1) Which findings are typical of end-stage renal disease?
Select all that apply
A) lron-deficient anemia
B) Increased albumin levels
C) Decreased creatinine clearance
D) Metabolic acidosis
E) Increased serum calcium
F) Respiratory alkalosis
2) The nurse is providing care for a 2-month-old infant scheduled for a
pyloromyotomy. Which of the following pre-operative actions can the nurse
expect to perform? Select all that apply.
A) Allow breastfeeding 1 hr before surgery.
B) Review coagulation study results.
C) Avoid all pre-operative sedation.
D) Keep NPO as ordered before surgery.
E) Begin IV fluids at maintenance rate.
F) Place NG tube to low suction.
3) A patient, who is receiving treatment for Varicella, asks for assistance to the
bathroom. Before entering the room, you must don personal protective
equipment. Organize the correct sequence in how you will don personal
protective equipment: Drag and Drop
A) Don Gloves
B) Don Gown
65 ] Perform hand hygiene
D) Don N95 Mask (respirator)
4) Select the 4 findings that require immediate follow-up.
Case Studies
M Vital signs
MLung sounds
CCapillary refill
CClient orientation
MRadial pulse characteristic
MCharacteristics of the cough
,5) Click to Highlight below the 3 orders that nurse should perform right away
Case Studies
-Computed tomography (CT) scan of the chest
Drag the correct responses into the right column in the correct order.
The nurse manager is conducting an educational session for the nurses on non-selective beta-
adrenergic blockers (B blockers). How should the nurse manager accurately describe the mechanism
of action of these medications? List the options in order from first to last. All options must be used.
Potential Steps Appropriate Steps
Heart rate and blood pressure
are decreased
Epinephrine and
norepinephrine actions are
blocked P
Beta, and beta,, receptor sites
are blocked
Cardiac workload and oxygen
demand decreases
Sympathetic nervous sy
effects are decreased
7) The nurse reviews the nurses' notes from 1300, 1500, 2000, and 2020. Based
on the information, which is the priority action by the nurse?
1. Ensure that endotracheal intubation is ready at the bedside.
2. Prepare to administer protamine sulfate.18%
~
3. Have the defibrillator ready at the bedside.15%
~
4. Prepare to administer sugammadex medication.
8) The nurse provides education during the discharge of a client who has a
diagnosis of multiple sclerosis. Which priority statement does the nurse
include in the teaching?
© 1."Schedule the occupational therapist to do a safety assessment of your
Downloaded by vilfisd sdfgslf ()
, Home
£ a9 “Participate in exercise every day.”
0 3. “Keep a supply of incontinence products available.
2 4. “Contact family and friends to see what support they can offer.”
9) Click to highlight the findings that are recognized as needing only standard
precautions.
Monday 1000: The client reports pain level 9/10 at upper
abdominal discomfort for the last week. He reports watery diarrhea for the
past 3 days for 8 times a day. Assessment includes: lung sounds without
adventitious sounds; heart rhythm regular with S1 and S2; capillary refill at +2
sec; equal grips; alert and oriented x 4; visible jaundice. Client reports HIV
Positive for 3 year. WBC count drawn with results of 1,000 pL (1000 x
109/L). Reference range: 4,500 to 11,000 WBCs per microliter (4.5 to 11.0 x
109/L)AAtAAs
10) Complete the following sentence by choosing from the lists of options.
a8 Standard
The nurse will use contact
Precautions when providi ing care to thisi client because | *"*“"
t
9**
ta
11) The nurse cares for an older adult client with congestive heart failure
following a myocardial infarction. The client reports having difficulty breathing
and states, “l feel as if | am drowning when | lie down.” Which complication
does the nurse recognize as contributing to this assessment finding?
1. A myocardial infraction
2. A panic attack
~
3. Pulmonary edema
~
0 4. Left ventricular hypertrophy
12) The nurse cares for4 clients. Which activity demonstrates the nurse’s
understanding of how ethnicity influences the client's health?
1. Provide financial resources from local organizations to pay for a client's
health care needs.
2. Teach a client using drawings, repetition, short sentences, and
simple language.
s : x . . .
3. Assess a 5-month-old African American client for sickle cell anemia.
, 4. Explain the consequences of not exercising and only eating fast food
due to a stressful job.
13) The nurse cares for a newborn. The nurse notes small, pimple-like
pustules all over the newborn’s body, as seen in the image. When
charting the integumentary assessment of this newborn, which
normal finding does the nurse note?
1. Strawberry hemangiomas
o
2. Port-wine stain
=
3. Erythema toxicum
&
4. Telangiectatic nevi simplex
14)
The nurse assesses a client at 40 weeks gestation and notes regular
contractions and cervical dilatation of 6 cm. Which actions by the nurse
are important during this stage? Select all that apply.
