Bundle
Kaplan CAT 1,2,3\Kaplan Diag A MS3.\Kaplan preditor 500+ Questions with100%corect answers provided:(FLORIDA NATIONAL UNIVERSITY)
5 Items
CAT 1 KAPLAN (NUR 3465_ Florida National University) Complete 150 Questions and Answers Provided
The nurse performs an assessment on a full-term newborn. Which finding does the nurse report to the health care provider? 1. The client's blood pressure o... [Show More] f 70/44 mm Hg. 2. The umbilical cord is whitish gray in color. 3. Bowel sounds cannot be auscultated in the abdomen. 4. The big toe dorsiflexes when the side of the foot is stroked. Ans: 3 2. The nurse in an antepartum clinic has several phone messages from clients. Which client does the nurse call first? 1. The client who is 10 weeks pregnant and reports vomiting after dinner for the past 5 days. 2 days. 2. The client who is 18 weeks pregnant and reports a headache in the evening for the past 3. The client who is 32 weeks pregnant and reports that her feet are swollen in the morning. 4. The client who is 37 weeks pregnant and reports that her membranes have ruptured. Ans: 4 3. The nurse prepares a medication in a prefilled syringe and notes that the syringe does not have a label with the client's name. What action will the nurse take? 1. Notify the pharmacy. 2. Call the health care provider. 3. Label the syringe. 4. Administer the medication. Ans: 1 4. The nurse plans to teach a local community group about chronic obstructive pulmonary disease (COPD). Which information does the nurse include? (Select all that apply.) 1. Uncontrolled COPD can lead to cardiac disease. 2. Asthma in childhood leads to COPD later in life. 3. Cigarette smoking is the leading COPD risk factor. 4. More females are affected by COPD than males. 5. Co-existing illness may cause COPD exacerbation. Ans: 1, 3,5 5. The nurse notes that a client requires protective isolation. Which additional client will the nurse safely pair with the client in protective isolation? 1. Client with a urinary tract infection. 2. Client with a stage 3 sacral pressure ulcer. 3. Client with unstable diabetes mellitus. 4. Client recovering from surgery for a perforated bowel. Ans: 3 6. A client who is pregnant asks the nurse what an elevated serum alpha-fetoprotein (AFP) level indicates. Which information does the nurse provide to the mother? 1. Gestational diabetes. 2. A neural tube defects. 3. Trisomy 21 (Down syndrome). 4. Lack of lung maturity. Ans: 1 7. The nurse notes that a toddler-age client has burn marks in various stages of healing and is fearful of male health care professionals. Which action will the nurse take next? 1. Document the findings in the chart. 2. Talk to the nursing supervisor. 3. Ask the client what happened. 4. Discuss the findings with the health care provider. Ans: 1 8. The nurse mentors a nursing student. The student asks which organization requires all clients to be assessed for pain. Which response by the nurse is correct? 1. The National Council of State Boards of Nursing (NCSBN). 2. The American Nursing Association (ANA). 3. The Joint Commission. 4. The National League of Nursing (NLN). Ans: 3 9. The nurse provides care for several clients. Which task does the nurse delegate to the nursing assistive personnel (NAP)? (Select all that apply.) 1. Determine client’s pain level. 2. Perform walker use training. 3. Assist with meal trays. 4. Bathe a client with wounds. 5. Obtain routine vital signs. Ans: 3, 4, 5 10. A client receives an antibiotic every 8 hours. The antibiotic has an onset of action of 2 hours and a duration of action of 8 hours. The client is prescribed a peak blood level. If the medication is provided at 1000, at which time will the nurse schedule the peak level to be drawn? 1. 1100. 2. 1200. 3. 1400. 4. 1800. Ans: 3 11. The nurse provides care to a client at risk for hypercalcemia. Which action is most appropriate for the nurse to take? 1. Encourage strict bed rest. 2. Limit dietary fiber. 3. Encourage oral fluids. 4. Hold prescribed zoledronate. Ans: 3 12. The nurse provides care for several clients in Buck traction. Which client is at greatest risk for skin breakdown? 1. An elderly client with severe Alzheimer disease. 2. An elderly client with a history of atrial fibrillation. 3. An elderly client with chronic bronchitis. 4. An elderly client with diverticulosis. Ans: 1 13. The charge nurse reviews the medical records of several clients. Which documentation from a staff nurse requires the charge nurse to follow-up? 1. “Returned from radiology department following a chest X-ray. Requesting lunch but remains nothing by mouth until seen by the health care provider as prescribed.” 2. “Late – entry. Ambulated from bed to doorway without assistance. No shortness of breath or diaphoresis noted. Vital signs remained within baseline after ambulating.” 3. “Intravenous catheter site in left antecubital space is red and warm to touch. Intravenous solution infusing slowly. Catheter removed intact. New catheter placed in right forearm.” 4. “Found client sitting on floor. All four side rails were in upright position. Client reports no pain. No abrasions or bleeding noted. Health care provider notified. Incident report completed.” Ans: 4 14. The nurse delegates vital sign measurement to the nursing assistive personnel (NAP). Which statement provides the best information for the nurse to give when delegating this task? 1. “Please obtain blood pressure, heart rate, respiratory rate, temperature, and pulse oximetry. Let me know if anyone’s systolic blood pressure is <100 or >160, heart rate <60 or >100, respiratory rate <12 or >20, temperature >100.50F (40.60C), or pulse oximetry <95%." 2. “Please obtain blood pressure, heart rate, respiratory rate, temperature, and pulse oximetry. Report any readings outside the normal ranges." 3. “Please obtain blood pressure, heart rate, respiratory rate, temperature, pain rating, and pulse oximetry. Let me know if anyone’s systolic blood pressure is <100 or >160, heart rate <60 or >100, respiratory rate <12 or >20, temperature >100.50F (40.60C), pain level >5/10, or pulse oximetry <95%." 4. “Please obtain blood pressure, heart rate, respiratory rate, temperature, and pulse oximetry. Let me know if anyone’s blood pressure is <100 or >160, heart rate <50, respiratory rate <12, temperature >100.50F (45.60C), or pulse oximetry <93%." Ans: 1 15. A client takes a beta 2 afrenergic agonist. Which finding indicates to mthe nurse that the client is experiencing and adverse reaction? 