1. A nurse is reinforcing teaching with a postpartum client. Which of the following should the
nurse explain as the most important reason for staff to wear identification?
Reducing the risk of newborn abduction
2. A nurse is reinforcing teaching with a client who plans to bottle feed her newborn. Which of
the following statements indicates an understanding of the instructions?
I will feed my baby six to eight times a day
3. A nurse is reinforcing teaching with a client diagnosed with osteoarthritis who reports joint
pain, swelling, and stiffness. Which of the following client statements indicates understanding of
the teaching?
I will exercise my joints as much as i can when they are inflamed
4. A nurse is reinforcing teaching with a client who is scheduled for a mammogram. Which of
the following instructions should the nurse include in the teaching?
Refrain from using deodorant on the morning of the test
5. A nurse is preparing a client’s insulin regimen. Which of the following insulin's can be mixed?
Insulin aspart, regular insulin, insulin lispro
6. A nurse is reinforcing discharge teaching with a client who is postoperative following laser
surgery for open-angle glaucoma. Which of the following statements by the client indicates an
understanding of the instructions?
I will take a stool softener to prevent constipation
7. A nurse is caring for a client who had a stroke and is having difficulty swallowing. The nurse
should recommend a referral to which of the following members of the interprofessional team?
Speech therapist
8. A nurse is reinforcing teaching with a client who is 12 hr postpartum and has an episiotomy.
Which of the following instructions should the nurse include?
Change the perineal pad with each void
,9. A nurse is collecting data from a child who has acute Glomerulonephritis. Which of the
following findings should the nurse expect?
Periorbital edema
10. A nurse is preparing to administer a liquid medication to a 6-month-old infant who is crying.
Which of the following actions should the nurse take to reduce the risk of aspiration?
Administer using a needless syringe in the buccal cavity
11. A nurse is reinforcing teaching with a client who has peptic ulcer disease. Which of the
following statements by the client indicates an understanding of the teaching?
I will plan to have my meals at regular intervals
12. A nurse in long-term care facility has received change-of-shift report about four clients.
Which of the following clients should the nurse attend to first?
A client who has COPD and dementia and was agitated during the night shift
13. A nurse is collecting data from a client who has substance use disorder and reports recently
taking opioids. Which of the following findings should the nurse identify as a manifestation of
opioid intoxication?
Pinpoint pupils
14. A nurse in a urgent care clinic is collecting data from a client who reports having diarrhea for
the past 3 days. Which of the following findings indicates hypokalemia?
Muscle weakness
15. A nurse is contributing to the discharge plans for four clients. The nurse should identify that
which of the following clients requires an interdisciplinary care conference?
A client who has hemiparesis and lives alone
16. A nurse is reinforcing teaching with an adolescent who has a new prescription for cefazolin.
For which of the following findings should the nurse instruct the adolescent to monitor and
report to the provider?
Depression
17. A nurse is reinforcing teaching with a group of expectant parents regarding the proper use of
a car seat. Which of the following statements by a parent indicates an understanding of the
teaching?
, I can place a rolled towel on each side of my newborns head until he can hold his head up
18. A nurse is caring for a school-age child who has epistaxis. Which of them following actions
should the nurse take?
Apply pressure at the bridge of the child's nose
19. A nurse is caring for four clients. Which of the following client’s statements should the nurse
attend to first?
My heartburn pain is going into my jaw now
20. A nurse in a provider’s office is talking on the phone with the parent of a school-age child
who has varicella.
All vesicles have crusted over
21. A nurse is collecting data from a client who hgb is 8.8 mg/dL. Which of the following
statements should the nurse expect?
I feel tired all the time
22. A nurse is administering a cleansing enema to a client who reports mild cramping during
instillation of the solution. Which of the following actions should the nurse take?
Slow the rate of instillation
23. A nurse receives report on four clients. The nurse should first collect data about the client
who has which of the following?
A decreased level of consciousness and vomiting
24. A nurse is setting up a sterile field prior to performing a dressing change. Which of the
following actions should the nurse take?
Open the outermost flap of the wrapper toward the body
25. A nurse is caring for a client who has bipolar disorder and is experiencing mania. Which of
the following actions should the nurse take?
Frequently remind the client of the expectations for her behavior
26. A nurse is caring for a client who has viral pneumonia. Which of the following actions
should the nurse take?
