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1. Anurseiscaringforanewbornwhohasherpessimplex virus(HSV).Which of the
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following isolation precautions should the nurse initiate?
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A. contact
B. droplet
C. airborne
D. protectiveenvironment:A.contact s s s
2. Anurse iscaring fora ptwhoistaking valproicacidforseizure control.For which
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of the following adverse effects should the nurse monitor and report?
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A. Weight loss s
B. Jaundice
C. Bradycardia
D. Polyuria:B.Jaundice s s
3. A nurse enters a pt's room and sees smoke coming from a small fire in the trash
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can.Which of the following actions should the nurse take first?
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A. Remove the client from the room.
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B. Activate the fire alarm. s s s
C. Close the door to the client's room.
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D. Extinguishthefirewithafireextinguisher:A.Removetheclientfromtheroom.
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, 4. A community health nurse is providing teaching about home safety with a
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group of older adult pts. Which of the following statements should the nurse
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make?
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A. "Unplug your appliances by grasping the cord and pulling it straight from the
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outlet."
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B. "Set your water heater temperature at 130 degrees Fahrenheit."
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C. "Use throw rugs in high-traffic areas to partially cover wood floors."
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D. "Havegrab bars installed around your bathtub and toilet.":D."Have grab bars
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installed around your bathtub and toilet."
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5. A nurse is developing a pt education program about osteoporosis for older
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adult pts. The nurse should include which of the following variables as a risk
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factor for osteoporosis?
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A. Obesity
B. Acromegaly
C. Estrogen replacement therapy s s
D. Sedentary lifestyle:D.Sedentary lifestyle s s s s
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, The nurse should encourage older adult clients to engage in weight-bearing exer-
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cises to promote bone health because they will increase calcium and phosphorus
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levels.
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6. Anurse hasreceived change ofshiftreport on4 assignedpts.Forwhichof the
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following pts should the nurse intervene to prevent a potential food and
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medication interaction?
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A. A client who is receiving verapamil and has a continuous infusion of total
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parenteral nutrition (TPN)
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B. A client who is taking phenytoin and is requesting a milkshake
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C.Aclientwhoisreceivingadiethighinpotassium-richfoodsandfurosemide by
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mouth
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D. A client who is receiving an MAOI and is requesting a cheeseburger for dinner:
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D.A client who is receiving an MAOI and is requesting a cheeseburger for dinner
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7. An antepartum nurse is caring for 4 pts.For which of the following pts
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should the nurse initiate seizure precautions?
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A. A client who is at 33 weeks of gestation and has severe gestational hyper- tensio
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B. A client who is at 16 weeks of gestation and has a hydatidiform mole
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C. A client who is at 28 weeks of gestation and is experiencing vaginal bleeding
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D.Aclient who is at 12 weeks of gestation and has group B streptococcus:A. A client
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who is at 33 weeks of gestation and has severe gestational hypertension
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The nurse should initiate seizure precautions for a client who has severe gestational
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hypertension because an extremely elevated blood pressure in an antepartum client can
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trigger seizure activity. The nurse should provide the client with a quiet, darkened
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environment; place suction equipment and oxygen at the bedside; and place the call
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button within the client's reach.
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8. A nurse is preparing to replace a pt's transdermal fentanyl patch after 72 hr of
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use. After the nurse opens the packet containing the new pouch,the pt declines
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to accept it.Which of the following actions should the nurse take?
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A. Withhold pain medications for 24 hr after the old patch is removed. s s s s s s s s s s s
B. Ask another nurse to witness the disposal of the new patch.
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C. Seal the patches in a plastic bag and place in the client's trash basket.
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, D. Stick the two patches to each other and place them in the sharps bin.: B. Ask
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another nurse to witness the disposal of the new patch.
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9. Anurse is caring for a client who has a new prescription for clonidine.The nurse
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should inform the pt that which of the following findings is an adverse effect of
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this med?
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A. Diarrhea
B. Dry mouth s
C. Photophobia
D. Bruising:B.Dry mouth s s s
10. Anurseisprovidingteachingtoaptwhospeaksadifferentlanguagethan the
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nurse about an upcoming diagnostic procedure.Which of the following actions
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should the nurse take?
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A. Speak in a loud voice when explaining the procedure to the client.
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B. Use pictures to illustrate the procedure to the client.
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C. Use medical terminology to explain the procedure to the client.
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D. Validate the client's understanding of the procedure by watching for the s s s s s s s s s s
client to smile and nod:B.Use pictures to illustrate the procedure to the client.
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11. Anurse is caring for a client who has DVT.Which of the following actions
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should the nurse take?
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A. Teach the client to massage the affected extremity. s s s s s s s
B. Instruct the client to elevate the affected extremity when sitting. s s s s s s s s s
C. Assess pulses proximal to the affected area. s s s s s s
D. Apply a cold compress to the affected extremity.:B.Instruct the client to
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elevate the affected extremity when sitting.
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12. A nurse is developing a discharge plan for a school-age child who has
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thrombocytopenia.The nurse should instruct the child to avoid which of the
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following?
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A. Large groups of people s s s
B. Quickly changing positions s s
C. Eating fresh fruits s s
D. Blowing the nose:D.Blowing the nose s s s s s s
13. Anurse is caring for a childwhohas hypotonic dehydration andis receiv- ing
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an oral rehydration solution.Which of the following lab results indicates that the
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treatment regimen is effective?
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