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Question 1 of 5

A nurse's aide who had a tuberculosis test planted two days ago has a reddened area 15-mm in diameter. The aide asks the nurse what this means. The nurse understands that the test result is:

Correct Answer: D

Rationale: Redness alone without induration is not significant; a positive TB test requires a raised area ≥10 mm, indicating this is negative.

Question 2 of 5

A client with paranoid personality disorder monopolizes group activities with complaints that the staff is out to get him. The nurse should:

Correct Answer: D

Rationale: One of the most therapeutic actions the nurse can take with the paranoid client is to spend time with him but not challenge his delusions. Answer A would challenge his delusions and make him more convinced that he is right, so it is incorrect. Answers B and C would isolate the client and increase his paranoid thinking, so they're incorrect.

Question 3 of 5

A client with hyperemesis gravidarum is on a clear liquid diet. The nurse should serve this client:

Correct Answer: C

Rationale: A clear liquid diet consists of foods that are clear liquids at room temperature or body temperature, such as ice pops, regular or decaffeinated coffee and tea, gelatin desserts, carbonated beverages, and clear juices. Milk, pasteurized eggs, egg substitutes, and oatmeal are part of a full liquid diet.

Question 4 of 5

The client is receiving furosemide daily. Which statement by the client indicates to the nurse that the client understands the dietary needs related to this medication?

Correct Answer: D

Rationale: Furosemide causes potassium loss; watermelon is high in potassium, helping to replace it, indicating dietary understanding. The other foods are not notably potassium-rich.

Question 5 of 5

The doctor has ordered a stool specimen for culture. When collecting a stool specimen, the nurse should:

Correct Answer: A

Rationale: Extracting from the center ensures a representative sample for culture. Other methods risk contamination or improper handling.

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