Professional Documents
Culture Documents
1. The nurse is preparing a client for chemotherapy to treat colon cancer. The
client says. “I don’t know about this treatment. After everything is said and
done, it may not do a bit of good. This thing may get me anyway”. Which
response by the nurse would be most therapeutic?
a. “You’re wondering whether you’ve made the right decision about the
treatment”.
b. “Many people beat cancer. You need to keep a positive attitude”
c. Colon cancer can now be cured in many cases. Let’s hope you’ll be one of
the lucky ones”
d. “Everyone with cancer worries, but you have every reason to be hopeful”
3. The nurse is assisting a client with lower motor neuron damage who has
difficulty with urination. The nurse shows the client how to apply gentle
pressure over the lower abdomen to empty the bladder. By what name does
the nurse refer to this procedure?
a. Valsalva’s maneuver
b. Crede’s method
c. Crede’s maneuver
d. Leopold’s maneuver
7. A client scheduled for cardiac catheterization tells the nurse she is nervous
because she has heard of people dying during this procedure. Which
response by the nurse would be best?
a. “I don’t blame you for being nervous. We all worry sometimes”
b. “Don’t worry. You’re in excellent hands”
c. “Why do you feel this way? Do you know someone who had a
problem?”
d. “You sound really upset. Would you like to talk about it?”
9. A client is admitted to the health care facility with active tuberculosis. The
nurse should include which intervention in the care plan?
a. Putting on an individually fitted mask when entering the client’s
room
b. Instructing the client to wear a mask at all times
c. Wearing a gown and gloves when providing direct care
d. Keeping the door to the client’s room open to observe the client
11. When placing an indwelling urinary catheter in a female client, the nurse
should advance the catheter how far into the urethra?
a. 2” (5cm)
b. 6” (15cm)
c. 8” (20cm)
d. ½” (1cm)
12. A drug must enter the bloodstream before it can act within the body. Which
parenteral administration route places a drug directly into the circulation,
requiring absorption?
a. I.M.
b. Subcutaneous (S.C.)
c. Intradermal
d. I.V.
13. A client reports abdominal pain. Which action would aid the nurse’s
investigation of the complaint?
a. Using deep palpation
b. Assessing the painful area last
c. Assessing the painful area first
d. Checking for warmth in the painful area
14. A client with acute renal failure is prescribed regular insulin 10 I.V. along with
50 ml of dextrose 50%. What electrolyte imbalance is this client most likely
experiencing?
a. Hypercalcemia
b. Hypernatremia
c. Hyperglycemia
d. Hyperkalemia
15. When providing oral hygiene for an unconscious client, the nurse must take
which essential action?
a. Swabbing the client’s lips, teeth and gums with lemon glycerin
b. Cleaning the client’s tongue with gloved fingers
c. Placing the client in semi-fowler’s position
d. Placing the client in a side-lying position
17. The nurse must assess skin turgor of an elderly client. When evaluating skin
turgor, the nurse should remember that:
a. Overhydration causes the skin to tent
b. Dehydration causes the skin to appear edematous and spongy
c. Inelastic skin turgor is a normal part of aging
d. Normal skin turgor is moist and boggy.
18. The care plan is revised for a client who has difficulty dealing with a crying
neonate. Which strategy should the new care plan include early in this
mother’s hospital stay?
a. Anger management therapy
b. Proper care of a crying infant
c. Proper methods for dealing with stressful situations such as crying
infants
d. Assessments of the mother’s strengths and weaknesses in
coping mechanisms and the presence or absence of support
systems