Question

A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, “I don’t know what I will do if they find I have cancer.” Which of the following responses should the nurse make?

Answer 1

Correct Answers:

I’m hearing that you are concerned that it might turn out that you have cancer.

Rationale :

🔷 This response uses therapeutic communication by reflecting the client’s concern, showing empathy.

🔷 It helps the client verbalize fears without invalidating or dismissing them.

🔷 Encouraging expression builds trust and nurse-client rapport.

🔷 Avoids giving false reassurance or challenging the client’s emotions.

🔷 Sets a foundation for further support or clarification from the provider.

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Answer 2

Correct Answers:

I should eat more bananas while taking this medication.

Rationale :

🔶 Prednisone, a corticosteroid, causes potassium loss—bananas help replace it.

🔶 Clients should consume potassium-rich foods (e.g., bananas, oranges).

🔶 Taking prednisone also increases the risk for hyperglycemia and infection.

🔶 Avoid live vaccines while on immunosuppressants.

🔶 Sore throat may indicate infection and should be reported.

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Answer 3

Correct Answers:

Unlike chickenpox, the vesicles of smallpox are more abundant on the face.

Rationale :

🟣 Smallpox lesions are more concentrated on the face and extremities, unlike chickenpox.

🟣 All lesions in smallpox are in the same stage, not various stages like chickenpox.

🟣 There are no current cases; smallpox was eradicated.

🟣 Vaccination does not provide lifelong immunity; boosters may be needed post-exposure.

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Answer 4

Correct Answers:

Lisinopril
Furosemide
Doxazosin

Rationale :

🟢 These medications can cause orthostatic hypotension due to vasodilation or diuresis.

🟢 Lisinopril – an ACE inhibitor, causes peripheral vasodilation.

🟢 Furosemide – a loop diuretic, causes fluid loss and hypotension.

🟢 Doxazosin – an alpha blocker, lowers BP by vasodilation.

🟢 Clopidogrel (antiplatelet) and atorvastatin (lipid-lowering) do not typically affect BP.

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Answer 5

Correct Answers:

Hyperpigmentation

Rationale :

🔴 Addison’s disease causes increased ACTH, leading to bronzing of the skin.

🔴 Common areas: knuckles, gums, scars, and creases.

🔴 Other signs: hypotension, fatigue, weight loss.

🔴 It’s a hallmark feature due to adrenal insufficiency.

🔴 Hirsutism and striae are more linked to Cushing’s syndrome.

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Answer 6

Correct Answers:

It is a good idea to use the handrails in the bathroom.

Rationale :

🟡 Using assistive devices like handrails reduces fall risk in older adults.

🟡 Throw rugs and long cords are tripping hazards.

🟡 Chairs with armrests are safer to get in and out of.

🟡 Prevention focuses on environmental safety and mobility aids.

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Answer 7

Correct Answers:

I should eat a snack half an hour before playing soccer.

Rationale :

🔵 Activity increases glucose use, so snacks prevent hypoglycemia.

🔵 Sick days still require insulin adjustments, not skipping doses.

🔵 Insulin should not be frozen; unopened bottles should be refrigerated.

🔵 Morning glucose targets: 90–130 mg/dL, depending on age.

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Answer 8

Correct Answers:

The nurse should not expel the air bubble in the prefilled syringe.

Rationale :

🟣 Enoxaparin (Lovenox) is administered subcutaneously, usually into the abdomen.

🟣 The air bubble in the prefilled syringe prevents leakage and ensures full dose.

🟣 Do not aspirate or massage the site.

🟣 Angle: 90° for standard body size, 45° for thin clients.

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Answer 9

Correct Answers:

Rocking an infant who was admitted for croup.

Rationale :

🟢 Croup is respiratory and contagious, not appropriate for volunteers.

🟢 Volunteers may assist with non-invasive, non-risk tasks, like reading or transporting stable clients.

🟢 Infants and clients on precautions require trained clinical staff.

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Answer 10

Correct Answers:

Dextrose 10% in water

Rationale :

🔶 If TPN is delayed, D10W prevents hypoglycemia by maintaining glucose levels.

🔶 TPN is hypertonic—D10W is the best temporary substitute.

🔶 D5W and NS do not meet caloric needs.

🔶 Lactated Ringer’s lacks glucose and may shift electrolytes unfavorably.

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QLexNursing

1 :
A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, “I don’t know what I will do if they find I have cancer.” Which of the following responses should the nurse make?

2 :
A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?

3 :
A public health nurse is teaching a group of nurses about smallpox. Which of the following statements by one of the nurses indicates an understanding of the teaching?

4 :
A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension? (Select all that apply)

5 :
A nurse is assessing a client who is admitted for elective surgery and has a history of Addison’s disease. Which of the following findings should the nurse expect?

6 :
A nurse is presenting a class about fall prevention to a group of assisted-living residents. Which of the following statements by a resident best indicates an understanding of the teaching?

7 :
A nurse is providing teaching to a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching?

8 :
A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse plan to take?

9 :
A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?

10 :
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The pharmacy is delayed in supplying the client’s next container of TPN. Which of the following fluids should the nurse infuse until the next container arrives?

QLexNursing

1 : A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, “I don’t know what I will do if they find I have cancer.” Which of the following responses should the nurse make?

2 : A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?

3 : A public health nurse is teaching a group of nurses about smallpox. Which of the following statements by one of the nurses indicates an understanding of the teaching?

4 : A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension? (Select all that apply)

5 : A nurse is assessing a client who is admitted for elective surgery and has a history of Addison’s disease. Which of the following findings should the nurse expect?

6 : A nurse is presenting a class about fall prevention to a group of assisted-living residents. Which of the following statements by a resident best indicates an understanding of the teaching?

7 : A nurse is providing teaching to a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching?

8 : A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse plan to take?

9 : A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?

10 : A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The pharmacy is delayed in supplying the client’s next container of TPN. Which of the following fluids should the nurse infuse until the next container arrives?

1 :
A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, “I don’t know what I will do if they find I have cancer.” Which of the following responses should the nurse make?

2 :
A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?

3 :
A public health nurse is teaching a group of nurses about smallpox. Which of the following statements by one of the nurses indicates an understanding of the teaching?

4 :
A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension? (Select all that apply)

5 :
A nurse is assessing a client who is admitted for elective surgery and has a history of Addison’s disease. Which of the following findings should the nurse expect?

6 :
A nurse is presenting a class about fall prevention to a group of assisted-living residents. Which of the following statements by a resident best indicates an understanding of the teaching?

7 :
A nurse is providing teaching to a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching?

8 :
A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse plan to take?

9 :
A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?

10 :
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The pharmacy is delayed in supplying the client’s next container of TPN. Which of the following fluids should the nurse infuse until the next container arrives?