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A nurse is taking medication history from client who is type 2 diabetes mellitus
and is scheduled for an arteriogram. Which of the following medications to the
nurses instructs the client to discontinue 48 hrs prior to the procedure?
a) Atorvastatin
b) Digoxin
c) Nifedipine
d) Metformin - ✔✔ANSWER✔✔>>Metformin
The nurses assessing client with posttraumatic stress disorder. Which of the
following findings to the nurse expect to find?
a) Dependence on family and friends
b) Loss of interest in usual activities
c) Ritualistic behavior
d) Passive aggressive behavior - ✔✔ANSWER✔✔>>Loss of interest is usual
activities
A nurse working in long term care facility is caring for an older adult client who
has dementia. The clients often agitated and frequently wanders the halls.
Which of the following interventions should the nurse include in the plan of care?
A) Give the client several choices when scheduling activities.
b) Confront the client regarding unacceptable behavior
,c) Maintain Nutritional requirements by offering finger foods
d) Stimulate the client by leaving the television on throughout the day -
✔✔ANSWER✔✔>>Maintain nutritional requirements by offering finger foods
A nurse on a mental health unit receives report on four clients. Which of the
following clients should the nurse attend to first?
a) A client who has begun to demonstrate catatonic behavior
b) The client was compulsive behavior and is frequently drinking from the water
fountain
c) Client was having auditory hallucinations is becoming agitated
d) A client was making sexual comments to clients of the opposite sex -
✔✔ANSWER✔✔>>Client was having auditory hallucinations is becoming
agitated
A nurse is caring for the full term newborn immediately following birth. Which of
the following actions should the nurse take first?
a) Instill erythromycin ophthalmic ointment and the newborn's eyes.
b) Place identification bracelets on the newborn.
c) Weigh the newborn.
9 of 28
d) Dry the newborn - ✔✔ANSWER✔✔>>Dry the newborn
A nurse receives report on a group of clients. Which of the following client
should the nurse attend to first?
a) A client who was admitted with asthma and has an SaO2 of 92% long
receiving oxygen at 1 L per
minute via nasal cannula
b) A client was admitted with angina and reports left arm pain of 4 on a scale of 0
to 10
c) The client was type II diabetes mellitus in his blood with glucose level is at 80
mg/dL
d) A client who had a gastric endoscopy and whose nasogastric tube is draining
30 mL per hour of green fluid - ✔✔ANSWER✔✔>>A client was admitted with
angina and reports left arm pain of 4 on a scale of 0 to 10
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?
a) The client reports the urge to push
b) The cervix is dilated 2 cm
c) Contractions are 2 to 3 minutes apart
,d) The client reports nausea and vomiting - ✔✔ANSWER✔✔>>The cervix is
dilated 2 cm
The charge nurse for medical surgical units discovers client care assignments
that should be reassigned. Which of the following delegated tasks should be
reassigned?
a) An AP is to calculate intake and output every two hours for client in acute
renal failure.
b) An AP is to collect vital signs every 30 minutes for client who had a
cholecystectomy
c) A licensed practical nurse is to check nasogastric tube placement for client
list had a bowel resection.
d) A licensed practical nurses to provide initial feeding for client who had a
cerebrovascular accident. - ✔✔ANSWER✔✔>>A lvn to provide initial feeding for
a client who had cerebrovascular accident
A nurse caring for a client who has a cast due to compound fracture too the
right ankle. Which of the following findings requires immediate intervention?
a) pruiritus under the cast
b) Localized stabbing pain upon movement
c) paresthesia of the distal extremity
d) Edema present when leg is in the dependent position -
✔✔ANSWER✔✔>>Paresthesia of the distal extemity
The nurses providing care for preschoolers with acute gastroenteritis. Basing
information below which of t/he following is an appropriate nursing action?
a) Offer the child a cup of chicken broth.
b) Encourage the child's intake of gelatin.
c) Administer oral rehydration solutions.
d) Institute a banana, Rice, applesauce, and toast diet. -
✔✔ANSWER✔✔>>Administer oral rehydration solution
A nurse in an emergency department completes an assessment on an
adolescent client that has conduct disorder. The client threatened suicide to a
teacher at school. Which of the following statements should the nurse include in
the assessment?
a)Tell me about your siblings?
, B)Tell me what kind of music you like?
c) Tell me how often do you drink alcohol?
d) Tell me about your school schedule? - ✔✔ANSWER✔✔>>Tell me how often do
you drink alcohol
A nurse is observing bonding to the client her newborn. Which of the following
actions by the client requires the nurse to intervene?
A- Holding the new born in an en face position
b- asking the father to change the newborns diaper
c- requesting the nurse to take the newborn nursery so she can rest
d- Viewing the newborns actions to be uncooperative -
✔✔ANSWER✔✔>>Viewing the newborns actions to be uncooperative
A nurse is caring for a client who is taking levothyroxine. Which of the following
findings should indicate that the medication is effective?
A- Weight loss
b- Asking the father to change the newborns diaper
c- absence of seizures
d- Decrease inflammation - ✔✔ANSWER✔✔>>Weightloss this drug acts as T4
and will normalize the effects of hypothyroidism
A nurse is planning discharge teaching for cord care for the parent of a
newborn. Which instructions would you include in the teaching?
A- contact the provider if the cord still turns black
b- clean the base of the cord with hydrogen peroxide daily
c- Keep the cord dry unitl it falls off
d- The cord stump will fall off in five days - ✔✔ANSWER✔✔>>Keep the cord dry
until it falls off (cord should be kept clean and dry to prevent infection, it will turn
black, clean with neutral ph cleanser, cord falls off in 10-14 days)
A nurse is assessing a client in PACU. Which of the following findings indicates
decreased cardiac output?
A- Shivering
b- oliguria
c- Bradypnea
d- Constricted pupils - ✔✔ANSWER✔✔>>Oliguria
A nurse is assisting with mass casualty triage, explosion at a local factory.
Which of the following client should the nurse identify as the priority?
A- A client that has massive head trauma
B- A client has full thickness burns to face and trunk
C- A client with indications of hypovolemic shock
D- A client with open fracture of the lower extremity - ✔✔ANSWER✔✔>>A client
with indications of hypovolemic shock