1. Drowsiness 2. Dysphagia 3. Palpitation 4. Paresthesias Ans: 3 16. The nurse notes that a client's laboratory values are blood urea nitrogen (BUN) 55 mg/dL (19.64 mmol/L) and creatinine 3.5 mg/dL (309.4 µmol/L). For which acid-base imbalance will the nurse assess the client? 1. Respiratory acidosis. 2. Respiratory alkalosis. 3. Metabolic acidosis. 4. Metabolic alkalosis. Ans: 3 17. The nurse performs a nitrazine test on a client at 38 weeks' gestation. Which color change indicates that membranes have likely ruptured? 1. Yellow. 2. Olive-green. 3. Olive-yellow. 4. Blue green. Ans: 4 18. A client develops ventricular tachycardia (VT). Which action does the nurse take next when providing care to this client? 1. Auscultate breath sounds. 2. Check pulse for a full minute. 3. Establish responsiveness. 4. Start cardiac compressions. Ans: 3 19. The nurse notes that a client who follows Judaism has roast beef and whole milk on the dinner tray. Which action will the nurse take first? 1. Ask the nutrition department to replace the roast beef with pork. 2. Deliver the food tray to the client. 3. Ask the nutrition department for a new tray. 4. Replace the whole milk with skim milk. Ans: 3 20. The nurse provides care for a client with face, ear, and neck burns. Which is the best position for the client? 1. Prone with a small pillow under the head. 2. Supine with padding on the affected side. 3. Supine without pillows or padding. 4. Prone without extra padding around the head. Ans: 3 21. The nurse provides care for a client who requests testing for human immunodeficiency virus infection (HIV). Which intervention is most important for the nurse to perform before administering testing? 1. Discuss prevention practices to prevent the transmission of HIV to others. 2. Explain that all tests must be repeated twice to be valid. 3. Ask the client to identify all sexual partners. 4. Determine when the client thinks the exposure to HIV occurred. Ans: 4 22. The nurse provides care to a client diagnosed with a clostridium difficile (C. diff) infection. Which precaution will the nurse take? (Select all that apply.) 1. Wear a protective gown when entering the client’s room. 2. Put on a particulate respirator mask when administering medications to the client. 3. Wear gloves when feeding the client a meal. 4. Ask the client’s visitors to wear a surgical mask when in the client’s room. 5. Wear sterile gloves when removing the client’s wound dressing. Ans: 1, 3 23. The nurse provides care for a client diagnosed with type 2 diabetes. The health care provider has ordered exenatide for the client. When will the nurse administer this medication? 1. Twice a day within 1 hour before morning and evening meals. 2. Once a day before bedtime. 3. Twice a day within 2 hours before morning and evening meals. 4. Twice a day within 1 hour after morning and evening meals. Ans: 1 24. The nurse provides care for a client with syndrome of inappropriate antidiuretic hormone (SIADH). Which finding indicates that the treatment has been effective? 1. Serum osmolality is decreased. 2. Serum sodium is decreased. 3. Urinary output is increased. 4. Urine osmolality is increased. Ans: 3 25. The nurse provides care for four clients. Which client will benefit the most from a multidisciplinary conference? 1. A 3-month-old client with intussusception who is vomiting, has colicky abdominal pain, and is having jelly-like stools. 2. A 2-month-old client with respiratory syncytial virus (RSV), who is wheezing and has moderate subcostal retractions and copious nasal discharge. 3. A 3-day-old client with developmental dysplasia of the hip, who has unequal leg length, limited abduction of the left hip, and asymmetry of the gluteal folds. 4. A 2-day-old client with body tremors and hyperirritability, who has intermittent episodes of sneezing and whose mother abused substances while pregnant. Ans: 4 26. The nurse provides care to a client who is unconscious. Which form of medication will the nurse safely administer to this client? (Select all that apply.) 1. Topical cream. 2. Subcutaneous injection. 3. Oral liquid. 4. Rectal suppository. 5. Intravenous infusion. Ans: 1, 2, 4, 5 27. A client says, “I promise not to touch the intravenous catheter anymore because I don’t want to be slapped again.” Which action does the nurse take first? 1. Complete a neurological assessment. 2. Ask the nursing assistive personnel (NAP) if the client was slapped when providing care. 3. Ask the client where the slap occurred and under what conditions. 4. Document the client’s statement and report it to the nurse manager. Ans: 3 28. The nurse provides care for a client who reports waking up with heartburn every night. Which client statement requires the nurse to provide further education to the client? 1. “I eat 3 meals a day.” 2. “I do not eat 2 hours before going to bed.” 3. “I will work on losing weight.” 4. “I will elevate the head of my bed 6 to 12 inches.” Ans: 1 29. The nurse provides for a client who is being evaluated for possible thrombolytic therapy. Which lab value would cause the nurse the most concern? 1. Blood glucose of 160 mg/dL (8.88 mmol/L). 2. International normalized ratio (INR) of 1.2. 3. Platelets of 90,000/mm3 (90 X 109/L). 4. Hemoglobin of 9 g/dL (90 g/L). Ans: 3 30. The nurse provides care for a client diagnosed with cutaneous Kaposi sarcoma lesions. The nurse notes that the lesions are open and draining small amounts of serous fluid. Which personal protective equipment (PPE) does the nurse use when bathing and changing the linens for this client? 1. Gloves. 2. Gown and gloves. 3. Gown, gloves, and mask. 4. Gown and gloves to change the linens; gloves when bathing. Ans: 2 31. A client in her third trimester of pregnancy asks the nurse how to differentiate between true labor and false labor. Which is the best explanation by the nurse to describe false labor to the client? 1. The intensity, frequency, and duration of contractions do not change. 2. Discomfort begins in the back and radiates to the abdomen. 3. Contractions are accompanied by pink mucus from the vagina. 4. Progressive effacement and dilation of the cervix begin to occur. Ans: 1 32. The nurse provides an older client, who was recently widowed, with a list of activities available at a local library. For which nursing diagnosis is this action most appropriate? 1. Risk for loneliness. 2. Risk for ineffective coping. 3. Risk for complicated grieving. 