Comprehensive Form B with 161 Questions And Answers 100% Correct 2023

Comp Form B/161 Questions And Answers/ 100% Correct A nurse is reviewing the lab report of a client who has a mag level of 1.0mEq/L. Which of the following should the nurse expect? - Correct Answer -Cardiac dysrrhythmia A nurse is caring for a client who has breast cancer and has been receiving chemotherapy. which of the lab values will you report to the provider? - Correct Answer -WBC 3,000 A nurse is planning teaching for a client who is at 10 weeks of gestation and has a history of urinary tract infections. Which of the following information should the nurse plan to include in the teaching about UTI prevention? - Correct Answer -Empty the bladder before and after intercourse A nurse is teaching a client about nutritional intake. include in the teaching - Correct Answer -Carbs should be atleast 45%-65% of you caloric intake A nurse is performing high-frequency chest compressions using a mechanical chest compression device for a child who has cystic fibrosis. Which of the following findings indicates the treatment has been effective? - Correct Answer -The child has increased sputum production A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the following statements indicates the newly licensed nurse understands the purpose of the technique? - Correct Answer -This technique decreases the risk of subcutaneous infiltration A nurse is caring for a client who has heart failure and has started taking a loop diuretic. Which of the following findings indicates the client is experiencing an adverse effect of the medication - Correct Answer -Decreased reflexes client who had a CVA. perform to prevent foot dropping - Correct Answer -Place positing boots on the client's feet A nurse in a provider's office is teaching a client 16 weeks of gestation and has a new prescription for ferrous sulfate. What should the nurse include in the teaching - Correct Answer -Take you iron with fluids other than coffee and tea A nurse is caring for a client who has a newly implanted sealed internal radiation device to treat cervical cancer. Which of the following is an appropriate action for the nurse to take? - Correct Answer -Keep a 3 foot distance from the radiation implant A charge nurse is evaluating the time management skills of a newly licensed nurse. Which of the following actions should the charge nurse identify as an effective time management skill? - Correct Answer -Completes activities for one client before moving to the next client A nurse is performing an admission assessment for a client who is to undergo a colonoscopy. The client states he took all his meds before coming. which of the following medication is priority to report to the provider - Correct Answer -Clopidegrel Four clients to an emergency department. The nurse should plan to see which of the following first? - Correct Answer -50-year old client who has slurred speech, disoriented and reports a headache placenta previa. Which of the following client findings should the nurse include? - Correct Answer -Bring red vaginal bleeding A nurse is caring for a client who has constricted pupils, delayed reflexes, and decreased blood pressure. The nurse should identify that these findings are potential manifestations of which of the following? - Correct Answer -Opioid intoxication A nurse in a clinic is teaching a client who is postmenopausal about estrogen therapy. What should the nurse include in the teaching - Correct Answer -estrogen therapy increase the risk for thrombus formation A nurse administers a dose of metoclopramide to a client prior to a chemotherapy treatment. The client develops uncontrolled contraction of the head and neck muscles. Which of the following medications should the nurse administer - Correct Answer -diphenhydramine A nurse on a med-surg unit is caring for a group of clients. Which of the following clients would benefit from a three-way indwelling catheter - Correct Answer -female who is prone to development of blood clots in the urine A nurse is assessing the vital signs of a newborn who was born 8hrs ago. Which of the following findings require interventions by the nurse? - Correct Answer -blood pressure windshield survey - Correct Answer -The availability of religious facilities. A nurse is caring for a postoperative client. Which of the following interventions will reduce the risk of DVT - Correct Answer -apply venous plexus foot pumps A nurse is providing teaching about car seat safety to the parent of a term newborn. Which of the following statements by the parent indicates an understanding of the teaching? - Correct Answer -"I should place a rolled blanket along each side of my baby's head in the car seat." A nurse is providing teaching about nutrition to the parents of a preschooler who has chronic renal failure. Which of the following indicates understanding teaching - Correct Answer -I should limit my child's intake of protein A nurse is assessing a client who has COPD and experienced recent weight loss. Which of the following