1. A new nurse is asking about stoma care for a client with a new ostomy. Which type of ostomy poses

PREBOARD 16

• A new nurse is asking about stoma care for a client with a new ostomy. Which type of ostomy poses

the highest risk for skin breakdown?

• Transverse colostomy
• Ileostomy
• Ileal conduit
• Sigmoid colostomy

• The nurse is teaching a 65-year-old female client who is newly diagnosed with osteoporosis. Which type of

exercise is best for this client?

• "Start a weight loss program to reduce your weight."
• "Go running 3 to 5 times per week."
• "Do weight-bearing exercise or resistance activities."
• "Do yoga to strengthen muscles and protect bones."

• A community health nurse is speaking to a group of community members about alternative therapies. What is the

focus of chiropractic treatment?

• Exercise of the joints Your Answer
• Spinal column manipulation Correct Answer
• Mind-body balance
• Electrical energy fields

• The nurse is evaluating the plan of care for a client who has been requesting a daily laxative to aid in having a

bowel movement. What additional interventions should the nurse include in the client's plan of care? Select all that apply.

• Request a prescription for psyllium.
• Encourage the client to drink 2 to 3 liters of fluids a day.
• Encourage the client to drink more caffeinated beverages.
• Instruct the client to walk at least 30 minutes 3 to 5 times per week.

5.

• Following a surgical procedure, pneumatic compression devices are applied to both lower extremities of an adult

client. The client reports that the device is hot and the client is sweating and itching. Which steps should the nurse take? Select all that apply.

• Confirm pressure setting of 45 mm Hg
• Check for appropriate fit
• Explain that the primary health care provider ordered the device and it cannot be removed.
• Collaborate with the primary health care provider for anti-embolism stockings to be worn under the

sleeves of the device.

• The nurse is caring for a client admitted with a diagnosis of Meniere's disease. When teaching the client about the

disease, the nurse should explain that the client should avoid foods high in which substance?

• Fiber
• Calcium
• Sodium
• Carbohydrates

• The nurse has been teaching a client diagnosed with heart failure about proper nutrition. Which of these lunch

selections indicates that the client has learned about sodium restriction?

• Cheese sandwich with a glass of 2% milk
• Sliced turkey sandwich with a side of canned pineapple
• Cheeseburger and baked potato with butter
• Mushroom pizza and ice cream made from whole milk

• The nurse is caring for a client who has stomatitis caused by Candida albicans. Which intervention should the

nurse include in the client's plan of care?

• Instruct client to "swish and swallow" the prescribed nystatin solution.
• Remind client to avoid close physical contact with others to prevent transmission.
• Instruct client to refrain from brushing teeth until the infection has resolved.
• Place the client on a full liquid diet for 7 to 10 days.

• An 82-year-old male client is admitted with benign prostatic hyperplasia (BPH). Which finding by the nurse will

require immediate action?

• Severe abdominal pain
• A heart rate of 110 bpm
• A blood pressure of 180/105
• A bladder ultrasound value of 900 mL

• The nurse in a urology office is developing a plan of care for a client newly diagnosed with urge urinary

incontinence due to an overactive bladder. Which interventions should the nurse include? Select all that apply.

• Avoidance of caffeinated beverages
• Surgical sphincterotomy
• Protection of skin integrity
• Pelvic floor muscle exercises
• Administration of anticholinergic drugs

• The nurse is caring for a client on a medical-surgical unit who reports difficulty falling asleep and sleeping

through the night. The nurse should implement which interventions to promote sleep? Select all that apply.

• Encouraging client to watch television before bedtime

2. Avoiding intake of caffeine products after 4:00 pm

• Administering the prescribed diuretic in the morning
• Assisting client with deep breathing exercises before bedtime
• Administering a prescribed PRN sleep aid

• A 15-year-old client has been placed in a cervico-thoraco-lumbo-sacral orthosis or CTLSO brace. Which

statement by the client indicates a need for additional teaching?

• "I can take the brace off when I shower or take a bath."
• "I will only have to wear this brace for 6 months."
• "I should inspect my skin under the brace every day."
• "The brace has to be worn all day and night."

• A 3-year-old client has just returned from surgery for application of a hip spica cast. Which nursing action should

the nurse implement?

• Apply waterproof plastic tape to the cast around the genital area.
• Use the crossbar to help turn the child from side to side.
• Position the child flat in the bed and reposition from supine to prone every 2-4 hours.
• Drying the cast using a hair dryer set to "warm".

• The nurse is preparing to administer a feeding through a percutaneous endoscopic gastrostomy tube. What

nursing action is needed before starting the feeding? Select all that apply.

