1. A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse expect?: bounding pulse
2. A nurse is
... [Show More] discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the following statements indicates the newly licensed nurse understands the purpose of the technique: a. This technique decreases the risk of subcutaneous infiltration
3. 1. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan?: a. Monitor the client for 1 hr after meals
4. A nurse notices smoke coming from a client's room and discovers a fire in the wastebasket. After moving the client to safety, which of the followings is the priority action?: a. Close the fire door on the unit
5. A nurse is assessing a client who has delirium due to a febrile illness.
Which of the following findings should the nurse expect?: a. Hallucinations
6. 1. A nurse is caring for a client following an open colectomy. Which of the following findings places the client at risk for delayed wound healing?: hy- peremesis
7. 1. A home health nurse is reviewing treatment goals with a client who has diabetes mellitus. The nurse should evaluate which of the following labora- tory tests to determine effective long-term management of blood glucose levels?: A1C
8. 1. A nurse is caring for a client who has neutropenia due to HIV. Which of the following precautions should the nurse take while caring for this client?: a. Use a dedicated stethoscope
9. 1. A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following actions should the nurse take?: Tell the client to avoid drinking fluids 1 hr before bedtime
10. 1. A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy. Which of the following interventions should the nurse include?: a. Place the newborn 45 cm from the light source
11. 1. A nurse is planning care for a client who has schizophrenia and is having difficulty expressing their feelings. Which of the following referrals should the nurse make?: social worker
12. 1. A nurse is caring for a client who has heart failure and has started taking a loop diuretic. Which of the following findings indicates the client is experiencing an adverse effect of the medication: decreased reflexes
13. 1. At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of client reports. Which of the following client reports should the nurse assess first?: indigestion
14. 1. A nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which of the following actions by the assistive personnel requires the nurse to intervene?: offer oral fluids to the client
15. 1. A nurse on a medical unit has just received change-of-shift report. Which of the following clients should the nurse assess first?: a. A 68 year old client who had a myocardial infarction 2 days ago and reports chest pain as a
4 on a scale of 0 to 10
16. 1. A nurse is assessing a client prior to performing a blood draw. The nurse should identify that an allergy to which of the following food can indicate that the client has an allergy to latex?: avocados
17. 1. A nurse is preparing to witness a client's signature on an informed consent for a total knee arthroplasty. Which of the following client statements indicates the nurse should contact the surgeon?: a. I am thankful there are no serious complications from this type of surgery
18. 1. A nurse is admitting a client who has antisocial personality disorder. Which of the following client behaviors should the nurse identify as consis- tent with this disorder?: a. Uses others for personal gain
19. 1. A nurse is teaching the parent of a school-age child who has scabies about the application of permethrin 5% cream. The nurse should include which of the following as a potential adverse effect of the medication?: burn- ing
20. 1. A nurse is teaching a client who has a new prescription for digoxin.
Which of the following statements should the nurse include in the teaching?- : muscle weakness
21. 1. A nurse is planning teaching for a client who is at 10 weeks of ges- tation and has a history of urinary tract infections. Which of the following information should the nurse plan to include in the teaching about UTI prevention?: a. Empty the bladder before and after intercourse
22. 1. A nurse is providing discharge teaching to a client who is postpartum and plans to breastfeed. Which of the following should the nurse recommend the client increase in their diet during lactation?: a. Calcium
23. 1. A nurse is providing teaching about preventing mastitis to a client who is postpartum and breastfeeding her newborn. Which of the following instructions should the nurse include?: a. Try to have your baby empty your breasts with each feeding."
24. 1. A nurse is caring for a client who reports chest pain. Which of the following findings indicates myocardial damage?: a. Troponin I 1.8 ng/mL
25. 1. A nurse is providing teaching about car seat safety to the parent of a term newborn. Which of the following statements by the parent indicates an understanding of the teaching?: a. "I should place my baby's car seat rear-facing until 6 months of age."
26. 1. A nurse is performing high-frequency chest compressions using a me- chanical chest compression device for a child who has cystic fibrosis. Which of the following findings indicates the treatment has been effective?: a. The child has increased sputum production
27. 1. A nurse is caring for a client following a possible exposure to anthrax.
Which of the following actions should the nurse take?: antitoxin
28. 1. A nurse is caring for a client who has a newly implanted sealed internal radiation device to treat cervical cancer. Which of the following is an appropriate action for the nurse to take?: a. Keep a 3 foot distance from the radiation implant
29. A nurse is admitting a client to the medical-surgical unit. Which of the following actions should the nurse take first?: a. Observe the client's level of mobility
30. 1. A nurse at a public health clinic is caring for a group of clients. Which of the following should the nurse identify as a reportable diagnosis to the CDC?: hep A
31. 1. A charge nurse is evaluating the time management skills of a newly licensed nurse. Which of the following actions should the charge nurse identify as an effective time management skill?: a. Completes activities for one client before moving to the next client
32. 1. A nurse is caring for a client who has opioid use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect?: a. Hyperreflexia
33. 1. A nurse is planning to perform wound irrigation for a client who has an open secondary wound. When creating a sterile field, which of the following actions should the nurse take?: a. Hold the bottle of sterile solution with the palm over the label while pouring
34. 1. A nurse is planning care for a client who has a sealed radiation implant and is to remain in the hospital for 1 week. Which of the following should the nurse include in the plan of care?: a. Wear a dosimeter film badge while in the client's room [Show Less]