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1. A nurse in an emergency department is caring -Review the medications that may be
for a client. The nurse should first _______, fol- causing the client's confusion.
lowed by_________ -Using alternative methods to keep the
client safe.
2. A nurse is preparing to obtain a client's vital Turn off the faucet with a clean paper
signs. Which of the following actions should towel after drying hands.
the nurse take when washing their hands?
3. A nurse is collecting data from a client who Positive Chvostek's sign
has an NG tube set to low intermittent suction.
Which of the following finding indicates hypo-
magnesemia?
4. A nurse is preparing to document information 3+ pitting edema
about a client's lower legs, which are swollen
with 6 mm edema. Which of the following in-
formation should the nurse document?
5. A nurse is caring for a group of clients in a -Wash hands after removing gloves
long-term care facility. Which of the follow- -Use antimicrobial hand gel after refill-
ing actions should the nurse take to prevent ing a client's water pitcher
health care-associated infections for these -Clean the stethoscope with an antimi-
clients? (Select all that apply.) crobial wipe after obtaining vital signs
6. A nurse is checking a client for a pulse deficit Count the client's radial and api-
after detecting an irregular heart rate. Which cal pulse simultaneously with another
of the following actions should the nurse take? nurse.
7. A nurse is contributing to the plan of care for a Do you consume pork products?
client who practices Islam. Which of the follow-
ing questions should the nurse ask the client
to clarify the client's religious preferences?
, PN Fundamentals Online Practice 2023 B
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8. A nurse is reviewing the medical record of a BUN 8 mg/dL (10 to 20 mg/mL)
female client who has heart failure. The nurse
should identify which of the following labora-
tory results as an indication that the client has
fluid volume excess?
9. A nurse is caring for a client who has chronic Guided imagery
pain. The nurse recommends that the client
concentrate on a memory of a pleasurable ex-
perience. Which of the following complemen-
tary therapies is the nurse suggesting?
10. A nurse is collecting data from a client who A purple-colored stoma
is 2 days postoperative following a colosto-
my placement. Which of the following findings
should the nurse report to the provider?
11. A nurse is contributing to the plan of care for a Pad bony prominences on the wrist.
client who has a new prescription for a wrist re-
straint. Which of the following actions should
the nurse include in the plan of care?
12. A nurse is preparing to administer a medica- 13.6 (divide 30/2.2)
tion to a preschooler and must convert the
child's weight from pounds to kilograms. The
child weights 30 lbs. How many kilos does the
child weigh?
13. A nurse is contributing to the plan of care for -Keep the family updated about the
a client who is dying. Which of the following client's status
interventions should the nurse recommend to -Encourage the family to comb the
client's hair.