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Question 1 of 20

1. Question

A client with laryngeal cancer is being discharged home after a total laryngectomy. The nurse is providing education about general postoperative care and precautions.

> Which teaching points should be included? Select all that apply.

1. Limit fluid intake to decrease the volume of respiratory secretions
Correct Incorrect Correct answer

2. Wear a medical identification bracelet signifying history of laryngectomy
Correct Incorrect Correct answer

3. Use a dehumidifier to maintain a dry home environment
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4. Use a filtering system or cover to protect the stoma
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5. Limit interaction with individuals who are ill
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6. Do not submerge the stoma and minimize its exposure to water
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Correct / 4 Points

Incorrect / 4 Points
Question 2 of 20

2. Question

The nurse is caring for a comatose client and is creating a plan of care to prevent constipation.

> Success of the client’s bowel care plan is best measured by the effectiveness of which stimulation method?

1. Oil-retention enema
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2. Rectal glycerin suppository
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3. Manual removal of stool
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4. Stimulant laxative via PEG tube
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Correct

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Question 3 of 20

3. Question

A nurse is caring for a client who has left homonymous hemianopsia secondary to a traumatic brain injury.

> Which intervention promotes client safety and compensation/adaptation for vision loss?

1. Patch the right eye when ambulating
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2. Place frequently used items on the client’s left side
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3. Educate client to consciously turn the head toward the affected side to scan the environment
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4. Decrease lighting in the room to reduce glare
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Correct

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Question 4 of 20

4. Question

The nurse is providing dietary guidance for a client with history of recurrent urinary tract infections (UTIs).

>Which fluid is most appropriate to reduce risk of a future UTI?

1. Fizzy soft drinks
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2. Plain water
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3. Black tea
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4. Citrus juices (orange, lemon, etc.)
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Correct

Incorrect
Question 5 of 20

5. Question

A pregnant client with chronic cardiac disease is reviewing dietary recommendations with the nurse.

> Which statement by the client indicates appropriate understanding?

1. “I should cut back on fluids so my heart does not have to work as hard.”
Correct Incorrect Correct answer

2. “I need to add more salty foods to keep my energy levels up.”
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3. “I will include more fiber and drink enough water to avoid constipation.”
Correct Incorrect Correct answer

4. “I plan to limit weight gain by eating fewer calories each day.”
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Correct

Incorrect
Question 6 of 20

6. Question

An infant is returning from the post anesthesia care unit after repair of a left-sided cleft lip. The nurse is preparing to position the infant safely.

> Which position should the nurse use immediately after surgery?

1. Prone with the head flat
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2. Supine with the head flat
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3. On the right side
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4. On the left side
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Correct

Incorrect
Question 7 of 20

7. Question

A nurse is planning therapeutic activities for a client with bipolar disorder who is currently displaying irritability and aggressive tendencies.

> Which activity is most appropriate for the client?

1. Competitive card games
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2. Structured journaling
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3. Team-based sports
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4. Group art activities
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Correct

Incorrect
Question 8 of 20

8. Question

A client diagnosed with acute pharyngitis asks the clinic nurse for guidance on dietary choices to reduce throat discomfort.

> Which instruction should the nurse provide?

1. Choose bland foods that are mild.
Correct Incorrect Correct answer

2. Increase intake of spicy soups to help clear congestion.
Correct Incorrect Correct answer

3. Limit total daily fluids to reduce throat secretions.
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4. Drink hot beverages frequently to soothe the throat.
Correct Incorrect Correct answer

Correct

Incorrect
Question 9 of 20

9. Question

The nurse reads in the provider’s progress notes that a client has approximately 600 mL of insensible fluid loss daily.

> The nurse understands that insensible losses occur through which route?

1. Urine
Correct Incorrect Correct answer

2. Wound drainage
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3. Evaporation through skin and lungs
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4. Stool output
Correct Incorrect Correct answer

Correct

Incorrect
Question 10 of 20

10. Question

A postpartum client diagnosed with mastitis is reviewing self-care instructions.

> Which statement indicates a need for further teaching?

1. “Wearing a supportive bra should help ease some discomfort.”
Correct Incorrect Correct answer

2. “I should stop breast-feeding until the infection has completely healed.”
Correct Incorrect Correct answer

3. “I can take pain medicine to help with the soreness.”
Correct Incorrect Correct answer

4. “The antibiotics should help me feel better within a day or two.”
Correct Incorrect Correct answer

Correct

Incorrect
Question 11 of 20

11. Question

The nurse reviews discharge instructions with parents of a toddler recovering from orchiopexy for cryptorchidism.

