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RN Comprehensive Online Practice 2019 B

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6. A nurse is caring for a client who has hyperthyroidism. Which of the following findings should the nurse expect? a. Dry, coarse hair b. Bradycardia c. Tremors d. Periorbital edema 7. A nurse is assessing a school-age child who has bacterial meningitis. Which of the following findings should the nurse expect? a. Nuchal rigidity b. Weight gain c. Tinnitus d. Positive Trendelenburg sign. 8. A nurse is assessing a newborn’s heart rate. Which of the following actions should the nurse take? a. Assess the apical pulse is most accurate when the newborn is in a quiet state. The sound of crying obscures the heart sounds. b. Palpate the radial pulse for 30 seconds. c. Listen to the apical pulse while palpating the radial pulse. d. Auscultate the apical pulse at least 1 min. 9. A nurse is preparing to assist with a thoracentesis for a client who has pleurisy. The nurse should plan to perform which of the following actions? a. Administer a bowel preparation the night before the procedure. b. Place the client on bed rest for 24 hr after the procedure. c. Perform pulmonary function tests following the procedure. d. Instruct the client to avoid coughing during the procedure. 10. A nurse in the emergency department is assessing a preschooler who has a facial laceration. The nurse should identify which of the following findings as a potential indication of child sexual abuse? a. A child exhibits discomfort while walking. b. The child has thin extremities. c. The child has bruises on the upper back. d. The child is wearing a stained shirt. 18. A nurse is reviewing the laboratory report of a client who has end-stage kidney disease and received hemodialysis 24 hr ago. Which of the following laboratory values should the nurse report to the provider? a. Platelets 268,000/mm3 b. Calcium 9,2 mg/dL c. WBC 5,200/mm3 d. Sodium 148mEq/L 19. A nurse is caring for four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? a. Evaluate dietary intake for a client who has anorexia. b. Measure the vital signs of a client who just returned from the PACU. c. Arrange the lunch tray for a client who has a hip fracture. d. Assess I&O for a client who is receiving dialysis. 20. A nurse is preparing a client for a paracentesis. Which of the following actions should the nurse take? a. Instruct the client to void. b. Position the client on their left side.

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