CAT 2 KAPLAN Complete 150 Questions and Answers Provided Exam Study Guide
CAT 2 KAPLAN
Complete 150 Questions and Answers Provided Exam Study G... [Show More] uide
1. The nurse assess a client who is in the 24th week of gestation. Which finding 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.
3. Administer a topical anesthetic at the intended injection site.
4. Administer the medication by the intravenous route.
Ans: 1
27. The nurse provides care to victims of a disaster. Which client will the nurse assess first?
1. An 8-month-old client with a laceration over the left eye, a blood pressure of 84/50 mm Hg, and a pulse of 105 beats/min.
2. A 6-year-old client with crush injuries to both legs, fixed and dilated pupils, and an absent pulse.
3. A 20-year-old client with a traumatic left below the knee amputation, a blood pressure of 70/46 mm Hg, and a pulse of 124 beats/min.
4. A 28-year-old client with a hematoma on the forehead, a Glasgow Coma Scale of 11, and is crying.
Ans: 3
28. The nurse notes the client’s electrocardiogram (ECG) tracing shows a prolonged PR interval, a wideQRS complex, and tall peaked T waves. Which action does the nurse take next?
1. Palpate the peripheral pulses.
2. Check the serum potassium.
3. Raise the head of the bed.
4. Obtain serum troponin level.
Ans: 2
29. The nurse provides care for a client on bed rest. The nurse determines that the client’s right calf isswollen, red, and tender to touch. Which nursing action is most appropriate?
1. Check the client for Homan sign.
2. Massage the area.
3. Notify the health care provider.
4. Teach the client to dangle legs.
Ans: 3
30. The nurse prepares to teach a client about measures to prevent falls at home. Which point will thenurse include in the teaching plan?
1. Place a small area rug on the bathroom floor in front of the bathtub.
2. Avoid using step stools.
3. Allow damp areas on the floor to air dry.
4. Do not attempt to do anything beyond reach.
Ans: 4
31. The nurse auscultates heart sounds in a school-age client. Where does the nurse place thestethoscope to listen to the aortic area of the heart?
1. Second left intercostal space.
2. Second right intercostal space.
3. Fifth intercostal space left midclavicular line.
4. Fifth right and left intercostal spaces.
Ans: 2
32. The nurse teaches a class on suicide prevention to high school students. Which risk factor isaccurate with regard to suicide in adolescent clients? (Select all that apply.)
1. Possessions that are given to friends.
2. A low-grade point average.
3. Statements like, “I may not be around anymore.”
4. Access to a gun at home.
5. Frequent thoughts of suicide.
Ans: 1, 3, 4, 5 [Show Less]
