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X. X. X.
1. A nurse on an inpatient unit is assisting with the
X. X. X. X. X. X. X. X. X. Contact informa- X.
discharge plan for a client who has
X. X. X. X. X. X. X. tion for a commu-
X. X. X. X.
schizophrenia.Which of the folloving resources
X. X
. X. X. X. X. nity mental
X
. X.
should the nurseinclude in the plan?
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. X. X. X. healthcenter
X. X
.
Contact information for enrollment in a 12-step pro-
X. X. X. X. X. X. X.
gram
X
.
Contact information for a community mental X. X. X. X. X.
healthcenter
X. X
.
A referral for respite care services
X. X. X. X. X.
A list of primary prevention activities
X. X. X. X. X.
2. A nurse in a provider's office is reinforcing
X. X. Examine your tes- X. X. X. X. X. X. X.
teachingwith a client about performing testicular self- ticles
X. after
X
. a X. X. X. X. X. X. X
. X. X.
exami- nation.Whichofthefollowinginstructions
X. warmshower." X
. X
. X
. X
. X. X. X
.
shouldthenurse include?
X
. X
. X
. X.
"Palpate both testicles firmly with your fingertips. X. X. X. X. X. X.
Apply a cool compress to the scrotum prior to exam-
X. X. X. X. X. X. X. X. X.
ination.
X
.
Perform the self-examination every 3 X. X. X. X.
months.Examine your testicles after a warm
X. X
. X. X. X. X. X.
shower."
X.
Transferring the X.
clientfromthe
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3. A nurse is planning care for a client who is 1 day
X. X. X. X. X. X. X. X. X. X. X. bedto a chair
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. X. X.
postoperative following abdominal surgery.Which X. X. X. X
.
ofthe following tasks should the nurse
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. X. X. X. X. X.
delegate to an assistive personnel? X. X. X. X.
Showing the client how to use an incentive spirome-ter X. X. X. X. X. X. X. X. X
.
Transferring the client from the bed to a chair X. X. X. X. X. X. X. X.
X. X.
, Capstone B X.
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X. X. X.
Checking the client's surgical dressing for X. X. X. X. X.
withthe
X. X
.
guardian of
X. X.
bleedingDetermining whether the client has
X. X
. X. X. X. X.
an 18-
X. X.
month-old
X. Incisional pain X.
toddler.Whic
X. X
.
h of X.
4. A newly-licensed nurse tells another nurse that
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their password has expired and asks for assistance
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with inputting data into a client's electronic medical
X. X. X. X. X. X. X. X.
record.Which of the following statements should
X. X
. X. X. X. X. X.
thenurse make?
X. X
. X.
You won't be able to input any data until you
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resetyour password."
X. X
. X.
You can use my password on another terminal,
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butjust this one time.
X
. X
. X. X. X.
If you'd liketo give me the data,I can enter it for you."
X. X. X. X. X. X. X. X
. X. X. X. X. X.
The charge nurse can log on for you and watch
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youinput the data.
X. X
. X. X.
5. A nurse on a postpartum unit is caring for a group
X. X. X. X. X. X. X. X. X. X.
ofclients. Which of the following clients is the nurse's
X. X
. X. X. X. X. X. X. X. X.
priority?
X.
A client who is 1 day postpartum and has not voidedin
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.
8 hr
X. X.
'client who is 4 days postpartum and has X. X. X. X. X. X. X.
lochiaSerosa
X. X
.
A client who is 3 days postpartum and has not had
X. X. X. X. X. X. X. X. X. X.
abowel movement since prior to admission
X. X
. X. X. X. X. X.
A client who is 2 days postpartum and whose fundusis 2
X. X. X. X. X. X. X. X. X. X
. X.
to 4 cm below the umbilicus
X. X. X. X. X. X.
6. A nurse is reinforcing home safety instructions
X. X. X. X. X. X.
X. X.
, Capstone B X.
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X. X. X.
Youwon'tbeableto input any data until you reset your
X
. X
. X
. X
. X. X. X. X. X. X. X.
password."
X.
A client who isX. X. X.
3dayspostpartumand has not had abowel movement since
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. X. X. X. X. X
. X. X.
prior to ad- mission
X. X. X. X.
I will turn all pot handles to-
X. X. X. X. X. X.
X. X.
, Capstone B X.
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X. X. X.
the followingresponses bythe guardian indicates
X. X. X. X. X. X. ward the back X. X.
anunderstanding of the teaching?
X. X
. X. X. X. ofthe stove."
X. X
. X.
I will place my child in a drop-side crib for napping.
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I will turn all pot handles toward the back of thestove."
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.
I will set the temperature of the water heater to
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130degrees."
X. X
.
I will place my child's car seat forward-facing in
X. X. X. X. X. X. X. X.
thebackseat."
X. X
.
7. A nurse is caring for a client who is at 6 weeks of
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gestation.Which of the following laboratory
X. X
. X. X. X. X. Hemoglobin
findingsshould the nurse report to the provider?
X. X
. X. X. X. X. X. X. 13g/dL
X. X
.
WBC 7.000/mm X.
Hemoglobin 13 g/dL X. X.
X. Blood glucose 130 X. X.
X. mg/dLRBC 5.8 X
. X.
X. million/mm3
Expected labora- X.
8. A nurse is preparing to give change-of-shift report to
X. X. X. X. X. X. X. X. tory results
X
. X.
the oncoming nurse.Which of the following informa-
X. X. X
. X. X. X. X.
tion should the nurse include?
X
. X. X. X. X.
Expected laboratory X.
X. resultsNumber of visitors X
. X. X.
Routine care X.
X. Medical diagnosis X.
9.
X. X.