Question 1Â Â
A school-age client with diabetes is placed on an intermediateacting insulin and regular insulin before breakfast and beforeÂ
dinner. She will receive a snack of milk and cereal at bedtime.Â
What does the nurse tell the client the snack is intended to do?
You Selected:
• Prevent late night hypoglycemia.
Correct response:
• Prevent late night hypoglycemia.
Question 2Â
A well-known public official of a small community is admitted toÂ
the emergency department following an episode of chest pain.Â
Several nurses from the medical unit are aware of the admission andÂ
access the official’s electronic medical record to obtain a statusÂ
update. What is the best response for the nurse manager to make toÂ
the nurses regarding this situation?
You Selected:
• “Assessing the official’s medical record is a breach of
confidentiality.â€
Correct response:
• “Assessing the official’s medical record is a breach of
confidentiality.â€
Question 3Â
A four-year-old child is diagnosed as having acute lymphocyticÂ
leukemia. The white blood cell (WBC) count, especially theÂ
neutrophil count, is low. What is the most important intervention theÂ
nurse should teach the parents?
You Selected:
• Protect your child from infections because his resistance toÂ
infection is decreased
Correct response:
• Protect your child from infections because his resistance toÂ
infection is decreased
Question 4
The nurse is caring for a client with influenza. The most effectiveÂ
way to decrease the spread of microorganisms is:
You Selected:
• placing the client in isolation.
Correct response:
• washing the hands frequently.
Question 5Â Â
A client with a history of hypertension has been prescribed a newÂ
antihypertensive medication and is reporting dizziness. Which isÂ
the best way for the nurse to assess blood pressure?
You Selected:
• in the supine, sitting, and standing positions
Correct response:
• in the supine, sitting, and standing positions
Question 6Â Â
A client has a soft wrist-safety device. Which assessment findingÂ
should the nurse investigate further?
You Selected:
• cool, pale fingers
Correct response:
• cool, pale fingers
Question 7Â Â
A nurse is caring for a female client before surgery. The client statesÂ
that she is glad that she will not be going through menopause as aÂ
result of her surgery and is only having her uterus removed. TheÂ
nurse reviews the consent form and notes that the surgery is for aÂ
total abdominal hysterectomy with a salpingo-oophorectomy. WhatÂ
should the nurse do in this situation?
You Selected:
• Contact the surgeon to explain that the client needs furtherÂ
clarification regarding surgery.
Correct response:
• Contact the surgeon to explain that the client needs furtherÂ
clarification regarding surgery.
Question 8Â Â
A young client diagnosed with schizophrenia is talking with theÂ
nurse and says, "You know, when I thought everyone was out to getÂ
me, I was staying in my apartment all the time. Now, I would like toÂ
get out and do things again." What is the best initial response by theÂ
nurse?
You Selected:
• "What activities did you enjoy in the past?"
Correct response:
• "What activities did you enjoy in the past?"
Question 9Â Â
A client with anemia has been admitted to the medical-surgical unit.Â
Which assessment findings are characteristic of iron deficiencyÂ
anemia?
You Selected:
• nausea, vomiting, and anorexia
Correct response:
• dyspnea, tachycardia, and pallor