a a a a a a
a
A anurse ais acaring afor aa aclient awho ahas aa anew adiagnosis aof atype a2 adiabetes
amellitus aand a
a
reports adifficulty afollowing athe adiet aand aremembering ato atake athe
aprescribed
a
medication. aWhich aof athe afollowing aactions ashould athe anurse atake ato apromote
aclient
a
compliance? aSATA
a
A. aAsk athe adietitian ato aassist awith ameal
aplanning.
a
a a
B. aContact athe aclients asupport
asystem.
C. aAssess afor aage-related acognitive
aawareness.
a
D. aProvide aeducational amaterials afor ahome ause. a- aA, aB,
aD, aE
a
A anurse ain ahealth acare aclinic ais aevaluating athe alevel aof awellness afor aclients
ausing athe aillness-wellness acontinuum atool. aThe anurse ashould aidentify awhich aof
athe afollowing aclients aas abeing aat athe acenter aof athe acontinuum? aA. aA acollege
astudent awho ahas ainfluenza. a
B. An aolder aadult awho ahas aa anew adiagnosis aof atype a2 adiabetes amellitus. a
C. A anew amother awho ahas aa aurinary atract ainfection. a
D. A ayoung amale aclient awho ahas aa along ahistory aof awell-controlled arheumatoid
aarthritis. a- aD. a
a
A anurse ais aevaluation aclients aat aa ahealth afair afor amodifiable avariables aaffecting
ahealth aand awellness. aThe anurse ashould aidentify awhich aof athe afollowing avariables
aas amodifiable. aSATA a
A. Smoking aon asocial aoccasions a
B. BMI aof a28 a
C. Alopecia a
D. Trisomy a21 a
E. History aof areflux a- aA, aB, aE a
a
A anurse ais acaring afor aa aclient awho awas ajust ainformed aof aa anew adiagnosis aof
abreast acancer. aThe anurse aevaluates athe aclient's aresponse. aWhich aof athe afollowing
astatements aby athe aclient areflects aa alack aof aunderstanding aof aan aillness
aperspective? a
A. "I ahave ano afamily ahistory aof abreast acancer." a
B. " aI aneed aa asecond aopinion. aThere ais ano alump" a
C. I aam aglad awe alive ain athe acity anear aseveral alarge ahospitals." aD. a"I awill aschedule
asurgery anext aweek, aover athe aholidays" a- aB. a
a
A anurse aon aa amedical-surgical aunit ais acaring afor aa agroup aof aclients. aThe anurse
ashould anotify athe arapid aresponse ateam afor awhich aof athe afollowing aclients? a
,A. Client awho ahas aa apressure ainjury aof athe aright aheel awhose ablood aglucose ais
a300 amg/dL a
B. Client awho areports aright acalf apain aand ashortness aof abreath a
C. Client awho ahas ablood aon aa apressure adressing ain athe afemoral aarea afollowing aa
acardiac acatherization a
D. Client awho ahas aa adark ared acoloration aof aleft atoes aand aabsent apedal apulse. a-
aB. a
a
A anurse ais acaring afor aa aclient awho ahas aingested aa atoxic aagent. aWhich aof athe
afollowing a
a
actions ashould athe anurse aplan ato atake?
aSATA
a
A. aInduce
avomiting
B. aInstill aactivated acharcoal
aC. aAdminister asyrup aof
aipecac. a
D. aInfuse aIV afluids a- aB, aC, aE a
a
A anurse ain athe aemergency adepartment ais acaring afor aa aclient awho afell athrough athe
aice aon aa apond aand ais aunresponsive aand abreathing aslowly. aWhich aof athe afollowing
aactions ashould athe anurse atake. aSATA a
A. Remove awet aclothing a
B. Maintain anormal aroom atemperature a
C. Apply awarm ablankets a
D. Use aa arapid arewarming awater aof a40 ato a42C a
E. Infuse awarmed aIV afluids a- aA, aC, aD, aE a
a
A anurse ain athe aemergency adepartment ais aassessing aa aclient awho ais
aunresponsive. aThe aclient's apartner astates, a"He awas apulling aweeds ain athe ayard
aand aslumped ato athe aground." aWhich aof athe afollowing atechniques ashould athe
anurse ause ato aopen athe aclient's aairway? a
A. Head-tilt, achin-lift a
B. Modified ajaw athrust a
C. Hyperextension aof athe ahead a
D. Flexion aof athe ahead a- aA a
a
A anurse ais areviewing athe acommon aemergency amanagement aprotocol afor aclients
awho ahave aasystole. aWhich aof athe afollowing aactions ashould athe anurse aplan ato
atake aduring athis acardiac aemergency? a
A. Perform adefibrillation a
B. Prepare afor atranscutaneous apacing a
C. Administer aIV aepinephrine a
D. Elevate athe aclient's alower aextremities. a- aC a
a
A anurse ais acaring afor aa aclient awho ais apostprocedure afollowing alumbar apuncture
aand areports aa athrobbing aheadache awhen asitting aupright. aWhich aof athe afollowing
aactions ashould athe anurse atake? aSATA a
, A. aUse athe aGlasgow aComa aScale aB.
aAssist athe aclient ato aa asupine
aposition. a a
C. Administer aan aopioid amedication. a a
D. Encourage athe aclient ato aincrease afluid aintake. a a
E. Instruct athe aclient ato aperform adeep abreathing aand acoughing aexercises. a- aB, aC,
aD. a
a
A anurse ais acaring afor aa aclient awho aexperienced aa atraumatic ahead ainjury aand
ahas aan aintraventricular acatheter a(ventriculostomy) afor aICP amonitoring. aThe
anurse ashould amonitor athe aclient afor awhich aof athe afollowing acomplications
arelated ato athe aventriculostony? aA. aHeadache a
B. Infection a a
C. Aphasia a
D. Hypertension. a- aB. a
a
A anurse ais aassessing aa aclient afor achanges ain athe alevel aof aconsciousness
ausing athe a
a
glasgow acoma ascale. aThe aclient aopens ahis aeyes awhen aspoken ato,
aspeaks
incoherently, aand amoves ahis aextremities awhen apain ais aapplied. aWhich aof athe
afollowing a
a
GCS ascores ashould athe anurse
adocument?
a
A. E2+V3+M5=10 aa
B. E3+V4+M4=11
C.
aE4+V5+M6=15
a
D. aE2+V2+M4=8 a-
aB.
a
A anurse ais adeveloping aa aplan aof acare afor aa aclient awho ais ascheduled afor acerebral
aangiography awith acontrast amedia. aWhich aof athe afollowing astatements aby athe
aclient ashould athe anurse areport ato athe aprovider? aSATA a
A. "I athink aI amight abe apregnant." a
B. "I atake awarfarin." a
C. "I atake aantihypertensive amedication." a
D. " aI aate aa alight abreakfast athis amorning." a- aA, aB, aD, aE a
a
A anurse ais aproviding aeducation ato aa aclient awho ais ato aundergo aan aEEG athe anext
aday. a
Which aof athe afollowing ainformation ashould athe anurse ainclude ain athe
ateaching? aA. aDo anot awash ayour ahair athe amorning aof athe aprocedure. a a
B. Try ato astay aawake amost aof athe anight aprior ato athe aprocedure. a a
C. The aprocedure awill atake aapproximately a15 aminutes. a a
D. You awill aneed ato alie aflat afor a4 ahours aafter athe aprocedure. a- aB. a
a