WELL DETAILED
A nurse is caring caring for a client who has a recently admitted to an inpatient mental
health unit. the client tells the nurse he is not coming out of his room anymore because
other client on the unit makes fun of him. which of the following response by the nurse is
appropriate? - ANSWER B) " you feel upset by the response of other."
A nursing admitting a client who has active tuberculosis. which of the following intervention
is appropriate? - ANSWER A. Place the client in a room that is ventilated outside.
A nurse is reinforcing teaching with the parent of a toddler who has difficulty falling asleep.
which of the following instruction should the nurse include? - ANSWER A. establish a
bedtime routine.
A nurse is collecting data from an 18 month- old toddler at a well-child visit. which of the
following finding should the nurse report to the provider? - ANSWER C. Toddler can
say four words.
A nurse is planning to administer morphine IM to a client using Z track method. Identify the
order of steps the nurse should take to administer the medication using this method. place
the steps in order. - ANSWER A. Insert the needle at a 90-degree angle.
B. Use the ulna side of the nondominant hand to pull the skin.
C. Inject the medication approximately 2.5cm (1in) into the skin.
D. Clean the skin
1
,E.Aspirate for blood return
A nurse discovers a fire in a trash can in a patient's room. which of the following action
should the nurse take first? - ANSWER A. Extinguish the fire.
B. Shut the door to the client room.
C. Pull the fire alarm.
D. Walk the client to the waiting room.
A nurse is teaching a client who is about to undergo an upper gastrointestinal series with
fluoroscopy. which of the following information should the nurse provide? -
ANSWER D. " you will have to drink a contrast medium before the test."
A nurse is reinforcing teaching with a client who has a new diagnosis of myasthenia gravis
(MG) and a prescription for neostigmine. which of the following information should the
nurse include in the about action of the medication? - ANSWER A. Improve muscle
strength.
A nurse is caring for a school-age child whose family adheres to vegan diet in the home. the
nurse should recognize the child is at risk for deficiency of which of the following? -
ANSWER C. Vitamin D
A nurse is assisting with the admission of a client who attempted suicide. when the nurse
processes the client's belongings, which of the following items should the nurse remove
from the client's suitcase? - ANSWER D. Perfume
2
, A nurse is collecting data from a client who is one day postoperative following a total hip
arthroplasty and has deep- vein thrombosis. which of the following findings should the nurse
expect in the affected extremity? - ANSWER D. Dull, aching pain.
A nurse is a prenatal clinic is reinforcing teaching with a client about a nonstress test . which
of the following statements should the nurse include? - ANSWER D. " you will be asked
to press a button when you feel the baby move."
A nurse is planning to administer an ophthalmic medication to a client. which of the
following actions will minimize systemic absorption of the medication? - ANSWER A.
apply light pressure to the inner canthus just after instilling the eye drops.
A nurse is caring for a client who has a new colostomy. he voices a reluctance about
resuming sexual relations.which of the following is an appropriate response by the nurse? -
ANSWER D. "I'm available if you'd like to talk about your concerns."
A nurse is caring for a client who is receiving warfarin 5mg po daily. Which of the following
laboratory values should the nurse check prior to administering the medication? -
ANSWER A.PT
B. Serum potassium
C. INR
D. serum sodium
E. BUN
A.PT
C.INR
E.BUN
A nurse is contributing to the plan of care for a school-age child who has sickle-cell disease
and is experiencing a vaso-occlusive crisis. which of the following should the nurse
3
A nurse is caring caring for a client who has a recently admitted to an inpatient mental
health unit. the client tells the nurse he is not coming out of his room anymore because
other client on the unit makes fun of him. which of the following response by the nurse is
appropriate? - ANSWER B) " you feel upset by the response of other."
A nursing admitting a client who has active tuberculosis. which of the following intervention
is appropriate? - ANSWER A. Place the client in a room that is ventilated outside.
A nurse is reinforcing teaching with the parent of a toddler who has difficulty falling asleep.
which of the following instruction should the nurse include? - ANSWER A. establish a
bedtime routine.
A nurse is collecting data from an 18 month- old toddler at a well-child visit. which of the
following finding should the nurse report to the provider? - ANSWER C. Toddler can
say four words.
A nurse is planning to administer morphine IM to a client using Z track method. Identify the
order of steps the nurse should take to administer the medication using this method. place
the steps in order. - ANSWER A. Insert the needle at a 90-degree angle.
B. Use the ulna side of the nondominant hand to pull the skin.
C. Inject the medication approximately 2.5cm (1in) into the skin.
D. Clean the skin
1
,E.Aspirate for blood return
A nurse discovers a fire in a trash can in a patient's room. which of the following action
should the nurse take first? - ANSWER A. Extinguish the fire.
B. Shut the door to the client room.
C. Pull the fire alarm.
D. Walk the client to the waiting room.
A nurse is teaching a client who is about to undergo an upper gastrointestinal series with
fluoroscopy. which of the following information should the nurse provide? -
ANSWER D. " you will have to drink a contrast medium before the test."
A nurse is reinforcing teaching with a client who has a new diagnosis of myasthenia gravis
(MG) and a prescription for neostigmine. which of the following information should the
nurse include in the about action of the medication? - ANSWER A. Improve muscle
strength.
A nurse is caring for a school-age child whose family adheres to vegan diet in the home. the
nurse should recognize the child is at risk for deficiency of which of the following? -
ANSWER C. Vitamin D
A nurse is assisting with the admission of a client who attempted suicide. when the nurse
processes the client's belongings, which of the following items should the nurse remove
from the client's suitcase? - ANSWER D. Perfume
2
, A nurse is collecting data from a client who is one day postoperative following a total hip
arthroplasty and has deep- vein thrombosis. which of the following findings should the nurse
expect in the affected extremity? - ANSWER D. Dull, aching pain.
A nurse is a prenatal clinic is reinforcing teaching with a client about a nonstress test . which
of the following statements should the nurse include? - ANSWER D. " you will be asked
to press a button when you feel the baby move."
A nurse is planning to administer an ophthalmic medication to a client. which of the
following actions will minimize systemic absorption of the medication? - ANSWER A.
apply light pressure to the inner canthus just after instilling the eye drops.
A nurse is caring for a client who has a new colostomy. he voices a reluctance about
resuming sexual relations.which of the following is an appropriate response by the nurse? -
ANSWER D. "I'm available if you'd like to talk about your concerns."
A nurse is caring for a client who is receiving warfarin 5mg po daily. Which of the following
laboratory values should the nurse check prior to administering the medication? -
ANSWER A.PT
B. Serum potassium
C. INR
D. serum sodium
E. BUN
A.PT
C.INR
E.BUN
A nurse is contributing to the plan of care for a school-age child who has sickle-cell disease
and is experiencing a vaso-occlusive crisis. which of the following should the nurse
3