4. Risk for situational low self-esteem. Ans: 1 33. The nurse provides care for a client that reports difficulty falling asleep several nights a week. The nurse reviews the client’s bedtime pattern. Which client statement requires an intervention by the nurse? 1. “I turn the TV off about an hour before bed and try to read.” 2. “I will go to bed when I am wide awake and relax in bed.” 3. “I will drink some herbal tea to help me wind down for the night.” 4. “I will limit my naps to 20 minutes a day.” Ans: 2 34. The nurse prepares a client for surgery. Which task is appropriate for the nurse to delegate to the nursing assistive personnel (NAP)? (Select all that apply.) 1. Performing a clean catch urinalysis. 2. Collecting vital signs. 3. Monitoring lung sounds. 4. Applying compression stockings. 5. Educating on incentive spirometer use. Ans: 1, 2, 4 35. The nurse is teaching the parent of a 2-year-old client on how to correctly administer ear drops. Which action by the parent indicates to the nurse a need for further education? 1. Pulls the pinna up and back. 2. Directs the drops along the side of the ear canal. 3. Removes the ear drops from the fridge 30 minutes before giving. 4. Keeps the child lying down for 5 to 10 minutes before administering drops in the other ear. Ans: 1 36. The nurse provides care to a client with severe hypothermia. Which assessment will the nurse perform first? 1. Determine presence of shivering. 2. Assess the skin for mottling. 3. Examine cardiac monitor for dysrhythmias. 4. Review laboratory values for a low calcium level. Ans: 3 37. A client with transient confusion coughs constantly while being fed by nursing assistive personnel (NAP). Which action will the nurse take first? 1. Auscultate breath sounds. 2. Offer the client sips of water. 3. Direct the NAP to stop feeding the client. 4. Assess the oral cavity for pocketing of food. Ans: 3 38. A client experiences a fever, headache, photophobia, and neck stiffness. Which transmission-based precaution will the nurse implement for this client? 1. Contact. 2. Airborne. 3. Droplet. 4. Standard. Ans: 3 39. An older client with Medicare insurance asks the nurse to explain the “donut hole” in prescription drug coverage. Which response by the nurse is best? 1. It is a $20 co-payment for all prescriptions. 2. It is a temporary limit on what the drug plan will pay for covered drugs. 3. There is 20% decrease in prescription payment after six prescriptions per year. 4. There is no prescription drug coverage after age 85. Ans: 2 [Show Less]
- Exam
- $20.45
- 0
- 107
CAT 2 KAPLAN (NUR 3465_ Florida National University) Complete 150 Questions and Answers Provided
CAT 2 KAPLAN Complete 150 Questions and Answers Provided Exam Study Guide 1. The nurse assess a client who is in the 24th week of gestation. Which fin... [Show More] ding is a priority for thenurse to follow-up? 1. Fetal heart rate of 130 to 140 beats/min. 2. Fundal level at 3 fingers below the umbilicus. 3. Fetal movements felt faintly on lower part of abdomen. 4. Client reports backache and leg cramps when sleeping. Ans: 2 2. The nurse administers carisoprodol to the incorrect client. Which strategy should the nurse use toreduce the risk of malpractice litigation? (Select all that apply.) 1. Ask the charge nurse to reassign the client to a different nurse. 2. Notify the health care provider of the medication error immediately. 3. Report the incident to the manager for appropriate follow-up with the client. 4. Print a copy of the incident report to keep in the nurse’s personal records. 5. Explain to the client that the nurse has a heavier assignment than normal. Ans: 2, 3 3. The nurse provides care for a client who is receiving sitagliptin for type 2 diabetes mellitus. Whichassessment finding causes the nurse to suspect the client is experiencing an adverse reaction to themedication? 1. Weight gain. 2. Anemia. 3. Abdominal pain. 4. Edema. Ans: 3 4. The nurse orients a new nurse who inquired about electrical cardioversion. Which statement aboutcardioversion by the nurse is accurate? (Select all that apply.) 1. “Cardioversion is used to treat ventricular fibrillation.” 2. “Pulseless electrical activity (PEA) responds to cardioversion.” 3. “Cardioversion treats atrial fibrillation and atrial flutter.” 4. “An intravenous sedative is required in elective cardioversion.” 5. “Check for life-threatening dysrhythmia during cardioversion.” Ans: 3, 4, 5 5. A wound located on the foot of a client with type 2 diabetes mellitus (DM) is healing. The nurse teaches the client about the prevention of future foot wounds. Which client statement indicates theteaching is effective? (Select all that apply.) 1. “I should not cross my legs.” 2. “I should wear shoes only when I go outside.” 3. “I should apply lotion between my toes after a shower.” 4. “I should inspect the inside of my shoes before I put them on.” 5. “I should use a mirror to examine the bottom of my feet every day.” Ans: 1, 4, 5 6. The nurse prepares discharge instructions for a client who speaks very little English and is recovering from an emergency appendectomy. Which nursing action best helps this client understand wound care instructions? 1. Asking if the client understands the instruction. 2. Demonstrating the procedure and having the client return the demonstration. 3. Asking an interpreter to replay the instructions to the client. 4. Writing out the instructions and having a family member read them to the client. Ans: 2 7. The family sits at the bedside of a client nearing the end-of-life. Which action is appropriate for the nurse to implement? (Select all that apply.) 1. Teach family members about physical signs of impending death. 2. Encourage the management of adverse signs and symptoms. 3. Assess family coping mechanisms to handle impending loss. 4. Avoid spirituality as nurse’s beliefs may not be congruent with the client’s. 5. Leave the family alone as there is no more need for direct nursing care. Ans: 1, 2, 3 8. The nurse performs an intermittent urinary catheterization for a client who is 2 hours post surgery.Which client observation indicates that the procedure was effective? 1. Reports dribbling of urine. 2. Rests quietly. 3. Notes distention above symphysis pubis. 4. Voids 30 mL every 15 minutes. Ans: 2 9. The nurse directs the nursing assistive personnel (NAP) to provide a back massage to a client. Whichaction does the nurse emphasize when giving these directions? 