nurse in a pediatric unit is preparing to insert an IV catheterfor 7-year-old. Which of the
following actions should the nurse take?
1. Tell the child
... [Show More] they will feel discomfort during the catheter insertion. 2. A nurse is caring for a client who has arteriovenous fistulaWhich of the following
findings should the nurse report?
Absence of a bruit. 3. A nurse is providing discharge teaching for a client who has animplantable cardioverter
defibrillator which of the following statements demonstrates understanding of the teaching?
1. “I will wear loose clothing around my ICD” 4. A nurse is caring for a client who is at 14 weeks gestation and reportsfeelings of ambivalence about
being pregnant. Which of thefollowing responses should the nurse make?
1. “Describe your feelings to me about being pregnant” 5. A nurse is planning care for a client who has a prescription fora bowel- training program
following a spinal cord injury. Whichof thefollowing actions should the nurse include in the plan
of care?
1. Administer a rectal suppository 30 minutes prior to scheduleddefecation times. 6. A nurse is caring for a client who is in active labor and requests painmanagement. Which of the
following actions should the nursetake?
1. Place the client in a warm shower.
lOMoARcPS D|1248 666 9 7. a nurse in an emergency department is performing triage for multiple clients following a disaster in the
community. To which ofthe following types of injuries should the nurse assign the highest priority?
1. Below-the knee amputation
8. a nurse manager is updating protocols for the use of belt restraints. Which of the
following guidelines should the nurseinclude?
1. Document the client’s condition every 15 min
9. A nurse is teaching an in-service about nursing leadership. Whichof thefollowing information should the
nurse include about an effective leader?
1. Acts as an advocate for the nursing unit. 10. A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and reports that she
has been following her (unable toread) care. The nurse should identify which of the following findings
indicates a need to revise the client’s plan of care. 1. Hba1c 10 %
11. A nurse in a provider’s office is reviewing the laboratory resultsof agroup of clients. The nurse
should identify that which of the followingsexually transmitted infections is a nationally notifiable
infectious disease that should be reported to the state health department?
1. Chlamydia
12. A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a group
on a mental health unit. Which of the following group facilitation techniques should thenurse include in the
teaching?
lOMoARcPS D|1248 666 9 1. Use modeling to help the clients improve their interpersonal skills
13. A nurse is planning for a client who practices Orthodox Judaism.The client tells the nurse that (Unable
to read) Passover holiday. Which of thefollowing action should the nurse include in the plan ofcare?
1. Provide unleavened bread. 14. A nurse is caring for a client who has a pulmonary embolism.Thenurse should identify the
effectiveness of the treatment
1. The client reports feeling less anxious. 15. A nurse in an emergency department is assessing a client whoreports ingesting thirty diazepam
tablets (Unable to read) a
respiratory rate of 10/min. After securing the client’s airway and initiatingan IV, which of the following
actions should the nurse donext. 1. Administer flumazenil to the client. 16. A nurse in an emergency department is caring for a client who reports cocaine use 1hr ago. Which of the following findings shouldthe nurse expect?
1. Elevated temperature
17. A nurse is assessing a newborn who has a blood glucose levelof30 mg/dl. Which of the
following manifestations should the nurse expect?
A. Jitteriness
18. A nurse in a pediatric clinic is reviewing the laboratory testresults of a school age child. Which of the following findings should the nurse report to the provider?
lOMoARcPS D|1248 666 9 1. WBC 14,000/mm3
19. A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy in
situations that require a durablepowerof attorney for heal care (DPSHC). Which of the following
information should the charge nurse include?
1. 20. A nurse in the PACU is caring for a client who reports nausea.Whichof the following actions should
the nurse take first?
1. Turn the client on their side. 21. A nurse is caring for a client who has a history of depression andis experiencing a situational crisis. Which of the following actions shouldthe nurse take first?
1. Confirm the client’s perception of the event
22. A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The nurse
obtained a verbal prescriptionfor restraints. Which of the following should the actions should the
nurse take?
1. Document the client’s condition every 15 minutes. 25. A nurse is working on a surgical unit is developing a care planfor aclient who has paraplegia. The
client has an area of nonblanchable erythema over his ischium. Which of the following interventions
should the nurse include in the care plan? [Show Less]