PN Comprehensive Online Practice
2020-Form B with complete Solution
A nurse is preparing to administer digoxin to a client who has heart failure. Which
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following findings should indicate to the nurse that the medication has been effective? -
ANSWER Cardiac workload decreases
A nurse is reinforcing teaching about stress management techniques with a client who
has moderate anxiety disorder. Which of the following responses by the client indicates
an understanding of the teaching? - ANSWER "I will imagine myself in a calm place
when I can't concentrate"
A nurse is reinforcing teaching with a client about taking warfarin to treat atrial
fibrillation. Which of the following statements by the client indicates an understanding of
the teaching? - ANSWER "If I forget to take a dose, I can take it later on the same day"
A charge nurse in a long-term care facility notices an assistive personnel's (AP)
repeated failure to provide oral care for clients. Which of the following actions should the
charge nurse take? - ANSWER Discuss this behavior with the AP while reinforcing
expectations
A nurse in a long-term care facility is observing a newly licensed nurse who is providing
tracheostomy care for a client. The nurse identifies proper performance when the newly
licensed nurse selects which of the following solutions to clean the inner cannula? -
ANSWER Hydrogen peroxide
A nurse caring for a client who took an overdose of acetaminophen. Which of the
following medications should the nurse plan to administer to the client? - ANSWER
Acetylcysteine
A nurse is caring for a client who is in Buck's traction. Which of the following actions
should the nurse take? - ANSWER Allow the weights to hang freely
A nurse is preparing to administer metoclopramide 10mg IM. Available is
metoclopramide 5mg/mL. How many mL should the nurse administer? - ANSWER 2mL
A nurse is reinforcing discharge instructions with the parent of an infant who has
rotavirus. Which of the following statements by the parent indicates an understanding of
the teaching? - ANSWER "I will apply diaper cream to my baby's skin during each
diaper change"
A charge nurse is observing a newly licensed nurse apply sterile gloves. Which of the
following actions by the newly licensed nurse demonstrates sterile technique? -
ANSWER Putting a glove on their dominant hand first
A nurse is reviewing laboratory reports for a client who has an Escherichia coli infection
and is receiving gentamicin. Which of the following results should the nurse report to the
provider before administering the next dose? - ANSWER Creatinine 2.5mg/dL
A nurse at a long-term care facility is caring for a client who requires oral suctioning.
Which of the following supplies should the nurse plan to use for this task? - ANSWER
Yankauer catheter
A nurse in a long-term care facility is serving on the ethics committee, which is
addressing a client care dilemma. Which of the following strategies will facilitate
resolving the dilemma? (Select all that apply) - ANSWER Determine the facts related to
the dilemma
Identify possible solutions
Consider the client's wishes
A nurse is talking with a client whose son died in a motor-vehicle crash 2 weeks ago.
The client states, "I really thought I'd be back to my usual routines by now, but I can't
think of anything else except that my son is gone." Which of the following responses
should the nurse make? - ANSWER "Grieving for your son is hard work. It will take as
much time as you need to come to terms with your loss."
A nurse is reinforcing teaching with a client about cancer prevention. The nurse should
include that frequent consumption of which of the following foods increases the risk for
developing cancer? - ANSWER Lamb
A nurse notices an assistive personnel (AP) taking a nap in the break room during meal
time. The nurse also notes that the AP is drowsy while performing routine tasks. Which
of the following actions should the nurse take? - ANSWER Report the observations
about the AP to the unit's nurse manager
A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of
the following clients should the nurse identify as being at risk for urinary retention? -
ANSWER A school-age child who has allergic rhinitis and is taking diphenhydramine
A nurse is caring for a client following a bronchoscopy. Which of the following actions
should the nurse take first? - ANSWER Check for a gag reflex
A nurse is assisting with the admission of a client who has a latex allergy. The nurse
should identify that which of the following supplies has the potential to contain latex? -
ANSWER Indwelling urinary catheter
A nurse is performing postmortem care for a client prior to the arrival of the client's
family for viewing of the body. Which of the following actions should the nurse take? -
ANSWER Gently close the client's eyelids
A nurse is reinforcing teaching with a client regarding prescribed asthma medications.
