REVIEW QUESTIONS WITH ALL
CORRECT ANSWERS
A. Determine palpable pulse. -Answer-A nurse is assisting care of a client whose
cardiac monitor suddenly displays ventricular tachycardia. Which of the following is the
priority nursing action?
a) Determine palpable pulse.
b) Begin chest compressions.
c) Perform immediate defibrillation.
d) Provide pulmonary ventilation.
A. Tingling of the fingers -Answer-A nurse is collecting data from a client who underwent
a thyroidectomy 4 hr ago. Which of the following client findings indicates a complication
of
the procedure?
a) Tingling of the fingers
b) Report of sore throat
c) Serosanguineous drainage on the dressing
d) Soreness at the incision site
A. Tingling of the fingers -Answer-A nurse is collecting data from a client who underwent
a thyroidectomy 4 hr ago. Which of the following client findings indicates a complication
of
the procedure?
a) Tingling of the fingers
b) Report of sore throat
c) Serosanguineous drainage on the dressing
d) Soreness at the incision site
B. Apply an ice pack to the incision site to treat discomfort. -Answer-A nurse is
reinforcing discharge teaching with a client who had an excisional biopsy of the left
breast. Which of the following instructions should the nurse include?
a) Refrain from wearing a bra for 10 days after
surgery.
b) Apply an ice pack to the incision site to treat
discomfort.
c) Expect numbness to last for up to 4 months.
d) Use bandages to absorb bleeding at the
incision site.
,B. Apply an ice pack to the incision site to treat discomfort. -Answer-A nurse is
reinforcing discharge teaching with a client who had an excisional biopsy of the left
breast. Which of the following instructions should the nurse include?
a) Refrain from wearing a bra for 10 days after
surgery.
b) Apply an ice pack to the incision site to treat
discomfort.
c) Expect numbness to last for up to 4 months.
d) Use bandages to absorb bleeding at the
incision site.
C. Absent bowel sounds -Answer-A nurse is collecting data from a client who has
peritonitis. Which of the following findings should the nurse expect?
a) Peripheral edema
b) Decreased respirations
c) Absent bowel sounds
d) Polyuria
C. Absent bowel sounds -Answer-A nurse is collecting data from a client who has
peritonitis. Which of the following findings should the nurse expect?
a) Peripheral edema
b) Decreased respirations
c) Absent bowel sounds
d) Polyuria
B. "I should expect to have an increased risk for breast cancer." -Answer-A nurse is
reinforcing teaching with a client about menopause. Which of the following statements
by the client indicates an understanding of the teaching?
a) "I will need hormone replacement therapy for
the rest of my life."
b) "I should expect to have an increased risk for
breast cancer."
c) "The use of black cohosh will decrease
vaginal bleeding."
d) "I should use a vaginal douche to prevent
dryness."
B. "I should expect to have an increased risk for breast cancer." -Answer-A nurse is
reinforcing teaching with a client about menopause. Which of the following statements
by the client indicates an understanding of the teaching?
a) "I will need hormone replacement therapy for
the rest of my life."
b) "I should expect to have an increased risk for
breast cancer."
c) "The use of black cohosh will decrease
vaginal bleeding."
,d) "I should use a vaginal douche to prevent
dryness."
A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease.
Which of the
following dietary instructions should the nurse include?
a) Chew food thoroughly.
b) Use a straw when drinking liquids.
c) Drink carbonated beverages with meals.
d) Limit meals to three per day with no snacking
in between. -Answer-A. Chew food thoroughly
A nurse is reinforcing teaching with a client who has gastroesophageal reflux disease.
Which of the
following dietary instructions should the nurse include?
a) Chew food thoroughly.
b) Use a straw when drinking liquids.
c) Drink carbonated beverages with meals.
d) Limit meals to three per day with no snacking
in between. -Answer-A. Chew food thoroughly
A nurse is preparing a client for a colposcopy following an abnormal Papanicolaous
(Pap) test. Which of the following actions should the nurse take?
a) Place the client in the Sims' position.
b) Reinforce teaching that the procedure
involves dilation of the cervix.
c) Insert a tampon following the procedure.
d) Instruct the client to avid sexual intercourse
until the cervix is healed. -Answer-D. Instruct the client to avid sexual intercourse
until the cervix is healed.
A nurse is preparing a client for a colposcopy following an abnormal Papanicolaous
(Pap) test. Which of the following actions should the nurse take?
a) Place the client in the Sims' position.
b) Reinforce teaching that the procedure
involves dilation of the cervix.
c) Insert a tampon following the procedure.
d) Instruct the client to avid sexual intercourse
until the cervix is healed. -Answer-D. Instruct the client to avid sexual intercourse
until the cervix is healed.
A nurse is assisting with the development of the plan of care for a client who has a low
WBC count. Which of the following interventions should the nurse include?
a) Encourage the client to eat a low-protein diet.
b) Prohibit fresh flowers in the client's room.
c) Obtain the client's rectal temperature every 4
, hr.
d) Initiate airborne precautions for the client. -Answer-B. Prohibit fresh flowers in the
client's room.
A nurse is assisting with the development of the plan of care for a client who has a low
WBC count. Which of the following interventions should the nurse include?
a) Encourage the client to eat a low-protein diet.
b) Prohibit fresh flowers in the client's room.
c) Obtain the client's rectal temperature every 4
hr.
d) Initiate airborne precautions for the client. -Answer-B. Prohibit fresh flowers in the
client's room.
A nurse is reinforcing teaching with a female client who has a history of urinary tract
infections. Which of the following instructions should the nurse include?
a) Use a vaginal douche once a week.
b) Empty the bladder at least every 6 hr.
c) Increase milk consumption to make the urine
more alkaline.
d) Urinate before and after sexual intercourse. -Answer-D. Urinate before and after
sexual intercourse.
A nurse is reinforcing teaching with a female client who has a history of urinary tract
infections. Which of the following instructions should the nurse include?
a) Use a vaginal douche once a week.
b) Empty the bladder at least every 6 hr.
c) Increase milk consumption to make the urine
more alkaline.
d) Urinate before and after sexual intercourse. -Answer-D. Urinate before and after
sexual intercourse.
A nurse is caring for a client who has a prescription for a sequential compression device
(SCD). Which of the following actions should the nurse take when applying the SCD?
a) Ensure two fingers fit between the leg and the sleeve.
b) Wrap excess tubing to the side of each leg.
c) Ensure pressure of the device is at 25 mmHg.
d) Place each service under each leg with theopening at the calf. -Answer-A. Ensure
two fingers fit between the leg and the
sleeve.
A nurse is caring for a client who has a prescription for a sequential compression device
(SCD). Which of the following actions should the nurse take when applying the SCD?
a) Ensure two fingers fit between the leg and the sleeve.
b) Wrap excess tubing to the side of each leg.
c) Ensure pressure of the device is at 25 mmHg.