Practice Test Questions
31. A nurse should assess a patient for bleeding in the immediate postoperative period following a thyroidectomy by checking
A. the patient’s chest.
B. the color of the patient’s sputum.
C. the back of the patient’s neck.
D. underneath the patient’s dressing.
32. A nurse gives a client instruction about lifestyle changes that are needed in order to live with asthma. Which of these statements, if made by a client, would indicate the need for more information?
A. “I will obtain a flu shot every year.”
B. “I should avoid physical exercise.”
C. “I should carry my medication with me when I travel.”
D. “I am looking for someone to give my dog a good home.”
33. The wife of a client who has Parkinson’s disease says to a nurse, “My husband just sits in the chair. He won’t do anything for himself.” Which nursing diagnosis should be given priority in the care plan?
A. Impaired verbal communication
B. Sleep pattern disturbance
C. Self-esteem disturbance
D. Altered tissue perfusion
Rationales
31. Key: C Client Need: Reduction of RiskPotential
C. Because of the location of the incision site, drainage tends to run down the sides of the patient’s neck and pool behind the neck.
A. Behind the patient’s neck is the most accurate assessment.
B. Sputum would not be affected.
D. While blood may show on the dressing, post-operative bleeding is best assessed for behind the patient’s neck.
32. Key: B Client Need: Physiologic Adaptation
B. Client needs more information about the benefits of exercise.
A. Annual flu shots are recommended for clients with chronic diseases such as asthma.
C. Medication should remain with the client rather than in a suitcase when traveling.
D. Animal dander and shedding may aggravate asthma.
33. Key: C Client Need: Management of Care
C. Parkinson’s disease is a degenerative disorder of the central nervous system that often impairs the sufferer’s motor skills and speech, as well as other functions; however, the client usually learns to live within the limitations of the disease. The client’s actions my indicate depression and lowered self-esteem and, because of the possibility of suicide, should be addressed as a priority.
A. The client may have impaired verbal communication but the nursing diagnosis does not address the client’s lack of participation in his care.
B. The client may have sleep pattern disturbances but the nursing diagnosis does not address the client’s lack of participation in his care.
D. This nursing diagnosis is not a priority at this time.
31. A nurse should assess a patient for bleeding in the immediate postoperative period following a thyroidectomy by checking
A. the patient’s chest.
B. the color of the patient’s sputum.
C. the back of the patient’s neck.
D. underneath the patient’s dressing.
32. A nurse gives a client instruction about lifestyle changes that are needed in order to live with asthma. Which of these statements, if made by a client, would indicate the need for more information?
A. “I will obtain a flu shot every year.”
B. “I should avoid physical exercise.”
C. “I should carry my medication with me when I travel.”
D. “I am looking for someone to give my dog a good home.”
33. The wife of a client who has Parkinson’s disease says to a nurse, “My husband just sits in the chair. He won’t do anything for himself.” Which nursing diagnosis should be given priority in the care plan?
A. Impaired verbal communication
B. Sleep pattern disturbance
C. Self-esteem disturbance
D. Altered tissue perfusion
Rationales
31. Key: C Client Need: Reduction of RiskPotential
C. Because of the location of the incision site, drainage tends to run down the sides of the patient’s neck and pool behind the neck.
A. Behind the patient’s neck is the most accurate assessment.
B. Sputum would not be affected.
D. While blood may show on the dressing, post-operative bleeding is best assessed for behind the patient’s neck.
32. Key: B Client Need: Physiologic Adaptation
B. Client needs more information about the benefits of exercise.
A. Annual flu shots are recommended for clients with chronic diseases such as asthma.
C. Medication should remain with the client rather than in a suitcase when traveling.
D. Animal dander and shedding may aggravate asthma.
33. Key: C Client Need: Management of Care
C. Parkinson’s disease is a degenerative disorder of the central nervous system that often impairs the sufferer’s motor skills and speech, as well as other functions; however, the client usually learns to live within the limitations of the disease. The client’s actions my indicate depression and lowered self-esteem and, because of the possibility of suicide, should be addressed as a priority.
A. The client may have impaired verbal communication but the nursing diagnosis does not address the client’s lack of participation in his care.
B. The client may have sleep pattern disturbances but the nursing diagnosis does not address the client’s lack of participation in his care.
D. This nursing diagnosis is not a priority at this time.