1. Warm the lotion in the microwave before use. 2. Wear clean gloves while performing the massage. 3. Place the bed in the lowest position after the massage. 4. Start the massage at the shoulders and work toward the buttocks. Ans: 3 10. The nurse observes a student nurse provide a client with a subcutaneous injection of heparin. Forwhich student action will the nurse intervene? (Select all that apply.) 1. Pinches the skin and inserts the needle 90 degrees. 2. Places the needle in the sharps container. 3. Administers the injection 1/2 inch from the umbilicus. 4. Aspirates after inserting the needle. 5. Massages the site. Ans: 3, 4, 5 11. The nurse provides care to a client who experienced prolonged cold exposure. For whichcomplication does the nurse closely monitor this client? 1. Ventricular fibrillation. 2. Hypertension. 3. Metabolic alkalosis. 4. Shivering. Ans: 1 12. The nurse provides care for clients in a headache clinic. Which client should the nurse assess first? 1. The client reporting pain and neck stiffness. 2. The client reporting abdominal pain and vomiting. 3. The client with difficulty speaking to the receptionist. 4. The client with a headache of 3 weeks’ duration. Ans: 3 13. The nurse is discussing infection control guidelines with a group of student nurses. Whichinformation is most important for the nurse to include in the discussion? 1. “A gown should be worn when measuring the blood pressure of a client with a methicillin-resistant Staphylococcus aureus (MRSA) wound infection.” 2. “The door should be kept closed to the room of a client with a clostridium difficile (C. diff) infection.” 3. “Disposable dishes should be provided for a client with a hepatitis B infection.” 4. “A surgical mask should be worn when providing care for a client with pulmonary tuberculosis.” Ans: 1 14. The nurse uses a paper-based documentation system to write a client care note. The previous nurse’s documentation appears incomplete. Which action should the nurse take next? 1. Draw a line through any empty space and continue documenting. 2. Mark out the previous nurse’s entry, initial, and continue documenting. 3. Complete an incident report for the nurse manager to review. 4. Call the previous nurse at home and ask if the documented entry is complete. Ans: 1 15. While preparing medications, the nurse documents that a client is allergic to penicillin. Whichmedication will the nurse question before administering to this client? 1. Cefazolin. 2. Doxycycline. 3. Ciprofloxacin. 4. Clarithromycin. Ans: 1 16. The nurse provides care for a client diagnosed with sickle cell crisis. Which sign or symptom should the nurse immediately report to the healthcare provider? 1. Cyanosis of the tongue. 2. Jaundiced skin. 3. Slurred speech. 4. Slow capillary refill. Ans: 3 17. The nurse develops a teaching plan to promote optimal cardiac output during pregnancy. Whichinformation is most important for the nurse include? 1. Take frequent rest periods between activities. 2. Modify aerobic exercise as pregnancy progresses. 3. Avoid resting or sleeping in the supine position. 4. Elevate both lower extremities whenever sitting. Ans: 3 18. The nurse reviews the daily lab results of four clients. Which client does the nurse delegate to theLPN/LVN to provide care? 1. Client with a brain natriuretic peptide (BNP) level of 300 pg/mL. 2. Client with an erythrocyte sedimentation rate of 10 mm/h. 3. Client with a C-reactive protein (CRP) level of 4 mg/L. 4. Client with an international normalized ratio (INR) level of 8.0. Ans: 2 19. The nurse provides care to a client of Native American descent who has traditional beliefs abouthealth and illness. Which action is most appropriate for the nurse to take? 1. Ask if cultural healers should be contacted. 2. Avoid asking questions unless initiated by the client. 3. Obtain further information about the client’s cultural beliefs from the family. 4. Explain the usual hospital routines for mealtimes, care, and family visits. Ans: 1 20. The nurse follows up with a client diagnosed with insomnia. The nurse seeks to determine if treatment was successful. Which response by the client best indicates treatment was successful? 1. “I am sleeping 4 hours a night.” 2. “I fall asleep within 1 to 2 hours at night now.” 3. “I am not napping in the day anymore.” 4. “I am waking up twice a night.” Ans: 3 21. The nurse provides care for a client diagnosed with systemic lupus erythematosus (SLE). Whichfinding will the nurse find most concerning? 1. Pallor observed on fingers of the right hand. 2. Blood pressure reading of 152/90 mm Hg. 3. Pain reported as severe in the left knee and ankle. 4. Blood urea nitrogen (BUN) level of 40 mg/dL. Ans: 4 22. A preschool-age client experiences a sudden cardiac arrest. Which action will the nurse take whenperforming cardiopulmonary resuscitation (CPR)? 1. Deliver 12 breaths per minute. 2. Compress the sternum with both hands at a depth of 2 inches (4 to 5 cm). 3. Use the heel of one hand for sternal compressions. 4. Use two fingers for sternal compressions. Ans: 3 23. A client takes a statin as prescribed. Which action does the nurse implement to identify if the clientis experiencing any side effects of the medication? 1. Measure height and weight. 2. Check recent cholesterol level. 3. Inquire about the consistency of stool. 4. Assess for muscle tenderness. Ans: 4 24. The nurse provides care for a client with the following arterial blood gas (ABG) results: pH 7.29, pCO231 mmHg, and HCO3 19 mEq/L. Which electrolyte alteration does the nurse monitor for based onthis client data? 1. Hypocalcemia. 2. Hypernatremia. 3. Hypomagnesemia. 4. Hyperkalemia. Ans: 4 25. The nurse provides care for a client diagnosed with an acute stroke. Which intervention does thenurse delegate to the nursing assistive personnel (NAP)? (Select all that apply.) 1. Screen the client for thrombolytic therapy. 2. Take vital signs based on stroke protocol. 3. Measure and record urinary output. 4. Assist with positioning the client as needed. 5. Evaluate the client’s motor strength every hour. Ans: 2, 3, 4 26. The health care provider prescribes intramuscular pain medication for a child recovering from anappendectomy. Which is the most appropriate action for the nurse to take? 1. Advocate for the child to see if the medication can be given by an alternate route. 2. Disinfect the injection site and allow it to dry completely. [Show Less]
- Exam
- $20.45
- 0
- 101
Kaplan Diag A MS3.180 QUESTIONS AND VERIFIED ANSWERS.
