Reference no: EM133383051
Questions
1. A nurse is collecting data from a client following a thoracentesis. The nurse should notify the provider for which of the following findings?
2. A nurse is caring for a client who is receiving treatment for cancer and is experiencing stomatitis. Which of the following actions should the nurse take to help manage the condition?
3. A nurse is caring for a client who has diabetic neuropathy of the lower extremities in his new prescription for a heating pad. The prescription reads apply to the left foot for 20 minutes. Which of the following actions should the nurse take?
4. A nurse is assisting in the care of a client who is to receive a transfusion of packed RBCs. Which of the following solutions does the nurse obtain?
5. A nurse is reinforcing discharge teaching with the partner of a client who requires tracheal suctioning. Which of the following statements by the partner indicates an understanding of the teaching?
6. A nurse is reinforcing teaching with a client who is scheduled for a bronchoscopy. Which of the following statements should the nurse include in the teaching?
7. A nurse is reinforcing teaching with a client who has coronary artery disease and is to begin a low fat diet. Which of the following statements by the client indicates an understanding of the teaching?
8. A nurse is planning care for a client who is receiving radiation therapy to treat throat cancer, and report a change in the taste of food. Which of the following interventions should the nurse include in the plan of care?
9. A nurse is reinforcing teaching with a client regarding application of antiembolic stockings. Which of the following statements by the client indicates an understanding of the teaching?
10. A nurse is caring for a client in hospice care. Who is dying. The client partner expresses concern that the client is sleeping more than in the previous week. Which of the following is an appropriate response by the nurse?
11. a nurse is caring for a client who is postoperative following appendectomy. Which of the following information should the nurse include when documenting in the electronic medical record?
12. A nurse is initiating the use of a continuous passive motion (CPM) Device for a client following a total knee arthroplasty. Which of the following actions should the nurse take?
13. A nurse in the clinic is reinforcing teaching about breast health with a client who has a family history of breast cancer. Which of the following instructions should the nurse include?
14. a nurse is caring for a client who has a closed head injury. In which of the following positions should the nurse place the client?
15. A nurse is reinforcing teaching with a female client who has a history of urinary tract infections. What does the following instructions should the nurse include?
16. A nurse is caring for a client who is 24 hour postoperative following abdominal surgery. The client receives an opioid analgesic one hour ago and now reports a pain level of two on a scale of 0 to 10. Which of the following action should the nurse take?
17. A nurse is preparing ceftriaxone using the Z -track technique to a client who has gonorrhea. After the nurse performs hand hygiene, and reconstitutes the medication, identify the sequence. The nurse should administer the medication.
18. a nurse is assisting with the plan of care for a client who has aspiration pneumonia in hypoxia. Which of the following actions should the nurse plan to take?
19. A nurse is caring for a client who is 8 hours postoperative following a left hip arthroplasty. Which of the following laboratory values indicate the nurse should notify the provider?
20. A nurse is reinforcing discharge instructions with a client who is taking oral iron supplementation for anemia. Which of the following statements by the client demonstrates an understanding of the teaching?
21. A nurse is monitoring a client following a coronary angiography. Which of the following findings should the nurse report to the provider?
22. A nurse is reinforcing, teaching with a client who is being discharged following a prostatectomy. Which of the following statements to the nurse include in the teaching?
23. a nurse is providing care to a client who has sustained deep. Partial thickness, burns to the back of both legs. Which of the following action should the nurse anticipate?
24. A nurse in a long-term care facility is reinforcing teaching about pain control with a client who has terminal cancer. Which of the following information should the nurse include?
25. A nurse is checking the skin of a client who has chronic venous insufficiency. Which of the following morning images shut the nurse identified as a venous stasis ulcer?
26. A nurse is assisting with care for a client who received a tuberculin skin test, 72 hours ago. When collecting data from this test site, which of the following findings indicates a need for further testing?
27. A nurse in a provider's office is collecting data from a client 1 month following surgery for a new colostomy. Which of the following statements indicates the client is in the acceptance stage of grieving?
28. A nurse is reinforcing teaching about a transcutaneous nerve stimulation (TENS) unit for a client who has a herniated intervertebral desk. Which of the following statements by the client indicates an understanding of the teaching?
29. A nurse is reinforcing teaching with a client who has a new prescription for alendronate for the treatment of osteoporosis. Which of the following instructions should the nurse include?
30. a nurse is caring for a client who is 3 days postoperative following and ileostomy placement. Which of the following findings should the nurse report to the provider?
31. A nurse is collecting data from a client who had a bronchoscopy. Which of the following findings should the nurse report to the provider?
32. A nurse is reviewing the ABG values of a client who has pneumonia. Which of the following findings indicates the client is developing respiratory acidosis?
