1. A nurse is assessing a preschooler who has a UTI. Which of the following should the nurse inspect?
A. Diarrhea
B. Abdominal Pain
C. Increased
... [Show More] Thirst
D. Skin Rash - B. Abdominal Pain
Other manifestations include constipation, dysuria, foul-smelling urine, fever
2. A nurse is counseling a client who has a family history of colorectal cancer about management of nutrition to help prevent GI cancers. Which of the following images indicated a food or beverage the nurse should encourage?
A. Wine
B. Fruit
C. Fried Chicken
D. Bread - B. Fruit
Consume at least 2.5 cups of fruit and vegetables per day to help reduce the risk of cancers of the GI system
3. A nurse is preparing to extinguish a small fire in a client's room. Which of the following actions should the nurse take?
A. Aim the extinguisher at the top of the flames
B. Pump the handles of the extinguisher up and down three times
C. Sweep the fire extinguisher in a circular motion until fire is extinguished
D. Slide the pin on the top of the fire extinguisher straight out - D. Slide the pin on the top of the fire extinguisher straight out
4. A nurse is caring for a child who has celiac disease. Which of the following items should be removed from the meal tray?
A. Corn-flake cereal
B. Orange juice
C. Scrambled eggs
D. Oatmeal with raisins - D. Oatmeal with raisins
Celiac disease is the intolerance to dietary gluten, which is a protein in wheat, rye, oats, and barley. This intolerance causes diarrhea, weight loss, abdominal pain, and fatigue
5. A nurse at a provider's office is counseling a client who reports insomnia. Which of the following statements should the nurse make to include the clients preferences into sleep promotion plan?
A. "If alcoholic beverages are desires, consume them in the early evening"
B. "Sleep in the location of your home where you feel you rest best."
C. "Turn on a favorite television show just before going to bed."
D. "Allow your sleep and wake times to vary depending on how you feel each day." - B. "Sleep in the location of your home where you feel you rest best."
Whether it be a bed, couch, or chair
6. A nurse is assessing the spiritual wellbeing and development of a preschooler. The nurse asks "why is it wrong to kick your baby sister?" Which of the following responses should the nurse expect?
A. "Its not wrong because she made me mad"
B. "Its wrong because my dad said I cant kick her"
C. "It wrong to kick her because the gods wont like it"
D. "Its wrong because she would get hurt and be sad" - B. "Its wrong because my dad said I cant kick her"
The nurse should expect the preschooler to be motivated to choose right from wrong because of rules taught to him by his parents. The nurse should understand that, even though the preschooler might know the rules, he is not yet able to understand the rationale for the rules
7. A nurse in a long-term care facility is admitting a new client following a brief stay in acute care. In adherence with the Joint Commission National Patient Safety Goals regarding medication administration, which of the following actions should the nurse take?
A. Inform the client that he will not be receiving medications he took prior to his hospitalization
B. Compare a list of the clients current medications with the ones he will take in long-term care
C. Eliminate any OTC products from the clients current medication list
D. Omit the medication indications when listing the clients medication dose information - B. Compare a list of the clients current medications with the ones he will take in long-term care
The Joint Commission National Patient Safety Goals regarding medication reconciliation includes maintaining and communicating accurate client medication information. The nurse should complete a medication reconciliation to identify and resolve any discrepancies by comparing the client's list of current medications with the medications he will take in the long-term care facility and addressing any duplications, omissions, or interactions
8. A nurse is caring for a client who is 2 days postoperative following an above-the- knee amputation. The client states he is experience in a dull, burning pain in the leg that was amputated. Which of the following should the nurse take to treat the client's neuropathic pain
A. Inform the client that phantom limb pain is not real
B. Administer a beta-blocking medication to the client
C. Place the client on a soft mattress
D. Loosen the bandage on the client's residual limb - B. Administer a beta-blocking medication to the client
This classification of medication has been shown to relieve the phantom limb pain manifestations of constant dull and burning type pain
9. A nurse is teaching the parent of a toddler about home injury prevention. When discussing snacks, which of the rolling statements by the parent indicates an understanding of the teaching?
A. "I can offer her grapes as long as I peel them first?"
B. "I can give her watermelon pieces after I remove the seeds."
C. "I should give her popcorn that is air-popped and without salt or butter."
D. "I should cut hot dogs into thin, round slices before giving them to her." - B. "I can give her watermelon pieces after I remove the seeds."
The nurse should inform the parent that toddlers can easily choke on seeds from fruits, such as watermelon seeds or cherry pits, because of their round shape and size. Removing the seeds and cutting the watermelon into pieces provides the toddler with a nutritious snack that does not increase the toddler's risk of foreign body obstruction
10. A nurse is searching electronic databases for clinical research about behavior indications of pain in an infant. Which of the following online sources should the nurse select to research this infant care issue
A. Cumulative Index to Nursing and Allied Health Literature (CINAHL)
B. The Nursing Minimum Data Set
C. The Omaha System
D. The Nursing Intervention Classification (NIC) - A. Cumulative Index to Nursing and Allied Health Literature (CINAHL) [Show Less]