> Which statement by the parents indicates a need for further teaching?

1. “We will check his temperature to watch for infection.”
Correct Incorrect Correct answer

2. “We will give his pain medicine so he can stay comfortable.”
Correct Incorrect Correct answer

3. “We will make sure he is urinating normally after surgery.”
Correct Incorrect Correct answer

4. “We will let him choose when he wants to go back to climbing and playing.”
Correct Incorrect Correct answer

Correct

Incorrect
Question 12 of 20

12. Question

A parent of a child with cancer asks the nurse why radiation therapy has not been recommended in the treatment plan.

> Which response by the nurse is most appropriate?

1. “Radiation is very expensive, and chemotherapy works well on its own.”
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2. “I am not sure why. You should ask your provider for clarification.”
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3. “Radiation is often delayed in young children because their bones and soft tissues are still developing.”
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4. “Your provider prefers that treatment decisions be discussed only with the oncology team.”
Correct Incorrect Correct answer

Correct

Incorrect
Question 13 of 20

13. Question

A client recovering from an acute flare of Ménière’s disease receives discharge teaching regarding dietary management.

> Which client statement indicates correct understanding?

1. “I will limit my sugar intake to reduce future attacks.”
Correct Incorrect Correct answer

2. “I should drink more fluids to keep the inner ear hydrated.”
Correct Incorrect Correct answer

3. “I’ll follow a low-fat diet to help prevent symptoms.”
Correct Incorrect Correct answer

4. “I need to choose foods that are low in sodium.”
Correct Incorrect Correct answer

Correct

Incorrect
Question 14 of 20

14. Question

A client with acute cholecystitis receives dietary teaching about reducing gallbladder stimulation.

> Which food choice by the client indicates correct understanding?

1. Fried pork chops
Correct Incorrect Correct answer

2. Cream-based soup
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3. Baked salmon
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4. Whipped cream on fruit
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Correct

Incorrect
Question 15 of 20

15. Question

A nurse reviews dietary guidance for a child newly diagnosed with Hirschsprung’s disease. The parent asks, “What kind of diet will help my child stay healthy until surgery?”

> Which diet would the nurse expect the provider to prescribe?

1. Clear liquid diet
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2. Low-calorie diet
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3. High-calorie, high-protein diet
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4. Diet low in fruits and vegetables
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Correct

Incorrect
Question 16 of 20

16. Question

A labor nurse notes that a client in the second stage of labor has been pushing effectively for one hour and is becoming visibly fatigued.

> What is the client’s primary physiological need at this time?

1. Ambulation to promote progress
Correct Incorrect Correct answer

2. Frequent position changes
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3. Oral intake of food and fluids
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4. Rest between contractions
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Correct

Incorrect
Question 17 of 20

17. Question

A nurse teaches a client with trigeminal neuralgia strategies to reduce painful episodes.

> Which instruction should the nurse include?

1. Limit physical activity to prevent fatigue.
Correct Incorrect Correct answer

2. Avoid activities that place pressure on the face.
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3. Avoid emotionally stressful situations whenever possible
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4. Avoid close contact with individuals who are ill.
Correct Incorrect Correct answer

Correct

Incorrect
Question 18 of 20

18. Question

> A nurse assists a respiratory therapist in positioning a client for postural drainage. An assistive personnel asks how the therapist determines which positions to use.

> What is the nurse’s best explanation?

1. Positions are chosen to help secretions move out of the alveoli.
Correct Incorrect Correct answer

2. Positions are selected to allow gravity to drain specific lung lobes.
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3. Positions help move secretions directly into the trachea.
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4. Positions are based on clearing the main bronchi first.
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Correct

Incorrect
Question 19 of 20

19. Question

A nurse reinforces dietary teaching with the parent of a child newly diagnosed with celiac disease.

> Which food choice by the parent indicates correct understanding of the dietary restrictions?

1. Brown rice
Correct Incorrect Correct answer

2. Whole wheat toast
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3. Barley soup
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4. Oat-based granola
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Correct

Incorrect
Question 20 of 20

20. Question

A nurse provides discharge teaching to a client newly diagnosed with Crohn’s disease regarding dietary management during flare-ups.

> Which statement by the client indicates a need for further teaching?

1. “I may need to avoid coffee and other caffeinated drinks.”
Correct Incorrect Correct answer

2. “Learning stress-management strategies may help my symptoms.”
Correct Incorrect Correct answer

3. “This condition often has periods of flare-ups and remission.”
Correct Incorrect Correct answer

4. “I should increase fiber intake to improve bowel function.”
Correct Incorrect Correct answer

Correct

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