Avnnursevnisvnreinforcingvnteachingvnwithvnanvnadolescentvnwhovnhasvnavnnewvnp
rescriptionvnforvncefazolin.
Forvnwhichvnofvnthevnfollowingvnfindingsvnshouldvnthevnnursevninstructvnthevnad
olescentvntovnmonitorvnandvnreportvntovnthevnprovider?vn-vncorrectvnanswer✔
✔ Depression
Avnnursevnisvncaringvnforvnavnschool-
agevnchildvnwhovnhasvnepistaxis.vnWhichvnofvnthemvnfollowingvnactionsvnshoul
dvnthevnnursevntake?vn-vncorrectvnanswer✔ ✔
Applyvnpressurevnatvnthevnbridgevnofvnthevnchild'svnnose
Avnnursevnisvnreinforcingvnteachingvnwithvnavngroupvnofvnexpectantvnparentsvnre
gardingvnthevnpropervnusevnofvnavncarvnseat.vnWhichvnofvnthevnfollowingvnstatem
entsvnbyvnavnparentvnindicatesvnanvnunderstandingvnofvnthevnteaching?vn-
vncorrectvnanswer✔ ✔
Ivncanvnplacevnavnrolledvntowelvnonvneachvnsidevnofvnmyvnnewbornsvnheadvnunti
lvnhevncanvnholdvnhisvnheadvnup
Avnnursevnworkingvninvnanvninpatientvnmentalvnhealthvnfacilityvnisvnassistingvnw
ithvnthevnplanvnofvncarevnforvnavnclientvnwhovnhasvnanorexiavnnervosa.vnWhichvno
fvnthevnfollowingvnshouldvnthevnnursevnrecommendvntovnincludevninvnthevnplanvn
ofvncare?vn-vncorrectvnanswer✔ ✔
Maintainvncontinuityvnofvnstaffvnmembers.
,Avnnursevnisvnassistingvnwithvnanvnadmissionvninterviewvnforvnavnclientvnwhovnh
asvnschizophrenia.vnHevntellsvnthevnnursevnthatvnhevnisvnreceivingvnspecialvnaudi
blevnmessagesvnfromvnthevnCentralvnIntelligencevnAgencyvnthatvnnovnonevnelsevn
isvnablevntovnhear.vnThevnnursevnshouldvnidentifyvnthatvnthevnclientvnisvnhavingvn
whichvnofvnthevnfollowingvnalterationsvninvnperception?vn-vncorrectvnanswer✔
✔ hallucination
Avnnursevnisvnreinforcingvnteachingvnwithvnavnpostpartumvnclientvnaboutvnbathi
ngvnhervnnewborn.vnWhichvnofvnthevnfollowingvnstatementsvnshouldvnthevnnurs
evninclude?vn-vncorrectvnanswer✔ ✔
"Washvnyourvnnewborn'svnheadvnundervnavnstreamvnofvnrunningvnwater."
Avnnursevnisvncaringvnforvnavnclientvnwhovnhasvnheartvnfailurevnandvnreportsvndiffi
cultyvnlimitingvnsodiumvninvnhisvndiet.vnWhichvnofvnthevnfollowingvnrecommen
dationsvnshouldvnthevnnursevnprovide?vn-vncorrectvnanswer✔ ✔
Replacevnbottledvnsaladvndressingvnwithvnhomemadevnvinegarvnandvnoilvndre
ssing.
Avnnursevnisvnreinforcingvnteachingvnwithvnavnclientvnwhovnisvnscheduledvnforvna
vnmammogram.vnWhichvnofvnthevnfollowingvninstructionsvnshouldvnthevnnursev
nincludevninvnthevnteaching? vn-vncorrectvnanswer✔ ✔
Refrainvnfromvnusingvndeodorantvnonvnthevnmorningvnofvnthevntest
,Avnnursevnisvnpreparingvnavnclientsvninsulinvnregimen.vnWhichvnofvnthevnfollowi
ngvninsulin'svncanvnbevnmixed?vn-vncorrectvnanswer✔ ✔
Insulinvnaspart,vnregularvninsulin,vninsulinvnlispro
Avnnursevnisvnreinforcingvndischargevnteachingvnwithvnavnclientvnwhovnisvnposto
perativevnfollowingvnlaservnsurgeryvnforvnopen-
anglevnglaucoma.vnWhichvnofvnthevnfollowingvnstatementsvnbyvnthevnclientvnind
icatesvnanvnunderstandingvnofvnthevninstructions?vn-vncorrectvnanswer✔ ✔
Ivnwillvntakevnavnstoolvnsoftenervntovnpreventvnconstipation
AvnnursevnisvncollectingvndatavnfromvnavnchildvnwhovnhasvnacutevnGlomerulone
phritis.vnWhichvnofvnthevnfollowingvnfindingsvnshouldvnthevnnursevnexpect?vn-
vncorrectvnanswer✔ ✔ Periorbitalvnedema
Avnnursevnisvnpreparingvntovnadministervnavnliquidvnmedicationvntovnavn6-
month-oldvninfantvnwhovnisvncrying.
Whichvnofvnthevnfollowingvnactionsvnshouldvnthevnnursevntakevntovnreducevnthevn
riskvnofvnaspiration?vn-vncorrectvnanswer✔ ✔
Administervnusingvnavnneedlessvnsyringevninvnthevnbuccalvncavity
Avnnursevnisvnreinforcingvnteachingvnwithvnavnclientvnwhovnplansvntovnbottlevnfee
dvnhervnnewborn.vnWhichvnofvnthevnfollowingvnstatementsvnindicatesvnanvnunde
rstandingvnofvnthevninstructions?vn-vncorrectvnanswer✔ ✔
Ivnwillvnfeedvnmyvnbabyvnsixvntovneightvntimesvnavnday
, Avnnursevnisvnadministeringvnavncleansingvnenemavntovnavnclientvnwhovnreportsvn
mildvncrampingvnduringvninstillationvnofvnthevnsolution.vnWhichvnofvnthevnfollo
wingvnactionsvnshouldvnthevnnursevntake?vn-vncorrectvnanswer✔ ✔
Slowvnthevnratevnofvninstillation
Avnnursevnreceivesvnreportvnonvnfourvnclients.vnThevnnursevnshouldvnfirstvncolle
ctvndatavnaboutvnthevnclientvnwhovnhasvnwhichvnofvnthevnfollowing?vn-
vncorrectvnanswer✔ ✔
Avndecreasedvnlevelvnofvnconsciousnessvnandvnvomiting
Avnnursevnisvnsettingvnupvnavnsterilevnfieldvnpriorvntovnperformingvnavndressingvnc
hange.vnWhichvnofvnthevnfollowingvnactionsvnshouldvnthevnnursevntake?vn-
vncorrectvnanswer✔ ✔
Openvnthevnoutermostvnflapvnofvnthevnwrappervntowardvnthevnbody
Avnnursevninvnlong-termvncarevnfacilityvnhasvnreceivedvnchange-of-
shiftvnreportvnaboutvnfourvnclients.
Whichvnofvnthevnfollowingvnclientsvnshouldvnthevnnursevnattendvntovnfirst?vn-
vncorrectvnanswer✔ ✔
AvnclientvnwhovnhasvnCOPDvnandvndementiavnandvnwasvnagitatedvnduringvnth
evnnightvnshift
Avnnursevnisvncollectingvndatavnfromvnavnclientvnwhovnhasvnsubstancevnusevndiso
rdervnandvnreportsvnrecentlyvntakingvnopioids.vnWhichvnofvnthevnfollowingvnfin