Exam (elaborations)
Nursing Practice Test 2 (1)
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Nursing Practice Test 2 (1)
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Nursing Practice Test 2C.) The stronger leg should advance past the cane. - CORRECT ANSWER-A nurse is reinforcing
teaching with a client who has left-sided weakness and is learning to use a quad cane. Which of
the following instructions should the nurse include?
A.) The cane should be on the left side of the body.
B.) The right leg should move forward with the cane.
C.) The stronger leg should advance past the cane.
D.) The cane length should be equal to the distance between the waist and the floor.
D.) Autonomy - CORRECT ANSWER-A nurse is explaining ethics and values to a newly licensed
nurse. The nurse should explain that allowing a client to make a decision about a treatment is an
example of which of the following ethical principles?
A.) Confidentiality
B.) Nonmaleficence
C.) Accountability
D.) Autonomy
C.) Sodium Chloride - CORRECT ANSWER-A nurse is preparing to perform a wound irrigation for
a client who has a Stage 3 pressure ulcer. Which of the following supplies should the nurse plan to
use?
A.) A bulb syringe
B.) Petroleum jelly
C.) Sodium chloride
D.) Sterile cotton balls
A.) Have an assistive personnel (AP) take the radial pulse simultaneously. - CORRECT
ANSWER-A nurse is checking for a pulse deficit on a client who has a newly detected abnormal
heart rate. Which of the following is an appropriate action by the nurse?
A.) Have an assistive personnel (AP) take the radial pulse simultaneously.
B.) Count the pulse for 30 seconds and multiply by 2.
C.) Assist the client to a side-lying position.
D.) Auscultate the area of the client's chest over the Erb's point of the heart.
C.) "I should have 3 to 4 finger widths between the crutch pad and my armpit." - CORRECT
ANSWER-A nurse is reinforcing teaching with a client who is using crutches. Which of the
following statements by the client indicates an understanding of the teaching?
A.) "I will lean on my crutches so they can support my body weight."
B.) "When going down the stairs, I will first advance my affected leg."
C.) "I should have 3 to 4 finger widths between the crutch pad and my armpit."
D.) "As I walk, I should place the crutches about 12 inches in front of me"
0.8 mL - CORRECT ANSWER-A nurse is caring for a client who has a prescription for enoxaparin
1 mg/kg per dose. The client weighs 77 kg. The vial contains 100 mg/1 mL. How many mL should
the client receive per dose? (Round to the answer to the nearest tenth. Use a leading zero when
applicable. Do not use a trailing zero.)
, D.) The client has redness and warmth in his calf. - CORRECT ANSWER-A nurse is collecting
data from a client. Which of the following findings is the priority for the nurse to report to the
provider?
A.) The client reports a pain level of 7 out of 10.
B.) The client reports increased nausea and chills.
C.) The client has an oral temperature of 39° C (102.2° F).
D.) The client has redness and warmth in his calf.
B.) "I should position the handgrips so that my axillae are supporting my bodyweight." - CORRECT
ANSWER-A nurse is reinforcing teaching with a client who is unable to bear weight on one leg
about the use of crutches. Which of the following statements by the client indicates a need for
further teaching?
A.) "When I go up stairs, I should begin by stepping onto the stair with my unaffected leg."
B.) "I should position the handgrips so that my axillae are supporting my bodyweight."
C.) "When sitting down in a chair, I need to hold both crutches in one hand."
D.) "I need to use a three-point gait when walking with crutches."
B.) Flashing smoke alarm - CORRECT ANSWER-A nurse is assisting in teaching a client who has
hearing loss how to modify his home environment. Which of the following is a priority modification
that the nurse should include in the teaching?
A.) Alarm clock that shakes the bed
B.) Flashing smoke alarm
C.) Low-pitched buzzer doorbell
D.) Telephone with an amplified receiver
D.) BUN 8 mg/dL - CORRECT ANSWER-A nurse is reviewing the medical record of a client who
has heart failure. Which of the following laboratory results indicates fluid volume excess?
A.) Urine specific gravity 1.015
B.) Hematocrit 42%
C.) Urine pH 6.5
D.) BUN 8 mg/dL
A.) Young adults should receive a vaccination for the human papilloma virus (HPV) prior to
becoming sexually active. - CORRECT ANSWER-A nurse is discussing health and wellness with a
group of young adults. Which of the following pieces of information should the nurse include?
A.) Young adults should receive a vaccination for the human papilloma virus (HPV) prior to
becoming sexually active.
B.) Bulimia increases in incidence in young adult women.
C.) Prostate cancer increases in incidence in young adult males.
D.) Young adults should receive a pneumococcal polysaccharide vaccination (PPSV) annually.
B.) Stand with one foot ahead of the other close to the head of the bed. - CORRECT
ANSWER-Two nurses are preparing to reposition a client in bed who is able to provide some
assistance. Which of the following actions should be included?
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