Category Archives: 104

Health Promotion and Maintenance Q 61

Nurse Evangeline teaches an elderly client how to use a standard aluminum walker. Which of the following behaviors, if demonstrated by the client, indicates that the nurse’s teaching was effective?         A. The client slowly pushes the walker forward 12 inches, then takes small steps forward while leaning on the walker.      B. The client… Read More »

Health Promotion and Maintenance Q 62

The clinic nurse asks a 13-year-old female to bend forward at the waist with arms hanging freely. Which of the following assessments is the nurse most likely conducting?         A. Spinal flexibility      B. Leg length disparity      C. Hypostatic blood pressure      D. Scoliosis           Correct Answer: D. Scoliosis. A check for scoliosis,… Read More »

Health Promotion and Maintenance Q 63

A 55-year old client underwent cataract removal with intraocular lens implant. Nurse Oliver is giving the client discharge instructions. These instructions should include which of the following?         A. Avoid lifting objects weighing more than 5 lb (2.25 kg)      B. Lie on your abdomen when in bed      C. Keep rooms brightly lit   … Read More »

Health Promotion and Maintenance Q 64

Nurse Derek is supervising a group of elderly clients in a residential home setting. The nurse knows that the elderly are at greater risk of developing sensory deprivation for what reason?         A. Increased sensitivity to the side effects of medications.      B. Decreased visual, auditory, and gustatory abilities.      C. Isolation from their families… Read More »

Health Promotion and Maintenance Q 65

A nurse is counseling the mother of a newborn infant with hyperbilirubinemia. Which of the following instructions by the nurse is not correct?         A. Continue to breastfeed frequently, at least every 2-4 hours.      B. Follow up with the infant’s physician within 72 hours of discharge for a recheck of the serum bilirubin and… Read More »

Health Promotion and Maintenance Q 66

Nurse Maureen is aware that a client who has been diagnosed with chronic renal failure recognizes an adequate amount of high-biological-value protein when the food the client selected from the menu was:         A. Raw carrots      B. Apple juice      C. Whole wheat bread      D. Cottage cheese           Correct Answer:… Read More »

Health Promotion and Maintenance Q 67

The nurse is providing information to a client with multiple sclerosis on performing exercises and physical activities. The nurse determines the client needs additional teaching if the client makes which statements? Select all that apply.         A. “I can lift weights and do resistance training.”      B. “I should exercise to the point of exhaustion.”      C. “I… Read More »

Health Promotion and Maintenance Q 68

George should be taught about testicular examinations during:         A. When a sexual activity starts      B. After age 69      C. After age 40      D. Before age 20           Correct Answer: D. Before age 20 Testicular cancer commonly occurs in men between ages 20 and 30. A male client should… Read More »

Health Promotion and Maintenance Q 69

Which of the following techniques is correct for obtaining a wound culture specimen from a surgical site?         A. Thoroughly irrigate the wound before collecting the specimen.      B. Use a sterile swab and wipe the crusty area around the outside of the wound.      C. Gently roll a sterile swab from the center of… Read More »

Health Promotion and Maintenance Q 70

A newly diagnosed 8-year-old child with type I diabetes mellitus and his mother are receiving diabetes education prior to discharge. The physician has prescribed Glucagon for emergency use. The mother asks the purpose of this medication. Which of the following statements by the nurse is correct?         A. Glucagon enhances the effect of insulin in… Read More »