Practice A

1. A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I

am at an average risk for colon cancer, I should have a routine screening. What does that

involve?" Which of the following responses should the nurse make?

A. "I'll get a blood sample from you and send it for a screening test."

B. "Beginning at age 60, you should have a colonoscopy."

C. "You should have a fecal occult blood test every year."

D. "The recommendation is to have a sigmoidoscopy every 10 years."

C. "You should have a fecal occult blood test every year."

Colorectal cancer screening for clients at average risk begins at age 50. One option for screening is a

fecal occult blood test annually.

2. A nurse is caring for a client who is having difficulty breathing. The client is lying in bed with a nasal

cannula delivering oxygen. Which of the following interventions should the nurse take first?

A. Suction the client's airway

B. Administer a bronchodilator

C.Increase the humidity in the client's room

D. Assist the client to an upright position

D. Assist the client to an upright position

When providing client care, the nurse should first use the least invasive intervention. Therefore, the

nurse should elevate the head of the client's bed to the semi-Fowler's or high Fowler's position to

facilitate maximal chest expansion. Sitting upright improves gas exchange and prevents pressure on

the diaphragm from abdominal organs.

3. A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. Which of

the following actions should the nurse take?

A. Gently shake the container of medication prior to administration

B. Transfer the medication to a medicine cup

C. Place the client in a semi-Fowler's position prior to medication administration

D. Verify the dosage by measuring the liquid before administration

A. Gently shake the container of medication prior to administration

The nurse should gently shake the liquid medication to ensure the medication is mixed.

4. A nurse is planning care to improve self-feeding for a client who has vision loss. Which of the

following interventions should the nurse include in the plan of care?

A. Tell the client which food should should eat first.

B. Provide small-handle utensils for the client.

C. Thicken liquids on the client's tray

D. Use a clock pattern to describe food on the client's plate

D. Use a clock pattern to describe food on the client's plate

Describing the location of the food on the plate by using a clock pattern allows the client to have

greater independence during meals.

5. A nurse is teaching an older adult client who is at risk for osteoporosis about beginning a program of

regular physical activity. Which of the following types of activity should the nurse recommend?

A. Walking briskly

B. Riding a bicycle