1. Administering the epidural injection
-
2. Ensuring adequate hydrations
I
3. Encouraging the client to void
Downloaded by vilfisd sdfgslf ()
Select all that apply
A) lron-deficient anemia
B) Increased albumin levels
C) Decreased creatinine clearance
D) Metabolic acidosis
E) Increased serum calcium
F) Respiratory alkalosis
2) The nurse is providing care for a 2-month-old infant scheduled for a
pyloromyotomy. Which of the following pre-operative actions can the nurse
expect to perform? Select all that apply.
A) Allow breastfeeding 1 hr before surgery.
B) Review coagulation study results.
C) Avoid all pre-operative sedation.
D) Keep NPO as ordered before surgery.
E) Begin IV fluids at maintenance rate.
F) Place NG tube to low suction.
3) A patient, who is receiving treatment for Varicella, asks for assistance to the
bathroom. Before entering the room, you must don personal protective
equipment. Organize the correct sequence in how you will don personal
protective equipment: Drag and Drop
A) Don Gloves
B) Don Gown
65 ] Perform hand hygiene
D) Don N95 Mask (respirator)
4) Select the 4 findings that require immediate follow-up.
Case Studies
M Vital signs
MLung sounds
CCapillary refill
CClient orientation
MRadial pulse characteristic
MCharacteristics of the cough
,5) Click to Highlight below the 3 orders that nurse should perform right away
Case Studies
-Computed tomography (CT) scan of the chest
Drag the correct responses into the right column in the correct order.
The nurse manager is conducting an educational session for the nurses on non-selective beta-
adrenergic blockers (B blockers). How should the nurse manager accurately describe the mechanism
of action of these medications? List the options in order from first to last. All options must be used.
Potential Steps Appropriate Steps
Heart rate and blood pressure
are decreased
Epinephrine and
norepinephrine actions are
blocked P
Beta, and beta,, receptor sites
are blocked
Cardiac workload and oxygen
demand decreases
Sympathetic nervous sy
effects are decreased
7) The nurse reviews the nurses' notes from 1300, 1500, 2000, and 2020. Based
on the information, which is the priority action by the nurse?
1. Ensure that endotracheal intubation is ready at the bedside.
2. Prepare to administer protamine sulfate.18%
~
3. Have the defibrillator ready at the bedside.15%
~
4. Prepare to administer sugammadex medication.
8) The nurse provides education during the discharge of a client who has a
diagnosis of multiple sclerosis. Which priority statement does the nurse
include in the teaching?
© 1."Schedule the occupational therapist to do a safety assessment of your
Downloaded by vilfisd sdfgslf ()
, Home
£ a9 “Participate in exercise every day.”
0 3. “Keep a supply of incontinence products available.
2 4. “Contact family and friends to see what support they can offer.”
9) Click to highlight the findings that are recognized as needing only standard
precautions.
Monday 1000: The client reports pain level 9/10 at upper
abdominal discomfort for the last week. He reports watery diarrhea for the
past 3 days for 8 times a day. Assessment includes: lung sounds without
adventitious sounds; heart rhythm regular with S1 and S2; capillary refill at +2
sec; equal grips; alert and oriented x 4; visible jaundice. Client reports HIV
Positive for 3 year. WBC count drawn with results of 1,000 pL (1000 x
109/L). Reference range: 4,500 to 11,000 WBCs per microliter (4.5 to 11.0 x
109/L)AAtAAs
10) Complete the following sentence by choosing from the lists of options.
a8 Standard
The nurse will use contact
Precautions when providi ing care to thisi client because | *"*“"
t
9**
ta
11) The nurse cares for an older adult client with congestive heart failure
following a myocardial infarction. The client reports having difficulty breathing
and states, “l feel as if | am drowning when | lie down.” Which complication
does the nurse recognize as contributing to this assessment finding?
1. A myocardial infraction
2. A panic attack
~
3. Pulmonary edema
~
0 4. Left ventricular hypertrophy
12) The nurse cares for4 clients. Which activity demonstrates the nurse’s
understanding of how ethnicity influences the client's health?
1. Provide financial resources from local organizations to pay for a client's
health care needs.
2. Teach a client using drawings, repetition, short sentences, and
simple language.
s : x . . .
3. Assess a 5-month-old African American client for sickle cell anemia.
, 4. Explain the consequences of not exercising and only eating fast food
due to a stressful job.
13) The nurse cares for a newborn. The nurse notes small, pimple-like
pustules all over the newborn’s body, as seen in the image. When
charting the integumentary assessment of this newborn, which
normal finding does the nurse note?
1. Strawberry hemangiomas
o
2. Port-wine stain
=
3. Erythema toxicum
&
4. Telangiectatic nevi simplex
14)
The nurse assesses a client at 40 weeks gestation and notes regular
contractions and cervical dilatation of 6 cm. Which actions by the nurse
are important during this stage? Select all that apply.
1. Administering the epidural injection
-
2. Ensuring adequate hydrations
I
3. Encouraging the client to void
Downloaded by vilfisd sdfgslf ()