findings should the nurse report to the provider? - Correct Answer -Coughing and wheezing after eating Risk for metabolic alkalosis - Correct Answer -A client who has severe hyperemesis At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of client reports. Which of the following client reports should the nurse assess first? - Correct Answer -Indigestion A nurse is assessing an infant who has water intoxication. Which of the following findings should the nurse expect? - Correct Answer -elevated urine specific gravity A nurse is caring for a group of clients in an inpatient mental health facility. Which of the following task should the nurse delegate to the AP - Correct Answer -Sit with the client who has anorexia nervosa during meals obtaining a culuture - Correct Answer -1. Assess the appearance of the wound 2. Obtain the specimen from granulation tissue of the wound 3. Place the swab in the culture tube. 4. Cleanse the would with 0.9% 5. Cover the wound with a sterile dressing A nurse is teaching the parent of a school-age child who has scabies about the application of permethrin 5% cream. The nurse should include which of the following as a potential adverse effect of the medication? - Correct Answer -burning A community health nurse is performing a vision screening on a 4 month old infant. When shining a light source into the infant's visual field, which of the following is an expected finding? - Correct Answer -the infant closes their eyes A nurse is caring for a client who has opioid use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect? - Correct Answer -hyperreflexia The patient states they do not want the injection but the nurse gives it anyways - Correct Answer -battery Client taking phenelzine - Correct Answer -cheddar cheese A home health nurse is reviewing treatment goals with a client who has diabetes mellitus. The nurse should evaluate which of the following laboratory tests to determine effective long-term management of blood glucose levels? - Correct Answer -HbA1C A nurse manager at a public health clinic is concerned about the rising number of sexually transmitted infections in the community. The purpose of which of the following is to generate new ideas to address the public health concern? - Correct Answer -A brainstorming session with nurses hip arthroplasty and notes the dressing is saturated with sanguineous drainage. Which of the following actions should the nurse take? - Correct Answer -Reinforce the dressing with sterile gauze bathe four clients, distribute fresh water, and obtain the morning vital signs. At noon the nurse ask the AP to transport one client to physical therapy. The nurse delegate more effectively in the future? - Correct Answer -Plan a more reasonable job assignment A nurse is preparing to administer enoxaprin to a client. Which of the following actions should the nurse plan to take? - Correct Answer -Inject the medication in the lateral abdominal wall systemic lupus - Correct Answer -dry raised facial rash common manifestation of food allergies - Correct Answer -vomiting sterile field - Correct Answer -open the first flap away from the body A nurse on a mental health unit receives report on four client. Which of the following clients should the nurse attend to first - Correct Answer -A client who is having auditory hallucination and is becoming agitated A nurse is assessing a full-term newborn who is 24hr old. What should be reported to the provider - Correct Answer -newborn neck is short and surrounded by skin folds A nurse on an orthopedic floor is completeing the morning assessments on several clients. Which client is more at risk for a fat embolism - Correct Answer -24 yr old male who has a casted femur fracture A community health nurse is caring for a client who request a referral for family therapy. The nurse should include who from interdisciplinary team? - Correct Answer -Social worker A nurse manager is reviewing documentation standards with a group of newly licensed nurses. Which of the following statements should the nurse manager include in the teaching? - Correct Answer -Include the complete name of the medication morphine sulfate A nurse is performing triage following a natural disaster. Which of the following clients should the nurse identify as the highest priority to receive care? - Correct Answer -A client who has a traumatic arm amputation A nurse is caring for a client who is manic. Which of the following activities is appropriate for the nurse to suggest? - Correct Answer -take a daily walk on the hospital grounds A nurse is teaching a group of farmworkers who work with pesticide about minimizing exposure. Which of the following information should the nurse include in the teaching? - Correct Answer -Change clothes after working in the field A nurse is admitting a client to a med-surg unit. What action should the nurse take first - Correct Answer -Assess the clients level of mobility A nurse is reviewing the medical records of four clients. Which of the following prescriptions correct documentation? - Correct