NURSE EXECUTIVE, ADVANCED STUDY TEST |
QUESTIONS & ANSWERS COMPLETE STUDY
GUIDE.
QUESTION: A nurse is caring for an adult client who has attempted suicide. The client tells
the nurse he is calling his family to come pick him up. Which of the following actions by the
nurse is appropriate when the client insists on leaving the facility against medical advice? -
Ans- discuss risks associated with leaving
QUESTION: A nurse is caring for a client who is receiving parenteral nutrition through a
nontunneled central venous catheter and reports hearing a gurgling sound on the side of the
catheter. The nurse suspects the catheter has migrated to the jugular vein. Which of the
following actions should the nurse take first? - Ans- stop the infusion
QUESTION: A nurse is reinforcing teaching with the caregiver of a client who has aphasia.
The nurse should include which of the following communication strategies in the teaching? -
Ans- cue client by providing cards that portray common needs
QUESTION: A nurse is caring for a child who is 24 hr postoperative following a supratentorial
craniotomy. The nurse should maintain the child in which of the following positions? - Ans-
supine with head of the bed (HOB) elevated to 30 degrees
QUESTION: A nurse working in a hospice facility is talking to a client's son who is distressed
because his mother cries frequently and says she wants to die. Which of the following
responses by the nurse is appropriate? - Ans- "Let's discuss some strategies you can use
when this happens again."
1|Page
,QUESTION: A nurse working in a provider's office is reinforcing teaching with a client who is
14 weeks of gestation. The nurse should instruct the client to immediately notify the
provider if she experiences which of the following? - Ans- Facial edema
QUESTION: A nurse is caring for a child who has leukemia and is prescribed a transfusion of
platelets. Which of the following should the client experience as a result of the transfusion? -
Ans- Reduced bleeding time
QUESTION: A nurse is reinforcing teaching with a client who is prescribed buspirone
(BuSpar). Which of the following statements by the client indicates an understanding of the
teaching? - Ans- "I can have 1-2 alcoholic beverages a week."
QUESTION: A nurse is caring for a school-age child who is newly diagnosed with type 1
diabetes mellitus. Which of the following actions by the nurse is appropriate to prepare the
child for administration of insulin? - Ans- Allow the child to manipulate the medical
equipment
QUESTION: A nurse is caring for a client who has a urinary tract infection and is prescribed
ciprofloxacin (Cipro). The client exhibits urticaria and angioedema following administration
of the medication. Which of the following is the first action the nurse should take? - Ans-
Determine respiratory status
QUESTION: A nurse is caring for a client who was admitted for acute alcohol delirium
withdrawal 2 days ago. Which of the following findings is associated with this diagnosis? -
Ans- Elevated temperature
2|Page
,QUESTION: A charge nurse on the pediatric unit is making assignments for a nurse who has
floated from the labor and delivery unit. Which of the following clients is appropriate for the
charge nurse to assign? - Ans- an adolescent who is 2 days post operative following an
appendectomy
QUESTION: A nurse at a long-term care facility is participating in a quality improvement
project to reduce the occurrence of pressure ulcers. Which of the following audits should be
conducted to determine the impact of a new skincare regimen on the incidence of pressure
ulcers among clients who are immobile? - Ans- Outcome audit
QUESTION: A nurse is caring for a client who has an acid-base imbalance. For which of the
following manifestations is metabolic alkalosis a possible complication? - Ans- Excessive
vomiting
QUESTION: A nurse is reinforcing teaching about client consent to treatment with a group
of newly licensed nurses. Which of the following statements by a newly licensed nurse
indicates a need for further teaching? - Ans- "It is the responsibility of the provider to obtain
express consent."
QUESTION: A nurse is caring for a client who is diabetic and is being discharged home
following an above-the-knee amputation. Which of the following health care professionals
should be involved in the client's interdisciplinary team meeting? (Select all that apply.) -
Ans- Dietitian
Physical therapist
Social Work
3|Page
, QUESTION: A nurse is caring for a neonate who was delivered at 30 weeks of gestation after
his mother received two injections of betamethasone (Celestone). Because of the
administration of betamethasone to the client's mother, the nurse should monitor the
neonate for which of the following effects? - Ans- Hypoglycemia
QUESTION: A nurse has assigned four tasks to an assistive personnel (AP). Which of the
following should the nurse instruct the AP to perform first? - Ans- Take an ABG specimen to
laboratory
QUESTION: A nurse is caring for a client who had a cerebrovascular accident 2 days ago.
Which of the following is the first sign of increased intracranial pressure (ICP)? - Ans-
Lethargy
QUESTION: A nurse working in a provider's office is reinforcing teaching with a client who is
36 weeks of gestation and has experienced a premature rupture of membranes. Which of
the following statements by the client indicates a need for additional teaching? - Ans- "I will
have my husband should wear a condom during intercourse."
NO SEX with PROM
QUESTION: Who focused on hygiene and sanitation and believed strongly in continuing
education? - Ans- Florence Nightingale
QUESTION: Who organized the American Red cross and was responsible for relief
operations during the Civil War? - Ans- Clara Barton
4|Page
QUESTIONS & ANSWERS COMPLETE STUDY
GUIDE.
