Practice Tests: Practice Exam #6 - 40 questions

All 40 questions are randomized each time you take the test, and do not appear in the same order here.

 

Health Promotion and Maintenance


1. The nurse has been teaching adult clients about cardiac risks when they visit the hypertension clinic. Which evaluation data would best measure learning?
A) Performance on written tests
B) Responses to verbal questions
C) Completion of a mailed survey
D) Reported behavioral changes

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2. The nurse is assessing a client who states her last menstrual period was March 16, and she has missed one period. She reports episodes of nausea and vomiting. Pregnancy is confirmed by a urine test. What will the nurse calculate as the estimated date of delivery (EDD)?
A) April 8
B) January 15
C) February 11
D) December 23

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3. The parents of a child who has suddenly been hospitalized for an acute illness state that they should have taken the child to the pediatrician earlier. Which approach by the nurse is best when dealing with the parents' comments?
A) Focus on the child's needs and recovery
B) Explain the cause of the child's illness
C) Acknowledge that early care would have been better
D) Accept their feelings without judgment

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4. When observing 4 year-old children playing in the hospital playroom, what activity would the nurse expect to see the children participating in?
A) Competitive board games with older children
B) Playing with their own toys along side with other children
C) Playing alone with hand held computer games
D) Playing cooperatively with other preschoolers

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5. A 64 year-old client scheduled for surgery with a general anesthetic refuses to remove a set of dentures prior to leaving the unit for the operating room. What would be the most appropriate intervention by the nurse?
A) Explain to the client that the dentures must come out as they may get lost or broken in operating room
B) Ask the client if there are second thoughts about having the procedure
C) Notify the anesthesia department and the surgeon of the client's refusal
D) Ask the client if the preference would be to remove the dentures in the operating room receiving area

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6. When teaching a 10 year-old child about their impending heart surgery, which form of explanation meets the developmental needs of this age child?
A) Provide a verbal explanation just prior to the surgery
B) Provide the child with a booklet to read about the surgery
C) Introduce the child to another child who had heart surgery 3 days ago
D) Explain the surgery using a model of the heart

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7. When screening children for scoliosis, at what time of development would the nurse expect early signs to appear?
A) Prenatally on ultrasound
B) In early infancy
C) When the child begins to bear weight
D) During the preadolescent growth spurt

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8. A client is admitted to the hospital with a history of confusion. The client has difficulty remembering recent events and becomes disoriented when away from home. Which statement would provide the best reality orientation for this client?
A) "Good morning. Do you remember where you are?"
B) "Hello. My name is Elaine Jones and I am your nurse for today."
C) "How are you today? Remember, you're in the hospital."
D) "Good morning. You’re in the hospital. I am your nurse Elaine Jones."

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9. The nurse is assessing a 4 month-old infant. Which motor skill would the nurse anticipate finding?
A) Hold a rattle
B) Bang two blocks
C) Drink from a cup
D) Wave "bye-bye"

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10. An appropriate treatment goal for a client with anxiety would be to
A) ventilate anxious feelings to the nurse
B) establish contact with reality
C) learn self-help techniques
D) become desensitized to past trauma

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11. The family of a 6 year-old with a fractured femur asks the nurse if the child's height will be affected by the injury. Which statement is true concerning long bone fractures in children?
A) Growth problems will occur if the fracture involves the periosteum
B) Epiphyseal fractures often interrupt a child's normal growth pattern
C) Children usually heal very quickly, so growth problems are rare
D) Adequate blood supply to the bone prevents growth delay after fractures

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12. While caring for a client, the nurse notes a pulsating mass in the client's periumbilical area. Which of the following assessments is appropriate for the nurse to perform?
A) Measure the length of the mass
B) Auscultate the mass
C) Percuss the mass
D) Palpate the mass

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13. While the nurse is administering medications to a client, the client states "I do not want to take that medicine today." Which of the following responses by the nurse would be best?
A) "That's OK, its all right to skip your medication now and then."
B) "I will have to call your doctor and report this."
C) "Is there a reason why you don't want to take your medicine?"
D) "Do you understand the consequences of refusing your prescribed treatment?"