Answer -Enoxaparin 30 mg SC every 12 hr Adolescent who has anorexia nervosa - Correct Answer -hypokalemia a nurse is preparing to discharge a newborn who has atrial septal defect. Who should the nurse expect the provider to recommend - Correct Answer -occupational manager gentamicin toxicity - Correct Answer -tinnitus A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? - Correct Answer -Monitor the client for 1 hr after meals A nurse is caring for a client following a possible exposure to anthrax. Which of the following actions should the nurse take? - Correct Answer -Begin prophylactic treatment with ciprofloxacin Report to the CDC - Correct Answer -Hepatitis A levels a depression in the skin 8mm deep - Correct Answer -4+edema A nurse is teaching a client who is at 35 week of gestation about amniocentesis. Which of the following statements should the nurse include in the teaching? - Correct Answer -you should monitor for the onset of contractions after the test A nurse is caring for a client who has heart failure and a potassium level of 3 mEq/L. The nurse should obtain verification of which of the following prescriptions from the provider - Correct Answer -digoxin 0.125mg po daily A home health nurse is admitting a clinet who is prescribed peritoneal dialysis. Which of the following actions should the nurse take first - Correct Answer -Clarify the client's actual and perceived health needs. A nurse is assessing a client who has delirium due to a febrile illness. Which of the following findings should the nurse expect? - Correct Answer -Hallucinations diagnosis of antisocial personality disorder - Correct Answer -poor impulse control A nurse is caring for a client who is post right-modified radial mastectomy. Which of the following should the nurse recognize as a priority finding. - Correct Answer -emesis of 110ml of thick yellow fluid dysphagia, what should the client recommend - Correct Answer -oatmeal A nurse is assessing a client who was brought to the emergency department by his adult child. The client has visible contusions on all four extremities. Which of the following actions should the nurse take? - Correct Answer -Report the incident to Adult Protective Services Run cats spin the rain throwing procedures mechanical paper lake - Correct Answer -word salad eye drops - Correct Answer -maintain the child in a sitting position 3 mins after report to the CDC - Correct Answer -syphilis A nurse is teaching a client who has a new prescription for digoxin. Which of the following statements should the nurse include in the teaching? - Correct Answer -notify your provider if you experience muscle weakness A nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via continuous IV fusion. Which of the following should be reported to the provider - Correct Answer -Mag levels 9mEq/L meningitis. What assessment to perform? - Correct Answer -Brudzinski sign A nurse is providing dietary teaching to a client who has an increased cholesterol level. Which of the following foods should the nurse recommend? - Correct Answer -egg whites A nurse is planning care for a child who is unresponsive and has increased ICP. Which of the the following actions should the nurse take? - Correct Answer -place the child in trenedelenburg position A nurse is caring for a child who has a new prescription for chlorpromazine by IM injection. Which of the following is an appropriate action? - Correct Answer -Check orthostatic blood pressure 1hr after administration mononucleosis . What findings - Correct Answer -splenomegaly malaise sore throat meningitis - Correct Answer -initiate droplet precaution continuous bubbling in the water-seal chamber - Correct Answer -check for an air leak A client asks the nurse if it is safe for him to take a glucosamine supplement - Correct Answer -shellfish allergy A nurse is caring for a client who has a new prescription for lithium carbonate. Prior to administering the first dose, which of the following laboratory values should the nurse evaluate? - Correct Answer -Thyroid hormones A nurse is preparing to administer an IV bolus of albumin 5% to a client receiving a continuous IV infusion. What action should the nurse take - Correct Answer -use the injection site farthest away from the IV insertion site breech of client confidentiality - Correct Answer -Discussing the clients reaction to the transfer with another staff nurse A nurse is caring for a client who has cirrhosis of the liver. Which of the following actions should the nurse take? - Correct Answer -Monitor for abdominal ascites A nurse is caring for a client following an open colectomy. Which of the following findings places the client at risk for delayed wound healing? - Correct Answer -Hyperemesis A nurse is delegating task to an AP. For which of the following can the nurse assign to the AP to measure vital signs - Correct Answer -A client who is requisition pain medication 2 days after surgery A circulating nurse is implementing a "time-out" before moving a client who is having total hip arthroplasty to the