The nurse should instruct the client to use which of the following medications for
treatment of an acute asthma attack? - ANSWER Albuterol
A nurse is reinforcing teaching about home care for conjunctivitis with the parent of a
school-age child. Which of the following information should the nurse include? -
ANSWER Separate the child's used washcloth from those of others
A nurse is preparing to administer an influenza virus immunization to a client by the
intradermal route. Which of the following actions should the nurse take? - ANSWER
Avoid massaging the site after injecting the vaccine
A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of
the following actions should the nurse take? - ANSWER Open the outer package flap of
the catheterization kit away from their body
A nurse is reinforcing teaching about food selection with a client who has a moderate
burn injury. Which of the following foods should the nurse recommend as being high in
vitamin C? - ANSWER Tomatoes
A nurse is collecting data from a client who has multiple fractures following a motorvehicle crash. For which of the following client statements should the nurse recommend
a referral to an occupational therapist? - ANSWER "I am so frustrated. I cannot even
open my milk carton for breakfast"
A nurse is assisting with the admission of an adolescent who has bulimia nervosa.
Which of the following manifestations should the nurse expect? - ANSWER
hematemesis
A nurse is collecting data from a client who is in the diagnostic center and is scheduled
to undergo a colonoscopy. Based on the information provided in the client's chart, which
of the following pieces of data places this client at risk for colorectal cancer? - ANSWER
BMI
A nurse is caring for a client who has an altered mental status and has become
aggressive. Which of the following prescriptions should the nurse clarify with the
provider prior to administration? - ANSWER Zolpidem
A nurse is reinforcing teaching with a client who has hypothyroidism and a prescription
for levothyroxine. Which of the following instructions should the nurse include in the
teaching? - ANSWER "You will need to take this medication for the rest of your life"
A nurse is collecting data from a client who has myasthenia gravis (MG). Which of the
following images should the nurse identify as an indication that the client is experiencing
ptosis? - ANSWER Abnormal drooping of the upper eyelid
A nurse is assisting with the admission of a client who has major depressive disorder.
Which of the following communication techniques should the nurse use to establish a
trusting relationship with the client? - ANSWER Offering general leads
A nurse is preparing to administer a client's morning medications. Which of the following
actions should the nurse take to verify the client's identity? - ANSWER Scan the client's
facility identification band
A nurse is collecting data from a client who has iron deficiency anemia. Which of the
following findings should the nurse expect? - ANSWER Difficulty concentrating
A nurse is caring for a client who has expressive aphasia following a stroke. Which of
the following methods should the nurse use when communicating with the client? -
ANSWER Provide a picture board
A nurse is caring for a client who is 1 day postoperative and is unable to ambulate.
Which of the following actions should the nurse take to promote the client's venous
return? - ANSWER maintain a sequential compression device
A nurse is observing an assistive personnel (AP) caring for a client. For which of the
following actions by the AP should the nurse intervene? - ANSWER The AP reports
client information to the oncoming AP in the hallway
A nurse is reinforcing teaching with a newborn's parents about umbilical cord care.
Which of the following statements by a parent indicates an understanding of the
instructions? - ANSWER "I will give our baby sponge baths until the cord falls off"
A nurse is reinforcing discharge teaching with a client who has undergone vein ligation
and stripping to treat varicose veins. Which of the following instructions should the
nurse include in the teaching? - ANSWER Walk for 1 to 2 hr each day
A nurse is delegating the collection of a sputum specimen to an assistive personnel
(AP). At which of the following times should the nurse instruct the AP to collect the
specimen? - ANSWER As soon as the client awakens in the morning
A nurse at a long-term care facility is part of a team preparing a report on the quality of
care at the facility. Which of the following information should the nurse recommend
including in the report to demonstrate improvement in care quality? - ANSWER The
facility had 12% fewer urinary tract infections over the past 6 months
A nurse is maintaining droplet precautions for a client who has meningitis. Which of the
following actions should the nurse take? - ANSWER Wear a surgical mask within 3 feet
of the client
A nurse is reinforcing teaching with a client who has a new diagnosis of type 2 diabetes
mellitus and inquires about information concerning oral antidiabetic agents. In addition [Show Less]