. Time Remaining:
0459 55
Question: 1 of 180 Pause Remaining;
00 0500
A home health nurse is caring for a child who has Lyme disease. Which of the following is an appropriate action for the nurse to
T T R T B R T T S P S S
Ensure the state health department has been natified.
Administer antitaxin.
Educate the family to avoid sharing personal belongings.
Asyess
for skin necross.
Anurse (6 caring for a cllent who has been admitted to the hospial Select the § actions the nurse should take.
Peserssesseeseseres
e nau Ay
Funibn + Coman 3 tehm )
— D) Provide troquest rest paneds far the ceent
Nurses' Notes 3 Messmict the cient's sodim intake
3 Avive the duant 10 avord the use of 5030 and akohos-based lotom.
3 Piace the coame on & ow-carbohysrate
gt
The client reports experiencing a loss of appetite and shortness [ pace e chent under contact rolaton
of breath within the last month or so, The client reports
experiencing weakness, abdominal pain, severe itching, and 3 st the chent v v o thew e ercanity.
mood changes. The client has had alcohol use disorder for the [ Assess the chent's bevet of oriertation.
past 10 years and sometimes drinks alcohel uncontrollably.
The client is alert but disoriented to time. Their abdomen is
bioated and they have redness of the palms of the hands.
Excorlated areas on the upper thorax and shoulders are
present.
Sclera are yellow.
1230:
Administered antacids, spironolactone,
and colchicine per
provider's prescription.
, S Time Remaining: 03:58.58
Question: 2 of 180 Pause Remaining, 00:05:00 “will
A st Is caring for a client who has been admitted to the hospital Select the § actions the nurse should take.
fober b
] Prowide trequent rest periodsfor the clieat.
Laboratory Resuits 0] Westrict t chare s sadum intake.
D) Advise the client w avoid the use of soap snd alkcohot based onons.
1200
[ Place the dienton o low-carbotydrite diet
High 9.5 gfdL (14 10 18 g/dL) [ Pace the dient under contact iscianon
et 38% (42% to 52%)
Bilirubin 5.3 mg/dL (0.3 ta 1.0 mg/dL) ] tmstruct the client to avosd blowing their nose farcefully,
Creatinine 1.8 mg/dL. (0.6 10 1.3 mg/di) [ Assess the dient's leves of srentation.
Platelet count 100,000/mm?* (150,000 to 400,000/mim)
1800;
Alanine aminotransferase ALT 51 units/L (4 to 36 units/L)
Aspartate aminotransferase AST 48 Units/L (0 16 35 units/L)
Alkaline phosphate ALP 151 units/L (30to 120 units/L)
Blood total protein 15 /d. (6.4 10 8.3 /L)
Time Remaining: 03:56:10
Question:
ion:
3 of 180 Pause Remaining: 000500 | o0 i
A nurse is caring for a client who has a vented NG tube set to low intermittent suction and has vomited. Which of the following actions should the
nurse perform first?
I T T T S R N R BRI SR
Q Administer an antiemetic medication,
Evaluate functioning of the suction device,
@ Prwldeualhmenec&re.
Q Replace the NG tube,
, . Time Remaining: 03:55:49
Question: 4 of 180 Pause Ramaining: 00:05:00 LA i
While performing a routine assessment, a nurse notices fraying on the electrical cord of a client’s continuous passive motion (CPM) device. Which
of the following actions should the nurse take first?
© 9 0 8 4 4 0 8 F T e E N B G S e e BT Ee st B OO
O Initiate a requisition for a replacement CPM device.
Q Report the defect to the equipment maintenance staff.
O Remove the device from the room.
O Ensure the device inspection sticker is current.
oo Time Remaining: 03.53:46 PAUSE
Question: 5 of 180 Pause Remaining: 00,0500 i
A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse take when pouring the
sterile solution?
© Remove the cap and place it sterie-side up an a clean surface.
© Place sterile gauze over areas of spilled solution within the serile field.
@ Hold the bottle in the center of the sterile field when pouring the solution,
Hald the Irrigation solution bottle with the Iabel facing away from the palm of the hand,
, o Time Remaining: 03:53.03
Question: 6 of 180 Pause Remaining: 000500 | ooe | i
A nurse is creating a plan of care for a female client who has recurrent urinary tract infections. Which of the following interventions should the
nurse include in the plan?
L S O R T T R I TR N e A R A S Y
Q Wear loose-fitting underwear.
O Take a bubble bath after intercourse.
Q Drink four 240 mL (8 0z) glasses of water each day.
© Vo every 510 6 hr during the day.
oo Time Remaining: 03:52:35
Question: 7 of 180 Pause Remaining: 000500 | (hoSe i
A nurse is caring for a newborn, Drag words from the choices below to fill in each blank in the following
sentence.
Bshibit1 Exiibitz Eshibitd P I B T ]
ital Si The client Is at risk for developing Tage | and
Target 2
0640:
Temperature 36.7° C (98.1° F) axillary Findings
Heart rate 154/min
Respiratary rate 68/min o | ofe
B8P 72/48 mm Hg
0650: 1y dpplasia
L]
ransient
Heart rate 156/min tachypnes of the 4‘
Respiratory rate 72/min
tachycardia 3
0700:
Temperature 37° C (98.6° F) axillary
Heart rate 156/min
Respiratory rate 76/min
0459 55
Question: 1 of 180 Pause Remaining;
00 0500
A home health nurse is caring for a child who has Lyme disease. Which of the following is an appropriate action for the nurse to
T T R T B R T T S P S S
Ensure the state health department has been natified.
