QUESTIONS AND CORRECT ANSWERS
A nurse is assisting with monitoring a client who is in labor and has
spontaneous rupture of membranes following a vaginal examination. The
provider reports the client's cervix is dilated to 1 cm with an unengaged
presenting part. Which of the following actions should the nurse take? -
CORRECT ANSWERS Apply the external fetal heart rate monitor.
A Nurse is collecting data from a client who has bipolar disorder and is
experiencing acute mania. Which of the following findings is the nurse's
priority? - CORRECT ANSWERS lack of sleep
A nurse is reinforcing teaching with a client who has a type 2 diabetes mellitus
and reports waking during the night with tremors and anxiety. which of the
following information should the nurse provide to help the client manage his
symptoms? - CORRECT ANSWERS Eat a bedtime snack
a Nurse is reinforcing teaching for a client who has a coronary artery disease
and is taking low-dose aspirin daily. The nurse should include that this
medication has which of the following therapeutic effects for CAD? -
CORRECT ANSWERS Antiplatelet
A nurse is collecting data from a client who has an unprepared femur fracture
and rates his pain as 8 on a scale of 0 to 10. The client is talking and caught with
a visitor. Which of the following of the prescribed medication should the nurse
administer? - CORRECT ANSWERS Hydromorphone 5 mg orally.
A nurse is reinforcing preoperative teaching with a client scheduled for a bowel
retention with ileostomy. which of the following descriptions should the nurse
give of the expected output from a mature ileostomy? - CORRECT ANSWERS
liquid with little odor
,A nurse is caring for a client who is 16 hr postoperative following a total hip
arthroplasty. the client reports numbness, pain, and tingling in the affected leg.
Which of the following actions should the nurse take first? - CORRECT
ANSWERS compare capillary refill in toes bilateraly
A nurse is reinforcing teaching with a client who has acute diverticulitis. Which
of the following statements by the client indicates an understanding of the
teaching about the acute phase of diverticulitis? - CORRECT ANSWERS
"I will receive the nutrient I need through my IV Fluid"
A nurse in reinforcing teaching with a client about cancer prevention. The nurse
should include that frequent consumption of which of the following foods
increases the risk of cancer? - CORRECT ANSWERS Lamb
A nurse is assisting in teaching a group of staff nurses about hepatitis A. Which
of the following modes should the nurse include as a method of transmitting
hepatitis A? - CORRECT ANSWERS Consumption of contaminated
food.
A nurse is reinforcing teaching with a client who is bottle feeding he full-term
newborn with formula. Which of the following instructions should the nurse
include in the teaching? - CORRECT ANSWERS Although is is
unnecessary to be rigid about feeding times, six to eight feedings every 24 hrs
should support a full-term newborn's nutrition adequately. Fewer feedings in the
initial weeks could delay the estabilment of an adequate weight-gain pattern.
A nurse is assisting with the plan of care for a client following a transurethral
resection of the prostate. Which of the following interventions should the nurse
include in the plan of care? - CORRECT ANSWERS The nurse should
irrigate the bladder using strict sterile technique and maintain closed catheter
drainage system to minimize the rick of infection.
, A nurse is reviewing a client's electronic medical record and finds that an
assistive personnel recorder the client's temperature as 35.3 degrees Celsius
(95.5 degrees F) 2 hrs earlier. Which of the following actions should the nurse
take firsT? - CORRECT ANSWERS Check the client's temperature.
A nurse is receiving change-of-shift report for four clients. Which of the
following clients should the nurse see first? - CORRECT ANSWERS A
client whose urinary output was 100mL for the past 12 hrs
A nurse in reinforcing teaching about weight loss with a female older adult
client who is overweight. Which of the following statements should the nurse
include in teaching? - CORRECT ANSWERS keep fat intake to no more
that 30% of daily caloric intake.
A nurse is collecting data from a client who has iron deficiency anemia. Which
of the following findings should the nurse expect? - CORRECT ANSWERS
Difficulty concentrating.
A Nurse is collecting data from an older adult client who is 48 hr postoperative
following abdominal surgery. The provider writes a prescription to advance the
client to a regular Diet. For which of the following findings should the nurse
notify the provider? - CORRECT ANSWERS The client has absent
bowel sounds.
A nurse is reinforcing discharge teaching with a client who is postoperative
following transurethral resection fo the prostate. Which of the following
instructions should the nurse include in the teaching? - CORRECT ANSWERS
perform Kegel exercises daily.
A nurse is reinforcing teaching about ways to reduce solid fat consumption with
a client who has an elevate cholesterol level. which of the following strategies
should the nurse include in the teaching? - CORRECT ANSWERS
purchase beef that is a loin cut.