A nurse is performing a comprehensive health assessment on a... | Chamberlain Mastery Fundamentals Exam

Practice Question

A nurse is performing a comprehensive health assessment on an older adult female client. The client reports "urine leaking" when sneezing or laughing. Which action should the nurse take?

Answer Choices:

A. Encourage the client to reduce their fluid intake.

B. Document the finding as a normal variation due to age.

C. Refer the client to a urologist for bladder training.

D. Ask the client about the frequency and severity. ✓ Correct Answer

Correct Answer:

Ask the client about the frequency and severity.

Rationale:

🔺 Urine leakage when sneezing or laughing is consistent with stress urinary incontinence, which always requires further focused assessment before initiating interventions.

🔺 Asking about frequency, severity, triggers, and impact on daily life allows the nurse to determine how significantly the condition affects function and quality of life.

🔺 Detailed assessment helps differentiate stress incontinence from urge, overflow, or mixed incontinence, which all require different management strategies.

🔺 Urinary leakage is not a normal part of aging, and dismissing it can delay diagnosis and appropriate treatment.

🔺 Effective nursing care depends on obtaining complete, accurate, and client-specific assessment data before planning interventions.

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A nurse is caring for a group of clients. For which client should the nurse provide education about the Supplemental Nutrition Assistance Program (SNAP)?

Answer Choices:

A. An older adult who lives alone and enjoys grocery shopping and cooking.

B. A single caregiver with an adequate income who lives far from the store.

C. A middle-aged adult who pays for private health insurance.

D. A single parent who has a low income and is living with their parents.

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The nurse notices that a client is withdrawn and reluctant to speak during their initial assessment. What action(s) should the nurse take to promote a therapeutic environment? Select all that apply.

Answer Choices:

A. Sit quietly with the client and allow time for them to speak.

B. Begin discussing the client’s medical history to fill the silence.

C. Tell the client, “I’ll come back when you’re ready to talk.”

D. Encourage the client to talk by asking multiple questions quickly.

E. Ask, “Would you prefer to talk later or have someone else present?”

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A nurse evaluates a client with benign prostatic hyperplasia (BPH) who voided 60 mL four hours after removal of an indwelling catheter. The client reports suprapubic discomfort. A bladder scan reveals 400 mL of retained urine. Which conclusion should the nurse make from this finding?

Answer Choices:

A. The client’s urinary output is adequate for this period.

B. The client is unable to empty the bladder effectively.

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A nurse is implementing a plan of care for a postoperative client to prevent deep vein thrombosis (DVT). Which intervention(s) should be included to promote circulation? Select all that apply.

Answer Choices:

A. Massage the client's calves vigorously to stimulate blood flow.

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Chamberlain Mastery Fundamentals Exam

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Question Details

Category: RN - Nursing Exam(s)
Subcategory: Examplify/Examsoft Exams
Domain: FUNDAMENTALS OF NURSING - EXAMSOFT
Answer Choices: 4

NursingSprint

Practice Question

A nurse is performing a comprehensive health assessment on an older adult female client. The client reports "urine leaking" when sneezing or laughing. Which action should the nurse take?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Practice Questions

A nurse is caring for a group of clients. For which client should the nurse provide education about the Supplemental Nutrition Assistance Program (SNAP)?

The nurse notices that a client is withdrawn and reluctant to speak during their initial assessment. What action(s) should the nurse take to promote a therapeutic environment? Select all that apply.

The infection prevention nurse provides a staff in-service on the prevention of catheter-associated urinary tract infections (CAUTI).

A nurse evaluates a client with benign prostatic hyperplasia (BPH) who voided 60 mL four hours after removal of an indwelling catheter. The client reports suprapubic discomfort. A bladder scan reveals 400 mL of retained urine. Which conclusion should the nurse make from this finding?

A nurse is implementing a plan of care for a postoperative client to prevent deep vein thrombosis (DVT). Which intervention(s) should be included to promote circulation? Select all that apply.

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Chamberlain Mastery Fundamentals Exam

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Practice Question

A nurse is performing a comprehensive health assessment on an older adult female client. The client reports "urine leaking" when sneezing or laughing. Which action should the nurse take?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Practice Questions

A nurse is caring for a group of clients. For which client should the nurse provide education about the Supplemental Nutrition Assistance Program (SNAP)?

The nurse notices that a client is withdrawn and reluctant to speak during their initial assessment. What action(s) should the nurse take to promote a therapeutic environment? Select all that apply.

The infection prevention nurse provides a staff in-service on the prevention of catheter-associated urinary tract infections (CAUTI).

A nurse evaluates a client with benign prostatic hyperplasia (BPH) who voided 60 mL four hours after removal of an indwelling catheter. The client reports suprapubic discomfort. A bladder scan reveals 400 mL of retained urine. Which conclusion should the nurse make from this finding?

A nurse is implementing a plan of care for a postoperative client to prevent deep vein thrombosis (DVT). Which intervention(s) should be included to promote circulation? Select all that apply.

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Chamberlain Mastery Fundamentals Exam

Question Details

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