Extract:

Question 1 of 5

A nurse is reinforcing teaching with a client who has gout and a new prescription for allopurinol. Which of the following statements should the nurse include?

A. You should take this medication with a high-fat meal.B. You might notice an increase in your joint pain initially.C. This medication might cause your urine to turn blue.D. You should avoid drinking water while taking this medication.

Correct Answer: B

Rationale: Allopurinol can initially increase uric acid mobilization, worsening pain temporarily. It's taken with food (not high-fat), doesn't change urine color, and hydration is encouraged.

Question 2 of 5

A nurse is reinforcing teaching with a parent of a preschooler about immunizations. Which of the following statements by the parent indicates an understanding of the teaching?

A. I understand that immunizations will be withheld if my child has lactose intolerance.B. I can make several office visits, so my child does not get so many immunizations at once.C. It is recommended that my child receive his first flu immunization at the age of 6.D. My child will need to start the human papillomavirus series when he enters kindergarten.

Correct Answer: B

Rationale: Scheduling multiple visits to spread out immunizations shows understanding of flexibility in the schedule. Lactose intolerance doesn't affect vaccines, flu starts at 6 months, and HPV is for older kids.

Question 3 of 5

A nurse is collecting a health history from the guardian of a 4-year-old child. Which of the following statements by the guardian is the priority for the nurse to address?

A. My child still wets the bed at least two times per week.B. I have noticed that my child is withdrawn since we switched day care providers.C. I have a difficult time getting my child to eat green vegetables.D. My child continually asks me the same questions.

Correct Answer: B

Rationale: Withdrawal after a daycare change suggests emotional distress, a priority over bedwetting, picky eating, or repetitive questions, which are less urgent.

Question 4 of 5

A nurse is reinforcing teaching with a client who has a new prescription for insulin glargine. Which of the following statements should the nurse include?

A. You should shake the vial vigorously before drawing up the medication.B. You should administer this medication at the same time each day.C. This medication might cause you to feel shaky and sweaty during the night.D. You can mix this medication with short-acting insulin in the same syringe.

Correct Answer: B

Rationale: Insulin glargine requires consistent timing for steady blood sugar control. Shaking clouds it, hypoglycemia is rare at night with glargine, and it shouldn't be mixed.

Question 5 of 5

A nurse is caring for a client who reports acute pain following a surgical procedure. Which of the following actions should the nurse take first?

A. Administer an opioid analgesic as prescribed.B. Apply a warm compress to the surgical site.C. Obtain the client's pain rating using a pain scale.D. Reposition the client for comfort.

Correct Answer: C

Rationale: Assessing pain level first guides appropriate intervention. Medication, compresses, or repositioning follow based on the assessment.