QUESTION: A nurse is caring for an adult client who has attempted suicide. The client tells
the nurse he is calling his family to come pick him up. Which of the following actions by the
nurse is appropriate when the client insists on leaving the facility against medical advice? -
Ans- discuss risks associated with leaving
QUESTION: A nurse is caring for a client who is receiving parenteral nutrition through a
nontunneled central venous catheter and reports hearing a gurgling sound on the side of the
catheter. The nurse suspects the catheter has migrated to the jugular vein. Which of the
following actions should the nurse take first? - Ans- stop the infusion
QUESTION: A nurse is reinforcing teaching with the caregiver of a client who has aphasia.
The nurse should include which of the following communication strategies in the teaching? -
Ans- cue client by providing cards that portray common needs
QUESTION: A nurse is caring for a child who is 24 hr postoperative following a supratentorial
craniotomy. The nurse should maintain the child in which of the following positions? - Ans-
supine with head of the bed (HOB) elevated to 30 degrees
QUESTION: A nurse working in a hospice facility is talking to a client's son who is distressed
because his mother cries frequently and says she wants to die. Which of the following
responses by the nurse is appropriate? - Ans- "Let's discuss some strategies you can use
when this happens again."
1|Page
,QUESTION: A nurse working in a provider's office is reinforcing teaching with a client who is
14 weeks of gestation. The nurse should instruct the client to immediately notify the
provider if she experiences which of the following? - Ans- Facial edema
QUESTION: A nurse is caring for a child who has leukemia and is prescribed a transfusion of
platelets. Which of the following should the client experience as a result of the transfusion? -
Ans- Reduced bleeding time
QUESTION: A nurse is reinforcing teaching with a client who is prescribed buspirone
(BuSpar). Which of the following statements by the client indicates an understanding of the
teaching? - Ans- "I can have 1-2 alcoholic beverages a week."
QUESTION: A nurse is caring for a school-age child who is newly diagnosed with type 1
diabetes mellitus. Which of the following actions by the nurse is appropriate to prepare the
child for administration of insulin? - Ans- Allow the child to manipulate the medical
equipment
QUESTION: A nurse is caring for a client who has a urinary tract infection and is prescribed
ciprofloxacin (Cipro). The client exhibits urticaria and angioedema following administration
of the medication. Which of the following is the first action the nurse should take? - Ans-
Determine respiratory status
QUESTION: A nurse is caring for a client who was admitted for acute alcohol delirium
withdrawal 2 days ago. Which of the following findings is associated with this diagnosis? -
Ans- Elevated temperature
2|Page
,QUESTION: A charge nurse on the pediatric unit is making assignments for a nurse who has
floated from the labor and delivery unit. Which of the following clients is appropriate for the
charge nurse to assign? - Ans- an adolescent who is 2 days post operative following an
appendectomy
QUESTION: A nurse at a long-term care facility is participating in a quality improvement
project to reduce the occurrence of pressure ulcers. Which of the following audits should be
conducted to determine the impact of a new skincare regimen on the incidence of pressure
ulcers among clients who are immobile? - Ans- Outcome audit
QUESTION: A nurse is caring for a client who has an acid-base imbalance. For which of the
following manifestations is metabolic alkalosis a possible complication? - Ans- Excessive
vomiting
QUESTION: A nurse is reinforcing teaching about client consent to treatment with a group
of newly licensed nurses. Which of the following statements by a newly licensed nurse
indicates a need for further teaching? - Ans- "It is the responsibility of the provider to obtain
express consent."
QUESTION: A nurse is caring for a client who is diabetic and is being discharged home
following an above-the-knee amputation. Which of the following health care professionals
should be involved in the client's interdisciplinary team meeting? (Select all that apply.) -
Ans- Dietitian
Physical therapist
Social Work
3|Page
, QUESTION: A nurse is caring for a neonate who was delivered at 30 weeks of gestation after
his mother received two injections of betamethasone (Celestone). Because of the
administration of betamethasone to the client's mother, the nurse should monitor the
neonate for which of the following effects? - Ans- Hypoglycemia
QUESTION: A nurse has assigned four tasks to an assistive personnel (AP). Which of the
following should the nurse instruct the AP to perform first? - Ans- Take an ABG specimen to
laboratory
QUESTION: A nurse is caring for a client who had a cerebrovascular accident 2 days ago.
Which of the following is the first sign of increased intracranial pressure (ICP)? - Ans-
Lethargy
QUESTION: A nurse working in a provider's office is reinforcing teaching with a client who is
36 weeks of gestation and has experienced a premature rupture of membranes. Which of
the following statements by the client indicates a need for additional teaching? - Ans- "I will
have my husband should wear a condom during intercourse."
NO SEX with PROM
QUESTION: Who focused on hygiene and sanitation and believed strongly in continuing
education? - Ans- Florence Nightingale
QUESTION: Who organized the American Red cross and was responsible for relief
operations during the Civil War? - Ans- Clara Barton
4|Page
