COMPLETE STUDY QUESTIONS AND VERIFIED ANSWERS
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A nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via
continuous IV infusion. For which of the following therapeutic effects should the nurse monitor
the client? - Answer>>> Deep tendon reflexes 2+
A charge nurse is observing a conflict between two nurses who both insist that the charge nurse
favors the other when making assignments. Which of the following conflict resolution strategies
should the charge nurse use? - Answer>>> Encourage collaboration between the two nurses
when making the assignments
A nurse is teaching a newly licensed nurse about caring for clients in the emergency department.
which of the following actions should the nurse include when teaching about interacting with a
client who is aggravated, pacing, and speaking loudly? - Answer>>> Tell the client You seem to
be very upset
A nurse is caring for a client who has given informed consent for electroconvulsive therapy. Just
before the procedure, the client tells the nurse she is considering not going forward with the
treatment. Which of the following statements by the nurse is appropriate? - Answer>>> You
don't have to go through with the treatment
A nurse is teaching a new parent about breastfeeding her 2 week old infant. Which of the
following statements by the parent indicates an understanding of the teaching? - Answer>>> The
more my baby is at the breast sucking, the more milk I will produce
A nurse is assessing a client who is postoperative following abdominal surgery and has an
indwelling urinary catheter that is draining dark yellow urine at 25mL/hr. Which of the following
interventions should the nurse anticipate? - Answer>>> Obtain a urine specimen for culture and
sensitivity
, A nurse is caring for a client who is 12 hours postpartum and has a third degree perineal
laceration. The client reports not having a bowel movement for 4 days. Which of the following
medications should the nurse administer? - Answer>>> Magnesium hydroxide 30mL PO
A nurse is providing discharge teaching to the parents of a toddler who has cystic fibrosis. Which
of the following instructions should the nurse include? - Answer>>> Perform chest percussion
and postural drainage at least twice daily
A nurse is admitting a client who is hesitant to create advance directives due to concerns about
affording legal representation. Which of the following statements should then nurse make? -
Answer>>> Advance directives can be signed without legal representation
A nurse is reporting a client's laboratory tests to the provider to obtain a prescription for the
client's daily warfarin. Which of the following laboratory tests should the nurse plan to report to
obtain the prescriptions for the warfarin? - Answer>>> INR
A nurse inadvertently administers 160mg of valsartan PO to a client who was scheduled to
receive 80mg. Which of the following actions is the priority for the nurse to take? - Answer>>>
Evaluate the client for orthostatic hypotension
A nurse at a community health clinic is planning care for an adolescent who recently learned that
she is pregnant and is concerned about her ability to afford and care for her baby. Which of the
following actions should the nurse take? - Answer>>> Assist the adolescent in applying for
medicaid
A nurse is caring for a child who is postop following a tonsillectomy. Which of the following
findings indicates that the child may be experiencing hemorrhage? - Answer>>> Frequent
swallowing
A nurse is caring for a female client who requests a contraceptive diaphragm. Which of the
following actions should the nurse take first? - Answer>>> Determine the client's knowledge
about diaphragm use
A nurse is assessing a client who is taking haloperidol and is experiencing pseudo parkinsonism.
Which of the following findings should the nurse document as a manifestation of pseudo
parkinsonism? - Answer>>> Shuffling gait