1.a nurse is completing a nutritional assessment on a client and measures BMI,
which of the following readings correlates with a BMI of an overweight client?
25
(25-29.9)
2.a nurse is verifying ng tube placement by the pH of aspirated gastric fluid. which
of the following pH values provides a good indication of correct tube placement?
2
(pH between 0-4)
3. a nurse is caring for a client with a closed head injury. when pressure is applied
to the client's nail beds, the clients eyes open and adduction of the arms with
flexion of the elbows and wrists is noted. the client also moans with stimulation,
what is the GCS?
7
eye opening 1-4
,verbal 1-5
motor 1-6
4. a nurse should teach which of the following clients requiring crutches about how
to use a three point gait?
a client who has a R femur fracture with no weight bearing on the affected leg
(bears all weight on one foot, then both shoulders on crutches, and uninvolved leg,
the affected leg does not touch the ground)
5. a nurse is providing teaching about the Mediterranean diet to a client newly who
has a new diagnosis of hypertension. what statement indicates need for further
teaching?
i will limit my intake of red meat to 2x weekly
(should be limited to 2x monthly)
6. a nurse is providing dietary education to a client with cholecystitis who has been
prescribed a low-fat diet. which of the following meal selections by the client
indicates understanding of education?
roast turkey, rice pilaf, green beans
, 7. a client with cystocele is encouraged to exercise to strengthen pelvic floor
muscles and prevent pelvic organ prolapse. What exercise will the client need to
perform
Kegals
(reduce pelvic prolapse and stress urinary incontinence)
8. a nurse is caring for an older adult client with delirium. which intervention will
most likely reduce the client's risk for falls?
hourly rounding by the nurse
9. a nurse is caring for a client who has been prescribed furosemide. which of the
following foods should the nurse encourage this to include in his diet?
oranges
(along with dried fruits, tomatoes, avocados, dried peas, meats, broccoli, bananas
are good for a potassium wasting diuretic)
10. a menopausal client is having difficulty getting to sleep and asks what actions
she should incorporate in her daily routine to promote sleep. the nurse would
encourage, which of the below measures to promote sleep?