2019 Form B RETAKE GUIDE- BEST
GRADES GUARANTEED.
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1. A nurse is assessing an infant who has water intoxication.Which of the
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following findings should the nurse expect?
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Answer : bounding pulse/generalized edema
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2. Anurse is discussingthe z-track administration of hydroxyzine witha newly
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licensednurse.Whichofthefollowingstatements indicates thenewly licensed
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nurse understands the purpose of the technique
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Answer: a.This technique decreases the risk of subcutaneous infiltration
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3. 1. A nurse is creating a plan of care for a client who has anorexia nervosa.
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Which of the following interventions should the nurse include in the plan?
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Answer: a. Monitor the client for 1 hr after meals
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4. A nurse notices smoke coming from a client's room and discovers a fire in the
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mailto:https://www.stuvia.com/user/Wisdoms X5 X5
, X5 wastebasket. After moving the client to safety, which of the followings is the X5 X5 X5 X5 X5 X5 X5 X5 X5 X5 X5 X5
X5 priority action? X5
Answer: a. Close the fire door on the unit X5 X5 X5 X5 X5 X5 X5 X5
5. A nurse is assessing a client who has delirium due to a febrile illness.Which of
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the following findings should the nurse expect?
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Answer: a. Hallucinations X5 X5
6. 1. A nurse is caring for a client following an open colectomy.Which of the
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following findings places the client at risk for delayed wound healing?
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Answer: hyper- emesis X5 X5
7. 1. A home health nurse is reviewing treatment goals with a client who has
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diabetesmellitus.Thenurseshouldevaluatewhichofthefollowinglaboratory
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tests to determine effective long-term management of blood glucose levels?-
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Answer: A1C X5
8. 1. A nurse is caring for a client who has neutropenia due to HIV.Which of the
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following precautions should the nurse take while caring for this client?
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Answer: a. Use a dedicated stethoscope X5 X5 X5 X5 X5
9. 1. A nurse is caring for a client who reports difficulty falling asleep at night.
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Which of the following actions should the nurse take?
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Answer: Tell the client to avoid drinking fluids 1 hr before bedtime
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10. 1.A nurse is planning care for a newborn who has hyperbilirubinemia and is
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to receive phototherapy.Which of the following interventions should the
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nurse include?
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Answer: a. Place the newborn 45 cm from the light source
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11. 1. A nurse is planning care for a client who has schizophrenia and is having
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difficulty expressing their feelings. Which of the following referrals should the
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mailto:https://www.stuvia.com/user/Wisdoms
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, X5 nurse make?
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Answer: social worker X5 X5
12. 1. A nurse is caring for a client who has heart failure and has started
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taking a loop diuretic.Which of the following findings indicates the client is
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experiencing an adverse effect of the medication
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Answer: decreased reflexes X5 X5
13. 1. At the start of an evening shift on a cardiac unit, a licensed practical
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nurse brings the nurse a list of client reports. Which of the following client
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reports should the nurse assess first?
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Answer: indigestion X5
mailto:https://www.stuvia.com/user/Wisdoms
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, 14. 1. A nurse is caring for a client who has just returned to the unit following a
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bronchoscopy.Which of the following actions by the assistive personnel
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requires the nurse to intervene?
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Answer: offer oral fluids to the client X5 X5 X5 X5 X5 X5
15. 1.A nurse on a medical unit has just received change-of-shift report.Which of
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the following clients should the nurse assess first?
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Answer: a. A 68 year old client who had a myocardial infarction 2 daysago and reports
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chestpain as a 4 on a scale of 0 to 10
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16. 1. A nurse is assessing a client prior to performing a blood draw. The nurse
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should identify that an allergy to which of the following food can indicate that the
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client has an allergy to latex?
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Answer: avocados X5
17. 1. A nurse is preparing to witness a client's signature on an informed
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consent for a total knee arthroplasty.Which of the following client statements
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indicates the nurse should contact the surgeon?
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Answer: a. I am thankful there are no serious complications from this type of surgery
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18. 1. A nurse is admitting a client who has antisocial personality disorder.
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Whichofthe followingclient behaviors shouldthe nurse identify as consistent
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with this disorder?
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Answer: a. Uses others for personal gain X5 X5 X5 X5 X5 X5
19. 1. A nurse is teaching the parent of a school-age child who has scabies
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about the applicationof permethrin5%cream.The nurse shouldinclude which of
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the following as a potential adverse effect of the medication?
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Answer: burning X5
20. 1. A nurse is teaching a client who has a new prescription for digoxin.
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mailto:https://www.stuvia.com/user/Wisdoms
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