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1. A nurse is caring for a child who has cystic fibrosis and D. Perform the procedure
requires postural drainage. Which of the following ac- prior to meals.
tions should the nurse take?
A. Perform the procedure twice each day.
B. Hold the hand flat to perform percussions on the
child. C. Administer a bronchodilator after the proce-
dure.
D. Perform the procedure prior to meals.
2. A nurse is developing a plan of care for a newborn C. Minimize noise in the
whose mother tested positive newborn's environment.
for heroin during pregnancy. The newborn is experi-
encing neonatal abstinence
syndrome. Which of the following actions should the
nurse include in the plan?
A. Maintain eye contact with the newborn during feed-
ings.
B. Swaddle the newborn with his legs extended.
C. Minimize noise in the newborn's environment.
D. Administer naloxone to the newborn.
3. Question 3: D. Compare new prescrip-
A nurse is admitting a client to a medical-surgical unit. tions with the list of med-
When performing ications the client reports.
medication reconciliation for the client, which of the
following actions should the
nurse take?
A. Include any adverse effects of the medications the
client might develop.
B. Exclude nutritional supplements from the list of
medications the client reports.
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C. Encourage the client to make his own list after he
returns to his home.
D. Compare new prescriptions with the list of medica-
tions the client reports.
4. A school nurse is teaching a parent about absence B. "This type of seizure
seizures. Which of the following information should can be mistaken for day-
the nurse include? dreaming."
A. "The child usually has an aura prior to onset."
B. "This type of seizure can be mistaken for daydream-
ing."
C. "This type of seizure lasts 30 to 60 seconds."
D. "This type of seizure has a gradual onset."
5. A nurse is planning care for an older adult client who A. Reinforce orientation to
has dementia. Which of the time, place, and person.
following interventions should the nurse include in B. Allow the client to
the plan of care? (Select al choose among a variety of
activities each day.
A. Reinforce orientation to time, place, and person. C. Give the client one sim-
B. Allow the client to choose among a variety of activ- ple direction at a time.
ities each day. D. Establish eye contact
C. Give the client one simple direction at a time. when communicating with
D. Establish eye contact when communicating with the the client.
client.
E. Refute the client's delusions using logic
6. A nurse is providing teaching to a client who is at 14 B. Faintness upon rising
weeks of gestation about
findings to report to the provider. Which of the follow-
ing findings should the
nurse include in the teaching?
A. Bleeding gums
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B. Faintness upon rising
C. Swelling of the face
D. Urinary frequency
7. A charge nurse is delegating care for a group of A. Perform a sterile dress-
clients. Which of the following ing change for a client
tasks should the charge nurse assign to a licensed who has an abdominal
practical nurse? wound.
A. Perform a sterile dressing change for a client who
has an abdominal wound.
B. Complete discharge teaching for a client who has a
new diagnosis of diabetes
mellitus.
C. Perform an admission assessment for a client who
is scheduled for surgery.
D. Complete the Glasgow Coma Scale for a client who
has an evolving stroke.
8. A nurse is caring for a client who has a vented NG tube A. Provide oral hygiene
set to low intermittent care.
suction and has vomited.
Which of the following actions should the nurse per- or D?
form first?
A. Provide oral hygiene care.
B. Administer an antiemetic medication.
C. Replace the NG tube.
D. Evaluate the functioning of the suction device.
9. A nurse is obtaining a client's manual blood pressure D. Use the palpato-
and is having difficulty ry method to determine
auscultating sounds. Which of the following actions blood pressure.
should the nurse take?
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A. Apply the largest cuff available.
B. Place the arm above the level of the client's heart.
C. Deflate the cuff quickly.
D. Use the palpatory method to determine blood pres-
sure.
10. A nurse is providing discharge teaching about home C. Speak directly to the
care of a surgical incision to client.
a client who speaks a different language from the
nurse. The nurse is
communicating with the client using an interpreter.
Which of the following
actions should the nurse take?
A. Use gestures to convey meaning.
B. Speak slowly when talking to the interpreter.
C. Speak directly to the client.
D. Pause in the middle of sentences.
11. A public health nurse working in a rural area is devel- D. Provide anticipato-
oping a program to improve ry guidance classes to
health for the local population. Which of the following parents through public
actions should the nurse schools.
plan to take?
A. Encourage rural residents to focus health spending
on tertiary health interventions.
B. Launch a media campaign to increase awareness
about industrial pollution.
C. Have a nurse from outside the community provide
health lectures at the county
hospital.
D. Provide anticipatory guidance classes to parents
through public schools.
