1. A nurse is reinforcing information with a client who wishes to complete their
advance directives. Which of the following statements should the nurse make?
You will decline to have certain medical procedures performed in your living will
2. A nurse is reinforcing with a client who is premenopausal. Which of the
following statements by the client indicates understanding of the teaching?
I might have headaches due to a decline in my estrogen levels
3. A nurse in a provider's office is calculating a client's BMI. Which of the following
pieces of the client data should the nurse use as a part of the calculation?
height
4. A nurse is reinforcing teaching with a client about the use of a peak flow meter.
Which of the following actions should the nurse make first?
Determine the client's knowledge of the use of the peak flow meter
5. A nurse is collecting data about a client's oral care. The client wears dentures
and reports having mouth sores. The nurse should identify which of the following
oral care practices by the client as a possible cause of the mouth sores?
Wears dentures while sleeping at night
6. A nurse is preparing to administer medication from an ampule. Which of the
following is an appropriate action for the nurse to make?
Use a filter needle to aspirate the medication
7. A nurse on a medical-surgical unit is caring for a group of clients. Which of the
following findings should the nurse identify as a safety hazard?
, An assistive personnel raises all four side rails of a client's bed before leaving the
room
8. A nurse is caring for a client who is 2 days postoperative following a below-the-
knee amputation. Which of the following statements by the client should the
nurse identify as indicating an acceptance of the limb loss?
"I need to learn how to perform a dressing change on my leg"
9. A nurse on a medical-surgical unit is collecting data from a client who is
postoperative following abdominal surgery. The client's BP was 126/72 mmHg 15
minutes ago. The nurse now finds that the client's BP is 176/96 mmHg. Which of
the following actions should the nurse make?
Measure the client's BP in the other arm
10. A nurse is assisting with the admission of a client who has streptococcal
pharyngitis. Which of the following precautions should the nurse make?
Wear a surgical mask when giving the client direct care
11. A nurse is caring for a client who has dyspnea with an oxygen saturation of
88%. Which of the following images indicate the type of face mask the nurse
should use to deliver the client of 90% oxygen concentration?
Partial rebreather mask (high-flow system)
12. A nurse working in a rehabilitation unit is caring for a client who has dysphasia
and has difficulty swallowing during meals. Which of the following actions should
the nurse take to prevent the client from aspiration while eating?
Add liquid to foods to thin consistency
13. A nurse in a provider's office performs a fecal occult blood test with a positive
result on a client. Which of the following clients may have a false positive result?
A client who takes on iron supplement
14. A nurse is caring for a client who is flushed and has a temperature of 38.7C
(101.7F). Which of the following actions should the nurse take?
Remove blankets from the client
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