COMPLETE STUDY PAPER WITH VERIFIED
QUESTIONS AND DETAILED ANSWERS
GRADED A+
⩥ A nurse is observing bonding to the client her newborn. Which of
following actions by the client requires the nurse to intervene?
a) Holding the newborn in face position
b) Asking the father to change the newborn's diaper
c) Requesting the nurse take the newborn nursery so she can rest
d) Viewing the newborn's actions to be uncooperative. Answer: d)
Viewing the newborn's actions to be uncooperative
⩥ A nurse is caring for client who is taking levothyroxin. Which of the
following findings should indicate that the medication is effective?
a) Weight loss
b) Decreased blood pressure
c) Absence of seizures
d) Decrease inflammation. Answer: a) Weight loss
⩥ A nurse is planning discharge teaching for cord care for the parent of a
newborn. Which instructions would you include in the teaching?
,a) Contact provider if the cord still turns black
b) Clean the base of the cord with hydrogen peroxide daily
c) Keep the cord dry until it falls off
d) The cord stump will fall off in five days. Answer: c) Keep the cord
dry until it falls off
⩥ A nurse is assessing a client in the PACU. Which of the following
findings indicates decreased cardiac output?
a) Shivering
b) Oliguria
c) Bradypnea
d) Constricted pupils. Answer: b) Oliguria
⩥ A nurse is assisting with mass casualty triage: explosion at a local
factory. Which of the following client should the nurse identify as the
priority?
a) A client that has massive head trauma
b) A client has full thickness burns to face and trunk
c) A client with indications of hypovolemic shock
d) A client with open fracture of the lower extremity. Answer: c) A client
with indications of hypovolemic shock
⩥ A nurse is a receiving report on four clients. Which of the following
clients should the nurse assess first?
,a) A client who has illeal conduit and mucus in the pouch
b) Client pleasant arteriovenous additional vibration palpated
c) A client whose chronic kidney disease with cloudy diasylate outflow
d) A client was transurethral resection of the prostate with a red tinged
urine in the bag. Answer: c) A client whose chronic kidney disease with
cloudy diasylate outflow
⩥ A nurse is caring for a client just received the first dose of lisinopril.
The following is an appropriate nursing intervention?
a) Place's cardiac monitoring
b) Monitor the clients oxygen saturation level
c) Provide standby assist with the client from bed
d) Encourage foods high in potassium. Answer: c) Provide standby assist
with the client from bed
⩥ A nurse is caring for a client who is in labor and his seat is receiving
electronic fetal monitoring. The nurse is reviewing the monitor tracing
and notes early decelerations. Which the following should the nurse
expect?
a) Feta hypoxia
b) Abrupto placentae
c) Post maturity
d) Head Compression. Answer: d) Head Compression
, ⩥ A nurse is caring for a client who has chronic kidney disease. The
nurse should identify which of the following laboratory values as in an
indication for hemodialysis?
a) glomerular filtration rate of 14 mL/ minute
b) BUN 16 mg/DL
c) serum magnesium 1.8 mg mg/dl
d) Serum phosphorus 4.0 mg/dL. Answer: a) glomerular filtration rate of
14 mL/ minute
⩥ A nurse is caring for an infant who has a prescription for continuous
pulse oximetry. The following is an appropriate action for the nurse to
take?
a) Placed infant under radiant warmer
b) Move the probe site every 3 hours
c) Heat the skin one minute prior to placing the program
d) Placed a sensor on the index finger. Answer: c) Heat the skin one
minute prior to placing the program
⩥ A nurse in a mental health facility receives a change of shift report on
for clients. Which of the following clients should the nurse plan to assess
first?
a) Client placed in restraints to the aggressive behavior
b) A new limited client pleasures history of 4.5 kg weight loss in the past
two months