WGU HESI NUTRITION QUESTIONS AND
ANSWERS
A young mother of three children complains of increased anxiety during her annual
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physical exam. What information should the nurse obtain first?
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A. Sexual activity patterns
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B. Nutritional history
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C. leisure activities
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D. financial stressors - ANSWERS-B. Nutritional history.
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The nurse is using a genogram while conducting a client's health assessment and
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past medical history. What information should the genogram provide?
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A. genetic and familial health disorders.
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B. chronic health problems
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C. reason for seeking health care
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D. undetected disorders - ANSWERS-A. genetic and familial health disorders
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The nurse is teaching a client with numerous allergies how to avoid allergens. Whi
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ch instruction should be included in this teaching plan?
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A. avoid any types of sprays, powders, and perfumes
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B. wearing a mask while cleaning will not help to avoid allergens.
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C. purchase any type of clothing, but be sure it is washed before wearing it.
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D. pollen count is related to hay fever, not to allergens - ANSWERS-
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A. Avoid any types of sprays, powders, and perfumes.
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The nurse is caring for a client who is receiving 24-
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hour total parenteral nutrition (TPN) via a central line at 54 ml/
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hr. When initially assessing the client, the nurse notes that the TPN solution has ru
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n out and the next TPN solution is not available. What immediate action should the
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nurse take?
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A. infuse normal saline at a keep vein open rate
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B. discontinue the IV and flush the port with heparin
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C. infuse 10% dextrose and water at 54 ml/hr
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D. obtain a stat blood glucose level and notify the healthcare provider -
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ANSWERS-C. Infuse 10% dextrose and water at 54 ml/hr.
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The nurse observes an unlicensed assistive personnel (UAP) taking a client's bloo
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d pressure with a cuff that is too small, but the blood pressure reading obtained is
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within the client's usual range. What action is most important for the nurse to imple
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ment? hc
A. tell the UAP to use a larger cuff at the next scheduled assessment
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B. reassess the client's blood pressure using a larger cuff
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C. have the unit educator review this procedure with the UAPs
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D. Teach the UAP the correct technique for assessing blood pressure. -
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ANSWERS-B. Reassess the client's blood pressure using a larger cuff
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,A client with acute hemorrhagic anemia is to receive four units of packed RBCs as
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crapidly as possible. Which intervention is most important for the nurse to implemen
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t?
A. obtain the pre-transfusion hemoglobin level
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B. prime tubing and prepare a blood pump set-up
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C. monitor vital signs q15 minutes for the first hour
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D. ensure the accuracy of the blood type match - ANSWERS-
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D. ensure the accuracy of the blood type match
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An obese male client discusses with the nurse his plans to begin a longterm weigh
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t loss regimen. In addition to dietary changes, he plans to begin an intensive aerob
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ic exercise program 3 to 4 times a week and to take stress management classes.
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After praising the client for his decision, which instruction is most important for the
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nurse to provide? hc hc
A. "be sure to have a complete physical examination before beginning your planne
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d exercise program"
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B. "be careful that the exercise program doesn't simply add to your stress level, m
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aking you want to eat more."
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C. "increased exercise helps to reduce stress, so you may not need to spend mon
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ey on a stress management class"
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D. "make sure to monitor your weight loss regularly to provide a sense of accompli
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shment and motivation" - ANSWERS- hc hc hc hc
A. "Be sure to have a complete physical examination before beginning your planne
hc hc hc hc hc hc hc hc hc hc hc hc
d exercise program."
hc hc
During the admission interview, which technique is most efficient for the nurse to u
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se when obtaining information about signs and symptoms of a client's primary heal
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th problem?
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A. restatement of responses
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B. open-ended questions
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C. closed-ended questions
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D. problem-seeking responses - ANSWERS-C. closed-ended questions
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A client who is 5'5" tall and weighs 200 pounds is scheduled for surgery the next d
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ay. What question is most important for the nurse to include during the preoperativ
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e assessment?
hc
A. what is your daily calorie consumption?
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B. what vitamin and mineral supplements do you take?
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C. do you feel that you are overweight?
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D. will a clear liquid diet be okay after surgery? - ANSWERS-
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B. "What vitamin and mineral supplements do you take?"
