Question 32 A 19-year-old primigravid client at 38 weeks' gestation is 7 cm dilated, and the presenting part is at +1 station. The client tells the nurse, "I need to push!" What should the nurse do next? You Selected: • Instruct the client to use a pant-blow pattern of breathing. Correct response: • Instruct the client to use a pant-blow pattern of breathing. Question 33 A client with cystic fibrosis develops pneumonia. To decrease the viscosity of respiratory secretions, the physician orders acetylcysteine. Before administering the first dose, the nurse checks the client's history for asthma. Acetylcysteine must be used cautiously in a client with asthma because it You Selected: • may induce bronchospasm. Correct response: • may induce bronchospasm. Question 34 Bone resorption is a possible complication of Cushing’s disease. To help the client prevent this complication, what should the nurse recommend to the client? You Selected: • Maintain a regular program of weight-bearing exercise. Correct response: • Maintain a regular program of weight-bearing exercise. Question 35 A client rates the pain level of a migraine an 8 on a scale of 1-10. How would the nurse administer the medication to give the client the quickest relief? You Selected: • intravenous (IV) Correct response: • intravenous (IV) Question 36 A client with Parkinson’s disease who is scheduled for physiotherapy is experiencing nausea and weakness. What is the mostappropriate action by the nurse? You Selected: • Assess the nausea and weakness and call physiotherapy to cancel or reschedule the appointment. Correct response: • Assess the nausea and weakness and call physiotherapy to cancel or reschedule the appointment. Question 37 Which intervention should the nurse include in the plan of care to ensure adequate nutrition for a very active, talkative, and easily distractible client who is unable to sit through meals? You Selected: • Offer the client nutritious finger foods. Correct response: • Offer the client nutritious finger foods. Question 38 Which activity should the nurse recommend to the client on an inpatient unit when thoughts of suicide occur? You Selected: • playing a card game with other clients Correct response: • talking with the nurse Question 39 A nurse is teaching a client with multiple sclerosis (MS). When teaching the client how to reduce fatigue, the nurse should tell the client to You Selected: • rest in an air-conditioned room. Correct response: • rest in an air-conditioned room. Question 40 An apartment fire spreads to seven apartment units. Victims suffer burns, minor injuries, and broken bones from jumping from windows. Which client should be transported first? You Selected: • a 10-year-old with a simple fracture of the humerus who is in severe pain Correct response: • a middle-aged man with no injuries who has rapid respirations and coughs Question 41 A 26-year-old primigravida visiting the prenatal clinic for her regular visit at 34 weeks’ gestation tells the nurse that she takes mineral oil for occasional constipation. What should the nurse should instruct the client to do? You Selected: • Avoid mineral oil because it interferes with the absorption of fatsoluble vitamins. Correct response: • Avoid mineral oil because it interferes with the absorption of fatsoluble vitamins.
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