The client is being prescribed alendronate (Fosamax) to slow the progression of her osteoporosis. You know she will need more patient teaching when she says:
A. "I should take this medication early in the morning." B. "I should not lie down for 1 hour after taking this medication." C. "I should dr...
NUR 233 Quiz Questions and Correct
Answers
The client is being prescribed alendronate (Fosamax) to slow the progression of her
osteoporosis. You know she will need more patient teaching when she says:
A. "I should take this medication early in the morning."
B. "I should not lie down for 1 hour after taking this medication."
C. "I should drink a full glass of water after taking this medication."
D. "Now that I am taking this medication, I will not need to take vitamin D with my
calcium supplement." ✅D. "Now that I am taking this medication, I will not need to take
vitamin D with my calcium supplement."
The nurse is working on an orthopedic floor. Which client should the nurse assess first
after the change-of-shift report?
A. The 84-year-old female with a fractured right femoral neck in Buck's traction.
B. The 64-year-old female with a left total knee replacement who has confusion.
C. The 88-year-old male post-right total hip replacement with an abduction pillow.
D. The 50-year-old postop client with a continuous passive motion (CPM) device. ✅B.
The 64-year-old female with a left total knee replacement who has confusion.
The nurse is discharging a patient who had a total hip replacement. Which statement
indicates that further teaching is needed?
A. "I should not cross my legs because my hip may come out of the socket."
B. "I will call my health care provider if I have a sudden increase in pain."
C. "I will sit in a chair with arms and a firm seat."
D. "After three (3) weeks I do not have to worry about infections." ✅D. "After three (3)
weeks I do not have to worry about infections."
Which intervention is an example of secondary prevention when discussing
osteoporosis?
A. Obtain a bone density evaluation test.
B. Perform non-weight-bearing exercises regularly.
C. Increase intake of dietary calcium.
D. Refer clients to a smoking cessation program ✅A. Obtain a bone density
evaluation test.
The nurse is caring for the following clients. After receiving shift report, which client
should the nurse assess first?
A. The client with a total knee replacement that is complaining of a cold foot.
,B. The client diagnosed with osteoarthritis that is complaining of stiff joints.
C. The client who needs to receive a scheduled antibiotic.
D. The client diagnosed with back pain who is scheduled for a lumbar myelogram ✅A.
The client with a total knee replacement that is complaining of a cold foot.
Which client goal is most appropriate for a client diagnosed with osteoarthritis?
A. Perform passive range-of-motion exercises
B. Maintain optimal functional ability
C. Client will walk three (3) miles
D. Client will join a health club ✅B. Maintain optimal functional ability
The client tells the nurse, "Every time I come in the hospital you hand me one of these
advance directives (AD). Why should I fill one of these out?" Which statement by the
nurse is most appropriate?
A. "You must fill out this form because Medicare laws require it."
B. "An AD lets you participate in decisions about your health care."
C. "This paper will ensure no one can override your decisions."
D. "It is part of the hospital admission packet and I have to give it to you." ✅B. An AD
lets you participate in decisions about your health care."
The spouse of a client dying from lung cancer states, "I don't understand this death
rattle. She has not had anything to drink in days. Where is the fluid coming from?"
Which is the hospice care nurse's best response?
A. "The body produces about two (2) teaspoons of fluid every minute on its own."
B. "Are you sure someone is not putting ice chips in her mouth?"
C. "There is no reason for this, but it does happen from time to time."
D. "I can administer a patch to her skin to dry up the secretions if you wish." ✅A. The
body produces about two (2) teaspoons of fluid every minute on its own."
The nurse is discussing placing the client diagnosed with chronic obstructive pulmonary
disease (COPD) in hospice care. Which prognosis must be determined to place the
client in hospice care?
A. The client is doing well but could benefit from the added care by hospice.
B. The client has a life expectancy of six (6) months or less.
C. The client will live for about one (1) to two (2) more years.
D. The client has about eight (8) weeks to live and needs pain control. ✅B. The client
has a life expectancy of six (6) months or less.
The client is on the ventilator and has been declared brain dead. The spouse refuses to
allow the ventilator to be discontinued. Which collaborative action by the nurse is most
appropriate?
, A. Discuss referral of the case to the ethics committee.
B. Pull the plug when the spouse is not in the room.
C. Ask the HCP to discuss the futile situation with the spouse.
D. Inform the spouse what is happening is cruel. ✅A. Discuss referral of the case to
the ethics committee.
The client who is terminally ill called the significant others to the room and said good-
bye, then dismissed them and now lies quietly and refuses to eat. The nurse
understands the client is in what stage of the grieving process?
A. Denial.
B. Anger.
C. Bargaining.
D. Acceptance. ✅D. Acceptance
The client is diagnosed with glaucoma. Which symptom should the nurse expect the
client to report?
A. Loss of peripheral vision.
B. Floating spots in the vision.
C. A yellow haze around everything.
D. A curtain coming across vision. ✅A. Loss of peripheral vision.
The client is scheduled for right-eye cataract removal surgery in five (5) days. Which
preoperative instruction should be discussed with the client?
A. Administer dilating drops to both eyes for 72 hours prior to surgery.
B. Prior to surgery do not lift or push any objects heavier than 15 pounds.
C. Make arrangements for being in the hospital for at least three (3) days.
D. Avoid taking any type of medication which may cause bleeding, such as aspirin.
✅D. Avoid taking any type of medication which may cause bleeding, such as aspirin.
The client is scheduled for laser-assisted in situ keratomileusis (LASIK) surgery for
severe myopia. Which instruction should the nurse discuss prior to the client's discharge
from day surgery?
A. Wear bilateral eye patches for three (3) days.
B. Wear corrective lenses until the follow-up visit.
C. Do not read any material for at least one (1) week.
D. Teach the client how to instill corticosteroid ophthalmic drops. ✅D. Teach the client
how to instill corticosteroid ophthalmic drops.
The nurse caring for a client diagnosed with Parkinson's disease writes a problem of
"impaired nutrition." Which nursing intervention would be included in the plan of care?
A. Consult the occupational therapist for adaptive appliances for eating.
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