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Kapiolani Community CollegeNURSNURS 100Practice Test B 2019.

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Kapiolani Community CollegeNURSNURS 100Practice Test B 2019.

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A nurse is providing teaching to a client who has aids.
I will take my temperature once a day.

metered dose inhaler
Holding breathe 10 secs after inhaling

Chest pain 6 hrs ago
Troponin 18

nephrostomy tube inserted 12 hours ago
The client reports back pain

Infection prevention for aids
I will no longer floss my teeth after brushing

modified radical mastectomy
numbness can occur along the inside of the affected arm

post op teaching total knee
Flex the foot every hour when awake

Risk for osteoporosis
walk for 30 mins 4x a week

scheduled for mastectomy
I will refer you to community resources that can provide support

hypothyroidism
constipation

I wish I could stop the treatments
discontinuing treatments is your choice

anaphylactic reaction
applying oxygen via face mask

Chronic Afib
inr 2.5

TENS bone cancer pain
A tingling sensation replacing the pain

diabetes insipidus
Low urine specific gravity

stage II cervical cancer and is scheduled for brachytherapy.
You will need to stay still in the bed during each treatment session."

prostate (TURP) and notes clots in the client's indwelling urinary catheter and a decrease in urinary output.
Irrigate the indwelling urinary catheter

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, A nurse is assessing a client's hydration status. Which of the following findings indicates fluid volume
overload?
Distended neck veins

older adult client who is receiving IV fluid therapy.
BUN

A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following
findings should the nurse identify as a manifestation of this condition?
Pain that increases with passive movement

A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. Which of the
following statements should the nurse make?
"Ginkgo biloba can cause an increased risk for bleeding."

A nurse is caring for an older adult client who has dementia and requires acute care for a respiratory infection.
The client is agitated and is attempting to remove their IV catheter. Which of the following actions should nurse
take to avoid restraining the client?
Keep the client occupied with a manual activity.

A nurse is assessing a client who is at risk for the development of pernicious anemia resulting from peptic ulcer
disease. Which of the following images depicts a condition caused by pernicious anemia?
This image depicts glossitis, which can indicate pernicious anemia. Glossitis, a smooth red tongue, is also a
manifestation of deficiencies in vitamin B6, zinc, niacin, or folic acid. (pic showing 1.5 teeth)

A nurse is providing teaching to a client who has a new prescription for psyllium. Which of the following
information should the nurse include in the teaching?
Drink 240 mL (8 oz) of water after administration.

A nurse is planning care for a client who has a sealed radiation implant for cervical cancer. Which of the
following interventions should the nurse include in the plan of care?
Keep a lead-lined container in the client's room.

A nurse is receiving report on a client who is postoperative following an open repair of Zenker's diverticulum.
The nurse should anticipate the surgical incision to be in which of the following locations? (You will find hot
spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)
A:neck

A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right
ankle. Which of the following assessment findings should the nurse report to the provider?
Extremity cool upon palpation

A nurse is assessing heart sounds of a client who reports substernal precordial pain. Identify which of the
following sounds the nurse should document in the client's medical record by listening to the audio clip. (Click
on the audio button to listen to the clip.)
Pericardial friction rub

A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). Which of the
following findings should the nurse expect?
Facial butterfly rash

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