33. A nurse is reinforcing health promotion education at a community health fair. Which of the following statements by attendees indicates understanding of the teaching?
34. A nurse is caring for a client who is visually impaired. When delivering the client's meal tray, which of the following actions should the nurse take?
35. A nurse is caring for a client who has diabetes mellitus. Which of the following laboratory findings indicates the client has maintained control of his blood glucose levels for the past 3 months?
36. A nurse is preparing to administer an intermittent enteral feeding to a client who has a nasogastric tube. Which of the following actions is the priority for the nurse to take?
37. A nurse is caring for a client who has leukemia. Which of the following findings is the highest priority for the nurse to report to the provider?
38. A nurse in a provider's office is reinforcing teaching about disease prevention with an older adult client. Which of the following immunizations should the nurse recommend to the client?
39. A nurse is assisting in the care of a client who has a pulmonary embolism and is experiencing dyspnea. Which of the following actions should the nurse take first?
40. A nurse is reinforcing teaching with a client who is scheduled for a colonoscopy. Which of the following client statements indicates an understanding of the procedure?
41. A nurse is preparing a client for a colposcopy following an abnormal Papanicolaou (Pap) test. Which of the following actions should the nurse take?
42. A nurse is caring for a client who is scheduled to undergo an esophagogastroduodenoscopy. Which of the following actions should the nurse take in preparation for the procedure?
43. A nurse is preparing to perform a sterile dressing change for a client who has a stage III pressure ulcer. Which of the following actions should the nurse plan to take?
44. A nurse is reinforcing teaching with a client who is 24 hr postoperative following a total hip arthroplasty. Which of the following instructions should the nurse include in the teaching?
45. A nurse is reinforcing teaching with a client who is newly diagnosed with dumping syndrome. Which of the following instructions should the nurse include in the teaching?
46. A home health nurse is reinforcing teaching with a client who has just returned home following a total hip arthroplasty. Which of the following information should the nurse include in the teaching?
47. A nurse is collecting data from a client who has iron-deficiency anemia. Which of the following locations should the nurse monitor for the clinical manifestation of cheilosis? (You will find hot spots to select in the artwork below). Select only the hot spot that corresponds to your answer.
48. A nurse enters a client's room and sees smoke coming from the trash can next to the client's bed. Which of the following actions should the nurse take first?
49. A nurse in a long-term care facility is collecting data from an older adult client. Which of the following findings indicates that the client might be dehydrated?
50. A nurse is caring for a client who has a peripheral IV infusion and notes that the client's arm is edematous, cool, and tender at the catheter insertion site. Which of the following complications of I therapy should the nurse suspect?
51. A nurse is collecting data from a client who began taking captopril 2 days ago. Which of the following findings should the nurse report to the provider immediately?
52. A nurse is caring for a client who is experiencing muscle spasms and has new prescriptions for an aquathermia pad. Which of the following actions should the nurse take?
53. A nurse in an urgent care facility is collecting data from a client who was stung by a wasp. Which of the following findings indicates the client is experiencing anaphylaxis?
54. A nurse is reinforcing teaching about saturated fats with a client who is at risk for cardiovascular disease. Which of the following cooking fats should the nurse recommend the client use?
55. A nurse is reinforcing skin care teaching with a client who has systemic lupus erythematosus. Which of the following statements by the client indicates an understanding of the teaching?
56. A nurse is caring for a client who is postoperative following the placement of a colostomy. Which of the following findings indicates the colostomy is functioning properly?
57. A nurse is collecting data from a client during a routine physical exam. Which of the following locations should the nurse identify as the point of maximum impulse? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.
58. A nurse is reviewing a client's medical history to identify risk factors for osteoporosis. The nurse should identify which of the following findings is a risk factor for developing osteoporosis?
59. A nurse is reinforcing teaching with a client who has a new prescription for digoxin. Which of the following statements by the client indicates an understanding of the teaching?
60. A nurse is caring for a client who has cardiomyopathy and is experiencing sensory overload. Which of the following actions should the nurse take?
61. A nurse is collecting data from a female client during an initial health assessment. Which of the following findings should the nurse identify as a risk factor for osteoporosis?
62. A nurse is assisting with the care of a client who has a seizure disorder. Which of the following supplies should the nurse have at the client'! bedside at all times?
63. A nurse is reinforcing teaching with an assistive personnel (AP) about a client who has pertussis. Which of the following instructions should the nurse include in the teaching?
64. A nurse is collecting data from an older adult client who has cystitis. Which of the following findings should the nurse anticipate?
65. A nurse is caring for an older adult client who has heart failure. Which of the following findings should the nurse report to the provider?
66. A nurse is reinforcing teaching about meal planning with a client who has hypertension. Which of the following statements by the client indicates an understanding of the teaching?
