Practice Test Questions
28. Which of these discharge instructions should the nurse give to a teenage girl who has anorexia nervosa?
A. Join a coeducational social club
B. Enroll in a cooking class
C. Maintain a daily calorie count
D. Attend a support group
29. A patient who has had a cerebrovascular accident has right-sided hemiplegia and dysphagia. Which of these measures should the nurse incorporate into the patient’s feeding care plan?
A. Give the patient liquid pureed foods through a syringe placed in the left side of the mouth
B. Position the patient on the right side with the head of the bed elevated to 45 degrees during feedings
C. Stand on the patient’s right side when feeding
D. Place the food in the left side of the patient’s mouth
30. Isotretinoin (Accutane) is prescribed as a treatment for a 15-year-old female who has acne. Which of these statements is essential for a nurse to make to the adolescent?
A. “You must refrain from any strenuous activities while taking this drug to avoid developing hypertension.”
B. “If you become pregnant while taking this drug, the baby is at high risk for developing birth defects.”
C. “The drug cannot be taken for more than 12 consecutive months to prevent long-term adverse effects.”
D. “You must return to the clinic weekly to have blood drawn to monitor kidney function.
Rationales
28. Key:D Client Need: Psychosocial Integrity
D. Patients and families can meet to share what they have been experiencing, which helps all members to cope.
A. Patients respond better to family therapy, psychotherapy and support groups.
B. Patients with anorexia nervosa often enjoy reading about food preparation and preparing food but do not eat the food.
C. The focus should be on overall propernutrition.
29. Key:D Client Need: Basic Care and Comfort
D. The patient has right-sided paralysis. The patient’s left side is not paralyzed and he is able to chew on that side.
A. The patient should not be fed using asyringe. This increases the possibility of aspiration.
B. There is an increased risk for aspiration since the patient has right-sided paralysis.
C. Position of the nurse is not relevant to food placement.
30. Key:B Client Need: Pharmacological and Parenteral Therapies
B. Maternal use of Accutane has been known tocause severe birth defects.
A. Hypertension is not a side effect of Accutane.
C. Treatment is usually given for 4 to 5 months.If a second course of therapy is needed, it should not be initiated until at least 8 weeks after completion of the first course. Experience has shown that clients may continue to improve while off Accutane.
D. Weekly blood tests are not required.
28. Which of these discharge instructions should the nurse give to a teenage girl who has anorexia nervosa?
A. Join a coeducational social club
B. Enroll in a cooking class
C. Maintain a daily calorie count
D. Attend a support group
29. A patient who has had a cerebrovascular accident has right-sided hemiplegia and dysphagia. Which of these measures should the nurse incorporate into the patient’s feeding care plan?
A. Give the patient liquid pureed foods through a syringe placed in the left side of the mouth
B. Position the patient on the right side with the head of the bed elevated to 45 degrees during feedings
C. Stand on the patient’s right side when feeding
D. Place the food in the left side of the patient’s mouth
30. Isotretinoin (Accutane) is prescribed as a treatment for a 15-year-old female who has acne. Which of these statements is essential for a nurse to make to the adolescent?
A. “You must refrain from any strenuous activities while taking this drug to avoid developing hypertension.”
B. “If you become pregnant while taking this drug, the baby is at high risk for developing birth defects.”
C. “The drug cannot be taken for more than 12 consecutive months to prevent long-term adverse effects.”
D. “You must return to the clinic weekly to have blood drawn to monitor kidney function.
Rationales
28. Key:D Client Need: Psychosocial Integrity
D. Patients and families can meet to share what they have been experiencing, which helps all members to cope.
A. Patients respond better to family therapy, psychotherapy and support groups.
B. Patients with anorexia nervosa often enjoy reading about food preparation and preparing food but do not eat the food.
C. The focus should be on overall propernutrition.
29. Key:D Client Need: Basic Care and Comfort
D. The patient has right-sided paralysis. The patient’s left side is not paralyzed and he is able to chew on that side.
A. The patient should not be fed using asyringe. This increases the possibility of aspiration.
B. There is an increased risk for aspiration since the patient has right-sided paralysis.
C. Position of the nurse is not relevant to food placement.
30. Key:B Client Need: Pharmacological and Parenteral Therapies
B. Maternal use of Accutane has been known tocause severe birth defects.
A. Hypertension is not a side effect of Accutane.
C. Treatment is usually given for 4 to 5 months.If a second course of therapy is needed, it should not be initiated until at least 8 weeks after completion of the first course. Experience has shown that clients may continue to improve while off Accutane.
D. Weekly blood tests are not required.
