A nurse is caring for a 7-year-old child who has severe dehydration. Which
of the following findings should the nurse expect?
A. Blood pressure 94/68 mmHg
B. Urinary output 30 mL/hr
C. Respiratory rate 24/min
D. Heart rate 152/min
D. Heart rate 152/min
,A client who is having suicidal thoughts tells the nurse, "It just does not
seem worth it. Why not end my misery?" Which of the following responses
by the nurse is appropriate?
A. Why do you think your like is not worth it anymore?
B. You can trust me and tell me what you are thinking?
C. I need to know what you mean by misery?
D. Do you have to plan to end your life?
D. Do you have to plan to end your life?
A nurse is caring for a client who has schizophrenia. Which of the following
findings is the nurse's priority?
A. The client asks other clients on the unit for help with bathing and
getting dressed
B. The client refuses to take prescribed oral risperidone
C. The client reports hearing voices
C. The client reports hearing voices
A community health nurse is teaching a group of restaurant workers about
hepatitis A. Which of the following statements should the nurse make?
A. Manifestations first appear 6 months after exposure to the virus
B. With immunizations, your risk of contracting hepatitis A is reduced by
half
C. You can get hepatitis A by eating undercooked pork products
D. Hepatitis A can be spread by fecal-oral contact
D. Hepatitis A can be spread by fecal-oral contact
,A home health nurse is admitting a client who is prescribed peritoneal
dialysis. Which of the following actions should the nurse take first?
A. Confirm schedule for delivery of supplies
B. Coordinate interdisciplinary health care services
C. Demonstrate how to perform the procedure
D. Clarify the client's actual and perceived health needs
D. Clarify the client's actual and perceived health needs
A nurse is performing an admission assessment for a client who is to
undergo a colonoscopy. The client informs the nurse that he took his
prescribed medications before coming to the clinic. Which of the following
medications is the priority to report to the provider?
A. Metoprolol
B. Clopidogrel
C. Metformin
D. Digoxin
B. Clopidogrel
A nurse is providing grief counselling for the parents of a school-age child
whose sibling recently died. Which of the following statements should the
nurse make?
A. Try to suppress your grief when your child is present
B. Avoid discussing the funeral when your child is around
C. Which are the family funeral customs?
D. School-age children tend to view death as a temporary form of sleep
C. Which are the family funeral customs?
- Bring the child before visitor to the funeral
2 A Nurses caring for client who has breast cancer and has been covering
receiving chemotherapy. Which of the following laboratory values should
nurse report to provider?
, a) WBC 3,000/mm3
b) Hemoglobin 14 g/dl
c) Platelet 250,000/mm3
d) aPTT 30 seconds
a) WBC 3,000/mm3
4 A nurse is teaching a client about nutritional intake. The nurse should
include which of the following in the teaching?
a. "Carbohydrates should be at least 45% of your caloric intake."
b. "Protein should be at least 55% of your calorie intake."
c. "Carbohydrates should be at least 30% of your caloric intake."
d. "Protein should be at least 60% of your caloric intake."
a. "Carbohydrates should be at least 45% of your caloric intake.
A nurse in a provider's office is providing education to a client who is 16
weeks of gestation and has a new prescription for ferrous sulfate. Which of
the following instructions should the nurse provide GL
a. Avoid strawberries, citrus fruit, and melon to ensure that your iron
medication is effective."
b. "Take your iron medication with fluids other than coffee or tea."
c. "It is important to take your iron medication on a full stomach."
d. "If you miss a dose one day, take two doses the next day."
b. "Take your iron medication with fluids other than coffee or tea."
windshield survey
The availability of religious facilities.
obtaining a culture from a wound
1. Assess the appearance of the wound
2.Cleanse the would with 0.9%5.
3. Obtain the specimen from granulation tissue of the wound
4. Place the swab in the culture tube.
5. Cover the wound with a sterile dressing
of the following findings should the nurse expect?
A. Blood pressure 94/68 mmHg
B. Urinary output 30 mL/hr
C. Respiratory rate 24/min
D. Heart rate 152/min
D. Heart rate 152/min
,A client who is having suicidal thoughts tells the nurse, "It just does not
seem worth it. Why not end my misery?" Which of the following responses
by the nurse is appropriate?
A. Why do you think your like is not worth it anymore?
B. You can trust me and tell me what you are thinking?
C. I need to know what you mean by misery?
D. Do you have to plan to end your life?
D. Do you have to plan to end your life?
A nurse is caring for a client who has schizophrenia. Which of the following
findings is the nurse's priority?
A. The client asks other clients on the unit for help with bathing and
getting dressed
B. The client refuses to take prescribed oral risperidone
C. The client reports hearing voices
C. The client reports hearing voices
A community health nurse is teaching a group of restaurant workers about
hepatitis A. Which of the following statements should the nurse make?
A. Manifestations first appear 6 months after exposure to the virus
B. With immunizations, your risk of contracting hepatitis A is reduced by
half
C. You can get hepatitis A by eating undercooked pork products
D. Hepatitis A can be spread by fecal-oral contact
D. Hepatitis A can be spread by fecal-oral contact
,A home health nurse is admitting a client who is prescribed peritoneal
dialysis. Which of the following actions should the nurse take first?
A. Confirm schedule for delivery of supplies
B. Coordinate interdisciplinary health care services
C. Demonstrate how to perform the procedure
D. Clarify the client's actual and perceived health needs
D. Clarify the client's actual and perceived health needs
A nurse is performing an admission assessment for a client who is to
undergo a colonoscopy. The client informs the nurse that he took his
prescribed medications before coming to the clinic. Which of the following
medications is the priority to report to the provider?
A. Metoprolol
B. Clopidogrel
C. Metformin
D. Digoxin
B. Clopidogrel
A nurse is providing grief counselling for the parents of a school-age child
whose sibling recently died. Which of the following statements should the
nurse make?
A. Try to suppress your grief when your child is present
B. Avoid discussing the funeral when your child is around
C. Which are the family funeral customs?
D. School-age children tend to view death as a temporary form of sleep
C. Which are the family funeral customs?
- Bring the child before visitor to the funeral
2 A Nurses caring for client who has breast cancer and has been covering
receiving chemotherapy. Which of the following laboratory values should
nurse report to provider?
, a) WBC 3,000/mm3
b) Hemoglobin 14 g/dl
c) Platelet 250,000/mm3
d) aPTT 30 seconds
a) WBC 3,000/mm3
4 A nurse is teaching a client about nutritional intake. The nurse should
include which of the following in the teaching?
a. "Carbohydrates should be at least 45% of your caloric intake."
b. "Protein should be at least 55% of your calorie intake."
c. "Carbohydrates should be at least 30% of your caloric intake."
d. "Protein should be at least 60% of your caloric intake."
a. "Carbohydrates should be at least 45% of your caloric intake.
A nurse in a provider's office is providing education to a client who is 16
weeks of gestation and has a new prescription for ferrous sulfate. Which of
the following instructions should the nurse provide GL
a. Avoid strawberries, citrus fruit, and melon to ensure that your iron
medication is effective."
b. "Take your iron medication with fluids other than coffee or tea."
c. "It is important to take your iron medication on a full stomach."
d. "If you miss a dose one day, take two doses the next day."
b. "Take your iron medication with fluids other than coffee or tea."
windshield survey
The availability of religious facilities.
obtaining a culture from a wound
1. Assess the appearance of the wound
2.Cleanse the would with 0.9%5.
3. Obtain the specimen from granulation tissue of the wound
4. Place the swab in the culture tube.
5. Cover the wound with a sterile dressing
