1. Nurse Judith Dalingay admitted to the hospital a client after receiving a radium implant for bladder cancer. Nurse
Judith takes which of the following priority actions in the care of this client?
a. Encourages the client to take frequent rest periods
b. Admits the client to a private room
c....
1. Nurse Judith Dalingay admitted to the hospital a client after receiving a radium implant for bladder cancer. Nurse
Judith takes which of the following priority actions in the care of this client?
a. Encourages the client to take frequent rest periods
b. Admits the client to a private room
c. Encourages the family to visit
d. Places the client on reverse isolation
2. A client is to undergo weekly intravesical chemotherapy for bladder cancer for the next 8 weeks. The nurse
interprets that the client understands how to manage the urine as a biohazard if the client states to:
a. Disinfect the urine and toilet with bleach for 6 hours following a treatment
b. Have one bathroom strictly set aside for the client’s use for the next 2 months
c. Purchase extra bottles of scented disinfectant for daily bathroom cleansing
d. Void into a bedpan and then empty the urine into the toilet
3. A male client who is admitted to the hospital for an unrelated medical problem is diagnosed with urethritis
resulting from chlamydial infection. The nursing assistant assigned to the client asks the nurse what measures
are necessary to prevent contraction of the infection during care. The nurse tells the assistant that:
a. Enteric precautions should be instituted for the client
b. Contact isolation should be initiated, since the disease is highly contagious
c. Universal precautions are quite sufficient, since the disease is transmitted sexually
d. Gloves and mask should be used when in the client’s room
4. Mr. Bua-eg is in extreme pain from scrotal swelling that is caused by epididymitis. The nurse administers a
subcutaneous narcotic analgesic in the left arm to relieve the pain. Nurse Leo does which of the following
actions next?
a. Tells the client to do range of motion exercises with the left arm to absorb the medication into the
bloodstream
b. Checks the name bracelet of the client
c. Put the side rails up on bed
d. Dims the lights in the room
5. Kagawad a registered nurse is preparing the bedside for a postoperative parathyroidectomy client. He ensures
that which piece of medical equipment is at the client’s bedside?
a. Underwater seal chest drainage
b. Tracheotomy set
c. Intermittent gastric suction
d. Cardiac monitor
6. A client who is scheduled for gallbladder surgery is mentally impaired and is unable to communicate. With
regards to obtaining permission for the surgical procedure, which nursing intervention would be most
appropriate?
a. Ensure that the family has signed the informed consent
b. Ensure that the client has signed the informed consent
c. Inform the family about the advance directive process
d. Inform the family about the process of a living will
7. A nurse is in the process of giving a client a bed bath. In the middle of the procedure, the unit secretary calls the
nurse on the intercom to tell the nurse that there is an emergency phone call. The most appropriate nursing
action is to:
a. Leave the client’s door open so that client can be monitored and answer the phone call
b. Finish the bath before answering the phone call
c. Immediately walk out off the client’s room and answer the phone call
d. Cover the client, place the call light within reach, and answer the phone call
, 8. A nursing manager is reviewing the purpose for applying restraints with the nursing staff. The nurse manager
tells the staff that which of the following is not an indication for the use of a restraint?
a. To prevent falls
b. To restrict movement of a limb
c. To prevent the client from pulling out IV lines and catheters
d. To prevent the violent client from injuring self and others
9. A nursing assistant is caring for an elderly client with cystitis who has an indwelling urinary catheter. The
registered nurse provides directions regarding care and ensures that the nursing assistant:
a. Uses soap and water to cleanse the perineal area
b. Keeps the drainage bag above the level of the bladder
c. Loops the tubing under the client’s leg
d. Lets the drainage tubing rest under the leg
10. A nurse is assigned to care for a woman with preeclampsia. The nurse plans to initiate which action to provide a
safe environment?
a. Turn off room lights and draw the window shades
b. Maintain fluid and sodium restrictions
c. Take the vital signs every four hours
d. Encourage visits from family and friends for psychosocial support
11. A nurse has given a subcutaneous injection to the client with acquired immunodeficiency syndrome (AIDS). The
nurse disposes of the used needle and syringe by:
a. Placing the uncapped needle and syringe in a labeled, rigid plastic container
b. Recapping the needle and discarding the syringe in the disposal unit
c. Breaking the needle before discarding it
d. Placing the uncapped needle and syringe in a labeled cardboard box
12. A nurse is planning care for a client with acute glomerulonephritis. The nurse instructs the nursing assistant to
do which of the following in the care of the client?
a. Monitor the temperature every two hours
b. Remove the water pitcher from the bedside
c. Ambulate the client frequently
d. Encourage a diet that is high in protein
13. A client with a diagnosis of anorexia nervosa, who is in a state of starvation, is in a two-bed room. A newly
admitted client will be assigned to this client’s room. Which client would be inappropriate to assign to this two-
bed room?
a. A client with pneumonia
b. A client with a fractured leg that is casted
c. A client who can care for self
d. A client who is scheduled for a diagnostic test
14. A nurse is assisting at a code and the physician is going to defibrillate the client. Of the following items, which is
the only one that the nurse does not need to remove from the bedside just before the client is defibrillated?
a. Backboard
b. Oxygen
c. Nitroglycerin patch
d. Ventilator
15. A nurse has an order to get a client out of bed to a chair on the first postoperative day following total knee
replacement (TKR). The nurse plans to do which of the following to protect the knee joint?
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