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When assisting an 82-year-
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old client to ambulate, it is important for the nurse to realize that the center of grav
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ity for an elderly person is the
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A. arms hc
B. upper torso
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C. head hc
D. feet - ANSWERS-B. upper torso
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,The nurse is teaching a client proper use of an inhaler. When should the client ad
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minister the inhaler-delivered medication to demonstrate correct use of the inhaler
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A. immediately after exhalation
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B. during the inhalation
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C. at the end of three inhalations
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D. immediately after inhalation - ANSWERS-B. During the inhalation.
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Which snack food is best for the nurse to provide a client with myasthenia graves
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who is at risk for altered nutritional status?
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A. chocolate pudding
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B. graham crackers
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C. sugar free gelatin
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D. apple slices - ANSWERS-A. Chocolate pudding
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The nurse notices that the Hispanic parent of a toddler who returns from surgery o
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ffer the child only the broth that comes on the clear liquid tray. Other liquids, includ
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ing gelatin, popsicles, and juices, remain untouched. What explanation is most app
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ropriate for this behavior? hc hc hc
A. the belief is held that the "evil eye" enters the child if anything cold is ingested
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B. after surgery the child probably has refused all foods except broth
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C. eating broth strengthens the child's innate energy called "chi"
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D. "hot" remedies restore balance after surgery, which is considered a "cold" condi
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tion - ANSWERS- hc hc
D. "Hot" remedies restore balance after surgery, which is considered a "cold" condi
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tion.
A Sub-
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Saharan African widowed immigrant woman lives with her deceased husband's bro
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ther and his family, which includes the brother-in-
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law's children and the widow's adult children. Each family member speaks fluent E
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nglish. Surgery was recommended for the client. What is the best plan to obtain co
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nsent for surgery for this client?
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A. Obtain an interpreter to explain the procedure to the client
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B. encourage the client to make her own decision regarding surgery
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C. ask the family members to provide a clarification of the surgeon's explanation to
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the client
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D. tell the surgeon that the brother-in-
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law will decide after explanation of the proposed surgery is provided to him and th
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e widow - ANSWERS-D. Tell the surgeon that the brother-in-
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law will decide after expiation of the proposed surgery is provided to him and the
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widow.
A client's infusion of normal saline infiltrated earlier today, and approximately 500
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ml of saline infused into the subcutaneous tissue. The client is now complaining of
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excruciating arm pain and demanding stronger pain medications. What initial action
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is most important for the nurse to make?
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A. ask about any past history of drug abuse or addiction
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B. measure the pulse volume and capillary refill distal to the infiltration
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C. compress the infiltrated tissue to measure the degree of edema
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, D. evaluate the extend of ecchymosis over the forearm area - ANSWERS-
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B. Measure the pulse volume and capillary refill distal to the infiltration.
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During a visit to the outpatient clinic, the nurse assesses a client with severe osteo
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arthritis using a goniometer. Which finding should the nurse expect to measure?
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A. adequate venous blood flow to the lower extremities
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B. estimated amount of body fat by an underarm skin fold
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C. degree of flexion and extension of the client's knee joint
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D. change in the circumference of the joint in centimeters - ANSWERS-
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C. Degree of flexion and extension of the client's knee joint
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A client with pneumonia has a decrease in oxygen saturation from 94% to 88% wh
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ile ambulating. Based on these findings, which intervention should the nurse imple
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ment first? hc
A. Assist the ambulating client back to the bed
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B. encourage the client to ambulate to resolve pneumonia
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C. obtain a prescription for portable oxygen while ambulating
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D. move the oximetry probe from the finger to the earlobe - ANSWERS-
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A. Assist the ambulating client back to the bed.
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A female client asks the nurse to find someone who can translate into her native l
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anguage her concerns about a treatment. Which action should the nurse take?
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A. explain that anyone who speaks her language can answer her questions
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B. provide a translator only in an emergency situation
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C. ask a family member or friend of the client to translate
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D. Request and document the name of the certified translator - ANSWERS-
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D. Request and document the name of the certified translator.
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On admission, a client presents a signed living will that includes a DNR prescriptio
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n. When the client stops breathing, the nurse performs CPR and successfully reviv
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es the client. What legal issues could be brought against the nurse?