67. A nurse is reinforcing teaching with a client about increasing her intake of fiber. Which of the following foods should the nurse encourage the client to eat?
68. A nurse is reinforcing teaching about foot care for a client who has diabetes. Which of the following client statements indicates an understanding of the teaching?
69 A nurse is assisting with the care of a postoperative client who is receiving a unit of packed RBCs. Which of the following manifestations should the nurse recognize as an indication of a septic reaction to the blood transfusion?
70. A nurse is caring for a client who is experiencing a generalized tonic-clonic seizure. Which of the following actions should the nurse take?
71. A nurse is assisting with a client who is receiving penicillin via intermittent IV bolus. Which of the following should the nurse recognize as a clinical manifestation of anaphylaxis?
72. A nurse is reinforcing teaching with a client who is taking oxybutynin. The nurse tells the client that the medication will have the following effects?
73. A nurse is caring for a client who has dementia and is experiencing confusion. Which of the following actions should the nurse take?
74. A nurse is prioritizing care for four clients. Which of the following clients should the nurse see first?
75. A nurse has just received a morning change-of-shift report for four clients. Which of the following clients has the highest priority?
76. A nurse is assisting with the preparation of a client who is scheduled for a thoracentesis. In which of the following positions should the nurse place the client during the procedure?
77. A nurse is reviewing laboratory values of a client who has severe dyspnea. Which of the following laboratory values indicates heart failure?
78. A nurse administered a dose of penicillin to a client 30 min ago. The client reports she has hives and is itching. Which of the following statements by the nurse is the highest priority?
79. A nurse is collecting data from a client who is experiencing opioid toxicity. Which of the following findings should the nurse expect?
80. A nurse is contributing to the plan of care for a client who has developed an infectious wound with foul-smelling drainage. Which of the following actions should the nurse include in the plan of care?
81. A charge nurse is observing a newly licensed nurse care for a client who is at risk for falls. Which of the following findings should the nurse identify as a risk factor for falls?
82. A nurse is preparing to administer heparin 15.000 units every 12 hr subcutaneously to a client who weighs 80 kg. Available is 10.000 units/mL. How many mL should the nurse administer with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
83. A nurse is assisting in the care of a client who had an ischemic stroke. Which of the following observations by the nurse indicates a need for an occupational therapy referral?
84. A nurse is reviewing the laboratory data of a client who is 1 day postoperative following an abdominal hysterectomy. Which of the following findings should the nurse report to the provider?
85. A nurse is assisting with the plan of care for a client who has osteoarthritis. The client reports knee stiffness upon ambulation. Which of the following interventions should the nurse include in the plan of care?
86. A nurse is monitoring laboratory values for a client who is receiving hemodialysis and has a serum calcium level of 7.2 mg/dL. For which of the following should the nurse monitor?
87. A nurse is collecting data from a client who is postoperative and has a deep-vein thrombosis of the right calf. Which of the following actions should the nurse take?
88. A nurse is reviewing the medical record of a client who reports his urine is red-orange. The nurse should identify which of the following medications can cause this adverse effect?
89. A nurse is reinforcing teaching with a client who has psoriasis. Which of the following treatment options should the nurse include in the teaching?
90. A nurse is collecting data from a client who is 8 hr postoperative following abdominal surgery. The client's blood pressure is 94/56 mm Hg. Which of the following actions should the nurse take first?
91. A nurse is assisting with the care of a client who has a closed-chest tube drainage system. Which of the following actions should the nurse take?
92. A nurse working the night shift is caring for an older adult client who has dementia and is at risk for falls. Which of the following actions should the nurse take?
93. A nurse is reviewing the results of a client's fecal occult blood screening test. Which of the following findings from the client's history should the nurse identity as potentially causing a false-positive result?
94. A nurse is reinforcing teaching with a client about breast self-examinations. Which of the following statements by the client indicates an understanding of the teaching?
95. A nurse is caring for a client who has a prescription for propranolol for the treatment of atrial fibrillation. Which of the following actions should the nurse take?
96 A nurse is assisting with the plan of care for an older adult client who has a new prescription for transdermal clonidine. Which of the following information should the nurse include in the plan of care?
97. A nurse is reviewing the laboratory data of a client who is scheduled for a liver biopsy. Which of the following values should the nurse report to the provider?
98. A nurse is caring for a client who is postoperative following a right radical mastectomy. Which of the following actions should the nurse take to prevent the development of lymphedema?
99. A nurse is collecting data from an older adult client. Which of the following findings should indicate to the nurse that the client has a bladder infection?
100. A nurse is reinforcing teaching with a client who has diabetes mellitus about reducing the risk for a stroke. Which of the following statements by the client indicates an understanding of the teaching?