PEDIATRICS NUR0416CAT 2 KAPLAN-2
1. The nurse assess a client who is in the 24th week of gestation. Which finding is a priority for the
nurse to
... [Show More] 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 to
reduce 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. Which
assessment finding causes the nurse to suspect the client is experiencing an adverse reaction to the
medication?
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 about
cardioversion 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 the
teaching 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. Which
action 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. [Show Less]