1. A nurse is caring for a client who just had a endoscopic procedure. Which
of the following is the monitoring priority for this client?
A) Pain
B) Nausea
C) Gag reflex
D) Level of consciousness:correct answer Gag reflex
2. A nurse is reinforcing discharge teaching for a client who has chronic
pancreatitis. Which of the following statements by the nurse is appropriate?
A) "You should decrease your caloric intake when abdominal pain is present."
B) "You should increase your daily protein intake."
C) "You should increase fat intake when experiencing loose stools."
D) "You should limit alcohol intake to 2-2 drinks per week.": correct
answer "You shouldincrease your daily protein intake."
3. A nurse collects data on a client who returned to the unit four hr ago
following a partial colectomy. Which of the following conditions should the
nurse attend to first?
,A) Change the moderately saturated dressing.
B) Administer analgesic medication for incisional pain.
C) Catheterize for a distended bladder.
D) Cough and deep breathe client.: correct answer Administer analgesic
medication for incisionalpain.
Rationale:
Administer pain medication to establish comfort and then attend to the other reported
condition.
4. A nurse is reinforcing discharge teaching on actions that improve gas
exchange to a client diagnosed with emphysema. Which of the following
instructions should be included in the teaching?
A) Resting in a supine position
B) Elevating arms while performing ADLs
C) Breathing in through the nose and out through pursed lips.
D) Increasing oxygen delivery to 5 L/min during times of distress.: correct
answer Breathingin through the nose and out through pursed lips.
5. A nurse is assessing a client who is African-American and who is jaundice.
,Which of the following areas are the most reliable for the nurse to inspect?
, A) Palms of hands
B) Hard palate
C) Sclera
D) Nail beds: correct answer Hard palate
6. A nurse is reinforcing teaching with a client who has ulcerative colitis and
requires a low fiber diet. The nurse should instruct the client to avoid which of
the following foods?
A) Cooked carrots
B) Dried apricots
C) Ripe bananas
D) White rice: correct answer Dried apricots
7. A nurse is caring for a client who has a large wound that has a vacuum-as-
sisted closure device placed over it. Which of the following findings by the
nurse indicated healing of the wound.
A) Granulation tissue on the surface of the wound
B) Musty odor from the foam dressing upon removal
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