RN Comprehensive Online Practice 2019 B(with answers)

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. 21. A nurse has received change-of-shift report on for assigned clients. For which of the following clients should the nurse intervene to prevent a potential food and medication interaction? a. A client who is receiving verapamil and has a continuous infusion of total parenteral nutrition (TPN b. A client who is taking phenytoin and is requesting a milkshake. c. A client who is receiving a diet high in potassium-rich foods and furosemide by mouth. d. A client who is receiving an MAOI and is requesting a cheeseburger for dinner. 22. A nurse is planning care for a client who has rheumatoid arthritis and has moderate to severe pain in multiple joints. Which of the following actions should the nurse plan to take? a. Perform ADLs for the client to promote rest. b. Allow for frequent rest periods throughout the day. c. Use heat to reduce joint inflammation. d. Develop a daily schedule for acetaminophen up to 6 g/day that covers peak periods of pain. 23. A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports bladder spasms, and the nurse observes a decreased urinary output. Which of the following actions should the nurse take? a. Increase tension on the urinary catheter. b. Irrigate the catheter with 0.9% sodium chloride irrigation. c. Assist the client to ambulate. d. Remove the urinary catheter immediately. 24. A nurse is assessing a client who has COPD. Which of the following findings should the nurse expect? a. Weight gain. b. Decrease in anteroposterior diameter of the chest. c. HCO3 24 mEq/L. d. pH 7.31 25. A nurse in a community center is providing an educational session to a group of clients about ovarian cancer. Which of the following manifestations of ovarian cancer should the nurse include in the teaching? a. Diarrhea. b. Urinary retention. c. Purulent discharge. d. Abdominal bloating