Name: Score:
20 Multiple choice questions
,Term 1 of 20
During the admission interview, which technique is most efficient for the nurse to use when
obtaining information about signs and symptoms of a client's primary health problem?
Restatement of responses.
Open-ended questions.
Closed-ended questions.
Problem-seeking responses.
C
Lay descriptors of health problems can be vague and nonspecific. To efficiently obtain
specific information, the nurse should use closed-ended questions that focus on common
signs and symptoms about a client's health problem.Other question types are used when
therapeutically interacting and should be used after specific information is obtained from
the client.
C
The left-sided Sims' position allows the enema solution to follow the anatomical course of
the intestines and allows the best overall results, so the UAP should reposition the client in
the Sims' position, which distributes the client's weight to the anterior ilium. The reverse
Trendelenburg is inaccurate. The other options should be implemented once the client is
positioned.
A
When a client begins to cry and express feelings, a therapeutic nursing intervention is to
listen and show interest as the client expresses feelings (A). (B) is not a therapeutic option
and the nurse does not know the dynamics of their relationships. (C) is not indicated at this
time. (D) is non-therapeutic and offers false hope.
C
The goniometer is a two-piece ruler that is jointed in the middle with a protractor-type
measuring device that is placed over a joint as the individual extends or flexes the joint to
measure the degrees of flexion and extension on the protractor. On the other hand, a
doppler is used to measure blood flow; calipers are used to measure body fat; and a tape
measure is used to measure circumference of body parts.
, Definition 2 of 20
A
Foods such as eggs and milk are high biologic proteins which are allowed because they are
complete proteins and supply the essential amino acids that are necessary for growth and cell
repair. Although a low-protein diet is followed, some protein is essential. Orange juice is rich in
potassium, and should not be encouraged. The client has made a good diet choice, so classes on
dietary management is not necessary.
A client is in the radiology department at 0900 when the prescription levofloxacin
(Levaquin) 500 mg IV every 24 hours is scheduled to be administered. The client returns to
the unit at 1300. What is the best intervention for the nurse to implement?
Contact the healthcare provider and complete a medication variance form.
Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
Notify the charge nurse and complete an incident report to explain the missed dose.
Give the missed dose at 1300 and change the schedule to administer daily at 1300.
A client with pericardial effusion has phrenic nerve compression resulting in recurrent
hiccups. The healthcare provider prescribes metoclopramide (Reglan) liquid 10 mg PO q 6
hours. Reglan is available as 5 mg/5 ml. A measuring device marked in teaspoons is being
used. How many teaspoons should the nurse administer?
During a visit to the outpatient clinic, the nurse assesses a client with severe osteoarthritis
using a goniometer. Which finding should the nurse expect to measure?
Adequate venous blood flow to the lower extremities.
Estimated amount of body fat by an underarm skinfold.
Degree of flexion and extension of the client's knee joint.
Change in the circumference of the joint in centimeters.
A client with chronic kidney disease (CKD) selects a scrambled egg for his breakfast. Which
action should the nurse take?
Commend the client for selecting a high biologic value protein.
20 Multiple choice questions
,Term 1 of 20
During the admission interview, which technique is most efficient for the nurse to use when
obtaining information about signs and symptoms of a client's primary health problem?
Restatement of responses.
Open-ended questions.
Closed-ended questions.
Problem-seeking responses.
C
Lay descriptors of health problems can be vague and nonspecific. To efficiently obtain
specific information, the nurse should use closed-ended questions that focus on common
signs and symptoms about a client's health problem.Other question types are used when
therapeutically interacting and should be used after specific information is obtained from
the client.
C
The left-sided Sims' position allows the enema solution to follow the anatomical course of
the intestines and allows the best overall results, so the UAP should reposition the client in
the Sims' position, which distributes the client's weight to the anterior ilium. The reverse
Trendelenburg is inaccurate. The other options should be implemented once the client is
positioned.
A
When a client begins to cry and express feelings, a therapeutic nursing intervention is to
listen and show interest as the client expresses feelings (A). (B) is not a therapeutic option
and the nurse does not know the dynamics of their relationships. (C) is not indicated at this
time. (D) is non-therapeutic and offers false hope.
C
The goniometer is a two-piece ruler that is jointed in the middle with a protractor-type
measuring device that is placed over a joint as the individual extends or flexes the joint to
measure the degrees of flexion and extension on the protractor. On the other hand, a
doppler is used to measure blood flow; calipers are used to measure body fat; and a tape
measure is used to measure circumference of body parts.
, Definition 2 of 20
A
Foods such as eggs and milk are high biologic proteins which are allowed because they are
complete proteins and supply the essential amino acids that are necessary for growth and cell
repair. Although a low-protein diet is followed, some protein is essential. Orange juice is rich in
potassium, and should not be encouraged. The client has made a good diet choice, so classes on
dietary management is not necessary.
A client is in the radiology department at 0900 when the prescription levofloxacin
(Levaquin) 500 mg IV every 24 hours is scheduled to be administered. The client returns to
the unit at 1300. What is the best intervention for the nurse to implement?
Contact the healthcare provider and complete a medication variance form.
Administer the Levaquin at 1300 and resume the 0900 schedule in the morning.
Notify the charge nurse and complete an incident report to explain the missed dose.
Give the missed dose at 1300 and change the schedule to administer daily at 1300.
A client with pericardial effusion has phrenic nerve compression resulting in recurrent
hiccups. The healthcare provider prescribes metoclopramide (Reglan) liquid 10 mg PO q 6
hours. Reglan is available as 5 mg/5 ml. A measuring device marked in teaspoons is being
used. How many teaspoons should the nurse administer?
During a visit to the outpatient clinic, the nurse assesses a client with severe osteoarthritis
using a goniometer. Which finding should the nurse expect to measure?
Adequate venous blood flow to the lower extremities.
Estimated amount of body fat by an underarm skinfold.
Degree of flexion and extension of the client's knee joint.
Change in the circumference of the joint in centimeters.
A client with chronic kidney disease (CKD) selects a scrambled egg for his breakfast. Which
action should the nurse take?
Commend the client for selecting a high biologic value protein.
