Question 1
The nurse has been made aware of the following client situations. The nurse should first
assess the client:
A) with diverticulitis who is reporting left lower quadrant (LLQ) pain
B) with chronic obstructive pulmonary disease (COPD) who is reporting hemoptysis
C) who had an evacuation of a subdural hematoma 8 hours ago and has become agitated
D) who had a total knee replacement 8 hours ago and whose affected extremity is internally
rotated
CORRECT ANSWER
C) who had an evacuation of a subdural hematoma 8 hours ago and has become agitated
(key)
Question 2
The nurse is assigning unlicensed assistive personnel (UAP) to assist the following clients
to ambulate. It would be most important for the nurse to review safety precautions with
the UAP prior to ambulating the
A. 44-year-old client with Ménière's disease
B. 59-year-old client with a unilateral cataract
C. 62-year-old client with presbycusis
D. 65-year-old client with sinusitis
CORRECT ANSWER
A. 44-year-old client with Ménière's disease (key)
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, Question 3
The nurse is teaching clients at a community health fair about risk factors for developing
cancer. The nurse should recognize that at highest risk is the:
A. 30-year-old client who consumes a diet high in selenium and has a history of an ovarian
cyst
B. 49-year-old client who drinks 2 to 3 cups of coffee daily and has a family history of
fibrocystic breast conditions
C. 51-year-old client who has hypertension and teaches an aerobic exercise program
D. 62-year-old client who consumes 5 to 6 alcoholic beverages daily and is an opera singer
CORRECT ANSWER
D. 62-year-old client who consumes 5 to 6 alcoholic beverages daily and is an opera
singer (key)
Question 4
The nurse is talking with a client who had a colostomy created 2 days ago. Which of the
following statements by the client would indicate ineffective coping? Select all that apply.
A. "I am not touching that disgusting bag."
B. "I am glad I can still go to the gym just as I used to."
C. "I really like raw vegetables, and it will be hard for me to limit them."
D. "I understand the need for the colostomy, but I am afraid that the bag will leak."
E. "I do not understand why I cannot have a nurse perform the colostomy bag changes for
me."
CORRECT ANSWER
A. "I am not touching that disgusting bag." (key)
E. "I do not understand why I cannot have a nurse perform the colostomy bag changes
for me." (key)
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The nurse has been made aware of the following client situations. The nurse should first
assess the client:
A) with diverticulitis who is reporting left lower quadrant (LLQ) pain
B) with chronic obstructive pulmonary disease (COPD) who is reporting hemoptysis
C) who had an evacuation of a subdural hematoma 8 hours ago and has become agitated
D) who had a total knee replacement 8 hours ago and whose affected extremity is internally
rotated
CORRECT ANSWER
C) who had an evacuation of a subdural hematoma 8 hours ago and has become agitated
(key)
Question 2
The nurse is assigning unlicensed assistive personnel (UAP) to assist the following clients
to ambulate. It would be most important for the nurse to review safety precautions with
the UAP prior to ambulating the
A. 44-year-old client with Ménière's disease
B. 59-year-old client with a unilateral cataract
C. 62-year-old client with presbycusis
D. 65-year-old client with sinusitis
CORRECT ANSWER
A. 44-year-old client with Ménière's disease (key)
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, Question 3
The nurse is teaching clients at a community health fair about risk factors for developing
cancer. The nurse should recognize that at highest risk is the:
A. 30-year-old client who consumes a diet high in selenium and has a history of an ovarian
cyst
B. 49-year-old client who drinks 2 to 3 cups of coffee daily and has a family history of
fibrocystic breast conditions
C. 51-year-old client who has hypertension and teaches an aerobic exercise program
D. 62-year-old client who consumes 5 to 6 alcoholic beverages daily and is an opera singer
CORRECT ANSWER
D. 62-year-old client who consumes 5 to 6 alcoholic beverages daily and is an opera
singer (key)
Question 4
The nurse is talking with a client who had a colostomy created 2 days ago. Which of the
following statements by the client would indicate ineffective coping? Select all that apply.
A. "I am not touching that disgusting bag."
B. "I am glad I can still go to the gym just as I used to."
C. "I really like raw vegetables, and it will be hard for me to limit them."
D. "I understand the need for the colostomy, but I am afraid that the bag will leak."
E. "I do not understand why I cannot have a nurse perform the colostomy bag changes for
me."
CORRECT ANSWER
A. "I am not touching that disgusting bag." (key)
E. "I do not understand why I cannot have a nurse perform the colostomy bag changes
for me." (key)
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