PRACTICE TEST QUESTIONS

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Question Number 1 of 20
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. Pregancy is confirmed by a urine test. What will the nurse calculate as
the estimated date of delivery (EDD)?

The correct response is "D".

A) April 8
B) January 15
C) February 11
D) December 23
Your response was "D".

The correct answer is D: December 23

Naegele''s rule: add 7 days and subtract 3 months from the first day of the last
regular menstrual period to calculate the estimated date of delivery.

Question Number 2 of 20
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?

The correct response is "B".

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
Your response was "B".

The correct answer is B: Epiphyseal fractures often interrupt a child''s normal

growth pattern

The epiphyseal plate in children is where active bone growth occurs. Damage to
this area may cause growth arrest in either longitudinal growth of the limb or in
progressive deformity if the plate is involved. An epiphyseal fracture is serious
because it can interrupt and alter growth

Question Number 3 of 20
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?

The correct response is "A".

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
Your response was "D".

The correct answer is A: Noncompliance related to medication side effects

Question Number 4 of 20
The nurse is planning care for an 18 month-old child. Which action should be
included in the child's care?

The correct response is "B".

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
Your response was "B".

The correct answer is B: Encourage the child to feed himself finger food

According to Erikson, the toddler is in the stage of autonomy versus shame and
doubt. The nurse should encourage increasingly independent activities of daily
living that allow the toddler to assert his budding sense of control.

sease process

Question Number 5 of 20
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 bestreality orientation for this client?

The correct response is "D".

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."
Your response was "D".
The correct answer is D: "Good morning. You’re in the hospital. I am your nurse
Elaine Jones."

As cognitive ability declines, the nurse provides a calm, predictable environment

for the client. This response establishes time, location and the caregivers name.

Question Number 6 of 20
The nurse has been teaching adult clients about cardiac risks when they visit the
hypertension clinic. Which form of evaluation would best measure learning?

The correct response is "D".

A) Performance on written tests
B) Responses to verbal questions
C) Completion of a mailed survey
D) Reported behavioral changes
Your response was "B".

The correct answer is D: Reported behavioral changes

If the client alters behaviors such as smoking, drinking alcohol, and stress
management, these suggest that learning has occurred. Additionally, physical
assessments and lab data may confirm risk reduction.

Question Number 7 of 20
When teaching a 10 year-old child about their impending heart surgery, which
form of explaination meets the developmental needs of this age child?

The correct response is "D".

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
Your response was "C".

The correct answer is D: Explain the surgery using a model of the heart

According to Piaget, the school age child is in the concrete operations stage of
cognitive development. Using something concrete, like a model will help the child
understand the explanation of the heart surgery.

Question Number 8 of 20
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?

The correct response is "C".

 A) Discharge the client from home health care related to noncompliance
Notify the health care provider of the client's failure to follow prescribed
B)
diet
C) Discuss diet with the client to learn the reasons for not following the diet
D) Make a referral to Meals-on-Wheels
Your response was "C".

The correct answer is C: Discuss diet with client to learn the reasons for not
following the diet

When new problems are identified, it is important for the nurse to collect accurate
assessment data. Before reporting findings to the health care provider, it is best
to have a complete understanding of the client''s behavior and feelings as a basis
for future teaching and intervention.

Question Number 9 of 20
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?

The correct response is "A".

A) Formula or breast milk
B) Dilute nonfat dry milk
C) Warmed fruit juice
D) Fluoridated tap water
Your response was "A".

The correct answer is A: Formula or breast milk

Formula or breast milk are the perfect food and source of nutrients and liquids up
until 1 year.

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Question Number 10 of 20
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?

The correct response is "D".

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
Your response was "D".

The correct answer is D: Accept their feelings without judgment

Parents often blame themselves for their child''s illness. Feeling helpless and
angry is normal and these feelings must be accepted

Question Number 11 of 20
An appropriate goal for a client with anxiety would be to

The correct response is "C".

A) Ventilate anxious feelings to the nurse
B) Establish contact with reality
C) Learn self-help techniques
D) Become desensitized to past trauma
Your response was "B".