• Keep the feeding product refrigerated until ready to use
• Palpate the abdomen
• Verify the length and placement of the tube
• Flush the tube with 30 mL of warm water
• Elevate the head of the bed 30 to 45 degrees
• Milk or massage the tube

• The nurse is providing discharge teaching for a client with a long leg cast. During instructions, the nurse should

recommend which of these exercises for the affected extremity?

• Aerobic
• Isotonic
• Range of motion
• Isometric

• The nurse is evaluating the plan of care for an 11-year-old client with glomerulonephritis. Which assessment

findings would indicate that the client is recovering? Select all that apply.

• Weight gain
• Nutrition maintained
• Edema absent or minimal
• Acute infection absent
• Fine bibasilar crackles
• Protein-free urine

• The nurse is developing a plan of care for a client undergoing chemotherapy. The client tells the nurse that they

would like to try complementary and alternative approaches to help with chemotherapy-induced nausea and vomiting. Which alternative approaches would be appropriate to include? Select all that apply.

• Oxygen therapy
• Scopolamine patch
• Meditation
• Massage
• Acupuncture
• Music therapy

• The nurse is teaching meal planning to the parents of a toddler with anemia. Which meal provides the maximum

amount of iron for the child?

• Chicken nuggets, macaroni, peas, cantaloupe, and milk
• Fish sticks, french fries, banana, cookies, and milk
• Peanut butter and jelly sandwich, apple slices, and milk
• Ground beef patty, lima beans, wheat roll, raisins, and milk

• A 35-year-old client with sickle cell crisis is talking on the telephone but stops as the nurse enters the room to

request something for pain. The nurse should take which of these actions?

• Encourage an increased fluid intake
• Administer the prescribed analgesic
• Administer a placebo if possible
• Recommend relaxation exercises for pain control

• The nurse is consulting with a nutritionist regarding an appropriate diet for a client recently diagnosed with renal

disease. Select the most appropriate diet for the client with renal disease who is not yet receiving dialysis treatments.

• High carbohydrate, high protein, moderate fat
• High potassium, high phosphorous, low protein
• Restricted protein, low sodium, low phosphorus
• High protein, high fat, high carbohydrate

• A nurse is teaching parents of a 7-month-old about adding table foods. Which option is an appropriate finger

food?

• Sliced bananas cut vertically
• Whole purple and white grapes
• Hot dog pieces cut in short pieces
• Popcorn with minimal kernels

• The nurse is evaluating a client's understanding of appropriate dietary choices with chronic kidney disease.

Which food choices by the client indicate an understanding of the teaching? Select all that apply.

• Baked chicken
• Fresh apples
• Baked potato
• Unsalted pretzels
• Orange juice
• Slice of cheese

• The nurse is assisting with meal planning for a client with cholelithiasis. Which food items would be most

appropriate for this client? Select all that apply.

• Lightly fried chicken legs
• Low-fat dairy products
• Unsalted soups
• Whole grain bread
• Breakfast cereals

• The nurse is caring for a client with an indwelling urinary catheter. Which of the following statements is

true? Select all that apply.

• The nurse should not allow the tip of the catheter outflow tube to touch the urine collection container.
• The nurse should apply antibiotic ointment to the perineal area.
• The nurse should perform daily catheter care with soap and water.
• The nurse should utilize a clean technique when inserting the urinary catheter.
• The nurse should assure that the urine collection bag is below the level of the bladder.

• The nurse is caring for a client who is diagnosed with emphysema. Which of the following information should

the nurse emphasize to the client, when teaching the client about their nutritional needs?

• Increase intake of dairy products to soothe the throat
• Use oxygen during meals to improve gas exchange
• Eat foods high in sodium to thin secretions
• Exercise after respiratory therapy to enhance appetite

• The nurse is assessing a client who has paraplegia. Which of the following findings would indicate that the client

has a probable fecal impaction?

• Presence of blood in stools
• Oozing liquid stool
• Absence of bowel movements
• Loud continuous flatulence

• The nurse is discussing the nutritional requirements of an 18-month-old child with the child's parents. Which of

the following statements about milk consumption is correct?

• Can have milk mixed with other foods
• Should be limited to 3-4 cups (.71-.95 L) of milk daily
• May drink as much milk daily as desired
• Will benefit from fat-free cow's milk

• The nurse is caring for a client who recently had surgery. When assisting the client with a clear liquid diet, the

client begins to cough forcefully. Which action should the nurse take first?

• Refer the client for a swallowing assessment
• Order a soft diet for the next meal
• Call the client's family for more information
• Add a thickening agent to the fluids