1. A nurse is providing teaching to a client who has a new med prescription. Which of the

following manifestations of a mild allergic reaction should the nurse include?

a. Ptosis

b. Hematuria

c. Urticaria

d. Nausea

2. A nurse is providing teaching to a client who has diabetes mellitus about performing a

capillary blood glucose test. Which of hte following instructions should the nurse include in the

teaching?

a. Don sterile gloves prior to puncturing the site

b. Puncture site after cleansing and before antiseptic dries.

c. Gently squeeze the puncture site until a large droplet of blood forms

d. Hold the finger to puncture above the level of the heart

3. A nurse is providing teaching to a client about reducing the adverse effects of immobility.

Which of the following statements by the client indicates an understanding of the teaching?

a. I will perform ankle and knee exercises every hour- ROM is needed to prevent

contractures .

b. I will hold my breath when rising from a sitting position

c. I will remove my antiembolic stockings while I am in bed

d. I will have my partner help me change positions every 4 hours

4. A nurse is monitoring a client who is receiving continuous IV fluid therapy via a peripheral

vein in the left forearm. Which of the following findings indicates that the client has developed

phelbitisat the IV site?

a. Erythema along the path of the vein

b. Pitting edema at the insertion site- infiltration since water is probably displaced.

c. Coolness of the client‟s left forearm - infiltration

d. Pallor of the client‟s left forearm

5. A nurse is planning care for a client who reports insomnia. Which of the following actions

should the nurse perform shortly before bedtime?