1. The nurse cares for the client diagnosed as being in the manic phase of bipolar disorder. Which behavior indicates to the nurse the c... [Show More] lient condition is improving? a. The client offers suggestions to other clients on the unit b. The client begins to write a book about life c. The client sits and eats with other clients on unit d. The client talks with other clients a group meeting 2. The health care provider orders a continuous intravenous aminophylline infusion for a two year old client. It is most important for the nurse to intervene for which situation? a. The client heart rate is 100 bpm b. The clients blood pressure is 100/60 mmHg c. The clients serum theophylline level is 25 mcg/mL d. The client is sleepy 3. The nurse teaches the client about the schedule cardiac catheterization. Which statement, if made by the client to the nurse, indicates that the teaching was effective? a. "I understand that there is little or no risk associated with this procedure." b. "I may experience a little pounding sensation in my chest during the procedure." c. "I will be in and out of the procedure room in about 30 minutes." d. "I will be able to walk in the hall soon after the procedure is completed." 4. During the second stage of labor, the client's partner asks the nurse, "Can I go get a cup of coffee from the cafeteria?" Which response by the nurse is best? a. "I will get you a cup of coffee." b. "It would be best if you stayed here at this time." c. "Ask your partner if it is acceptable to leave." d. "Why do you want to leave the room?" 5. The nurse discovers that client lying face down on the floor. Which action does the nurse take first? a. Assess the patency of the client's airway b. Determine whether the client is responsive c. Check the client's carotid pulse d. Reposition the client onto the back 6. A nurse works 3 weeks at a 100-bed suburban hospital after working several months at a 40-bed rural hospital. The nurse prefers the total client care delivery system that was used at the rural hospital, rather then the team leading system of client care that is used at the suburban hospital. Which action does the nurse take? a. Works with in the system at the hospital to change the type of client care delivery b. Discuss his thoughts about the type of client care delivery system with the nurses supervisor c. Asks the nurses peers why this type of client care delivery system is used d. Suggests a change in the type of client care delivery system to the director of nursing 7. The nurse cares for the client diagnosed with a left traumatic below knee amputation (BKA) with a tourniquet in place. The client also has a tear from the perineum to the rectum. Which action is the nurse take first? a. Apply anti-shock trousers b. Assesses the clients level of consciousness c. Remove the tourniquet d. Check the client's blood pressure and pulse 8. During morning rounds, the client diagnosed with schizophrenia tells the nurse, "I know you are conspiring with my spouse to keep me locked away." Which statement by the nurse is the most appropriate? a. "What makes you think your spouse is trying to hide your existence?" b. "Are you saying that you think your spouse doesn't love you?" c. "I can see that you are frightened about being here but I am a nurse in a hospital." d. "I'm not conspiring with your spouse. I first met your spouse when you are admitted to the hospital." 9. During a routine prenatal visit, the nurse auscultates the fetal heart rate (FHR). If the fetal position is left sacrum posterior (LSP), at which site does the nurse expect to find the fetal heart (FHT)? a. Below umbilicus, on the mothers right b. Below umbilicus, on the mothers left c. Above umbilicus, on the mothers left d. Above umbilicus, on the mothers right 10. The nurse makes environmental rounds on the client care unit. Which problem does the nurse addressed first? a. A wheel of the medication cart is broken b. The needle disposal unit in unoccupied room is full c. The call light and occupied isolation room is broken d. The ice machine and the visitors lounge is leaking water on the floor 11. The nurse observes a nursing assistive personnel (NAP) enter the room of the client diagnosed with tuberculosis (TB) to provide morning care. Which observation, if you made by the nurse, does not require an intervention? a. The NAP enters the room while wearing goggles and a hair covering b. That NAP enters the room while wearing a mask and sterile gloves c. The NAP enters the room while wearing a gown and clean gloves d. The NAP enters the room while wearing a particulate respirator and a gown 12. The nurse teaches the client about ferrous sulfate. Which statement by the client indicates to the nurse that the client understands the education? a. "I should take this medication when I take my antacid." b. "I should take this medication with orange juice." c. "I should increase my intake of foods that contain calcium." d. "I should take this medication at bedtime." 13. The nurse gives discharge instructions about home care for orchitis to the client. Which statement indicates to the nurse that teaching has been successful? a. "I should make an appointment to have a circumcision." b. "It will help if I use a scrotal support." c. "I should restrict my athletic activities for about 6 weeks." d. "I need to stay in bed for at least 10 days." 14. The nurse cares for the client having a left total hip arthroplasty period in which position does the nurse placed the client after surgery? a. Legs abducted with the toes pointing upward b. Legs adducted with a bed cradle in place c. Flat on the bed with a foot board in place d. Legs elevated on two pillows with the knees flexed 15. The adolescent receives 10 units of intermediate-acting insulin every morning at 0700. If the client requires the insulin dosage reduced, the nurse expects the client to present with which symptom? a. Declines lunch at 1200 b. Reports hunger at 0900 c. Experiences confusion at 1600 d. Becomes sleepy at 2100 16. The nurse discovers the client in the bathroom attempting self-harm. Which action does the nurse take first? a. Removes the client from the bathroom and escorts the client to the bedroom b. Stays with the client and continually monitors for self-destructive behaviors c. Initiates a discussion with the client concerning reasons for self-harm d. Distracts the client from trying to hurt self by talking about the family. 