Nursing Elites

1. What is the most suitable snack food for the LPN/LVN to offer a client with myasthenia gravis who is at risk for altered nutritional status?

• A. Chocolate pudding.
• B. Graham crackers.
• C. Sugar-free gelatin.
• D. Apple slices.

Correct answer: A

Rationale: Chocolate pudding is the best snack food choice for a client with myasthenia gravis at risk for altered nutritional status due to its nutrient density and soft texture, which can be easier for clients with swallowing difficulties to consume. Graham crackers, sugar-free gelatin, and apple slices may not provide the same level of nutrient density or ease of consumption for these clients. Graham crackers and apple slices may also pose challenges for clients with swallowing difficulties, while sugar-free gelatin, although a good option for some clients, may not offer the same level of nutrition as chocolate pudding.

2. Which of the following findings contraindicate the use of haloperidol (Haldol) and warrant withholding the dose?

• A. Drowsiness, lethargy, and inactivity
• B. Dry mouth, nasal congestion, and blurred vision
• C. Rash, blood dyscrasias, severe depression
• D. Hyperglycemia, weight gain, and edema

Correct answer: C

Rationale: The correct answer is C: Rash, blood dyscrasias, and severe depression are serious side effects of haloperidol that necessitate withholding the dose and prompt further evaluation. Rash can indicate an allergic reaction, blood dyscrasias are serious blood disorders that can be life-threatening, and severe depression may worsen with haloperidol use. Choices A, B, and D are incorrect because drowsiness, lethargy, inactivity, dry mouth, nasal congestion, blurred vision, hyperglycemia, weight gain, and edema are common side effects of haloperidol that may not necessarily contraindicate its use but should be monitored and managed appropriately.

3. The mother of a 2 year-old hospitalized child asks the nurse's advice about the child's screaming every time the mother gets ready to leave the hospital room. What is the best response by the nurse?

• A. I think you or your partner needs to stay with the child while in the hospital.
• B. Oh, that behavior will stop in a few days.
• C. Keep in mind that for the age this is a normal response to being in the hospital.
• D. You might want to 'sneak out' of the room once the child falls asleep.

Correct answer: C

Rationale: The nurse should reassure the mother that the child's behavior is normal for their age and situation.

4. A client with prostate cancer declines to discuss concerns after the provider discusses treatment options. What statement should the nurse make?

• A. I am available to talk if you should change your mind.
• B. It’s important to discuss your concerns with the provider.
• C. You need to make a decision about your treatment options.
• D. Your concerns will be addressed at a later time.

Correct answer: A

Rationale: Offering to talk later if the client changes their mind respects their current choice and keeps the dialogue open. Choice B is not the best response as it may pressure the client to share concerns. Choice C is incorrect as it imposes a decision on the client. Choice D does not acknowledge the client's feelings in the moment and postpones addressing concerns.

5. When explaining the fecal occult blood testing procedure to a client, which of the following information should be included?

• A. Eating more protein is not necessary before testing.
• B. Multiple stool specimens may be required for testing.
• C. A red color change indicates a positive test.
• D. The specimen must not be contaminated with urine.

Correct answer: D

Rationale: The correct answer is D. When performing fecal occult blood testing, it is crucial to inform the client that the specimen must not be contaminated with urine to prevent false results. Choices A and B are incorrect because eating more protein is not required before testing, and multiple stool specimens may be necessary for accurate results, respectively. Additionally, regarding choice C, a red color change, not blue, indicates a positive test result, making it an incorrect option.

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