LATEST EXAM/200+ VERIFIED Questions And Answers/100% Correct

exit exam/174 Questions And Answers/100% Correct A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse should identify which of the following as an indication of hopelessness? - Correct Answer -The client has a decreased energy level A nurse is preparing to collect data on a preschooler. Which of the following behaviors by the child indicates that he is ready to cooperate? (Select all that - Correct Answer -Allows the nurse to touch him on the arm. Answers questions asked by the nurse. Makes eye contact with the nurse A nurse on a mental health unit is planning care for a group of clients. Which of the following clients should the nurse see first? - Correct Answer -A client who has schizophrenia and is having command hallucinations A nurse is caring for a client who recently gave birth to her first child. The newborn is crying and the client states, " I can't seem to do anything right. What should I do?" Which of the following responses should the nurse make? - Correct Answer -"Let me show you how to swaddle and cuddle him, then you try A nurse is using a glucometer to measure a client's capillary blood glucose level, Which of the following actions should the nurse take? - Correct Answer -Keep the finger in a dependent position A nurse is reviewing the home medications of a client who recently had transient ischemic attacks and is to begin taking clopidogrel. The nurse should instruct the client that which of the following over-the-counter medications interacts adversely with clopidogrel? - Correct Answer -Naproxen ( every NSAID reacts) A nurse is collecting data from a client who has a long leg cast that was applied 2 days ago. The client's foot is pale with a weak pedal pulse, and the client reports foot numbness. Which of the following actions should the nurse plan to take first - Correct Answer -Check bilateral pedal pulse A nurse in a provider's office is reinforcing teaching about cigarette smoking with a client. Which of the following adverse effects should the nurse include in the teaching? - Correct Answer -Somnolence ( means consistent sleeping) A nurse is contributing to the development of an in-service program for mental health nursing staff. The nurse should include that the staff can medicate a client against his will, without a court hearing, in which of the following situations? - Correct Answer -A client who is attempting to hurt himself or others (involuntary commitment) A nurse is reinforcing teaching with a client who has a new prescription for digoxin. Which of the following instructions should the nurse include in the teaching - Correct Answer -"Monitor for muscle weakness while taking the medication." A charge nurse is discussing confidentiality requirements with a newly licensed nurse when sharing a client's medical information. Which of the following individuals should the charge nurse identify as appropriate with whom to share client information. - Correct Answer -A social worker who is assigned to an involuntary committed school-age client A nurse is reviewing laboratory values for a client who is at 34 weeks of gestation. Which of the following findings should the nurse report to the provider? - Correct Answer -Urine protein 3 plus A nurse is collecting data from a client who is 4 hr postoperative following a hemicolectomy. Which of the following findings is the nurse's priority, requiring immediate intervention? - Correct Answer -Oxygen saturation 89% A nurse in a provider's office is collecting data from a client who has a history of hypertension during his annual physical examination. Which of the following findings should the nurse report to the provider immediately? - Correct Answer -Blurred vision A nurse is caring for a client who suddenly develops chest pain and dyspnea. Which of the following actions should the nurse take first? - Correct Answer -Elevate the head of the client's bed, or put in orthopedic postion A nurse is reinforcing teaching on a client who has diabetes mellitus. Which of the following laboratory tests is the most accurate of blood glucose effective management? - Correct Answer -Glycosylated hemoglobin ( HbA1c) A charge nurse on a mental health unit is supervising a newly licensed nurse. For which of the following actions by the newly licensed nurse should the supervising nurse intervene? - Correct Answer -Tells a client he will lose his phone privileges if he does not take his medication A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is on seizure precautions. Which of the following materials should the AP place in the client's room? - Correct Answer -Oral suction equipment A nurse is reinforcing discharge teaching with the faculty of a client who has dependent personality disorder. Which of the following instructions should the nurse indicate in the teaching? - Correct Answer -Encourage the client to be assertive A nurse is reinforcing discharge teaching with a client who had a right total hip arthroplasty. Which of the following instructions should the nurse indicate? - Correct Answer -"You should avoid crossing your legs for 3 months." A nurse is reinforcing dietary teaching with a client who has hyperemesis gravidarum. Which of the following instructions should the nurse include in the teaching - Correct Answer -Eat a small meal every 2 to 3 hr, or eat crackers before getting outta bed A nurse is reinforcing teaching with a client who has GERD and a prescription for ranitidine. Which of the following statements by the client indicates an understanding of the teaching? - Correct Answer -"I should take this medication in the morning and at night. A nurse is assisting with the admission of a client who has pulmonary tuberculosis. Which of the following types of isolation precautions should the nurse include? - Correct Answer -Airborne A nurse is reinforcing discharge teaching with a client who has COPD and reports problems with maintaining adequate nutrition. Which of the following instructions should the nurse include? - Correct Answer -"Perform pulmonary hygiene 1 hour before meals. A nurse is administering pancreatic enzymes to a client who has cystic fibrosis. Which of the following outcomes should the nurse expect as a therapeutic effect of the treatment? - Correct Answer -Reduced fat in the stools, or decrease the amount of stool A nurse is caring for a client who has paranoid schizophrenia and believes that she is being followed by FBI agents who are pretending to be psychiatric staff. Which of the following responses should the nurse make? - Correct Answer -" that has to be scary tell me what the vocies are saying" A nurse is assisting in the care of a client who has a fractured femur and is in Buck's traction, which of the following actions should the nurse take? - Correct Answer -Ensure that the weights are hanging freely A nurse is reviewing the