Administer antitaxin.
Educate the family to avoid sharing personal belongings.
Asyess
for skin necross.
Anurse (6 caring for a cllent who has been admitted to the hospial Select the § actions the nurse should take.
Peserssesseeseseres
e nau Ay
Funibn + Coman 3 tehm )
— D) Provide troquest rest paneds far the ceent
Nurses' Notes 3 Messmict the cient's sodim intake
3 Avive the duant 10 avord the use of 5030 and akohos-based lotom.
3 Piace the coame on & ow-carbohysrate
gt
The client reports experiencing a loss of appetite and shortness [ pace e chent under contact rolaton
of breath within the last month or so, The client reports
experiencing weakness, abdominal pain, severe itching, and 3 st the chent v v o thew e ercanity.
mood changes. The client has had alcohol use disorder for the [ Assess the chent's bevet of oriertation.
past 10 years and sometimes drinks alcohel uncontrollably.
The client is alert but disoriented to time. Their abdomen is
bioated and they have redness of the palms of the hands.
Excorlated areas on the upper thorax and shoulders are
present.
Sclera are yellow.
1230:
Administered antacids, spironolactone,
and colchicine per
provider's prescription.
, S Time Remaining: 03:58.58
Question: 2 of 180 Pause Remaining, 00:05:00 “will
A st Is caring for a client who has been admitted to the hospital Select the § actions the nurse should take.
fober b
] Prowide trequent rest periodsfor the clieat.
Laboratory Resuits 0] Westrict t chare s sadum intake.
D) Advise the client w avoid the use of soap snd alkcohot based onons.
1200
[ Place the dienton o low-carbotydrite diet
High 9.5 gfdL (14 10 18 g/dL) [ Pace the dient under contact iscianon
et 38% (42% to 52%)
Bilirubin 5.3 mg/dL (0.3 ta 1.0 mg/dL) ] tmstruct the client to avosd blowing their nose farcefully,
Creatinine 1.8 mg/dL. (0.6 10 1.3 mg/di) [ Assess the dient's leves of srentation.
Platelet count 100,000/mm?* (150,000 to 400,000/mim)
1800;
Alanine aminotransferase ALT 51 units/L (4 to 36 units/L)
Aspartate aminotransferase AST 48 Units/L (0 16 35 units/L)
Alkaline phosphate ALP 151 units/L (30to 120 units/L)
Blood total protein 15 /d. (6.4 10 8.3 /L)
Time Remaining: 03:56:10
Question:
ion:
3 of 180 Pause Remaining: 000500 | o0 i
A nurse is caring for a client who has a vented NG tube set to low intermittent suction and has vomited. Which of the following actions should the
nurse perform first?
I T T T S R N R BRI SR
Q Administer an antiemetic medication,
Evaluate functioning of the suction device,
@ Prwldeualhmenec&re.
Q Replace the NG tube,
, . Time Remaining: 03:55:49
Question: 4 of 180 Pause Ramaining: 00:05:00 LA i
While performing a routine assessment, a nurse notices fraying on the electrical cord of a client’s continuous passive motion (CPM) device. Which
of the following actions should the nurse take first?
© 9 0 8 4 4 0 8 F T e E N B G S e e BT Ee st B OO
O Initiate a requisition for a replacement CPM device.
Q Report the defect to the equipment maintenance staff.
O Remove the device from the room.
O Ensure the device inspection sticker is current.
oo Time Remaining: 03.53:46 PAUSE
Question: 5 of 180 Pause Remaining: 00,0500 i
A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse take when pouring the
sterile solution?
© Remove the cap and place it sterie-side up an a clean surface.
© Place sterile gauze over areas of spilled solution within the serile field.
@ Hold the bottle in the center of the sterile field when pouring the solution,
Hald the Irrigation solution bottle with the Iabel facing away from the palm of the hand,
, o Time Remaining: 03:53.03
Question: 6 of 180 Pause Remaining: 000500 | ooe | i
A nurse is creating a plan of care for a female client who has recurrent urinary tract infections. Which of the following interventions should the
nurse include in the plan?
L S O R T T R I TR N e A R A S Y
Q Wear loose-fitting underwear.
O Take a bubble bath after intercourse.
Q Drink four 240 mL (8 0z) glasses of water each day.
© Vo every 510 6 hr during the day.
oo Time Remaining: 03:52:35
Question: 7 of 180 Pause Remaining: 000500 | (hoSe i
A nurse is caring for a newborn, Drag words from the choices below to fill in each blank in the following
sentence.
Bshibit1 Exiibitz Eshibitd P I B T ]
ital Si The client Is at risk for developing Tage | and
Target 2
0640:
Temperature 36.7° C (98.1° F) axillary Findings
Heart rate 154/min
Respiratary rate 68/min o | ofe
B8P 72/48 mm Hg
0650: 1y dpplasia
L]
ransient
Heart rate 156/min tachypnes of the 4‘
Respiratory rate 72/min
tachycardia 3
0700:
Temperature 37° C (98.6° F) axillary
Heart rate 156/min
Respiratory rate 76/min
