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A client is assisting with triaging clients in a mass casualty situation. The
nurse should recommend following client receive care first? - -D. A client
who has diminished breath sounds and paradoxical chest movement.
A nurse delegates a task to an assistive personnel (AP) and the AP refuses
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the assigned task. Which of the following actions should the nurse take first? -
-C. Notify the charge nurse.
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A nurse discovers a fire in a trash can in a patient's room. which of the
following action should the nurse take first? - -A. Extinguish the fire.
B. Shut the door to the client room.
C. Pull the fire alarm.
D. Walk the client to the waiting room.
A nurse from a medical unit is floating to a postpartum unit. which of the
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following clients is an appropriate assignment for the nurse to accept? -
-A. a client who had a cesarean delivery 24hrs ago
A nurse in a long-term care facility has received change of shift report about
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four clients. which of the following clients should the nurse attend to first? -
-B. A client who has COPD and dementia and was agitated during the
night shift.
A nurse in a mental health unit asks a client who has schizophrenia. "how are
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you." which of the following responses should the nurse identify as the speech
alteration of echolalia? - -C. "How are you?"
A nurse in a provider's office is talking on the phone with the parent of a
school-age child who has Varicella. The parent asks when the child can return
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to school. The nurse should tell the parent that which of the following is an
indication that the child is no longer contagious? - -B. All vesicles have
crusted over.
A nurse in an urgent care facility is collecting data from an adolescent whom
the nurse suspects has meningitis. Select the location the nurse should flex to
, check for Brudzinski's sign. (you will find a selectable areas "hotspots" by
moving your cursor over the artwork until the cursor changes appearance,
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usually into a hand. click only on the hot spot that corresponds to your
answer.) - -A. the answer is spot A which is on the neck.
A nurse in mental health facility is reviewing the laboratory reports for four
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clients. which of the following results should the nurse report to the provider
immediately? - -C. Sodium level of 130 mEq/L for a client who has
bipolar disorder and takes lithium
A nurse in the newborn nursery is collecting data about a newborn's moro
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reflex. which of the following actions should the nurse take to elicit this reflex?
- -C. Strike the crib surface on which the newborn is lying
A nurse is a prenatal clinic is reinforcing teaching with a client about a
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nonstress test . which of the following statements should the nurse include? -
-D. " you will be asked to press a button when you feel the baby move."
A nurse is assisting in the development of an in-service for staff members
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about physical abuse of children. which of the following children are at an
increases risk for physical abuse? - -D. children who live in crowded
homes.
A nurse is assisting with an admission interview for a client who has
schizophrenia. he tells the nurse that he is receiving special audible messages
from the Central Intelligence Agency that no one else is able to hear. The
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nurse should identify that the client is having which of the following alterations
in perception? - -B. Hallucinations
A nurse is assisting with the admission of a client who attempted suicide.
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when the nurse processes the client's belongings, which of the following items
should the nurse remove from the client's suitcase? - -D. Perfume
A nurse is assisting with the admission of a client who has mononucleosis.
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Which of the following isolation precautions should the nurse initiate? -
-C. Contact
A nurse is assisting with the admission of an older client with impaired mobility
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and is at risk for falls. which of the following actions should the nurse plan to
perform first? - -A.check the client's ability to use the call light.