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A. Assault
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B. Battery
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C. Malpractice
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D. False imprisonment - ANSWERS-B. Battery
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A 73-year-
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old female client had a hemiarthroplasty of the left hip yesterday due to a fracture
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resulting from a fall. In reviewing hip precautions with the client, which instruction s
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hould the nurse include in this client's teaching plan?
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A. In 8 weeks you will be able to bend at the waist to reach items on the floor.
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B. place a pillow between your knees while lying in bed to prevent hip dislocation
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C. it is safe to use a walker to get out of bed, but you need assistance when walki
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ng
D. take pain medication 30 minutes after your physical therapy sessions -
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hcANSWERS-
B. "Place a pillow between your knees while lying in bed to prevent hip dislocation.
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"
ANSWERS
A young mother of three children complains of increased anxiety during her annual
hc hc hc hc hc hc hc hc hc hc hc hc
physical exam. What information should the nurse obtain first?
hc hc hc hc hc hc hc hc hc
A. Sexual activity patterns
hc hc hc
B. Nutritional history
hc hc
C. leisure activities
hc hc
D. financial stressors - ANSWERS-B. Nutritional history.
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The nurse is using a genogram while conducting a client's health assessment and
hc hc hc hc hc hc hc hc hc hc hc hc hc
past medical history. What information should the genogram provide?
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A. genetic and familial health disorders.
hc hc hc hc hc hc
B. chronic health problems
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C. reason for seeking health care
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D. undetected disorders - ANSWERS-A. genetic and familial health disorders
hc hc hc hc hc hc hc hc hc
The nurse is teaching a client with numerous allergies how to avoid allergens. Whi
hc hc hc hc hc hc hc hc hc hc hc hc hc
ch instruction should be included in this teaching plan?
hc hc hc hc hc hc hc hc
A. avoid any types of sprays, powders, and perfumes
hc hc hc hc hc hc hc hc
B. wearing a mask while cleaning will not help to avoid allergens.
hc hc hc hc hc hc hc hc hc hc hc hc
C. purchase any type of clothing, but be sure it is washed before wearing it.
hc hc hc hc hc hc hc hc hc hc hc hc hc hc hc
D. pollen count is related to hay fever, not to allergens - ANSWERS-
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A. Avoid any types of sprays, powders, and perfumes.
hc hc hc hc hc hc hc hc
The nurse is caring for a client who is receiving 24-
hc hc hc hc hc hc hc hc hc hc
hour total parenteral nutrition (TPN) via a central line at 54 ml/
hc hc hc hc hc hc hc hc hc hc hc
hr. When initially assessing the client, the nurse notes that the TPN solution has ru
hc hc hc hc hc hc hc hc hc hc hc hc hc hc
n out and the next TPN solution is not available. What immediate action should the
hc hc hc hc hc hc hc hc hc hc hc hc hc hc
nurse take?
hc hc
A. infuse normal saline at a keep vein open rate
hc hc hc hc hc hc hc hc hc
B. discontinue the IV and flush the port with heparin
hc hc hc hc hc hc hc hc hc
C. infuse 10% dextrose and water at 54 ml/hr
hc hc hc hc hc hc hc hc
D. obtain a stat blood glucose level and notify the healthcare provider -
hc hc hc hc hc hc hc hc hc hc hc hc
ANSWERS-C. Infuse 10% dextrose and water at 54 ml/hr.
hc hc hc hc hc hc hc hc hc
The nurse observes an unlicensed assistive personnel (UAP) taking a client's bloo
hc hc hc hc hc hc hc hc hc hc hc
d pressure with a cuff that is too small, but the blood pressure reading obtained is
hc hc hc hc hc hc hc hc hc hc hc hc hc hc hc hc
within the client's usual range. What action is most important for the nurse to imple
hc hc hc hc hc hc hc hc hc hc hc hc hc hc
ment? hc
A. tell the UAP to use a larger cuff at the next scheduled assessment
hc hc hc hc hc hc hc hc hc hc hc hc hc
B. reassess the client's blood pressure using a larger cuff
hc hc hc hc hc hc hc hc hc
C. have the unit educator review this procedure with the UAPs
hc hc hc hc hc hc hc hc hc hc
D. Teach the UAP the correct technique for assessing blood pressure. -
hc hc hc hc hc hc hc hc hc hc hc
ANSWERS-B. Reassess the client's blood pressure using a larger cuff
hc hc hc hc hc hc hc hc hc hc
,A client with acute hemorrhagic anemia is to receive four units of packed RBCs as
hc hc hc hc hc hc hc hc hc hc hc hc hc hc h
crapidly as possible. Which intervention is most important for the nurse to implemen
hc hc hc hc hc hc hc hc hc hc hc hc
t?
