Reference no: EM133954301
Questions
1. A client is informed of the need to reduce daily cholesterol intake. Which of these food group should a nurse suggest that the client AVOID?
vegetable fats
animal fats
simple sugars
complex carbohydrates
2. Which of these measures a should a nurse include when cleaning a client's dentures?
scrubbing the denture with a cleaning agent and hot water
soak in the dentures overnight if they have metal parts
removing stains with chlorine bleach
padding the bowl or sink with a washcloth
3. Which of these actions if taken by a nurse while suctioning a client's oropharynx is correct?
the nurse asks the client to cough forcefully while the catheter is removed
the nurse gently applies suction while introducing the catheter
the nurse applies suction for 60 to 90 seconds each time
the nurse withdraws the catheter in a rotating motion while applying suction
4. A nurse collects a stool specimen from a client to test for ova and parasites. Which of these actions by the nurse would indicate a need for a FURTHER instruction?
labeling the container before collecting the specimen
refrigerating the specimen
placing the used specimen container in a biohazard bag
collecting the specimens from three different areas of the stool
5. When removing a dressing from the foot of a 78-year-old client, a nurse grimaces because of the foul smell. The nurse should realize that this gesture
is more ambiguous than words
is unlikely to be observed by the client of this age
is a more reliable expression of the nurse's feelings than a verbal communication
will be forgotten is the nurse comments that dressing seems to be a little more saturated today
6. When caring for a client who has a diagnosis of diabetes mellitus a nurse should obtain a physician's order prior to
Cutting the client's toenails
using the lancet to obtain blood for a glucometer reading
giving orange juice and when the client shows signs of hypoglycemia
shaving a client with an electric razor
7. A client who has a Cerebral vascular accident that damages the right hemispheres is most likely to develop
erratic body temperature
inability to understand words
electric electrolyte imbalances
left hemiplegia
8. A female client who has a low erythrocyte count says to a nurse. 'I'm always tired." The nurse should explain this is because a red blood cells are
abnormally small and only good for clotting her blood
defending her body from disease causing organisms
are bringing insufficient oxygen to her cells
having difficulty differentiating into T cells and B cells
9. A nurse prepares a liquid medication for a client and then ask another nurse administer it. Which of these actions should the second nurse take?
asked client if this is the usual medication
discard the medication and charge it has a missed dose
administered the medication to the client
Prepare a new dose of the medication
10. A nurse assesses the pulse of a 1 month-old infant to be 128 beats a minute. Which of these actions should the nurse take next?
report the finding to the team leader
record the finding
determine if the infant has been crying for an extended period of time
retake the pulse
11. Which of these nursing interventions would be most effective in promoting expectoration of thick, tenacious secretion?
Suctioning the client oropharynx
maintaining a client in a later sim's position
providing the client with mouth care every four hours
increasing the client's fluid intake to 2,500 ml per day
12. Which of these actions with contaminate a sterile field during a dressing change?
Touching the inside of the sterile gauze package with the gloved hand
discarding a small amount of peroxide on the edge of the sterile field prior to filling a sterile container
keeping four by fours on the side of the sterile field closest to the nurse
pouring a small amount of saline from a sterile container onto the gauze pads
13. When preparing to change a client's postoperative dressing a nurse should first
put on gloves
remove this soiled dressing
wash hands
open the sterile pack
14. Which of these nursing action with exemplify good body mechanics?
keeping the way to be lifted as close to the lifter as possible
holding a weight at arms length
pulling a stretcher up an incline
lifting an object from above the lifter's center of gravity
15. Thirty minutes after giving pain medication to a client the nurse asks if the client is relieved of pain. The nurse's action demonstrates which of the steps of the nursing process?
planning
evaluating
implementing
data collection
16. A nurse is going to give a pre-op medication to a client who has already given consent for surgery. The client says "I'm having second thoughts about going through with this procedure." Which of these actions should the nurse take?
delay giving the injection for five minutes while convincing the client to have the surgery
give the injection while describing positive experiences of other clients who had the surgery continue giving the injection knowing nervousness is normal
withhold the injection and report the client's response to the physician
17. A nurse brings a client a medication that the client has been taking for several days.
The client says "I'm not going to take that". Which of these responses by the nurse would be open ended question?
your doctor would not prescribe medication for you unless you needed it
have you had a bad reaction to this medication in the past?
It is really important that you take all your medications as scheduled
you don't want to take this medication?
17. A nurse teaches a pre-operative client how to deep-breath and cough. Which of these nursing interventions would most effectively evaluate the client's understanding of the instruction?
request that the client describe the procedure
have the client demonstrate the procedure
ask if the client understands the procedure
question the client about the procedure
18. Which of these client is at increased risk for iodine deficiency?
a pregnant woman who is lactose intolerant
A middle age client who is on sodium restriction for hypertension
An adolescent who eats fried food
An elderly client who has protein deficiency
19. Which of these measures should a nurse include in the plan of care for an older adult has age related vision changes?
reminded the client wear eyeglasses while in bed
encourage the client to perform eye exercises daily
cleansing both eyes in warm water each evening
keeping a night light on in the bathroom