surgical site. Which of the following actions should the nurse take. - Correct Answer -confirm the provider has market the surgical site A nurse is assessing a client prior to performing a blood draw. The nurse should identify that an allergy to which of the following food can indicate that the client has an allergy to latex? - Correct Answer -avocados allopurinol. Which of the following lab findings to determine the effectiveness - Correct Answer -uric acid level haloperidol for the treatment of schizophrenia - Correct Answer -screen the client for tardive dyskinesia A nurse is caring for a preschool-age child who has a short-leg plaster cast applied 1 hr ago. Which of the following is an appropriate intervention - Correct Answer -support the affected leg on a pillow A nurse is assessing a client who has pericarditis. Which of the following findings is the priority? - Correct Answer -substernal chest pain bone marrow transplant is in protective isolation while undergoing total body radiation and intense chemo. - Correct Answer -Allow the silbling to wave at the client through the window of the door A client who is 8hr postpartum asks the nurse id she will nee to receive Rh immune globulin. The client is gravid 2, para 2, and her blood type is AB negative. The newborn's blood type is B positive. Which of the following statement is appropriate ? - Correct Answer -should be given 72 hrs after delivery receiving lasted Ringer's to treat fluid volume deficit. Indicates a therapeutic response to the treatment - Correct Answer -Increased blood pressure neutropenia about food safety to prevent food borne illness - Correct Answer -Refrigerate leftover with 2 hrs A nurse is caring for a female client who has bruises on her arms that she explains are result of physical abuse by her partner. - Correct Answer -Insit that the client report the abusive behavior to the proper authority providing postoperative teaching to a client who has a newly inserted pacemaker - Correct Answer -I will use my cellphone on the ear opposite of my pacemaker a nurse is providing discharge teaching to a client who has schizophrenia and is starting therapy with clozapine. Which of the following is priority to report to the provider - Correct Answer -blurred vision/ fever A nurse is performing a vision screening for a client. Which of the following finding should the nurse identify as an indication that the client has cataract - Correct Answer -increased opacity of the lens of the eye A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following actions should the nurse take? - Correct Answer -Tell the client to avoid drinking fluids 1 hr before bedtime A nurse is providing discharge teaching to a client who is postpartum and plans to breastfeed. Which of the following should the nurse recommend the client increase in their diet during lactation? - Correct Answer -calcium A nurse is planning to perform wound irrigation for a client who has an open secondary wound. When creating a sterile field, which of the following actions should the nurse take? - Correct Answer -Hold the bottle of sterile solution with the palm over the label while pouring A nurse is assessing a client who is postoperative following abdominal surgery. The client states, "I feel like my incision ripped open." The nurse notes dehiscence of the incision. Which of the following actions should the nurse take? - Correct Answer -place the client in low fowler's A nurse is caring for a client who has a newly implanted sealed internal radiation device to treat cervical cancer. Which of the following is an appropriate action for the nurse to take? - Correct Answer -Wear a lead apron A nurse is planning an educational session for a client who has type 1 diabetes mellitus. Which of the following should the nurse plan to include when teaching the client to monitor for hypoglycemia - Correct Answer -diaphoresis A nurse is inserting an IV catheter for a client who requires fluid replacement. Which of the following actions should the nurse take - Correct Answer -Apply the tourniquet 15cm(6in) about the insertion site fetal lung maturation - Correct Answer -betamethsone A nurse is planning care for a newborn who is receiving phototherapy. Which of the following actions should the nurse include in the plan of care - Correct Answer -Assess the infants eyes for corneal irritation every 4hrs A nurse is caring for a client who is receiving a blood transfusion at 125 ml/hr and develops a hemolytic reaction. which of the following action should the nurse perform - Correct Answer -infuse 0.9% sodium chloride IV A nurse is planning care for a client who has schizophrenia and is having difficulty expressing their feelings. Which of the following referrals should the nurse make? - Correct Answer -art therapist report to the cdc - Correct Answer -lyme disease a client who has dysphasia and a new prescription for divalproex sodium extended release - Correct Answer -administer with applesauce education about electroconvulsive therapy ECT major depressive disorder - Correct