The home health nurse is visiting an 18-year-old with osteogenesis imperfecta which
information obtained want to visit will cost the most concerned
A. Like to play foot ball
B. Drink carbonated soda
C. Has 2 sisters - CORRECT ANSWER-Like to play football
The physician had ordered 80mg of Furosemide (Lasix) two times per day the nurses
notes that the client potassium level is 2.5meq/L the nurse should
A. Administer furosemide
B. Offer potassium rich food
C. Withhold drug and call the dr - CORRECT ANSWER-Withhold the drug and call dr
The nurse is caring for the client following a thyroidectomy when suddenly the client
becomes non-responsive pale and BP is 60 systolic the nurse initial action should be to
do what
A. Lower HOB
B. Increase infusion normal saline
C. Administer Atropine IV - CORRECT ANSWER-Increase the infusion of normal saline
A nurse is caring for a client with iron deficiency anemia the nurse you recommend
which of the following foods to increase iron
A. Organ meats
B. Dairy
C. Whole grain
D. Citrus fruits - CORRECT ANSWER-Organ meats
A nurse is caring for a client prescribed a nasal decongestant spray which statement is
most important for the nurse to include
A. Avoid fluid 6 hrs after med given
B. Avoid eat & drink 30 mins after med given
C. Avoid eating for 1 hr after med given - CORRECT ANSWER-Avoid eat /drink 30 mins
after medication administered
The nurse is caring for an obsterical client in early labor after rupture of membranes the
nurse should give priority to
A. Apply internal monitor
B. Monitor fetal heart rate
,C. Insert foley
D. Assist with epidural anesthesia - CORRECT ANSWER-Monitor fetal HR
A client with bipolar disorder is a discharge with a prescription for valproic acid the
nurse should remind the client of the need for
A. Frequent dental visits
B. Frequent lab work
C. Additional fluids - CORRECT ANSWER-Frequent lab work
Which of the following medications can be safely administered during pregnancy
A. Dancrine
B. Methotrexate
C. Levothyroxine - CORRECT ANSWER-Levithyroxine
A nurse is caring for a laboring client who is receiving epidural anesthesia which
position is contra indicated for the client
A. Supine
B. Semi fowler
C. Rt side lying - CORRECT ANSWER-Supine
The parents of a teenager with hemophilia are concerned about high school sports
which physical activity sure the nurse suggest
A. Baseball
B. Football
C. Swimming
D. Chess - CORRECT ANSWER-Swimming
A client has recently received a kidney transplant and the health care provider has
prescribe mycophenolate. The nurse should expect to administer this medication art
which of the following
A. 10 days after transplant
B. 72 hours after transplant
C. 2weeks after transplant - CORRECT ANSWER-Within 72 hours after transplant
A 7yr old client with hyperthyroidism is admitted to the pediatric unit what clinical
findings should the nurse expect
A. Bradycardia
B. Exophthalmos
C. Cold intolerance - CORRECT ANSWER-Exophthalmos
, The nurse explains to a pregnant client 38 weeks gestation that a bishop score is
calculated determine which of the following
A. Cervical changes
B. Readiness vagina delivery
C. Determine fetus growth process - CORRECT ANSWER-Readiness for vaginal
delivery
The nurse is caring for a client with a mastectomy what action will be contraindicated -
CORRECT ANSWER-Taking BP on side of masectomy
During the change of shift the oncoming nurse knows a discrepancy in the number of
oxycodone and acetaminophen tablets listed and the number present in the narcotic
drawer the nurse first action should be to - CORRECT ANSWER-Notify nursing
supervisor
A nurse is late for her shift for four times in a week and cites "transportation issues" as
the cause. the other staff nurses are upset as they have to stay later than their assigned
shift and bring the matter to the nurse manager which of the following is the most
appropriate response by the nurse manager
A. Inform nurse she agree to contract and if violated she will be terminated
B. The nurse mgr should have a verbal discussion with staff and consequences for
violations - CORRECT ANSWER-Inform nurse she agree to contract and if violated she
will be terminated
A client is hospitalized with hepatitis A. Which of the clients regular medication is
contraindicated due to the current illness
A. Atorvastatin
B. Levothyroxin
C. Omeprazole - CORRECT ANSWER-Atorvastatin
The nurse is aware that a common mode of transmission of C-diff is - CORRECT
ANSWER-Contamination with stool
A client prescribe lithium to treat bipolar disorder which of the following indicates a need
for additional medicational teaching
A. I should continue to take my diuretics if I feel swelling
B. Include salt in my diet
C. Experience diarrhea - CORRECT ANSWER-I should continue to take my diuretics if I
feel swelling
A client with Addison disease has been admitted with a history of nausea and vomiting
for the past three days the client is receiving IV glucocorticoids which of the following
interventions were the nurse implement