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Exam (elaborations)

KAPLAN PREDICTOR A, B, C AND D .

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KAPLAN PREDICTOR A, B, C AND D .

Institution
HEALTH.
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HEALTH.











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Institution
HEALTH.
Course
HEALTH.

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Uploaded on
September 26, 2023
Number of pages
106
Written in
2023/2024
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KAPLAN PREDICTOR A, B,
C AND D 2023-2024




KAPLAN PREDICTOR A 2023-2024

1. The nurse cares for the client diagnosed as being in the manic phase of bipolar
disorder. Which behavior indicates to the nurse the client condition is improving? -
ANSWER>>The client sits and eats with other clients on unit
2. The health care provider orders a continuous intravenous aminophylline infusion for a
two year old client. It is most important for the nurse to intervene for which situation?
c. The clients serum theophylline level is 25 mcg/mL - ANSWER>>C
3. The nurse teaches the client about the schedule cardiac catheterization. Which
statement, if made by the client to the nurse, indicates that the teaching was effective
b. "I may experience a little pounding sensation in my chest during the procedure." -
ANSWER>>B
4. During the second stage of labor, the client's partner asks the nurse, "Can I go get a
cup of coffee from the cafeteria?" Which response by the nurse is best?
b. "It would be best if you stayed here at this time." - ANSWER>>B
5. The nurse discovers that client lying face down on the floor. Which action does the
nurse take first?
b. Determine whether the client is responsive - ANSWER>>B
6. A nurse works 3 weeks at a 100-bed suburban hospital after working several months
at a 40-bed rural hospital. The nurse prefers the total client care delivery system that
was used at the rural hospital, rather then the team leading system of client care that is
used at the suburban hospital. Which action does the nurse take?
b. Discuss his thoughts about the type of client care delivery system with the nurses
supervisor - ANSWER>>B
7. The nurse cares for the client diagnosed with a left traumatic below knee amputation
(BKA) with a tourniquet in place. The client also has a tear from the perineum to the
rectum. Which action is the nurse take first?
d. Check the client's blood pressure and pulse - ANSWER>>D
8. During morning rounds, the client diagnosed with schizophrenia tells the nurse, "I
know you are conspiring with my spouse to keep me locked away." Which statement by

,the nurse is the most appropriate?
c. "I can see that you are frightened about being here but I am a nurse in a hospital." -
ANSWER>>c

,9. During a routine prenatal visit, the nurse auscultates the fetal heart rate (FHR). If the
fetal position is left sacrum posterior (LSP), at which site does the nurse expect to find
the fetal heart (FHT)?
c. Above umbilicus, on the mothers left - ANSWER>>C
10. The nurse makes environmental rounds on the client care unit. Which problem does
the nurse addressed first?
c. The call light and occupied isolation room is broken - ANSWER>>C
11. The nurse observes a nursing assistive personnel (NAP) enter the room of the client
diagnosed with tuberculosis (TB) to provide morning care. Which observation, if you
made by the nurse, does not require an intervention?
d. The NAP enters the room while wearing a particulate respirator and a gown -
ANSWER>>D
12. The nurse teaches the client about ferrous sulfate. Which statement by the client
indicates to the nurse that the client understands the education?
b. "I should take this medication with orange juice." - ANSWER>>B
13. The nurse gives discharge instructions about home care for orchitis to the client.
Which statement indicates to the nurse that teaching has been successful?


b. "It will help if I use a scrotal support." - ANSWER>>B
14. ? - ANSWER>>
15. The nurse cares for the client having a left total hip arthroplasty period in which
position does the nurse placed the client after surgery?
a. Legs abducted with the toes pointing upward - ANSWER>>A
16. The adolescent receives 10 units of intermediate-acting insulin every morning at
0700. If the client requires the insulin dosage reduced, the nurse expects the client to
present with which symptom?


c. Experiences confusion at 1600 - ANSWER>>C
The nurse discovers the client in the bathroom attempting self-harm. Which action does
the nurse take first?


b. Stays with the client and continually monitors for self-destructive behaviors -
ANSWER>>B

, The nurse admits a 2-month-old infant for surgical correction of hypospadias. Which
assessment does the nurse complete?


b. Inspect the position of the urinary meatus - ANSWER>>B
The patient of an 18 month old toddler ask the nurse, (Which toy is most appropriate for
my child?) The nurse from recommend which toy?


b. A stuffed animal - ANSWER>>B
The nurse cares for the client prior to cataract surgery. The nurse administers the
preoperative medication. Ten minutes later, the nurse finds the client on the floor at the
foot of the bed. Which action does the nurse takes initially?




c. Stays with the client and calls for assistance - ANSWER>>C
The nurse teaches the client what to expect during a cardiac catheterization. Which
statement if made by the client, indicates further teaching is necessary?




c. "I may have chest pain for several days following the test." - ANSWER>>C
22. The parents of the 18 month old toddler with a fractured femur visits with the child in
the hospital. The parents say they must go home, the child screams, cries, and hits the
parents. Which statement does the nurse suggest the parents tell the child?




c. "We will return when the sun comes up." - ANSWER>>C
23. The nurse supervises a nursing assistive personnel (NAP) caring for the client after
abdominal surgery. Which observation requires an intervention by the nurse?


a. The NAP massages the client's leg using long, firm strokes - ANSWER>>A
The nurse cares for the client diagnosed with anorexia nervosa. Which goal is the
highest priority initially?

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