8. a nurse manager is updating protocols for the use of belt restraints.
Which of the following guidelines should the nurse include?
A. Remove the
... [Show More] client’s restraint every 4hr
B. Document the client’s condition every 15 min
C. Attach the restrain to the bed’s side rails
D. Request a PRN restrain prescription for clients who are aggressive
11. A nurse in a provider’s office is reviewing the laboratory results
of a group of clients. The nurse should identify that which of the
following sexually transmitted infections is a nationally notifiable
infectious disease that should be reported to the state health
department?
A. Chlamydia
B. Human papillomavirus
C. Candidiasis
D. Herps simplex virus
17. A nurse is assessing a newborn who has a blood glucose level of
30 mg/dl. Which of the following manifestations should the nurse
expect?
A. Loose stools
B. Jitteriness
C. Hypertonia
D. Abdominal distention
19. A charge nurse is teaching a newly licensed nurse about clients
designating a health care proxy in situations that require a durable
power of attorney for heal care (DPSHC). Which of the following
information should the charge nurse include?
A. “The proxy should make health care decisions for the client
regardless of the client’s
ability to do so.”
B. “The proxy can make financial decisions if the need arises.”
C. “The proxy can make treatment decisions if the client is under
anesthesia.”
D. “The proxy should manage legal issues for the client.”
21. A nurse is caring for a client who has a history of depression and
is experiencing a situational crisis. Which of the following actions
should the nurse take first?
A. Confirm the client’s perception of the event
B. Notify the client’s support system
C. Help the client identify personal strengths
D. Teach the client relaxation techniques
29. A nurse is caring for a client who has end-stage kidney disease.
The client’s adult child asks the nurse about becoming a living
kidney donor for her father. Which of the following condition in the
child’s medical history should the nurse identify as a contraindication
to the procedure?
A. Amputation
B. Osteoarthritis
C. Hypertension
D. Primary glaucoma
30. A nurse is providing discharge teaching for a group of clients.
The nurse should recommend a referral to a dietitian
A. A client who has a prescription for warfarin and states “I will need
to limit how much
spinach I eat”.
B. A client who has gout and states, “I can continue to eat anchovies
on my pizza.”
C. A client who has a prescription for spironolactone and states “I
will reduce my intake of
foods that contain potassium”.
D. A client who has (Unable to read) and states “I’ll plan to take my
calcium carbonate with
a full glass of water”.
31. A nurse is assessing a child who is being treated for bacterial
pneumonia. The nurse notes an increase in the child’s glucose. The
nurse should identify this finding as an adverse effect of which of the
following medications
A. Methylprednisolone.
B. Ondansetron.
C. Guaifenesin.
D. Amoxicillin
37. A nurse is assessing a client who is in active labor. Which of the
following findings should the nurse report to the provider?
A. Contractions lasting 80 seconds
B. FHR baseline 170/min
C. Early decelerations in the FHR
D. Temperature 37.4C (99.3)
40. A nurse is preparing to measure a temperature of an infant. Which
of the following action should the nurse take?
A. Place the tip of the thermometer under the center of the infant’s
axilla.
B. Pull the pinna of the infant’s ear forward before inserting the
probe.
C. Insert the probe 3.8 cm (1.5in) into the infant’s rectum.
D. Insert the thermometer in front of the infant’s tongue.
41. A nurse is planning care for a client who has bipolar disorder and
is experiencing mania. Which of the following interventions should
the nurse include in the plan?
A. Encourage the client to spend time in the day room
B. Withdraw the client’s TV privileges is the does not attend group
therapy
C. Encourage the client to take frequent rest periods
D. Place the cline in seclusion when he exhibits signs of anxiety
44. a nurse is preparing an in-service for a group of nurses about
malpractice issues in nursing. Which of the following examples
should the nurse include in the teaching?
A. Leaving a nasogastric tube clamped after administering oral
medication
B. Documenting communication with a provider in the progress
notes of the client’s medical records
C. Administering potassium via IV bolus
D. Placing a yellow bracelet on a client who is at risk for falls
46. The nurse is reviewing the medical record of a client who is
requesting combination oral contraceptives. Which of the following
conditions in the client’s history is a contradiction to the use of oral [Show Less]