2025 WITH ACTUAL AND DETAILED
ANSWERS.
A nurse working at the clinic is teaching a group of clients who are pregnant
on the use of non-pharmacological pain management. Which of the
following statements by the nurse is an appropriate description of the use
of hypnosis during labor?
a) Hypnosis focuses on the biofeedback as a relaxation technique
b) Hypnosis promotes increased control of her pain perception during
contractions
c) Hypnosis uses therapeutic touch to reduce anxiety during labor
d) Hypnosis provides instruction to minimize pain - CorreCt Answers -b)
Hypnosis promotes increased control of her pain perception during
contractions
A nurse is teaching a female client how to reduce the risk of urinary tract
infections (UTIs). Which
of the following should the nurse include as a risk factor for developing a
UTI?
a. Wearing underwear with a cotton crotch
b. Wiping from front to back
c. Using perfumed toilet paper
d. Urinating immediately after intercourse - CorreCt Answers -c. Using
perfumed toilet paper
,A nurse is providing discharge instructions for a client who has a new
prescription for furosemide.
Which of the following client statements indicates a need for further
teaching?
a. "I will take my morning pills with food or milk."
b. "I will weigh myself every day."
c. "I will notify the nurse if I have muscle cramps."
d. "I will limit my intake of fish." - CorreCt Answers -d. "I will limit my
intake of fish."
A nurse is caring for a client who has a prescription for atorvastatin. Which
of the following client
conditions is a contraindication to this medication?
a. hepatits C
b. peptic ulcer disease
c. bronchitis
d. chrohn's disease - CorreCt Answers -a. hepatits C
A nurse is planning care for an adolescent who has chronic renal failure.
Which of the following
actions should the nurse include in the plan of care?
a. Encourage a diet high in calcium.
b. Provide a diet high in potassium.
c. Ensure increased fluid intake.
d. Restrict protein intake to the RDA. - CorreCt Answers -d. Restrict protein
intake to the RDA.
,A nurse is assessing a client 1 hr following birth and notes that her uterus is
boggy and located 2
cm above the umbilicus. Which of the following actions should the nurse
take first?
a. Take vital signs.
b. Assess lochia.
c. Massage the fundus.
d. Give oxytocin IV bolus. - CorreCt Answers -c. Massage the fundus.
A nurse is caring for a client who is receiving intermittent enteral tube
feedings. Which of the
following interventions should the nurse perform
a. Give 100 mL of water with every feeding.
b. Obtain gastric residuals every 24 hr.
c. Position the head of bed at 30 degrees during feeding.
d. Mix the clients medications with the tube feedings - CorreCt Answers -c.
Position the head of bed at 30 degrees during feeding.
A nurse is caring for a 7 month-old infant who is being treated for severe
dehydration. Which of
the following assessment findings indicates treatment has been effective?
a. Skin turgor displays tenting
b. Flat anterior fontanel
c. Cool, mottled skin
d. hyperpnea - CorreCt Answers -b. Flat anterior fontanel
, A nurse is providing teaching to a client who has esophageal cancer and is
scheduled to start radiation therapy. Which of the following should the
nurse include in the teaching?
a. Remove dye markings after each radiation treatment.
b. Apply a warm compress to the irradiated site.
c. Wear clothing over the area of radiation treatment.
d. Use a washcloth to bathe the treatment area. - CorreCt Answers -c. Wear
clothing over the area of radiation treatment.
A nurse in a provider's office is providing education to a client who is 16
weeks of gestation and
has a new prescription for ferrous sulfate. Which of the following
instructions should the nurse provide
a. Avoid strawberries, citrus fruit, and melon to ensure that your iron
medication is effective."
b. "Take your iron medication with fluids other than coffee or tea."
c. "It is important to take your iron medication on a full stomach."
d. "If you miss a dose one day, take two doses the next day." - CorreCt
Answers -b. "Take your iron medication with fluids other than coffee or
tea."
175 A nurse receives a change-of-shift report on four clients. Based on the
shift report information,
which of the following clients should the nurse plan to assess
a. A client who had a hip arthroplasty reports pain and erythema in his calf
b. A client who has anorexia and peripheral edema