A. obtain the pre-transfusion hemoglobin level
hc hc hc hc hc
B. prime tubing and prepare a blood pump set-up
hc hc hc hc hc hc hc hc
C. monitor vital signs q15 minutes for the first hour
hc hc hc hc hc hc hc hc hc
D. ensure the accuracy of the blood type match - ANSWERS-
hc hc hc hc hc hc hc hc hc hc
D. ensure the accuracy of the blood type match
hc hc hc hc hc hc hc hc
An obese male client discusses with the nurse his plans to begin a longterm weigh
hc hc hc hc hc hc hc hc hc hc hc hc hc hc
t loss regimen. In addition to dietary changes, he plans to begin an intensive aerob
hc hc hc hc hc hc hc hc hc hc hc hc hc hc
ic exercise program 3 to 4 times a week and to take stress management classes.
hc hc hc hc hc hc hc hc hc hc hc hc hc hc hc
After praising the client for his decision, which instruction is most important for the
hc hc hc hc hc hc hc hc hc hc hc hc hc hc
nurse to provide? hc hc
A. "be sure to have a complete physical examination before beginning your planne
hc hc hc hc hc hc hc hc hc hc hc hc
d exercise program"
hc hc
B. "be careful that the exercise program doesn't simply add to your stress level, m
hc hc hc hc hc hc hc hc hc hc hc hc hc hc
aking you want to eat more."
hc hc hc hc hc
C. "increased exercise helps to reduce stress, so you may not need to spend mon
hc hc hc hc hc hc hc hc hc hc hc hc hc hc
ey on a stress management class"
hc hc hc hc hc
D. "make sure to monitor your weight loss regularly to provide a sense of accompli
hc hc hc hc hc hc hc hc hc hc hc hc hc hc
shment and motivation" - ANSWERS- hc hc hc hc
A. "Be sure to have a complete physical examination before beginning your planne
hc hc hc hc hc hc hc hc hc hc hc hc
d exercise program."
hc hc
During the admission interview, which technique is most efficient for the nurse to u
hc hc hc hc hc hc hc hc hc hc hc hc hc
se when obtaining information about signs and symptoms of a client's primary heal
hc hc hc hc hc hc hc hc hc hc hc hc
th problem?
hc
A. restatement of responses
hc hc hc
B. open-ended questions
hc hc
C. closed-ended questions
hc hc
D. problem-seeking responses - ANSWERS-C. closed-ended questions
hc hc hc hc hc hc
A client who is 5'5" tall and weighs 200 pounds is scheduled for surgery the next d
hc hc hc hc hc hc hc hc hc hc hc hc hc hc hc hc
ay. What question is most important for the nurse to include during the preoperativ
hc hc hc hc hc hc hc hc hc hc hc hc hc
e assessment?
hc
A. what is your daily calorie consumption?
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B. what vitamin and mineral supplements do you take?
hc hc hc hc hc hc hc hc
C. do you feel that you are overweight?
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D. will a clear liquid diet be okay after surgery? - ANSWERS-
hc hc hc hc hc hc hc hc hc hc hc
B. "What vitamin and mineral supplements do you take?"
hc hc hc hc hc hc hc hc
When assisting an 82-year-
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old client to ambulate, it is important for the nurse to realize that the center of grav
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ity for an elderly person is the
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A. arms hc
B. upper torso
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C. head hc
D. feet - ANSWERS-B. upper torso
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,The nurse is teaching a client proper use of an inhaler. When should the client ad
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minister the inhaler-delivered medication to demonstrate correct use of the inhaler
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A. immediately after exhalation
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B. during the inhalation
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C. at the end of three inhalations
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D. immediately after inhalation - ANSWERS-B. During the inhalation.
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Which snack food is best for the nurse to provide a client with myasthenia graves
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who is at risk for altered nutritional status?
