Grand Canyon University ANP 650: Comprehensive Quiz Bank (Questions 1-200 with Verified Answers) MOST RECENT!!

Grand Canyon University ANP 650:
Comprehensive Quiz Bank
(Questions 1-200 with Verified
Answers) MOST RECENT!!
Question 1: A child is diagnosed with severe allergic rhinitis. Which of the following
manifestations would the nurse most likely assess in this client?

1. Edematous neck glands
2. Reduced hearing
3. Pruritis
4. Frequent wiping of the nose with the palm of the hand

Answer4. Frequent wiping of the nose with the palm of the hand

Question 2: A client tells the nurse that she experiences a stuffy nose, nasal pain, and
postnasal drip every time she works in her company's office. Which of the following
types of allergic rhinitis is this client most likely experiencing?

1. Infectious
2. Perennial
3. Occupational
4. Seasonal

Answer3. Occupational

Question 3: A client asks the nurse if there is an antihistamine that does not cause
drowsiness. Which of the following medications would this client most likely prefer to
treat allergic rhinitis?

1. Diphenhydramine
2. Chlorpheniramine maleate
3. Clemastine

, 4. Fexofenadine

Answer4. Fexofenadine (Allegra)

Question 4: A client diagnosed with hypertension is experiencing allergic rhinitis. The
nurse realizes that the medication that would not be indicated for this client would
be:

1. loratadine
2. montelukast
3. pseudoephedrine
4. zafirlukast

Answer3. Pseudoephedrine

Question 5: A 16-year-old client is being prescribed a medication to treat acute
sinusitis. The nurse realizes that this client should not be prescribed:

1. amoxicillin
2. cefuroxime
3. ciprofloxacin
4. erythromycin

Answer3. Ciprofloxacin (contraindicated in children younger than 17 years of age)

Question 6: The nurse is caring for a client diagnosed with acute sinusitis. Which of
the following symptoms is the client most likely experiencing?

1. Anosmia
2. Fever
3. Halitosis
4. Metallic taste

Answer1. Anosmia

Question 7: A client is diagnosed with acute sinusitis. Which of the following
instructions should the nurse give the client? (Select all that apply)

, 1. Take antibiotics as ordered
2. Keep the head elevated
3. Use warm compresses to the face
4. Administer nasal saline spray
5. Use decongestants for no longer than 3 days
6. Take over-the-counter analgesics for pain

AnswerAll options are correct

Question 8: A client is scheduled for a tonsillectomy. Which of the following should
the nurse include in the preoperative teaching?

1. The surgery will be done with a laser
2. The client will be awake during the procedure
3. The client will have a sore throat after surgery
4. The client will be able to eat a regular diet immediately after surgery

Answer3. The client will have a sore throat after surgery

Question 9: A client is recovering from a tonsillectomy. Which of the following
instructions should the nurse include in the discharge teaching? (Select all that apply)

1. Eat soft foods
2. Gargle with salt water
3. Maintain good hydration
4. Use a straw to drink
5. Drink milk to soothe the throat

Answer1, 2, 3. Eat soft foods, gargle with salt water, maintain good hydration

Question 10: A client is experiencing epistaxis. Which of the following interventions
would the nurse complete?

1. Call the doctor
2. Check laboratory test results
3. Obtain an emesis basin
4. Show the patient how to pinch the nose

, Answer4. Show the patient how to pinch the nose (lean forward and pinch for 5-10
minutes)

Question 11: A client has been diagnosed with stage IV cancer of the larynx. The
nurse realizes that which of the following surgeries is recommended for this type of
cancer?

1. Hemilaryngectomy
2. Partial laryngectomy
3. Supraglottic laryngectomy
4. Total laryngectomy

Answer4. Total laryngectomy

Question 12: A client is recovering from a total laryngectomy with the placement of
a tracheostomy. The nurse should include which of the following instructions to this
client?

1. Clean the tracheostomy tube with soap and water daily
2. Limit protein in the diet
3. Restrict fluids
4. The nasogastric tube will be in for 2 weeks

Answer4. The nasogastric tube will be in for 10-14 days

Question 13: A client diagnosed with viral rhinitis tells the nurse that she has been
using a decongestant nasal spray for several weeks and the symptoms are getting
worse. Which of the following does the nurse suspect is occurring with this client?

1. Developing pneumonia
2. Subacute rhinitis
3. Rhinitis medicamentosa
4. Chronic otitis media

Answer3. Rhinitis medicamentosa (rebound nasal congestion)