The correct answer is C: Learn self-help techniques

Exploring alternative coping mechanisms will decrease present anxiety to a

manageable level. Assisting the client to learn self-help techniques will assist in
learning to cope with anxiety

Question Number 12 of 20
When teaching effective stress management techniques to a client 1 hour before
surgery, which of the following should the nurse recommend?

The correct response is "B".

A) Biofeedback
B) Deep breathing
C) Distraction
D) Imagery
Your response was "C".

The correct answer is B: Deep breathing

Deep breathing is a reliable and valid method for reducing stress, and can be
taught and reinforced in a short period pre-operatively.

Question Number 13 of 20
When screening children for scoliosis, at what time of development would the
nurse expect early signs to appear?

The correct response is "D".

A) Prenatally on ultrasound
 B) In early infancy
C) When the child begins to bear weight
D) During the preadolescent growth spurt
Your response was "A".

The correct answer is D: During the preadolescent growth spurt

Idiopathic scoliosis is seldom apparent before 10 years of age and is most

noticeable at the beginning of the preadolescent growth spurt. It is more common
in females than in males

Question Number 14 of 20
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?

The correct response is "D".

Explain to the client that the dentures must come out as they may get lost
A)
or broken in the 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
Ask the client if the preference would be to remove the dentures in the
D)
operating room receiving area
Your response was "A".

The correct answer is D: Ask the client if the preference would be to remove the
dentures in the operating room receiving area

Clients anticipating surgery may experience a variety of fears. This choice allows
the client control over the situation and fosters the client''s sense of self-esteem
and self-concept.

Question Number 15 of 20
When observing 4 year-old children playing in the hospital playroom, what
activity would the nurse expect to see the children participating in?

The correct response is "D".

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
Your response was "D".

The correct answer is D: Playing cooperatively with other preschoolers

Cooperative play is typical of the preschool period

Question Number 16 of 20
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?

The correct response is "B".

A) Measure the length of the mass
B) Auscultate the mass
C) Percuss the mass
D) Palpate the mass
Your response was "D".

The correct answer is B: Auscultate the mass

Auscultation of the abdomen and finding a bruit will confirm the presence of an
abdominal aneurysm and will form the basis of information given to the health
care provider. The mass should not be palpated because of the risk of rupture.

Question Number 17 of 20
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?

The correct response is "C".

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 don't you want to take your medicine?"
"Do you understand the consequences of refusing your prescribed
D)
treatment?"
Your response was "C".

The correct answer is C: "Is there a reason why don''t you want to take your
medicine?"

When a new problem is identified, it is important for the nurse to collect accurate
assessment data. This is crucial to ensure that client needs are adequately
identified in order to select the best nursing care approaches. The nurse should
try to discover the reason for the refusal which may be that the client has
developed untoward side effects

Question Number 18 of 20
A client states, "People think I’m no good, you know what I mean?" Which of
these responses would be most therapeutic?
The correct response is "C".
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."
"Let's discuss this to see the reasons to create this impression on
D)
people?"
Your response was "C".

The correct answer is C: "I’m not sure what you mean. Tell me a bit more about
that."

Therapeutic communication technique that elicits more information is delivered in

an open non-judgmental fashion.

Question Number 19 of 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

The correct response is "A".

Such fantasies can gratify unconscious wishes or prepare for anticipated
A)
future events
B) Detaching or dissociating in this way postpones painful feelings
This conversion or transferring of a mental conflict to a physical symptom
C)
can lead to marital conflict
To isolate the feelings in this way reduces conflict within the client and
D)
with others
Your response was "D".

The correct answer is A: Such fantasies can gratify unconscious wishes or

prepare for anticipated future events

Fantasy is imagined events (daydreaming) to express unconscious conflicts or

gratifying unconscious wishes.

Question Number 20 of 20
The nurse is assessing a 4 month-old infant. Which motor skill would the nurse
anticipate finding?

The correct response is "A".

A) Hold a rattle
B) Bang two blocks
C) Drink from a cup
D) Wave "bye-bye"
Your response was "D".

The correct answer is A: Hold a rattle

The age at which a baby will develop the skill of grasping a toy with help is 4 to 6
months.