
a) "You can resume a regular diet 3 days after your procedure"
b) "You can take a shower 1 day after your procedure"
c) "You can begin exercising 2 days after your procedure"
d) "You can return to school 1 week after your procedure" - ANSWER d) "You can
return to school 1 week after your procedure"
A nurse is caring for a client who is postoperative following a hemicolectomy. Which of the
following is a subjective indication that the client needs PRN pain medication?
A. The client's heart rate is 110/min
B. The client is guarding their abdominal incision
C. The client exhibits facial grimacing.
D. The client reports pain. - ANSWER D. The client reports pain.
A nurse is assisting with the admission of a client who has mononucleosis. Which of the
following isolation precaution should the nurse initiate?
a) Airborne
b) Droplet
c) Contact
d) Protective environment - ANSWER c) Contact
1
,A nurse is caring for a client who has a cast on their left lower leg. Which of the following
actions should the nurse take?
A. Massage areas around the edge of the client's cast with lotion
B. Avoid elevating the extremity when the client is resting in bed
C. Give the client a dull object to scratch the skin under the cast
D. Tell the client to expect numbness in their toes. - ANSWER A. Massage areas around
the edge of the client's cast with lotion
A nurse is reinforcing teaching about home care with the parents of a child who has a
seizure disorder. Which of the following instructions should the nurse include?
a) Call EMS if a seizure lasts 5 mins or more.
b) Restrain the child at the onset of the seizure
c) Offer the child a bubble bath every evening
d) Place the child in a prone position during seizure - ANSWER a) Call EMS if a seizure
lasts 5 mins or more.
A nurse is caring for a client who was recently admitted to an inpatient mental health unit.
The nurse tells the nurse that he is not coming out of his room anymore because other
clients on the unit make fun of him. Which of the following responses by the nurse is
appropriate?
A. "I think you should just ignore the others."
B. "You feel upset by the responses of others."
C. "Let's keep the focus of our discussion on your needs."
D. "Everything will get better once you get to know everyone." - ANSWER B. "You feel
upset by the responses of others."
A nurse is assisting with the care of an adolescent who is scheduled for surgery. Which of the
following actions should the nurse plan the take?
A. Provide a tour of the perioperative area prior to surgery.
2
,B. Explain that anesthesia is a special type of sleep.
C. Wait until after surgery to explain the importance of coughing and deep breathing.
D. Keep medical equipment out of the client's sight. - ANSWER A. Provide a tour of the
perioperative area prior to surgery.
A nurse is collecting data from a child who has acute glomerulonephritis. Which of the
following findings should the nurse expect?
a) Decrease blood pressure
b) Pale yellow urine
c) Periorbital edema
d) Increase urination - ANSWER c) Periorbital edema
A newly licensed nurse is having difficulty finishing client care tasks during their shift. Which
of the following techniques should the nurse plan to use to assist with time management?
a) Delegate complicated tasks to an RN
b) Document all client care at the end of the shift
c) Perform quick tasks before time-consuming tasks
d) Try to complete a task before moving on to the next - ANSWER d) Try to complete a
task before moving on to the next
A nurse is preparing a client's insulin regimen. Which of the following insulins can be mixed?
(Select all that apply)
A. Insulin aspart
B. Regular insulin
C. Insulin glargine
D. Insulin detemir
E. Insulin lispro - ANSWER A. Insulin aspart
B. Regular insulin
E. Insulin lispro
3
, A nurse is collecting data from an 18-month-old toddler at a well-child visit. Which of the
following findings should the nurse report to the provider?
a) The toddler can remove her own socks
b) The toddler has a security blanket
c) The toddler can say four words
d) The toddler throws a ball without falling - ANSWER c) The toddler can say four
words
A nurse is caring for several clients who are receiving well-child check-ups. The nurse should
identify that the initial diphtheria, tetanus, and pertussis (DTaP) vaccine is indicated for
which of the following clients?
a) A 2-month-old infant
b) A 4-month-old infant
c) A 6-month-old infant
d) A 15-month-old toddler - ANSWER a) A 2-month-old infant
A nurse in a mental health unit asks a client who has schizophrenia, "How are you?" Which
of the following responses should the nurse identify as the speech alteration of echolalia?
a) "I am lovistrated"
b) "Super, Trooper, and duper"
c) "How are you?"
d) "Pink spots in Africa" - ANSWER c) "How are you?"