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14. The nurse is teaching the parents of a 3 month-old infant about nutrition. What is the main source of fluids for an infant until about 12 months of age?
A) Formula or breast milk
B) Dilute nonfat dry milk
C) Warmed fruit juice
D) Fluoridated tap water

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15. A client states, "People think I’m no good, you know what I mean?" Which of these responses would be most therapeutic?
A) "Well people often take their own feelings of inadequacy out on others."
B) "I think you’re good. So you see, there’s one person who likes you."
C) "I’m not sure what you mean. Tell me a bit more about that."
D) "Let's discuss this to see the reasons you create this impression on people."

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16. When teaching effective stress management techniques to a client 1 hour before surgery, which of the following should the nurse recommend?
A) Biofeedback
B) Deep breathing
C) Distraction
D) Imagery

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17. The nurse is planning care for an 18 month-old child. Which action should be included in the child's care?
A) Hold and cuddle the child frequently
B) Encourage the child to feed himself finger food
C) Allow the child to walk independently on the nursing unit
D) Engage the child in games with other children

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18. A client being treated for hypertension returns to the community clinic for follow up. The client says, "I know these pills are important, but I just can't take these water pills anymore. I drive a truck for a living, and I can't be stopping every 20 minutes to go to the bathroom." Which of these is the best nursing diagnosis?
A) Noncompliance related to medication side effects
B) Knowledge deficit related to misunderstanding of disease state
C) Defensive coping related to chronic illness
D) Altered health maintenance related to occupation

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19. A client with congestive heart failure is newly admitted to home health care. The nurse discovers that the client has not been following the prescribed diet. What would be the most appropriate nursing action?
A) Discharge the client from home health care because of noncompliance
B) Notify the provider of the client's failure to follow prescribed diet
C) Discuss diet with the client to learn the reasons for not following the diet
D) Make a referral to Meals-on-Wheels

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20. A partner is concerned because the client frequently daydreams about moving to Arizona to get away from the pollution and crowding in southern California. The nurse explains that
A) such fantasies can gratify unconscious wishes or prepare for anticipated future events
B) detaching or dissociating in this way postpones painful feelings
C) converting or transferring a mental conflict to a physical symptom can lead to conflict within the partnership
D) isolating the feelings in this way reduces conflict within the client and with others

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Basic Care and Comfort



1. The nurse is planning care for a client with a cerebral vascular accident (CVA). Which of the following measures planned by the nurse would be most effective in preventing skin breakdown?
A) Place client in the wheelchair for four hours each day
B) Pad the bony prominence
C) Reposition every two hours
D) Massage reddened bony prominence

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2. After a client has an enteral feeding tube inserted, the most accurate method for verification of placement is
A) abdominal x-ray
B) auscultation
C) flushing tube with saline
D) aspiration for gastric contents

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3. The nurse has been teaching a client with congestive heart failure about proper nutrition. Which of these lunch selections indicates the client has learned about sodium restriction?
A) Cheese sandwich with a glass of 2% milk
B) Sliced turkey sandwich and canned pineapple
C) Cheeseburger and baked potato
D) Mushroom pizza and ice cream

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4. The nurse is caring for a 7 year-old with acute glomerulonephritis (AGN). Findings include moderate edema and oliguria. Serum blood urea nitrogen and creatinine are elevated. What dietary modifications are most appropriate?
A) Decreased carbohydrates and fat
B) Decreased sodium and potassium
C) Increased potassium and protein
D) Increased sodium and fluids

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5. After a myocardial infarction, a client is placed on a sodium restricted diet. When the nurse is teaching the client about the diet, which meal plan would be the most appropriate to suggest?
A) 3 oz. broiled fish, 1 baked potato, ½ cup canned beets, 1 orange, and milk
B) 3 oz. canned salmon, fresh broccoli, 1 biscuit, tea, and 1 apple
C) A bologna sandwich, fresh eggplant, 2 oz fresh fruit, tea, and apple juice
D) 3 oz. turkey, 1 fresh sweet potato, 1/2 cup fresh green beans, milk, and 1 orange

