(Questions and Correct Answers)
Question 1
Question: For which of the following ndings should the nurse notify the provider when a client
who is 48 hr postoperative following abdominal surgery has a prescription to advance to a
regular diet?
a. Client reports nausea
b. Client has absent bowel sounds
c. Client has a distended abdomen
d. Client reports pain at the incision site
Correct Answer: b. Client has absent bowel sounds
Question 2
Question: Which of the following substances should the nurse suspect intoxication with for an
adolescent client exhibiting agitation, paranoia, and visual hallucinations?
a. Marijuana
b. Methamphetamines
c. Alcohol
d. Opioids
Correct Answer: b. Methamphetamines
Question 3
Question: Which of the following actions should the nurse take when an assistive personnel is
observed napping in the break room during meal time and appears drowsy while performing
routine tasks?
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,a. Document the incident in the personnel le
b. Report the observations about the AP to the unit’s nurse manager
c. Provide the AP with a warning about sleeping on duty
d. Assign the AP to less demanding tasks
Correct Answer: b. Report the observations about the AP to the unit’s nurse manager
Question 4
Question: Which of the following raw foods contains the highest amount of water per 1 cup
serving when reinforcing teaching with a client who has a uid volume de cit?
a. Cucumbers
b. Strawberries
c. Lettuce
d. Celery
Correct Answer: c. Lettuce
Question 5
Question: Which of the following positions should the nurse assist a client into for a lumbar
puncture?
a. Prone
b. Supine
c. Lateral recumbent
d. Trendelenburg
Correct Answer: c. Lateral recumbent
Question 6
Question: Which of the following responses should the nurse make to a client who states, “I
really thought I’d be back to my usual routines by now, but I can’t think of anything else except
my son is gone” after losing their son in a motor-vehicle crash 2 weeks ago?
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, a. You need to focus on moving forward with your life
b. Grieving for your son is hard work. It will take as much time as you need to come to terms
with your loss
c. Have you considered joining a support group?
d. It’s normal to feel this way, but you’ll feel better soon
Correct Answer: b. Grieving for your son is hard work. It will take as much time as you need to
come to terms with your loss
Question 7
Question: Which of the following actions should the nurse take when recognizing late
deceleration on the fetal monitor tracing for a client at 40 weeks of gestation in active labor?
a. Administer oxygen via nasal cannula
b. Place the client in the lateral position
c. Increase the IV uid rate
d. Elevate the client’s legs
Correct Answer: b. Place the client in the lateral position
Question 8
Question: Which of the following information should the nurse manager include in an in-service
on hand hygiene for assistive personnel?
a. Use hand sanitizer when hands are visibly soiled
b. Remove rings when washing hands with soap and water
c. Wash hands for at least 10 seconds
d. Dry hands with a paper towel before turning off the faucet
Correct Answer: b. Remove rings when washing hands with soap and water
Question 9
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