WITH ACTUAL CORRECT ANSWERS.
1. A client who has a diagnosis of complete placenta previa is admitted to
the labor and delivery suite at 36 weeks gestation with contractions 5 min
in frequency and 1 min in duration. Which of the following actions should
the nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
C. Prepare the client for a cesarean section
D. Perform a vaginal exam - CorreCt Answers -Prepare the client for a
cesarean section
2. A nurse is caring for a toddler who has respiratory syncytial virus. Which
of the following should the nurse plan to take?
A. Wear an N95 respiratory mask while caring for the toddler
B. Place the toddler in a room with negative air pressure
C. Use a designated stethoscope when caring for the toddler
D. Remove the disposable gown after leaving the toddler's room - CorreCt
Answers -Use a designated stethoscope when caring for the toddler
3. A nurse is performing a skin assessment for a client who is on bedrest.
Which of the following actions should the nurse take to prevent a pressure
injury?
A. Encourage client fluid intake of 2,500 mL daily
B. Moisturize dry skin areas on the client every other day
C. Place a dehumidifier in the client's room
,D. Apply a donut ring pillow under the client's sacral area - CorreCt
Answers -Apply a donut ring pillow under the client's sacral area
4. A nurse from the State Health Development is instructing a group of
nurses regarding reportable infections. Which of the following infections
should the nurse report to the Centers for Disease Control and Prevention?
A. Herpes simplex virus 2
B. Candida albicans
C. Staphylococcus aureus
D. Lyme disease - CorreCt Answers -Lyme disese
5. A nurse is planning care for a client following gastric bypass surgery. The
nurse should include which of the following dietary instructions when
preparing the client for discharge?
A. Limit your meals to three times per day
B. Consume at least 25 grams of fiber daily
C. Start each meal with a protein source
D. Check your blood glucose levels before each meal - CorreCt Answers -
Start each meal with a protein source
6. A community health nurse is teaching a group of restaurant workers
about hepatitis A. Which of the following statements should the nurse
make?
A. Manifestations first appear 6 months after exposure to the virus
B. With immunizations, your risk of contracting hepatitis A is reduced by
half
C. You can get hepatitis A by eating undercooked pork products
,D. Hepatitis A can be spread by fecal-oral contact - CorreCt Answers -
Hepatitis A can be spread by fecal-oral contact
7. A home health nurse is admitting a client who is prescribed peritoneal
dialysis. Which of the following actions should the nurse take first?
A. Confirm schedule for delivery of supplies
B. Coordinate interdisciplinary health care services
C. Demonstrate how to perform the procedure
D. Clarify the client's actual and perceived health needs - CorreCt Answers -
Demonstrate how to perform the procedure
8. A nurse is performing an admission assessment for a client who is to
undergo a colonoscopy. The client informs the nurse that he took his
prescribed medications before coming to the clinic. Which of the following
medications is the priority to report to the provider?
A. Metoprolol
B. Clopidogrel
C. Metformin
D. Digoxin - CorreCt Answers -Metformin
8. A client asks the nurse if it is safe to take a glucosamine supplement. The
nurse should assess for which of the following potential contraindications?
A. Shellfish allergy
B. History of smoking
C. Cardiac dysrhythmia
D. Family history of malignant hyperthermia - CorreCt Answers -Shellfish
allergy
, 9. A nurse is providing grief couseling for the parents of a school-age child
whose sibling recently died. Which of the following statements should the
nurse make?
A. Try to suppress your grief when your child is present
B. Avoid discussing the funeral when your child is around
C. Bring the child to the funeral service before visitors arrive
D. School-age children tend to view death as a temporary form of sleep -
CorreCt Answers -School-age children tend to view death as a temporary
form of sleep
10. A nurse is providing discharge teaching to a client who has
schizophrenia and is starting therapy with clozapine. Which of the
following is the highest priority for the client to report to the provider?
A. Blurred vision
B. Dry mouth
C. Fever
D. Constipation - CorreCt Answers -Fever
11. A nurse enters a client's room and finds the client lying on the floor in a
puddle of water. Which of the following statements should the nurse
document in an incident report?
A. Client fell out of bed because an assistive personnel left the rails of the
bed down
B. Client's roommate thinks the client is confused and fell when getting out
of bed
C. Client appears to have slipped in water but reports no injuries
D. Client found lying on the floor near the bedside table - CorreCt Answers -
Client found lying on the floor near the bedside table