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A. chocolate pudding
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B. graham crackers
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C. sugar free gelatin
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D. apple slices - ANSWERS-A. Chocolate pudding
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The nurse notices that the Hispanic parent of a toddler who returns from surgery o
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ffer the child only the broth that comes on the clear liquid tray. Other liquids, includ
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ing gelatin, popsicles, and juices, remain untouched. What explanation is most app
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ropriate for this behavior? hc hc hc
A. the belief is held that the "evil eye" enters the child if anything cold is ingested
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B. after surgery the child probably has refused all foods except broth
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C. eating broth strengthens the child's innate energy called "chi"
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D. "hot" remedies restore balance after surgery, which is considered a "cold" condi
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tion - ANSWERS- hc hc
D. "Hot" remedies restore balance after surgery, which is considered a "cold" condi
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tion.
A Sub-
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Saharan African widowed immigrant woman lives with her deceased husband's bro
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ther and his family, which includes the brother-in-
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law's children and the widow's adult children. Each family member speaks fluent E
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nglish. Surgery was recommended for the client. What is the best plan to obtain co
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nsent for surgery for this client?
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A. Obtain an interpreter to explain the procedure to the client
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B. encourage the client to make her own decision regarding surgery
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C. ask the family members to provide a clarification of the surgeon's explanation to
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the client
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D. tell the surgeon that the brother-in-
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law will decide after explanation of the proposed surgery is provided to him and th
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e widow - ANSWERS-D. Tell the surgeon that the brother-in-
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law will decide after expiation of the proposed surgery is provided to him and the
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widow.
A client's infusion of normal saline infiltrated earlier today, and approximately 500
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ml of saline infused into the subcutaneous tissue. The client is now complaining of
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excruciating arm pain and demanding stronger pain medications. What initial action
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is most important for the nurse to make?
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A. ask about any past history of drug abuse or addiction
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B. measure the pulse volume and capillary refill distal to the infiltration
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C. compress the infiltrated tissue to measure the degree of edema
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, D. evaluate the extend of ecchymosis over the forearm area - ANSWERS-
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B. Measure the pulse volume and capillary refill distal to the infiltration.
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During a visit to the outpatient clinic, the nurse assesses a client with severe osteo
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arthritis using a goniometer. Which finding should the nurse expect to measure?
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A. adequate venous blood flow to the lower extremities
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B. estimated amount of body fat by an underarm skin fold
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C. degree of flexion and extension of the client's knee joint
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D. change in the circumference of the joint in centimeters - ANSWERS-
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C. Degree of flexion and extension of the client's knee joint
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A client with pneumonia has a decrease in oxygen saturation from 94% to 88% wh
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ile ambulating. Based on these findings, which intervention should the nurse imple
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ment first? hc
A. Assist the ambulating client back to the bed
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B. encourage the client to ambulate to resolve pneumonia
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C. obtain a prescription for portable oxygen while ambulating
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D. move the oximetry probe from the finger to the earlobe - ANSWERS-
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A. Assist the ambulating client back to the bed.
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A female client asks the nurse to find someone who can translate into her native l
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anguage her concerns about a treatment. Which action should the nurse take?
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A. explain that anyone who speaks her language can answer her questions
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B. provide a translator only in an emergency situation
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C. ask a family member or friend of the client to translate
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D. Request and document the name of the certified translator - ANSWERS-
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D. Request and document the name of the certified translator.
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On admission, a client presents a signed living will that includes a DNR prescriptio
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n. When the client stops breathing, the nurse performs CPR and successfully reviv
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es the client. What legal issues could be brought against the nurse?
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A. Assault
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B. Battery
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C. Malpractice
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D. False imprisonment - ANSWERS-B. Battery
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A 73-year-
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old female client had a hemiarthroplasty of the left hip yesterday due to a fracture
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resulting from a fall. In reviewing hip precautions with the client, which instruction s
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hould the nurse include in this client's teaching plan?
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A. In 8 weeks you will be able to bend at the waist to reach items on the floor.
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B. place a pillow between your knees while lying in bed to prevent hip dislocation
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C. it is safe to use a walker to get out of bed, but you need assistance when walki
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ng
D. take pain medication 30 minutes after your physical therapy sessions -
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hcANSWERS-
B. "Place a pillow between your knees while lying in bed to prevent hip dislocation.
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"
