Texas Nurse Connection, Ltd ®
Clinic / LTC / Prison Competency Test
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1.  A nurse reviewing laboratory results notes that a client’s serum sodium level is 150
mEq/L.  The nurse reports the serum sodium level to the physician, and the physician
prescribes dietary instructions based on the sodium level.  Which food item does the nurse
instruct the client to avoid?
2.  A client’s excessive use of oral antacids containing bicarbonate can result in which acid-
base disturbances?
3.  A client who has developed atrial fibrillation and is not responding to medication therapy
has been placed on warfarin sodium (Coumadin).  The nurse plans to teach the client to
avoid which of the following foods while taking this medication?
4.  While reading Mantoux test results on a 3-year-old child, a clinic nurse looks at an area of
induration measuring 10 mm.  The nurse would interpret these results as:
5.  Isoniazid (INH) is prescribed for a 2-year-old child with a positive Mantoux test.  The nurse
informs the mother that the medication will need to be taken for:
6.  A nurse knows that which information collected during the evaluation with parents of a
recently diagnosed child with glomerulonephritis is most often associated with the
diagnosis of glomerulonephritis?
7.  A nurse plans to respond to a curious mother’s question regarding the diagnosis of her 7
year-old child by knowing that primary nocturnal enuresis:
8.  A clinic nurse gives instructions to the mother of a child with impetigo regarding the
application of antibiotic ointment.  Upon the question of when the child can return to school,
the nurse responds by saying:
9.  A clinic nurse assesses a 3-year-old child that has been constantly scratching its skin and
has acquired a rash.  Upon evaluation the nurse suspects the presence of scabies, which is
based on the finding of which of the following?
10.  A physician has documented that the 10-month-old infant of a mother with human
immunodeficiency virus (HIV) is asymptomatic for HIV infection.  After the checkup, the mother
converses with the nurse and says that she is so pleased that the infant will not get HIV.  The
most suitable nursing response to the mother is:
11.  Before administering the first dose in the series of hepatitis B vaccine to a 15-year-old
child, a nurse performs an evaluation on the child and asks the child about a history of an
allergy to:
12.  A clinic nurse gives a MMR (measles, mumps, rubella) vaccine to a 5-year-old child:
13.  A physician prescribes isotretinoin (Accutane) to a client seen in a clinic that is
diagnosed with severe acne.  A nurse assesses the client’s medication record and would
need to get in touch with the physician if the client were taking which medication?
14.  A clinic nurse documents that a client being assessed is taking azelaic acid (Azelex).  
The nurse would deduce that the client is being treated for:
15.  A client tells a nurse that when conducting a testicular self-examination (TSE), he found
a lump the size and shape of a pea.  The most suitable nursing reply to the client is which of
the following?
16.  When a nurse instructs a client to use the pursed-lip method of breathing, the client
inquires about the purpose of this type of breathing.  The nurse responds, understanding
that the main function of pursed-lip breathing is to:
17.  A client exposed to tuberculosis (TB) is using isoniazid (INH) and exhibits signs and
syptoms of the disease.  The client is advised to add rifampin (Rifadin) to their medication
regimen.  A nurse advises the client that the purpose of the second medication addition is:
18.  A client with CHF (congestive heart failure) is on a 1-g sodium diet.  A nurse knows that
which medication prescribed for the client promotes sodium excretion while conserving
potassium?
19.  A nurse helping a client on a low-potassium diet to select food items from a menu.  
Which of the following food items, if chosen by the client, would indicate an understanding of
this dietary restriction?
20.  A client is scheduled for an IVP (intravenous pyelogram).  Priority nursing action before
the test would be:
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