17. The nurse admits a 2-month-old infant for surgical correction of hypospadias. Which assessment does the nurse complete? a. Check this scrotal sac and palpate the testes b. Inspect the position of the urinary meatus c. Obtained a urine sample for analysis d. Measure intake and output hourly 18. The patient of an 18 month old toddler ask the nurse, (Which toy is most appropriate for my child?) The nurse from recommend which toy? a. A story book b. A stuffed animal c. A colorful mobile d. A large yo-yo 19. The nurse cares for the client prior to cataract surgery. The nurse administers the preoperative medication. Ten minutes later, the nurse finds the client on the floor at the foot of the bed. Which action does the nurse takes initially? a. a. Notifies the healthcare provider, and receive new orders b. b. Complete accident report documenting the fall c. c. Stays with the client and calls for assistance [Show Less]
- Exam
- $20.45
- 1
- 169
Kaplan Predictor Flashcards WITH SET OF 150 QUESTIONS AND ANSWERS
Which of these instructions should a nurse include in the teaching plan for a client who had removal of a cataract in the left eye? "Take the prescribed... [Show More] stool softener to increasing intraocular pressure." avoid A client vomits during a continuous nasogastric tube feeding. A nurse should stop the feeding and take which of these actions? Check the residual volume. Which of these actions best The nurse asks clients about their beliefs and demonstrates cultural practices toward pregnancy. sensitivity by a nurse?. Which of these manifestations Tachycardia. should a nurse expect to observe in a 3-month-old infant who is diagnosed with dehydration? When assessing a client's risk of the urinary meatus. developing nosocomial infection, a nurse plans to determine potential entry portals, which include: A client who is on the inpatient Encourage the client to verbalize feelings. psychiatric unit has a history of violence. Which of these actions should a nurse take if the client is agitated? Which of these measures Providing pain relief. should a nurse include when planning care for a school- aged child during a sickle cell crisis episode? Which of these instructions "Call the clinic if you experience any abdominal should a nurse include in the cramps." plan of care for a 32-week gestation client who had an amniocentesis today? An adolescent has a nursing Beefburger with cheese. diagnosis of fatigue related to inadequate intake of iron-rich foods. Selection of which of these lunches by the client indicates a correct understanding of foods high in iron content? A client has been admitted with acute pancreatitis. Which of these laboratory test results supports this diagnosis? Elevated serum amylase level. Which of these manifestations, if assessed in a client who is two-hours postoperative after abdominal surgery, should a nurse report immediately? Vomiting and a pulse rate of 106/minute. Which of these observations of a student nurse's behavior while interacting with a client who is crying indicates a correct understanding of therapeutic communication? The student sits quietly next to the client. Which of these actions should Measure the client's blood sugar level. a nurse take initially if a client who is diagnosed with diabetes mellitus develops tremors and ataxia? An elderly client is at increased Increasing the time interval between medication risk of developing drug toxicity doses. to prescribed medications due to declining hepatic and renal functioning. Which of these strategies should a nurse plan to decrease this risk? A client has persistent paranoid Allowing the client to eat food from sealed delusions that the food on the containers. unit is poisoned. Which of these measures should a nurse include in the client's care plan? Thrombophlebitis is a Apply sequential compression devices. complication that may result due to surgery. Which of these actions should a nurse take in the operating room to prevent this complication from occurring? When discussing weigh gain 25 to 35 pounds. during pregnancy, a nurse should recommend that the total weight gain for a pregnant client who is at ideal body weight for her height is: [Show Less]
- Exam
- $20.45
- 0
- 80
CAT 3 KAPLAN (NUR 3465_ Florida National University) Complete Questions and Answers Provided
The nurse auscultates crackles throughout all lung fields and measures a heart rate of 132 bpm, a respiratory rate of 30, and blood pressure of 102/54 mm H... [Show More] g in a client recovering from an esophagectomy. Which action will the nurse take first? 1. Place the client on continuous pulse oximetry. 2. Monitor the client for changes in blood pressure. 3. Notify the health care provider. 4. Assist the client to use the incentive spirometer. 2. The nurse assigns a client diagnosed with cancer who is receiving chemotherapy to a nursing assistive personnel (NAP). Which instruction is most important for the nurse to include? 1. Perform hand hygiene frequently. 2. Wear a mask when entering the room. 3. Monitor the roommate for signs of infection. 4. Monitor the amount of protein the client eats. 3. The nurse provides care for a client diagnosed with a bone infection. The client was given intravenous morphine 3 hours ago and cannot have another dose for an hour. The client reports pain that is rated as 6 out of 10. The nurse implements several nonpharmacological approaches. The client’s pain level is now a 3 out of 10. Which action should the nurse take next? 1. Notify the health care provider. 2. Administer the morphine early. 3. Instruct the client that the next dose cannot be given for an hour. 4. Ask the client what is an acceptable pain level. 4. The nurse provides care for a client who was in a car accident as the result of falling asleep at the wheel. The client reports only being able to sleep 3 to 4 hours a night over the past month, due to stress. The client reports waking up frequently during the night. Which outcome is most appropriate for the nurse to include in the client’s plan of care? week. 1. Client will verbalize a plan to implement a sleep promoting program within the next 2. Client will fall asleep with less difficulty over the next 2 weeks. 