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025 (VERSION 1, 2 AND 3)|ORIGINAL 600 Q
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s&As|ALREADY GRADED A+ V V
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1. A nurse in a pediatric unit is preparing to insert an IV catheter for
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7-year-
old. Which of the following actions should the nurse take?
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A. (Unable to read)
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B. Tell the child they will feel discomfort during the catheter inserti
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on.
C. Use a mummy restraint to hold the child during the catheter inse
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rtion.
D. Require the parents to leave the room during the procedure. -
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..........ANSWER.......B. Tell the child they will feel discomfort during
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the catheter insertion.
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2. A nurse is caring for a client who has arteriovenous fistula Which
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of the V
,following findings should the nurse report?
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A. Thrill upon palpation.
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B. Absence of a bruit.
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C. Distended blood vessels
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D. Swishing sound upon auscultation. -
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..........ANSWER.......B. Absence of a bruit.
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3. A nurse is providing discharge teaching for a client who has an
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implantable cardioverter defibrillator which of the following statem
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ents
demonstrates understanding of the teaching? V V V V
A. "I will soak in the tub rather and showering"
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B. "I will wear loose clothing around my ICD"
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C. "I will stop using my microwave oven at home because of my ICD
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"
D. "I can hold my cellphone on the same side of my body as the ICD"
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- ..........ANSWER.......B. "I will wear loose clothing around my ICD"
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4. A nurse is caring for a client who is at 14 weeks gestation and repo
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rts
feelings of ambivalence about being pregnant. Which of the followi
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ng
responses should the nurse make?V V V V
A. "Describe your feelings to me about being pregnant"
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,B. "You should discuss your feelings about being pregnant with your
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provider"
C. "Have you discussed these feelings with your partner?"
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D. "When did you start having these feelings?" -
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..........ANSWER.......A. "Describe your feelings to me about being pr
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egnant"
5. A nurse is planning care for a client who has a prescription for a b
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owel-
training program following a spinal cord injury. Which of the follow
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ing actions V
should the nurse include in the plan of care?
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A. Encourage a maximum fluid intake of 1,500 ml per day.
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B. Increase the amount of refined grains in the client's diet.
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C. Provide the client with a cold drink prior to defecation.
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D. Administer a rectal suppository 30 minutes prior to scheduled
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defecation times. - V V
V..........ANSWER.......D. Administer a rectal suppository 30 minutes p V V V V V V V
rior to scheduled
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defecation times. V
6. A nurse is caring for a client who is in active labor and requests pa
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in
management. Which of the following actions should the nurse take?
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, A. Administer ondansetron.
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B. Place the client in a warm shower.
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C. Apply fundal pressure during contractions.
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D. Assist the client to a supine position. -
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..........ANSWER.......B. Place the client in a warm shower.
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7. a nurse in an emergency department is performing triage for mult
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iple
clients following a disaster in the community. To which of the follo
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wing types V
of injuries should the nurse assign the highest priority?
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A. Below-the knee amputation
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B. Fractured tibia
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C. 95% full-thickness body burn
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D. 10cm (4in) laceration to the forearm -
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..........ANSWER.......A. Below-the knee amputation
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8. a nurse manager is updating protocols for the use of belt restraint
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s. Which
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of the following guidelines should the nurse include?
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A. Remove the client's restraint every 4hr
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B. Document the client's condition every 15 min
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C. Attach the restrain to the bed's side rails
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