Professional Documents
Culture Documents
Q&A Random -3
Question Number 1 of 40
The nurse practicing in a maternity setting recognizes that the post
mature fetus is at risk due to
Question Number 2 of 40
Which individual is at greatest risk for developing hypertension?
Question Number 3 of 40
At a community health fair the blood pressure of a 62 year-old client is
160/96. The client states “My blood pressure is usually much lower.”
The nurse should tell the client to
The correct answer is A: go get a blood pressure check within the next
48 to 72 hours
The blood pressure reading is moderately high with the need to have it
rechecked in a few days. The client states it is ‘usually much lower.’
Thus a concern exists for complications such as stroke. However
immediate check by the provider of care is not warranted. Waiting 2
months or a week for follow-up is too long.
Question Number 4 of 40
During an assessment of a client with cardiomyopathy, the nurse finds
that the systolic blood pressure has decreased from 145 to 110 mm Hg
and the heart rate has risen from 72 to 96 beats per minute and the
client complains of periodic dizzy spells. The nurse instructs the client
to
Question Number 5 of 40
A client has been taking furosemide (Lasix) for the past week. The
nurse recognizes which finding may indicate the client is experiencing
a negative side effect from the medication?
Question Number 6 of 40
The nurse anticipates that for a family who practices Chinese medicine
the priority goal would be to
A) Achieve harmony
B) Maintain a balance of energy
C) Respect life
D) Restore yin and yang
Your response was "A".
Question Number 7 of 40
A child who has recently been diagnosed with cystic fibrosis is in a
pediatric clinic where a nurse is performing an assessment. Which later
finding of this disease would the nurse not expect to see at this time?
Question Number 8 of 40
During the evaluation of the quality of home care for a client with
Alzheimer's disease, the priority for the nurse is to reinforce which
statement by a family member?
Question Number 9 of 40
The nurse is speaking at a community meeting about personal
responsibility for health promotion. A participant asks about
chiropractic treatment for illnesses. What should be the focus of the
nurse’s response?
Question Number 10 of 40
The nurse is performing a neurological assessment on a client post
right CVA. Which finding, if observed by the nurse, would warrant
immediate attention?
Question Number 11 of 40
The home health nurse visits a male client to provide wound care and
finds the client lethargic and confused. His wife states he fell down the
stairs 2 hours ago. The nurse should
Question Number 12 of 40
A 3 year-old child comes to the pediatric clinic after the sudden onset
of findings that include irritability, thick muffled voice, croaking on
inspiration, hot to touch, sit leaning forward, tongue protruding,
drooling and suprasternal retractions. What should the nurse do first?
The correct answer is D: Notify the health care provider of the child''s
status
Question Number 13 of 40
A client with multiple sclerosis plans to begin an exercise program. In
addition to discussing the benefits of regular exercise, the nurse
should caution the client to avoid activities which
The client must take in adequate fluids before and during exercise
periods.
Question Number 14 of 40
A nurse enters a client's room to discover that the client has no pulse
or respirations. After calling for help, the first action the nurse should
take is
A) Start a peripheral IV
B) Initiate closed-chest massage
C) Establish an airway
D) Obtain the crash cart
Your response was "A".
Question Number 15 of 40
When teaching a client with coronary artery disease about nutrition,
the nurse should emphasize
Eating large, heavy meals can pull blood away from the heart for
digestion and is dangerous for the client with coronary artery disease.
Question Number 16 of 40
While planning care for a toddler, the nurse teaches the parents about
the expected developmental changes for this age. Which statement by
the mother shows that she understands the child's developmental
needs?
The correct answer is C: "I understand the need to use those new
skills."
Erikson describes the stage of the toddler as being the time when
there is normally an increase in autonomy. The child needs to use
motor skills to explore the environment.
Question Number 17 of 40
Which complication of cardiac catheterization should the nurse monitor
for in the initial 24 hours after the procedure?
A) angina at rest
B) thrombus formation
C) dizziness
D) falling blood pressure
Your response was "A".
Question Number 18 of 40
The nurse is caring for a client who had a total hip replacement 4 days
ago. Which assessment requires the nurse’s immediate attention?
The correct answer is B: "I just can''t ''catch my breath'' over the past
few minutes and I think I am in grave danger."
Question Number 19 of 40
In children suspected to have a diagnosis of diabetes, which one of the
following complaints would be most likely to prompt parents to take
their school age child for evaluation?
A) Polyphagia
B) Dehydration
C) Bed wetting
D) Weight loss
Your response was "A".
In children, fatigue and bed wetting are the chief complaints that
prompt parents to take their child for evaluation. Bed wetting in a
school age child is readily detected by the parents.
Question Number 20 of 40
The nurse is giving discharge teaching to a client 7 days post
myocardial infarction. He asks the nurse why he must wait 6 weeks
before having sexual intercourse. What is the best response by the
nurse to this question?
Question Number 21 of 40
A child who ingested 15 maximum strength acetaminophen tablets 45
minutes ago is seen in the emergency department. Which of these
orders should the nurse do first?
Question Number 22 of 40
Which of these statements best describes the characteristic of an
effective reward-feedback system?
Question Number 23 of 40
A triage nurse has these 4 clients arrive in the emergency department
within 15 minutes. Which client should the triage nurse send back to
be seen first?
A 2 month old infant with a history of rolling off the bed and has
A)
buldging fontanels with crying
B) A teenager who got a singed beard while camping
An elderly client with complaints of frequent liquid brown
C)
colored stools
A middle aged client with intermittent pain behind the right
D)
scapula
Your response was "A".
Question Number 24 of 40
What would the nurse expect to see while assessing the growth of
children during their school age years?
The correct answer is D: Yearly weight gain of about 5.5 pounds per
year
School age children gain about 5.5 pounds each year and increase
about 2 inches in height.
Question Number 25 of 40
Which of the following should the nurse implement to prepare a client
for a KUB (Kidney, Ureter, Bladder) radiograph test?
Question Number 26 of 40
A nurse is to administer meperidine hydrochloride (Demerol) 100 mg,
atropine sulfate (Atropisol) 0.4 mg, and promethizine hydrochloride
(Phenergan) 50 mg IM to a pre-operative client. Which action should
the nurse take first?
The first step in the process is to have the client void prior to
administering the pre-operative medication. The other actions follow
this initial step in this sequence: 4 3 1 2
Question Number 27 of 40
A client is admitted to the emergency room with renal calculi and is
complaining of moderate to severe flank pain and nausea. The client’s
temperature is 100.8 degrees Fahrenheit. The priority nursing goal
for this client is
Number 28 of 40
A nurse prepares to care for a 4 year-old newly admitted for
rhabdomyosarcoma. The nurse should alert the staff to pay more
attention to the function of which area of the body?
A) The muscles
B) The cerebellum
C) The kidneys
D) The leg bones
Your response was "A".
Question Number 39 of 40
A client who is pregnant comes to the clinic for a first visit. The nurse
gathers data about her obstetric history, which includes 3 year-old
twins at home and a miscarriage 10 years ago at 12 weeks gestation.
How would the nurse accurately document this information?
A) Gravida 4 para 2
B) Gravida 2 para 1
C) Gravida 3 para 1
D) Gravida 3 para 2
Your response was "A". The correct answer is C: Gravida 3 para 1
Question Number 40 of 40
A client is receiving digoxin (Lanoxin) 0.25 mg. Daily. The health care
provider has written a new order to give metoprolol (Lopressor) 25
mg. B.I.D. In assessing the client prior to administering the
medications, which of the following should the nurse report
immediately to the health care provider?