3. Client will achieve a more normal sleep pattern within 2 to 4 weeks. 4. Client will achieve an improved sense of adequate sleep over the next 4 weeks. 5. The nurse reviews medications prescribed for a client recovering from surgery. Which prescription causes the nurse the most concern? 1. Diphenhydramine 50 mg PO at bedtime, as needed. 2. Furosemide 40 mg IV q.d. 3. Morphine sulfate 2 mg IV every hour, as needed, for pain. 4. Oxygen at 2 L/min via nasal cannula. 6. The nurse reads the result of a tuberculosis (TB) skin test on a client with no known risk factors for TB. Which finding will the nurse interpret as a positive result? 1. Erythema of 5 or more millimeters. 2. Induration of 5 or more millimeters. 3. Induration of 10 or more millimeters. 4. Induration of 15 or more millimeters. 7. The nurse provides care to an older adult client suspected of being a victim of physical abuse. Which action is appropriate for the nurse to implement when providing care to the client? (Select all that apply.) 1. Place the client in a single room near the nurses’ station. 3. Identify, collect, and preserve physical evidence of abuse. 4. Take photographs to document signs of physical abuse. 5. Use standardized tool to screen for elder mistreatment. 8. A client receiving an enema reports cramping and discomfort when the nurse releases the clamp and places the container 12 inches above the client’s hip level. Which action will the nurse take next? 1. Instruct the client to take deep breaths. 2. Discontinue the enema. 3. Clamp the tubing. 4. Lower the enema bag below the level of the hips. 9. The nurse assesses clients waiting to be seen by the health care provider. Which client does the nurse identify to be seen first? 1. Client with myasthenia gravis reporting double vision and drooping of the right eye lid. 2. Client with a flat 9 mm induration area at the site of a tuberculin skin test placed 48 hours ago. 3. Client with a mean arterial pressure of 80 mm Hg. 4. Client with lung disease reporting dyspnea after walking up stairs. 10. A client experiences wide QRS complexes on telemetry, numbness of the feet, and tingling of both hands. Which medication will the nurse question before administering to this client? 1. Diltiazem. 2. Furosemide. 3. Spironolactone. 4. Metoprolol tartrate. 11. The nurse provides care for a client diagnosed with leukemia. The nurse notes the client has vomited a large amount of bloody emesis. Which action should the nurse take first? 1. Measure the vomitus before dumping it. 2. Assess the client’s last platelet count. 3. Notify the health care provider. 4. Complete a head to toe assessment. 12. The nurse is teaching a client who has undergone a cataract extraction with intraocular implant. Which instruction does the nurse include in the discharge teaching? (Select all that apply.) 1. Avoid activities that require bending over. 2. Place an eye shield on the surgical eye at bedtime. 3. Avoid lifting anything over 5 pounds. 4. Contact the surgeon if eye scratchiness occurs. 5. Take acetaminophen for minor eye discomfort. 13. An infant diagnosed with pertussis is being discharged home with the parents. Which information will the nurse include in the parents’ teaching plan? (Select all that apply.) 1. Hand hygiene using an alcohol-based hand rub is effective against pertussis. 2. Family members and others in close contact with the infant should be vaccinated. 3. Airborne isolation precautions are required for 5 days after the start of antibiotic therapy. 4. Pertussis is most severe for the elderly. 5. Even if a person’s immunization status for pertussis is unknown, it is safe to immunize again. 14. The nurse reviews the care needs for assigned clients. Which client will the nurse assess first? 1. Client with ulcerative colitis who reports rectal bleeding. 2. Client with an acute kidney injury with a urine output of 100 mL over the past 6 hours. 3. Client with angina pectoris who reports a headache after receiving a dose of prescribed nitroglycerin. 4. Client with a radioactive implant for cervical cancer who is in the bathroom. 15. The nurse teaches a client how to self-administer nasal drops. Which statement is part of these instructions? 1. “Occlude one nostril prior to instilling the drops.” 2. “Store the medication vial in the refrigerator between doses.” 3. “Shake the medication vial for several minutes before opening.” 4. “Sit with the neck flexed backward for 5 minutes after instilling the drops.” 16. The nurse assists the code team treating a client with asystole. Cardiopulmonary resuscitation (CPR) is in process. Which direction by the code team leader requires the nurse to intervene? 1. “Push hard and push fast during compressions.” 2. “Give atropine 1 mg followed by an NS flush.” 3. “Give epinephrine 1 mg every 3 to 5 minutes.” 4. “Continue CPR for 2 minutes and then check rhythm.” 17. The nurse provides care to a 10-month-old infant. For which statement made by the parent will the nurse intervene? (Select all that apply.) 1. “My child has a two-word vocabulary.” 2. “My child gained 1 ounce this week.” 3. “My child cannot walk unless I hold under the arms.” 4. “My child cries and spreads the arms in and out when I bump the crib.” 5. “My child’s soft spot on top of the head is still open.” 18. The charge nurse assigns several clients to a novice nurse who is fresh off unit orientation. Which client will the charge nurse assign the novice nurse to provide care during this shift? (Select all that apply.) 1. A client on airborne precautions for newly diagnosed tuberculosis (TB). 2. A client diagnosed with chronic obstructive pulmonary disease (COPD) discharging tomorrow. 3. A client diagnosed with acute pneumonia on a bilevel positive airway pressure (BiPAP) machine. 4. A client status postoperative for a vaginal hysterectomy done earlier in the day. 5. A toddler diagnosed with respiratory syncytial virus (RSV) admitted an hour ago. 19. The nurse teaches a group of nursing students about cultural competency. Which strategy will the nurse include to improve the students' cultural competency? (Select all that apply.) 1. Participate in continuing education classes about culturally congruent care. 2. Develop culturally competent approaches to care. 3. Talk with clients about their cultural views of health. 