medication record of a client who requires continuous oxygen saturation monitoring. Which of the following should the nurse identify as a factor that can affect the validity of the readings? - Correct Answer -PVD , and also PAD both can affect oxygen due to circulation A nurse is collecting data from a group of clients. Which of the following clients should the nurse identify as having xanthelasma? - Correct Answer -Lady with eyes closed with nodules on eye lid A nurse is assisting with the admission of a client who has Vancomycin resistant enterococcus ( VRE) of the urine. Which of the following types of precautions should the nurse implement for this client? - Correct Answer -Contact precautions A community health nurse is assisting in the development of a brochure about hypertension. Which of the following actions should the nurse take? - Correct Answer -Explain medical terminology using basic, one-syllable words A nurse is collecting data from an adolescent during an annual physical examination. Which of the following statements by the client is the nurse's priority? - Correct Answer -"I would rather be alone than with my friends. A nurse is placing a dressing over a stage 1 pressure ulcer on a client's heel, which of the following types of wound dressing should the nurse use? - Correct Answer -Transparent film A nurse is caring for an older adult client who reports pain and has a prescription for ketorolac 15 mg IM every 5 hr PRN. The client's current blood pressure is 114/55 mm Hg. Which of the following actions should the nurse take? - Correct Answer -Administer the medication to the client A charge nurse in a long-term care facility is developing a performance improvement plan for an assistive personnel (AP). Which of the following actions should the nurse take when developing the plans? (Select all that apply) - Correct Answer -A, Set a specific time frame for meeting performance goals b. Ask the nurse supervisor to review the plan C, Include the performance standard that the AP should meet nurse is reinforcing teaching with a client who is undergoing radiation therapy to the neck. Which of the following instructions should the nurse include in the teaching? - Correct Answer -Avoid exposing the neck to the cold A nurse is assisting with the admission of an older adult client who has impaired mobility and is at risk for falls. Which of the following fall precautions should the nurse plan to implement? - Correct Answer -Determine the client's ability to use the call light A nurse is reinforcing teaching with a client about intermittent catheterization to measure residual urine. Which of the following information should the nurse include in the teaching? - Correct Answer -You will need to urinate before the procedure. A nurse is caring for a client who has terminal cancer and has declined treatment. The nurse attempts to convince the client to reconsider his decision and discusses this attempt with the charge nurse. Which of the following actions should the charge nurse take? - Correct Answer -Talk with the nurse about the need to support the client's decision A nurse is reinforcing teaching about breastfeeding with a client who gave birth 2 days ago. Which of the following information should the nurse include? - Correct Answer -Feed the newborn 8 to 12 times every 24 hr A nurse is assisting with the admission of a school-aged child. Which of the following actions should the nurse plan to take? - Correct Answer -Initiate contact precautions for the child A nurse is contributing to the plan of care for a client who has ascites due to cirrhosis. Which of the following interventions should the nurse recommend to include in the plan? - Correct Answer -Measure the client's abdominal girth daily A nurse is reinforcing teaching with a client who has a prescription for antibiotic therapy. The client tells the nurse that he always experiences diarrhea when he takes antibiotics. Which of the following food choices should the nurse recommend to lessen the occurance of diarrhea? - Correct Answer -Yogurt ( probiotics) A nurse is assisting with the care of a client who has increased intracranial pressure following a closed head injury. Which of the following actions should the nurse take? - Correct Answer -Elevate the head of the bed to 30 degrees A nurse is assisting with the plan of care for a client who is in the third trimester of pregnancy and has ankle edema. Which of the following interventions should the nurse include in the client's plan of care? - Correct Answer -Apply support stockings, and elavate the legs A nurse is contributing to the plan of care for a client who is experiencing delirium. Which of the following interventions should the nurse recommend? - Correct Answer -Remind the client of the day and time often A community health nurse is assisting with the development of a pamphlet regarding choking hazards for toddlers. Which of the following foods should the nurse include - Correct Answer -grapes A nurse is reinforcing discharge teaching with a client who has a new diagnosis of tuberculosis. Which of the following instructions should the nurse include in the teaching? - Correct Answer -"You should have a sputum examination every 3 weeks. A nurse is assisting with the care of a client who is at 37 weeks of gestation and is undergoing a nonstress test. Which of the following actions should the nurse take? - Correct Answer -Remind the client to press the button when she feels fetal movement A nurse is contributing to the plan of care for a client who has dysphagia. Which of the following interventions should the nurse include? - Correct Answer -Tilt the client's head forward during meals ( chin tuck) A nurse is reinforcing teaching with a client who is at 18 weeks of gestation and has a medical history of mild hypertension. For which of the following findings should the nurse instruct the client to monitor and report to the provider? - Correct Answer -Persistent headache A nurse is talking with the partner of a client who recently died, which of the following statements should the nurse make? - Correct Answer -"Tell me what I can do for you at this time. A nurse is assisting with the admission of a client who states, "The last time I was in the hospital, the nurses took forever to answer my call light." Which of the following is an appropriate response by the nurse? - Correct Answer -That must have been a difficult experience for you." A nurse in a provider's office is caring for a group of clients who have communicable diseases. Which of the following infections should the nurse report to the state health department? - Correct Answer -Neisseria gonorrhoeae, also HIV, syphills,TB A nurse is assisting with the admission of an adolescent client who is suspected to have bacterial meningitis. Which of the following findings should the nurse expect? - Correct Answer -Nuchal rigidit