Administer Azithromycin
nurse explain as the most important reason for staff to wear identification?
Reducing the risk of newborn abduction
2. A nurse is reinforcing teaching with a client who plans to bottle feed her newborn. Which of
the following statements indicates an understanding of the instructions?
I will feed my baby six to eight times a day
3. A nurse is reinforcing teaching with a client diagnosed with osteoarthritis who reports joint
pain, swelling, and stiffness. Which of the following client statements indicates understanding of
the teaching?
I will exercise my joints as much as i can when they are inflamed
4. A nurse is reinforcing teaching with a client who is scheduled for a mammogram. Which of
the following instructions should the nurse include in the teaching?
Refrain from using deodorant on the morning of the test
5. A nurse is preparing a client’s insulin regimen. Which of the following insulin's can be mixed?
Insulin aspart, regular insulin, insulin lispro
6. A nurse is reinforcing discharge teaching with a client who is postoperative following laser
surgery for open-angle glaucoma. Which of the following statements by the client indicates an
understanding of the instructions?
I will take a stool softener to prevent constipation
7. A nurse is caring for a client who had a stroke and is having difficulty swallowing. The nurse
should recommend a referral to which of the following members of the interprofessional team?
Speech therapist
8. A nurse is reinforcing teaching with a client who is 12 hr postpartum and has an episiotomy.
Which of the following instructions should the nurse include?
Change the perineal pad with each void
,9. A nurse is collecting data from a child who has acute Glomerulonephritis. Which of the
following findings should the nurse expect?
Periorbital edema
10. A nurse is preparing to administer a liquid medication to a 6-month-old infant who is crying.
Which of the following actions should the nurse take to reduce the risk of aspiration?
Administer using a needless syringe in the buccal cavity
11. A nurse is reinforcing teaching with a client who has peptic ulcer disease. Which of the
following statements by the client indicates an understanding of the teaching?
I will plan to have my meals at regular intervals
12. A nurse in long-term care facility has received change-of-shift report about four clients.
Which of the following clients should the nurse attend to first?
A client who has COPD and dementia and was agitated during the night shift
13. A nurse is collecting data from a client who has substance use disorder and reports recently
taking opioids. Which of the following findings should the nurse identify as a manifestation of
opioid intoxication?
Pinpoint pupils
14. A nurse in a urgent care clinic is collecting data from a client who reports having diarrhea for
the past 3 days. Which of the following findings indicates hypokalemia?
Muscle weakness
15. A nurse is contributing to the discharge plans for four clients. The nurse should identify that
which of the following clients requires an interdisciplinary care conference?
A client who has hemiparesis and lives alone
16. A nurse is reinforcing teaching with an adolescent who has a new prescription for cefazolin.
For which of the following findings should the nurse instruct the adolescent to monitor and
report to the provider?
Depression
17. A nurse is reinforcing teaching with a group of expectant parents regarding the proper use of
a car seat. Which of the following statements by a parent indicates an understanding of the
teaching?
, I can place a rolled towel on each side of my newborns head until he can hold his head up
18. A nurse is caring for a school-age child who has epistaxis. Which of them following actions
should the nurse take?
Apply pressure at the bridge of the child's nose
19. A nurse is caring for four clients. Which of the following client’s statements should the nurse
attend to first?
My heartburn pain is going into my jaw now
20. A nurse in a provider’s office is talking on the phone with the parent of a school-age child
who has varicella.
All vesicles have crusted over
21. A nurse is collecting data from a client who hgb is 8.8 mg/dL. Which of the following
statements should the nurse expect?
I feel tired all the time
22. A nurse is administering a cleansing enema to a client who reports mild cramping during
instillation of the solution. Which of the following actions should the nurse take?
Slow the rate of instillation
23. A nurse receives report on four clients. The nurse should first collect data about the client
who has which of the following?
A decreased level of consciousness and vomiting
24. A nurse is setting up a sterile field prior to performing a dressing change. Which of the
following actions should the nurse take?
Open the outermost flap of the wrapper toward the body
25. A nurse is caring for a client who has bipolar disorder and is experiencing mania. Which of
the following actions should the nurse take?
Frequently remind the client of the expectations for her behavior
26. A nurse is caring for a client who has viral pneumonia. Which of the following actions
should the nurse take?
Administer Azithromycin
