1.A nurse is caring for a client who has a severe burn injury. The nurse should recognize which
of the following client findings as an indication of
... [Show More] hypovolemic shock?
Potassium 5.2 mEq/L
2. A nurse is teaching a client who has asthma the use of a peak flow meter. After setting the
meter to the zero baseline. What is the sequence of steps the nurse should instruct the client to
take? (Move the steps into the box on the right, placing them in the selected order of
performance use all the steps.)
"Stand upright"
"Fill your lungs with a deep breath."
"Seal your lips around the mouthpiece."
"Exhibit forcefully and quickly."
"Record the highest of three consecutive readings."
3.A nurse is caring for a client who has hypotension, cool and clammy skin, tachycardia, and
tachypnea. In which of the following positions should the nurse place the client?
- Feet elevated
4. A nurse is planning care for a client who has a pulmonary embolism and a prescription for
enoxaparin via subcutaneous injection. Which of the following interventions should the nurse
include?
a. Assess the client’s stools for occult blood
5. a nurse is caring for a client who has sealed radiation implant. which of the following actions
should the nurse take?
limit family member visits to 30 min per day
6. a nurse providing teaching for a client who has chronic kidney disease. which of the following
client statements indicates an understanding of the teaching?
a. I will spread my protein allowances over the entire day
7. A nurse is caring for a client who is 2 days postoperative following abdominal surgery and
has a prescription for opioid analgesia. Which of the following actions should the nurse
implement to help facilitate the client's recovery?
Provide analgesic medication prior to physical activities.
8. A the medical record of a client who is 1 day postoperative following an appendectomy.
Which of the following should the nurse report to the provider ?
Hemoglobin 10 mg/dL
9. A nurse on an acute care unit is receiving a change-of-shift report for four clients. Which of
the following clients should the nurse assess first?
A client who had an acute kidney injury and has a potassium level of 6.5 mEq/L
lOMoAR cPSD|13275585
10. A nurse in a long-term care facility caring for a bedridden. Which of the following findings
should alert the nurse to a complication of the client’s immobility?
- blurred vision
11. A nurse is caring for a client who is 2 days postoperative following a below-the-knee
amputation and asks about the purpose of maintaining an elastic bandage around the residual
limb of the extremity. Which of the following is an appropriate response by the nurse?
a. “The elastic bandage will keep you from seeing the surgical site.”
b. “The elastic bandage will prevent a postoperative wound infection.”
c. “The elastic bandage will prevent excessive edema.”***
d. “The elastic bandage will keep the sutures from loosening.”
12. A nurse is preparing to administer fresh frozen plasma to a client.
Which of the following actions should the nurse take?
a. Hold the transfusion if the client is actively bleeding
b. Transfuse the plasma over 4 hours
c. Administer the transfusion through a 25-gauge saline lock
d. Administer the plasma immediately after thawing
13. A nurse caring for a client in diabetic ketoacidosis (DKA) , Which of the following is the
priority intervention by the nurse
a. Initiate a continuous IV insulin infusion
b. Begin bicarbonate continuous IV infusion
c. Check potassium levels
d. Administer 0.9% sodium chloride [Show Less]