4. Assess own skill level and seek improvement. 5. Realize that personal preferences can influence the client’s preferences. 20. The nurse manager is concerned about increased instances of client confusion and disorientation in the intensive care unit (ICU). Which nursing intervention is most effective in resolving this issue? 1. Promote day time periods of sleep. 2. Monitor noise levels during the night. 3. Prioritize and cluster care activities. 4. Turn off TVs and unnecessary lights. 21. The nurse provides care to a client with asthma. Which co-morbid condition does the nurse identify as a trigger for an acute asthma episode? 1. Psoriasis. 2. Cellulitis. 3. Rheumatoid arthritis. 4. Hiatal hernia. 22. The nurse manager creates a discharge teaching form for clients with acquired immunodeficiency syndrome (AIDS). Which statement will the manager include on this form? (Select all that apply.) 1. Avoid children who have just gotten a live vaccine. 2. A condom is necessary during sexual activity. 3. Contact sports, such as football, must be avoided. 4. Drug paraphernalia must not be shared with others. 5. Sexual activity must be restricted to a single partner. 23. The nurse provides pain management teaching to an older adult client diagnosed with osteoarthritis (OA). Which medication does the nurse discuss as the initial treatment of choice for OA pain? 1. Morphine. 2. Acetaminophen. 3. Ibuprofen. 4. Cyclobenzaprine. 24. The nurse prepares teaching materials to review chest physiotherapy with the parents of a pediatric client diagnosed with cystic fibrosis (CF). Which observation indicates to the nurse that additional teaching is needed? (Select all that apply.) 1. Blood pressure 110/68 mm Hg. 2. Pulse oximetry 88% on room air. 3. Respiratory rate 24 breaths/min. 4. Ecchymosis over the back and lateral chest. 5. Complaint of pain with deep inspiration. 25. The nurse receives a verbal prescription from a health care provider (HCP) during a client emergency. Which action does the nurse take to ensure client safety? (Select all that apply.) 1. Record the prescription in the client’s medical record. 2. Read back the prescription to verify the accuracy of the prescription. 3. Date and time the prescription that was issued during the emergency. 4. Record the HCPs prescriber number. 5. Document the nurse’s own name and title. 26. A client in the postanesthesia care unit (PACU) reports nausea to the nurse. Which medication will the nurse give intravenously for this client's problem? (Select all that apply.) 1. Hydroxyzine. 2. Promethazine. 3. Ondansetron. 4. Aluminum hydroxide. 5. Sucralfate. 27. After being notified that a client is seeking legal counsel about care received while hospitalized, the nurse manager investigates a staff nurse’s performance regarding the client’s care. Which nursing action will concern the nurse manager? (Select all that apply.) 1. The nurse mailed prescriptions to the client after discharge. 2. The nurse consulted the wound care nurse for the client’s area of skin breakdown. 3. The nurse found a referral for home care with laboratory results faxed after the client was discharge. 4. The nurse delegated sterile wound care to nursing assistive personnel (NAP). 5. The nurse administered an oral pain medication when an intramuscular dose was prescribed. 28. The nurse provides care for an infant who has a fractured femur. Which statement regarding pain in an infant is accurate? (Select all that apply.) 1. Infants cannot feel pain. 2. Infants cannot express pain. 3. Infants have the same sensitivity to pain as older children. 4. Pain scales do not work well with infants. 5. Absorption of pain medication is faster in an infant than an adult. 29. The nurse provides care for a client diagnosed with new onset atrial fibrillation. The client’s health care provider prescribes a transesophageal echocardiogram (TEE). What reason will the nurse give to the client as the primary reason for performing a TEE? 1. To measure the cardiac index. 2. To rule out thrombus in the heart. 3. To estimate the ejection fraction. 4. To observe ventricular wall motion. 30. The nurse provides care for a pediatric client suspected of having the respiratory syncytial virus (RSV). Which transmission-based precaution does the nurse initiate once influenza and adenovirus are ruled out for this client? 1. Airborne precautions. 2. Droplet precautions. 3. Reverse precautions. 4. Contact precautions. 31. The nurse develops a teaching plan for a client with hyperlipidemia. Which lifestyle change will the nurse include in the plan? (Select all that apply.) 1. Consume a diet low in saturated fat. 2. Engage in regular, high-intensity aerobic activity. 3. Stop tobacco use by any possible means. 4. Avoid exposure to second-hand smoke. 5. Consume a diet low in soluble fiber. 32. The nurse who is a practicing Muslim requests to wear a hijab while working. Which action will the nurse manager take next? 1. Decline the request. 2. Make the accommodation. 3. Advocate for modification of the organization’s dress code. 4. Review the organization’s dress code policy. 33. The nurse provides care for a client diagnosed with insomnia. Which intervention does the nurse include in the nursing care plan? 1. Encourage afternoon naps. 2. Provide dairy products 30 minutes before bedtime. 3. Advise the client to vary retire and awake times. 4. Limit naps to less than 60 minutes. 34. The nurse is proving care for several clients. Which client need will the nurse address first? 1. Client with a stroke needing a hand splint reapplied. 2. Client with diabetes and a fasting blood glucose of 78 mg/dL requesting a snack. 3. Client with diarrhea needing the bedside commode emptied. 4. Client with emphysema requesting assistance with ambulation. 35. The nurse provides care to a newly admitted client. At which time will the nurse conduct a medication re [Show Less]
- Exam
- $20.45
- 0
- 141
Purchase the bundle to get the full access instantly
- 3 Million+ Study Documents
- 100% Money Back Guarantee
- Immediate Download Access
Add To Cart
Reviews 0
Bundle Details
$35.45
- Trusted by 800,000+ Students
- 24/7 Money Back Guarantee
- Download is directly available
209
2
Seller Details
