1. A Nurse is contributing to the plan care of a care to promote a restful night’s sleep for a client who has
Alzheimer’s disease. Which of the following interventions should the nurse include in the plan?
Encourage stimulating activities after dinner
Encourage a late afternoon nap
Offer a small snack at bedtime
Offer hot chocolate at bedtime
2. A nurse if reinforcing teaching with a client who has chronic kidney disease about disease management. Which
of the following statements by the client indicates an understanding of the teaching?
I will add a banana to my morning cereal
I will decrease my intake of carbohydrates
I will limit my daily intake of protein
I will season my food with a salt substitute
3. A nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which of the following
findings should the nurse report to the provider?
Absent gag reflex
Blood tinged mucus
Diminished breath sounds
Oxygen saturation 95%
4. A nurse is caring for a client who begins to have a seizure while ambulating in the hall. Identify the sequence of
actions the nurse should follow. (Move the steps the nurse should take into the box on the right placing them in
order of performance. Use all the steps.
Lower the client to the floor
Place a pad beneath the client’s head
Loose the clothing around the client’s neck
Time the length of the client’s seizure
Reorient and reassure the client
5. A nurse is reinforcing teaching with a client who has a new diagnosis of genital herpers. Which of the following
information should the nurse include in the teaching?
Use condoms when lesions are present
Look for lesions that have a wart-like appearance
The virus can be transmitted without lesions present
The lesion resolves in 2 weeks and usually do not recur
6. A nurse is planning care for a group of clients after receiving change-of-shift report. Which of the following
clients should the nurse plan to see first?
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