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1. A nurse is caring for a child who has cystic fibrosis and D. Perform the procedure
requires postural drainage. Which of the following ac- prior to meals.
tions should the nurse take?
A. Perform the procedure twice each day.
B. Hold the hand flat to perform percussions on the
child. C. Administer a bronchodilator after the proce-
dure.
D. Perform the procedure prior to meals.
2. A nurse is developing a plan of care for a newborn C. Minimize noise in the
whose mother tested positive newborn's environment.
for heroin during pregnancy. The newborn is experi-
encing neonatal abstinence
syndrome. Which of the following actions should the
nurse include in the plan?
A. Maintain eye contact with the newborn during feed-
ings.
B. Swaddle the newborn with his legs extended.
C. Minimize noise in the newborn's environment.
D. Administer naloxone to the newborn.
3. Question 3: D. Compare new prescrip-
A nurse is admitting a client to a medical-surgical unit. tions with the list of med-
When performing ications the client reports.
medication reconciliation for the client, which of the
following actions should the
nurse take?
A. Include any adverse effects of the medications the
client might develop.
B. Exclude nutritional supplements from the list of
medications the client reports.
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C. Encourage the client to make his own list after he
returns to his home.
D. Compare new prescriptions with the list of medica-
tions the client reports.
4. A school nurse is teaching a parent about absence B. "This type of seizure
seizures. Which of the following information should can be mistaken for day-
the nurse include? dreaming."
A. "The child usually has an aura prior to onset."
B. "This type of seizure can be mistaken for daydream-
ing."
C. "This type of seizure lasts 30 to 60 seconds."
D. "This type of seizure has a gradual onset."
5. A nurse is planning care for an older adult client who A. Reinforce orientation to
has dementia. Which of the time, place, and person.
following interventions should the nurse include in B. Allow the client to
the plan of care? (Select al choose among a variety of
activities each day.
A. Reinforce orientation to time, place, and person. C. Give the client one sim-
B. Allow the client to choose among a variety of activ- ple direction at a time.
ities each day. D. Establish eye contact
C. Give the client one simple direction at a time. when communicating with
D. Establish eye contact when communicating with the the client.
client.
E. Refute the client's delusions using logic
6. A nurse is providing teaching to a client who is at 14 B. Faintness upon rising
weeks of gestation about
findings to report to the provider. Which of the follow-
ing findings should the
nurse include in the teaching?
A. Bleeding gums
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B. Faintness upon rising
C. Swelling of the face
D. Urinary frequency
7. A charge nurse is delegating care for a group of A. Perform a sterile dress-
clients. Which of the following ing change for a client
tasks should the charge nurse assign to a licensed who has an abdominal
practical nurse? wound.
A. Perform a sterile dressing change for a client who
has an abdominal wound.
B. Complete discharge teaching for a client who has a
new diagnosis of diabetes
mellitus.
C. Perform an admission assessment for a client who
is scheduled for surgery.
D. Complete the Glasgow Coma Scale for a client who
has an evolving stroke.
8. A nurse is caring for a client who has a vented NG tube A. Provide oral hygiene
set to low intermittent care.
suction and has vomited.
Which of the following actions should the nurse per- or D?
form first?
A. Provide oral hygiene care.
B. Administer an antiemetic medication.
C. Replace the NG tube.
D. Evaluate the functioning of the suction device.
9. A nurse is obtaining a client's manual blood pressure D. Use the palpato-
and is having difficulty ry method to determine
auscultating sounds. Which of the following actions blood pressure.
should the nurse take?
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A. Apply the largest cuff available.
B. Place the arm above the level of the client's heart.
C. Deflate the cuff quickly.
D. Use the palpatory method to determine blood pres-
sure.
10. A nurse is providing discharge teaching about home C. Speak directly to the
care of a surgical incision to client.
a client who speaks a different language from the
nurse. The nurse is
communicating with the client using an interpreter.
Which of the following
actions should the nurse take?
A. Use gestures to convey meaning.
B. Speak slowly when talking to the interpreter.
C. Speak directly to the client.
D. Pause in the middle of sentences.
11. A public health nurse working in a rural area is devel- D. Provide anticipato-
oping a program to improve ry guidance classes to
health for the local population. Which of the following parents through public
actions should the nurse schools.
plan to take?
A. Encourage rural residents to focus health spending
on tertiary health interventions.
B. Launch a media campaign to increase awareness
about industrial pollution.
C. Have a nurse from outside the community provide
health lectures at the county
hospital.
D. Provide anticipatory guidance classes to parents
through public schools.
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