Answer -general anesthetic administered prior to ECT treatments A nurse is teaching a client and their family about home hospice care. Which of the following information should the nurse include in the teaching? - Correct Answer -Hospice care improves quality of life through palliative care A nurse is caring for a client who is taking alprozolam. Which prescription needs clarifying with the provider - Correct Answer -lorazepam Jewish - Correct Answer -meat and dairy are eaten separate A nurse is assessing a client who has non-Hodgkin's lymphoma. Which of the following findings should indicate to the nurse that the client might be experiencing syndrome of inappropriate antidiuretic hormone - Correct Answer -diminished deep tendon reflexes Which of the following methods should the nurse use to confirm placement prior to initatiaing feeding - Correct Answer -Test pH level from client gastric aspirate a home health nurse is teaching a guardian about administering tube feedings to their 3-month-old infant. Which of the following information should the nurse include in the teaching? - Correct Answer -Allow the infant to suck on a pacifier during feedings. A nurse in an inpatient psychiatric unit is setting short-term goals for an adolescence client who was admitted for treatment of anorexia nervosa. Which of the following is an appropriate short-term goal the nurse should set? - Correct Answer -The client will gain 2 to 3lbs weekly A nurse is preparing to witness a client's signature on an informed consent for a total knee arthroplasty. Which of the following indicates the nurse should contact the surgeon - Correct Answer -I am thankful there are no serious complications from this type of surgery A nurse is caring for a client who reports chest pain. Which of the following findings indicates myocardial damage? - Correct Answer -Troponin I 1.8 ng/mL A nurse is caring for a client who has a femur fracture and is on bedrest with Buck's extension traction. Which of the following actions should the nurse take? - Correct Answer -Inspect the clients skin under the device every 8 hrs A nurse receives change-of-shift report on four clients. Based on the shift report information, which of the following clients should the nurse place to assess first? - Correct Answer -A client who had a hip arthroplasty reports pain and erythema in their calf A nurse in the post anesthesia care unit is caring for four postop clients. The nurse realizes that coughing poses a risk to which of the following clients? - Correct Answer -A client who had a thyroidectomy A nurse on a medical unit has just received change-of-shift report. Which of the following clients should the nurse assess first? - Correct Answer -A 68 year old client who had a myocardial infarction 2 days ago and reports chest pain as a 4 on a scale of 0 to 10 A nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which of the following actions by the assistive personnel requires the nurse to intervene? - Correct Answer -Offers oral fluids to the client 2 hr postoperative following an ileal conduit procedure bladder cancer - Correct Answer -dusky color stoma A nurse is preparing to administer an IV bolus of albumin 5% to a client who is receiving a continuous IV infusion. After confirming compatibility, which of the following action should the nurse take? - Correct Answer -Occlude the IV tubing about the injection port A nurse is admitting a client who has antisocial personality disorder. Which of the following client behaviors should the nurse identify as consistent with this disorder - Correct Answer -use other for personal gain A nurse is providing teaching to the parent of a 6 month old infant who is teething and having difficulty sleeping. Which of the following instructions should the nurse include? - Correct Answer -Administer acetaminophen drops to your child before bedtime droplet precautions - Correct Answer -pertussis A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy. Which of the following interventions should the nurse include? - Correct Answer -Place the newborn 45 cm from the light source nurse is caring for a client who will be receiving a transfusion of platelets - Correct Answer -Decrease in bleeding from puncture sites A nurse is caring for a client who has just given birth to a stillborn newborn. Which of the following is the priority task for the nurse to facilities in the client grief process - Correct Answer -Acknowledging the reality of the newborn's death A nurse is teaching a client about smoking cessation. Which of the following client statements should the nurse identify as an understanding of teaching? - Correct Answer -Will use high carbohydrate snacks as a substitute for cigarette. A nurse is providing teaching about preventing mastitis to a client who is postpartum and breastfeeding her newborn. Which of the following instructions should the nurse include? - Correct Answer -Try to have your baby empty your breasts with each feeding A nurse is caring for a client who is who is receiving continuous feeding via