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6. What finding of the nursing assessment of a paralyzed client would indicate the probable presence of a fecal impaction?
A) Presence of blood in stools
B) Oozing liquid stool
C) Continuous rumbling flatulence
D) Absence of bowel movements

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7. The nurse is teaching the client to select foods rich in potassium to help prevent digitalis toxicity. Which choice indicates the client understands dietary needs?
A) three apricots
B) medium banana
C) naval orange
D) baked potato

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8. When administering enteral feeding to a client via a jejunostomy tube, the nurse should administer the formula
A) every four to six hours
B) continuously
C) in a bolus
D) every hour

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9. An 86 year-old nursing home resident who has impaired mental status is hospitalized with pneumonic infiltrates in the right lower lobe. When the nurse assists the client with a clear liquid diet, the client begins to cough. What should the nurse do next?
A) Add a thickening agent to the fluids
B) Check the client’s gag reflex
C) Feed the client only solid foods
D) Increase the rate of intravenous fluids

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10. An 85 year-old client complains of generalized muscle aches and pains. The first action by the nurse should be
A) assess the severity and location of the pain
B) obtain an order for an analgesic
C) reassure him that this is not unusual for his age
D) encourage him to increase his activity

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11. A client was just taken off the ventilator after surgery and has a nasogastric tube draining bile-colored liquids. Which nursing measure will provide the most comfort to the client?
A) Allow the client to melt ice chips in the mouth
B) Provide mints to freshen the breath
C) Perform frequent oral care with a tooth sponge
D) Swab the mouth with glycerin swabs

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12. The nurse is instructing a 65 year-old female client diagnosed with osteoporosis. The most important instruction regarding exercise would be to
A) exercise doing weight bearing activities
B) exercise to reduce weight
C) avoid exercise activities that increase the risk of fracture
D) exercise to strengthen muscles and thereby protect bones

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13. A nurse is assessing several clients in a long term health care facility. Which client is at highest risk for development of decubitus ulcers?
A) A 79 year-old malnourished client on bed rest
B) An obese client who uses a wheelchair
C) An incontinent client who has had 3 diarrhea stools
D) An 80 year-old ambulatory diabetic client

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14. Constipation is one of the most frequent complaints of elders. When assessing this problem, which action should be the nurse's priority?
A) obtain a complete blood count
B) obtain a health and dietary history
C) refer to a provider for a physical examination
D) measure height and weight

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15. A nurse is working with a client in an extended care facility. Which bed position is preferred for a client, who is at risk for falls, as part of a prevention protocol?
A) All 4 side rails up, wheels locked, bed closest to door
B) Lower side rails up, bed facing doorway
C) Knees bent, head slightly elevated, bed in lowest position
D) Bed in lowest position, wheels locked, place bed against wall

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16. The nurse is teaching an 87 year-old client methods for maintaining regular bowel movements. The nurse would caution the client to avoid
A) glycerine suppositories
B) fiber supplements
C) laxatives
D) stool softeners

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17. Which statement best describes the effects of immobility in children?
A) Immobility prevents the progression of language and fine motor development
B) Immobility in children has similar physical effects to those found in adults
C) Children are more susceptible to the effects of immobility than are adults
D) Children are likely to have prolonged immobility with subsequent complications

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18. A client with diarrhea should avoid which of the following?
A) orange juice
B) tuna
C) eggs
D) macaroni

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19. A client is being maintained on heparin therapy for deep vein thrombosis (DVT). The nurse must closely monitor which of the following laboratory values?
A) bleeding time
B) platelet count
C) activated PTT
D) clotting time

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20. A client in a long term care facility complains of pain. The nurse collects data about the client’s pain. The first step in pain assessment is for the nurse to
A) have the client identify coping methods
B) get the description of the location and intensity of the pain
C) accept the client’s report of pain
D) determine the client’s status of pain

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Practice Tests: Practice Exam #6 - 40 questions