detailed answers latest updated version
1. A nurse at the family planning clinic triages several clients over
the phone. Which of the following clients should the nurse instruct to
come to the clinic?
A-A client who uses a diaphragm for contraception and has lost 30 lb
in the past 6 months dieting
B- A client who had an intrauterine device (IUD) inserted yesterday
and has cramping and bleeding
C- A client who has started taking oral contraceptives and is
experiencing bright red vaginal
breakthrough bleeding
D-A client who has sharp pain in her shoulder following a laparoscopic
tubal ligation yesterday.---correct precise answer --- A-A client who
uses a diaphragm for contraception and has lost 30 lb in the past 6
months dieting
2. A nurse is providing teaching to a client who has osteoporosis
and a new prescription for alendronate. Which of the following
statements by the client indicates an understanding of the teaching?
- "I will take this medication within 15 minutes of eating."
- "I will take this medication at bedtime."
,- "I will take this medication with 8 ounces of water."
- "I will increase my caffeine intake while taking this
medication."---correct precise answer --- - "I will take this
medication with 8 ounces of water."
3. A nurse is giving discharge instructions to a client who has a
new ileostomy. The nurse should recognize that the teaching has been
effective when the client states,
- "My stoma size will stay the same, even after it has healed."
-"My stoma will drain liquid fluid continuously."
-"I will change my pouch system every 2 weeks.
-I will ensure that my medications are enteric coated."---correct
precise answer --- -"My stoma will drain liquid fluid continuously."
4. A nurse is teaching a newly licensed nurse about informed
consent. Which of the following statements should the nurse include
in the teaching? (Select all that apply.)
- "By witnessing the signing of the informed consent form, the
nurse is indicating that the client
voluntarily gave consent."
- "A client who signs an informed consent form should understand
the treat- ment plan."
- "A client who signs an informed consent form should be
competent."
,- "The nurse should disclose the purpose of the treatment before
the client signs the consent form."
- "Signing the informed consent form indicates that the family
agrees to the treatment options."---correct precise answer --- - "By
witnessing the signing of the informed consent form, the nurse is
indicating that the client
voluntarily gave consent."
- "A client who signs an informed consent form should understand
the treatment plan."
- "A client who signs an informed consent form should be
competent."
5. . A nurse is admitting a client who has antisocial personality
disorder. Which of the following client behaviors should the nurse
identify as consistent with this disorder?
- Compulsive attention to details -
- Socially awkward in group situations
- Uses others for personal gain
-Avoids interacting with others---correct precise answer --- -Uses
others for personal gain
6. A nurse delegates tasks to a licensed practical nurse (LPN) and
an assistive personnel (AP). When admitting a client who is
experiencing acute liver failure and who has ascites and an NG tube,
, which of the following tasks is most appropriate for the nurse to
delegate to the LPN?
- Insert an indwelling catheter if the client has not voided in 3 hr.
- Obtain the abdominal girth now and every 4 hr.
- Assess and document the level of consciousness every hour.
- Measure the amount of gastric drainage every 2 hr---correct
precise answer --- - Insert an indwelling catheter if the client has not
voided in 3 hr.
7. A nurse is planning care for a client who has a sealed radiation
implant and is to remain in the hospital for 1 week. Which of the
following should the nurse include in the plan of care?
- Limit each of the client's visitors to 1 hr per day.
- Remove dirty linens from the room after double bagging.
- Wear a dosimeter film badge while in the client's room.
- Ensure family members remain at least 1 m (3.2 feet) from the
client.---correct precise answer --- - Wear a dosimeter film badge
while in the client's room.
8. A nurse is planning care for a newborn who has
hyperbilirubinemia and is to receive phototherapy. Which of the
following interventions should the nurse include?
- Clothe the newborn in light cotton.
- Check the newborn's temperature every 8 hr.