NG tube. Which of the following actions would the nurse take? - Correct Answer -Check the clients gastric residual every 4hrs A nurse is teaching a client who has low-literacy level about home managements of diabetes mellitus. Which of the following action sis appropriate? - Correct Answer -Show the client as educational video A nurse is caring for a group of clients. The nurse should request a referral for a speech language pathologist for which of the following clients? - Correct Answer -A client who has difficulty swallowing A nurse is caring for a client who is in preterm labor and is receiving magnesium sulfate by continuous IV infusion. Which of the following findings indicate medication toxicity? - Correct Answer -Urine output 20 ml/hr A charge nurse is creating assignments for the next shift for several nurses and one of the nurses is pregnant. Which of the following clients should the charge nurse assign to a nurse who is not pregnant? - Correct Answer -A 60 year old client who is recovering from shingles A client at 38 weeks of gestation enters the emergency department. The nurse should recognize that which of the following indicates that the client is in the latent phase of labor - Correct Answer -Cervix dilated 2cm A home health nurse is teaching the parents of a school age child who has legg-calve-perthes disease. Which of the following information should the nurse include - Correct Answer -Your child should continue to attend school A nurse notices smoke coming from a client's room and discovers a fire in the wastebasket. After moving the client to safety, which of the followings is the priority action? - Correct Answer -notify the facility operator wrong dosage of medication was given - Correct Answer -fidelity A nurse is caring for a client who is racing a controlled epidural analgesia infusion. Which of the following nursing action is appropriate? - Correct Answer -Replacing the infusion tubing every 72 hrs A nurse is caring for a school age child who has a blood pressure of 68/50 mm Hg and develop sepsis shock. Which of the following medication should the nurse expect to be prescribed? - Correct Answer -Dopamine A nurse is caring for a toddler who has RSV. Which of the following actions should the nurse plan to take? - Correct Answer -use a designated stethoscope when caring for the toddler A nurse is precepting a nursing student who brings the following client observations to the nurse's attention. Which of the following client should the nurse assess first? - Correct Answer -a client who is coughing up pink-tinged sputum following a bronchoscopy and lung biopsy 1 hr ago A nurse is assessing a client who has pneumonia. Which of the following findings is the priority for the nurse to report to the provider? - Correct Answer -Weight loss of 4lbs in 1 month A nurse manager is making staffing assignments for the medical-surgical unit. Which of the following clients is appropriate to assign to a float nurse from the postpartum unit? - Correct Answer -A client who is 2 days post following a colon resection. A nurse is assessing a client who is gravida 2, para 1. This client is at 41 weeks of gestation and is receiving oxytocin for the augmentation of labor. The nurse should decrease the infusion rate for which of the following findings? - Correct Answer -Contractions are strong to palpatation A nurse is caring for a client who has fractured ribs, has developed thrombophlebitis, and is being treated with a heparin drip. The client develops hematuria and has an activated ptt of 100 seconds. Which of the following actions should the nurse take first ? - Correct Answer -Turn of the heparin drip A nurse in a mental health facility is interviewing a newly admitted client. Which of the following actions should the nurse take when conducting the interview? - Correct Answer -Seat the client at least 12 feet from the nurse atrial fibrillation - Correct Answer -C A nurse is assessing a client who has minor injuries following a motor-vehicle crash and appears agitated and apprehensive. The nurse identifies that the client is in the alarm stage of general adaption syndrome and should expect which of the following findings? - Correct Answer -tachycardia A nurse is caring for a client who is postpartum and has a new prescription for methylergovine for vaginal bleeding refectory to fundal massage and oxytocin. - Correct Answer -hypertension A nurse is caring for a client who had a partial laryngectomy and is receiving continuous enteral feedings at 65ml/hr through gastrostomy tube. Which of the following findings requires immediate interventions by the nurse? - Correct Answer -The infusion pump for administering continuous feeding is turned off A nurse is teaching a prenatal class about evidence of effective breastfeeding to a group of parents. Which of the following information should be included - Correct Answer -Newborn swelling sound are audible while breastfeeding Newborn stools are yellow and seedy after 7 days of breastfeeding Maternal breast become soft following feedings.