1. A nurse is planning medication teaching for a client who has ED. Which of the following
medications should the nurse plan to include in the
... [Show More] teaching?
o Sildenafil
2. A nurse is caring for a client who has gestational hypertention and is experiencing PP
hemorrhage. Which of the following medications should the nurse aniticipate
administering?
o Misoprostol
3. A nurse is assessing a 7-month-old infant who is experiencing developmental delays.
Which of the following findings should the nurse expect?
o Restricts attention to large objects
4. A nurse is caring for a client who is being seen for infertility and has a new prescription
for clomiphene citrate. Which of the following manifestations should the nurse include in
the teaching as a common adverse effect of the medication?
o You might have breast tenderness while taking the medication
5. A nurse is discussing palliative care with the family of a client who is terminally ill.
Which of the following information should the nurse include?
o Palliative care includes a variety of therapies
6. A nurse is caring for a client who is experiencing hypovolemic shock due to postpartum
hemorrhage. After notifying the provider, which of the following actions should the nurse
take next?
o Massage the clients fundus
7. A nurse in a provider’s office is performing a skin assessment on a client who reports
concern about a lesion on her back. Which of the following images should the nurse
identify as having the characteristics of melanoma?
o The black one with irregular boarders
8. A nurse is assessing a client who is at 24 weeks of gestation. Which of the following
findings should the nurse identify as an indication of gestational hypertension?
o Diastolic BP of 98mmHg
▪ Gestational hypertension is anything over 140/90
9. A nurse in a mental health facility is caring for a client who has anorexia nervosa. Which
of the following actions should the nurse take to help the client manage this eating
disorder?
o Limit the client’s intake of caffeine
o Suggest high-fiber food choices
o Use increments of 100 calories when advancing the client’s diestary intake
10. A school nurse is observing a preschooler who has autism spectrum disorder (ASD).
Which of the following behavioral characteristics should the nurse expect the child to
exhibit?
o Ritualistic
11. A nurse is caring for a newborn who has a congenital heart deect and is postoperative
following a cardiac catheterization. Which of the following actions should the nurse take?
o Monitor the color of the affected extremity
12. A nurse is discussing family planning with a client who wants to use a diaphragm for
contraception. Which of the following statement should the nurse include in the teaching?
o You should be refitted for your diaphragm after a 20 percent weight fluctuation
13. A nurse is assessing a client who is at 34 weeks of gestation and is experiencing seere
uterine pain. Which of the following findings should the nurse report to the provider?
o Increased fundal height since admission
14. A nurse is providing teaching to a client who has epilepsy and is starting to take
carbamazepine. The nurse should instruct the client to monitor for which of the following
manifestations as an adverse effect of this medication?
o Blurred vision
15. A nurse in an acute care mental health unit is caring for a newly admitted client who has
obsessive-compulsive disorder. The client is repeatedly washing her hands. Which of the
following actions should the nurse take?
o Teach the client to use thought-stopping techniques
16. A nurse is assessing a client who has acute pyelonephritis. The nurse should identify
which of the following findings as an indication of inflammation?
o Redness on the right flank
17. A nurse is assessing a 12-month-old infant who has Down Syndrome. Which of the
following manifestations should the nurse expect?
o Decreased muscle tone
18. A nurse is caring for a newly-admitted client who is at 37 weeks of gestation and is
experiencing moderate placental abruption. Which of the following actions should the
nurse take?
o Insert a large-bore IV catheter
19. A nurse is caring for a client who has schizophrenia. Which of the following statements
made by the client indicates delusions of reference?
o Someone is trying to get a message to me through this newspaper
20. A nurse is assessing a client who has inflammatory bowel disease and is 1 day
postoperative following a permanent ileostomy placement. Which of the following
findings should the nurse report to the provider?
o The stoma is retracted into the abdominal wall
21. A staff nurse tells the nurse manager that he consistently receives work assignments with
a heavier work load than the other nurses on the shift. Which of the following actions
should the nurse manager take to address the staff nurse’s report of bullying?
o Check work assignments to validate the staff nurse’s claim.
22. A nurse is assessing a group of clients who have personality disorders. Which of the
following clients should the nurse identify as having characteristics of schizoid
personality disorder?
o A client who dislikes having close relationships with other people
23. A nurse is providing teaching to the family member of a client who has delirium. Which
of the following information should the nurse include?
o Delirium can be brought on by the stress of an illness
24. A nurse is caring for a client who is receiving chemotherapy for non-Hodgkin’s
lymphoma. Which of the following actions should the nurse take?
o Instruct the client to wash drinking glasses after each use
25. A nurse is assessing a client who has rheumatoid arthritis (RA) and has been taking
methotrexate for 4 months. Which statement by the client indicates to the nurse that the
medication is effective?
o “I have been able to go outside for walks lately”
26. A nurse is providing discharge teaching about home management strategies to a client
who has multiple sclerosis (MS). Which of the following client statements indicates an
understanding of the teaching?
o I should schedule rest breaks between activities
27. A nurse is assessing a client who has acute glomerulonephritis. Which of the following
findings should the nurse expect?
o Rust-colored urine
28. A nurse in an emergency department is creating a plan of care for a client who reports a
recent sexual assault. Which of the following interventions should the nurse plan to
include?
o Explain to the client the reason each procedure is conducted
29. A nurse is caring for a client who has diverticulitis. Which of the following medications
should the nurse expect to administer?
o Metronidazole
30. A nurse is teaching a client about family planning and the proper use of an intrauterine
device. Which of the following client responses indicates an understanding of the
teaching?
o I will need to check that the two strings of this device are the same length once
per month.
31. A nurse is reviewing the laboratory report of an adolescent client who has hemophilia A.
Which of the following laboratory results should the nurse expect?
o Coagulating factor VIII 50%
32. A nurse in an infertility clinic is providing a teaching to a client about her upcoming
hysterosalpingography. Which of the following statements should the nurse make?
o You might feel pain in your shoulder after the procedure
33. A nurse is caring for a client who has major depressive disorder. Which of the following
client responses should the nurse identify as an overt statement indicating the potential
for suicide?
o I just can’t go on living like this any longer
34. A nurse in a providers office is caring for a client who is at 9 weeks of gestation ad is
having her first prenatal exm. The client asks the nurse why she is being tested for
sexually transmitted infections. Which of the following responses should the nurse make?
o Most sexually transmitted infections are hard for you to detect. We screen all
clients at their initial appointment.
35. A nurse is caring for a client who has a terminal illness and is approaching death. Which
of the following actions should the nurse take?
o Apply a thin coating of lip balm to the client’s lips
36. A nurse is providing teaching about combined oral contraceptives to a client who is 6
weeks postpartum. Which of the following instructions should the nurse include?
o Some herbal supplements can alter the effectiveness of your oral contraceptives.
37. A nurse is caring for a client following a stroke. Which of the following actions should
the nurse take?
o Recommend a referral to the speech language pathologist
38. A nurse is caring for a client who was recently diagnosed with a terminal illness and is
experiencing an intrapersonal crisis. Which of the following client statements indicate [Show Less]