A nurse is caring for an adolescent who has an allergy to penicillin. Which of the following
prescriptions should the nurse clarify with the provider?
a) Doxycycline
b) Vibramycin
c) Cefazolin
4
catheterization. Which of the following instructions should the nurse include?
a) "You can resume a regular diet 3 days after your procedure"
b) "You can take a shower 1 day after your procedure"
c) "You can begin exercising 2 days after your procedure"
d) "You can return to school 1 week after your procedure" - ANSWER d) "You can
return to school 1 week after your procedure"
A nurse is caring for a client who is postoperative following a hemicolectomy. Which of the
following is a subjective indication that the client needs PRN pain medication?
A. The client's heart rate is 110/min
B. The client is guarding their abdominal incision
C. The client exhibits facial grimacing.
D. The client reports pain. - ANSWER D. The client reports pain.
A nurse is assisting with the admission of a client who has mononucleosis. Which of the
following isolation precaution should the nurse initiate?
a) Airborne
b) Droplet
c) Contact
d) Protective environment - ANSWER c) Contact
1
,A nurse is caring for a client who has a cast on their left lower leg. Which of the following
actions should the nurse take?
A. Massage areas around the edge of the client's cast with lotion
B. Avoid elevating the extremity when the client is resting in bed
C. Give the client a dull object to scratch the skin under the cast
D. Tell the client to expect numbness in their toes. - ANSWER A. Massage areas around
the edge of the client's cast with lotion
A nurse is reinforcing teaching about home care with the parents of a child who has a
seizure disorder. Which of the following instructions should the nurse include?
a) Call EMS if a seizure lasts 5 mins or more.
b) Restrain the child at the onset of the seizure
c) Offer the child a bubble bath every evening
d) Place the child in a prone position during seizure - ANSWER a) Call EMS if a seizure
lasts 5 mins or more.
A nurse is caring for a client who was recently admitted to an inpatient mental health unit.
The nurse tells the nurse that he is not coming out of his room anymore because other
clients on the unit make fun of him. Which of the following responses by the nurse is
appropriate?
A. "I think you should just ignore the others."
B. "You feel upset by the responses of others."
C. "Let's keep the focus of our discussion on your needs."
D. "Everything will get better once you get to know everyone." - ANSWER B. "You feel
upset by the responses of others."
A nurse is assisting with the care of an adolescent who is scheduled for surgery. Which of the
following actions should the nurse plan the take?
A. Provide a tour of the perioperative area prior to surgery.
2
,B. Explain that anesthesia is a special type of sleep.
C. Wait until after surgery to explain the importance of coughing and deep breathing.
D. Keep medical equipment out of the client's sight. - ANSWER A. Provide a tour of the
perioperative area prior to surgery.
A nurse is collecting data from a child who has acute glomerulonephritis. Which of the
following findings should the nurse expect?
a) Decrease blood pressure
b) Pale yellow urine
c) Periorbital edema
d) Increase urination - ANSWER c) Periorbital edema
A newly licensed nurse is having difficulty finishing client care tasks during their shift. Which
of the following techniques should the nurse plan to use to assist with time management?
a) Delegate complicated tasks to an RN
b) Document all client care at the end of the shift
c) Perform quick tasks before time-consuming tasks
d) Try to complete a task before moving on to the next - ANSWER d) Try to complete a
task before moving on to the next
A nurse is preparing a client's insulin regimen. Which of the following insulins can be mixed?
(Select all that apply)
A. Insulin aspart
B. Regular insulin
C. Insulin glargine
D. Insulin detemir
E. Insulin lispro - ANSWER A. Insulin aspart
B. Regular insulin
E. Insulin lispro
3
, A nurse is collecting data from an 18-month-old toddler at a well-child visit. Which of the
following findings should the nurse report to the provider?
a) The toddler can remove her own socks
b) The toddler has a security blanket
c) The toddler can say four words
d) The toddler throws a ball without falling - ANSWER c) The toddler can say four
words
A nurse is caring for several clients who are receiving well-child check-ups. The nurse should
identify that the initial diphtheria, tetanus, and pertussis (DTaP) vaccine is indicated for
which of the following clients?
a) A 2-month-old infant
b) A 4-month-old infant
c) A 6-month-old infant
d) A 15-month-old toddler - ANSWER a) A 2-month-old infant
A nurse in a mental health unit asks a client who has schizophrenia, "How are you?" Which
of the following responses should the nurse identify as the speech alteration of echolalia?
a) "I am lovistrated"
b) "Super, Trooper, and duper"
c) "How are you?"
d) "Pink spots in Africa" - ANSWER c) "How are you?"
A nurse is caring for an adolescent who has an allergy to penicillin. Which of the following
prescriptions should the nurse clarify with the provider?
a) Doxycycline
b) Vibramycin
c) Cefazolin
4
