1. Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink 

plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up 

action by the nurse?

• Review with the client the need to avoid foods that are rich in milk and cream 

2. A male client with hypertension, who received new antihypertensive prescriptions at his last visit returns 

to the clinic two weeks later to evaluate his blood pressure (BP). His BP is 158/106 and he admits that he 

has not been taking the prescribed medication because the drugs make him “feel bad”. In explaining the 

need for hypertension control, the nurse should stress that an elevated BP places the client at risk for which 

pathophysiological condition? 

• Stroke secondary to hemorrhage 

3. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted client 

who has a seizure disorder. The client is supine and the UAP is placing soft pillows along the side 

rails. What action should the nurse implement? 

4. An adolescent with major depressive disorder has been taking duloxetine (Cymbalta) for the past 12 

days. Which assessment finding requires immediate follow-up? 

• Describes life without purpose 

5. A 60-year-old female client with a positive family history of ovarian cancer has developed an abdominal 

mass and is being evaluated for possible ovarian cancer. Her Papanicolau (Pap) smear results are negative. 

What information should the nurse include in the client’s teaching plan? 

• Further evaluation involving surgery may be needed 

6. A client who recently underwear a tracheostomy is being prepared for discharge to home. Which 

instructions is most important for the nurse to include in the discharge plan? 

• Teach tracheal suctioning techniques 

7. In assessing an adult client with a partial rebreather mask, the nurse notes that the oxygen 

reservoir bag does not deflate completely during inspiration and the client’s respiratory rate is 14 

breaths / minute. What action should the nurse implement? 

•

• Rational: reservoir bag should not deflate completely during inspiration and the client’s respiratory 

rate is within normal limits.

8. During shift report, the central electrocardiogram (EKG) monitoring system alarms. Which client 

alarm should the nurse investigate firs? 

• Respiratory apnea of 30 seconds