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A nurse is caring for a client who is at 11 weeks of gestation. Which of the
following immunizations should the nurse give?
a. Influenza
b. Measles, mumps and rubella
c. Human papilloma virus
d. Varicella ---------CORRECT ANSWER-----------------a. Influenza
A nurse is inserting an indwelling catheter for a male client. Which of the
following actions should the nurse take?
a. Perform the cleansing procedure with a fresh swab two times
b. Lift the penis so that it is perpendicular to the client's body
c. Cleanse the tip of the penis in a side-to-side motion
d. Pick up the catheter 13 cm (5 cm) from its tip ---------CORRECT ANSWER-----------
------b. Lift the penis so that it is perpendicular to the client's body
A nurse is providing teaching to a client who is at 14 weeks of gestation about
findings to report to the provider. Which of the following findings should the
nurse include in the teaching?
,a Bleeding gums- low platelet
b Faintness upon rising
c Swelling of the face
d Urinary frequency ---------CORRECT ANSWER-----------------c. Swelling of the face
A nurse has received change-of-shift report for a group of clients. Which of the
following actions should the nurse take to manage time effectively?
a. Document client care at the end of the shift
b. Make the client to-do list for the day
c. Skip breaks until the client tasks are completed
d. Focus on several client tasks at a time ---------CORRECT ANSWER-----------------b.
Make the client to-do list for the day
A nurse is developing a plan of care for a newborn whose mother tested positive
for heroin during pregnancy. The newborn is experiencing neonatal abstinence
syndrome. Which of the following actions should the nurse include in the plan?
a. Minimize noise in the newborn's environment
b. Administer naloxone to the newborn
c. Swaddle the newborn with his legs extended
d. Maintain eye contact with the newborn during feedings ---------CORRECT
ANSWER-----------------a. Minimize noise in the newborn's environment
,A nurse is assessing the fontanels of an 8-month-old infant. Which of the
following findings should the nurse recognize as an expected finding?
A. The anterior fontanel is open
b. The posterior fontanel is open
c. Both fontanels are the same size
d. Both fontanels show molding ---------CORRECT ANSWER-----------------A. The
anterior fontanel is open
A nurse is caring for client who has acute diverticulitis. Which of the following
diets should the nurse recommend to the client? Diverticulosis- High fiber
a. High residue
b. Lactose-free
c. Gluten-free
d. Low-fiber ---------CORRECT ANSWER-----------------d. Low-fiber
A nurse is caring for a client who is 48 hr postoperative following a total hip
arthroplasty. Which of the following actions should the nurse include in the plan
of care?
A. Administer low-dose heparin
B. Place the client on a full liquid diet
C. Use an incentive spirometer every 3 hr
D. Maintain the client on bed rest ---------CORRECT ANSWER-----------------A.
Administer low-dose heparin
, A nurse in the emergency department is assessing a client who has major
depressive disorder. Which of the following actions should the nurse take first?
(Exhibit)
A. Encourage the client to verbalize feelings *
B. Assess for hopelessness
C. Implement seizure precautions for the client
D. Administer ondansetron to the client for nausea
Obtain the client's weight ---------CORRECT ANSWER-----------------A. Encourage the
client to verbalize feelings *
A home health nurse is completing screenings for elder abuse during client visits.
Which of the following findings should the nurse identify as an indication of
potential elder abuse?
A. A client who lives with family members and begins to take more responsibility
of self-care
B. A client who reports being given sedative medications by family members
C. A client who is taking warfarin and has several small bruises on her shins and
hands
D. A client who schedules multiple visits with his provider every month ---------
CORRECT ANSWER-----------------B. A client who reports being given sedative
medications by family members
A nurse is planning care for a client who is to receive alteplase recombinant for a
thrombus in the coronary artery. Which of the following actions should the nurse