NCSBN Post Test with Questions and Answers

NCSBN Post Test with Questions and Answers A nurse is caring for a 69 year-old client with end stage renal disease. What action should the nurse take to assess for patency in a fistula used for hemodialysis? a. Irrigate with 5 mL of 0.9% normal saline b. Palpate for a thrill over the fistula c. Observe for edema proximal to the site d. Feel for a bruit over the fistula ANSWER . Palpate for a thrill over the fistula The RN is working in a clinic where a client presents with a painful, blistering rash on the hip. The health care provider diagnoses shingles (herpes zoster). What is the priority nursing diagnosis? a.Knowledge deficit related to disease process b.Pain related to nerve root inflammation and skin lesions c. Risk for infection related to skin lesions d. Risk for impaired skin integrity related to skin lesions ANSWER b.Pain related to nerve root inflammation and skin lesions A 2 year-old child is brought to the emergency department at 2:00 pm. The mother states: "My child has not had a wet diaper all day." The child is pale, with a heart rate of 132 beats per minute. What other assessment data would the nurse obtain next to help determine an admitting diagnosis? a. History of fluid intake b. Dietary patterns in the past 48 hours c. Description of play activity d. Status of the eyes and the tongue ANSWER d. Status of the eyes and the tongue