,3. A nurse is providing discharge teaching for a client who B. "I will wear loose clothing around my ICD"
has an
implantable cardioverter defibrillator which of the
following statements
demonstrates understanding of the teaching?
A. "I will soak in the tub rather and showering"
B. "I will wear loose clothing around my ICD"
C. "I will stop using my microwave oven at home because
of my ICD"
D. "I can hold my cellphone on the same side of my body
as the ICD"
17. A nurse is assessing a newborn who has a blood Jitteriness
glucose level of 30
mg/dl. Which of the following manifestations should the
nurse expect?
A. Loose stools
B. Jitteriness
C. Hypertonia
D. Abdominal distention
4. A nurse is caring for a client who is at 14 weeks A. "Describe your feelings to me about being pregnant"
gestation and reports
feelings of ambivalence about being pregnant. Which of
the following
responses should the nurse make?
A. "Describe your feelings to me about being pregnant"
B. "You should discuss your feelings about being
pregnant with your
provider"
C. "Have you discussed these feelings with your partner?"
D. "When did you start having these feelings?"
5. A nurse is planning care for a client who has a D. Administer a rectal suppository 30 minutes prior to scheduled
prescription for a bowel- defecation times.
training program following a spinal cord injury. Which of
the following actions
should the nurse include in the plan of care?
A. Encourage a maximum fluid intake of 1,500 ml per day.
B. Increase the amount of refined grains in the client's
diet.
C. Provide the client with a cold drink prior to defecation.
D. Administer a rectal suppository 30 minutes prior to
scheduled
defecation times.
6. A nurse is caring for a client who is in active labor and B. Place the client in a warm shower.
requests pain
management. Which of the following actions should the
nurse take?
A. Administer ondansetron.
B. Place the client in a warm shower.
C. Apply fundal pressure during contractions.
D. Assist the client to a supine position.
, 7. a nurse in an emergency department is performing A. Below-the knee amputation
triage for multiple
clients following a disaster in the community. To which of
the following types
of injuries should the nurse assign the highest priority?
A. Below-the knee amputation
B. Fractured tibia
C. 95% full-thickness body burn
D. 10cm (4in) laceration to the forearm
8. a nurse manager is updating protocols for the use of B. Document the client's condition every 15 min
belt restraints. Which
of the following guidelines should the nurse include?
A. Remove the client's restraint every 4hr
B. Document the client's condition every 15 min
C. Attach the restrain to the bed's side rails
D. Request a PRN restrain prescription for clients who are
aggressive
9. A nurse is teaching an in-service about nursing A. Acts as an advocate for the nursing unit.
leadership. Which of the
following information should the nurse include about an
effective leader?
A. Acts as an advocate for the nursing unit.
B. (Unable to read) for the unit
C. Priorities staff request over client needs.
D. Provides routine client care and documentation.
10. A nurse is reviewing the laboratory findings of a client C. Hba1c 10 %
who has diabetes
mellitus and reports that she has been following her
(unable to read) care.
The nurse should identify which of the following findings
indicates a need to
revise the client's plan of care.
A. Serum sodium 144 mEq/
B. (Unable to read)
C. Hba1c 10 %
D. Random serum glucose 190 mg/dl.
11. A nurse in a provider's office is reviewing the A. Chlamydia
laboratory results of a
group of clients. The nurse should identify that which of
the following
sexually transmitted infections is a nationally notifiable
infectious disease
that should be reported to the state health department?
A. Chlamydia
B. Human papillomavirus
C. Candidiasis
D. Herps simplex virus
has an
implantable cardioverter defibrillator which of the
following statements
demonstrates understanding of the teaching?
A. "I will soak in the tub rather and showering"
B. "I will wear loose clothing around my ICD"
C. "I will stop using my microwave oven at home because
of my ICD"
D. "I can hold my cellphone on the same side of my body
as the ICD"
17. A nurse is assessing a newborn who has a blood Jitteriness
glucose level of 30
mg/dl. Which of the following manifestations should the
nurse expect?
A. Loose stools
B. Jitteriness
C. Hypertonia
D. Abdominal distention
4. A nurse is caring for a client who is at 14 weeks A. "Describe your feelings to me about being pregnant"
gestation and reports
feelings of ambivalence about being pregnant. Which of
the following
responses should the nurse make?
A. "Describe your feelings to me about being pregnant"
B. "You should discuss your feelings about being
pregnant with your
provider"
C. "Have you discussed these feelings with your partner?"
D. "When did you start having these feelings?"
5. A nurse is planning care for a client who has a D. Administer a rectal suppository 30 minutes prior to scheduled
prescription for a bowel- defecation times.
training program following a spinal cord injury. Which of
the following actions
should the nurse include in the plan of care?
A. Encourage a maximum fluid intake of 1,500 ml per day.
B. Increase the amount of refined grains in the client's
diet.
C. Provide the client with a cold drink prior to defecation.
D. Administer a rectal suppository 30 minutes prior to
scheduled
defecation times.
6. A nurse is caring for a client who is in active labor and B. Place the client in a warm shower.
requests pain
management. Which of the following actions should the
nurse take?
A. Administer ondansetron.
B. Place the client in a warm shower.
C. Apply fundal pressure during contractions.
D. Assist the client to a supine position.
, 7. a nurse in an emergency department is performing A. Below-the knee amputation
triage for multiple
clients following a disaster in the community. To which of
the following types
of injuries should the nurse assign the highest priority?
A. Below-the knee amputation
B. Fractured tibia
C. 95% full-thickness body burn
D. 10cm (4in) laceration to the forearm
8. a nurse manager is updating protocols for the use of B. Document the client's condition every 15 min
belt restraints. Which
of the following guidelines should the nurse include?
A. Remove the client's restraint every 4hr
B. Document the client's condition every 15 min
C. Attach the restrain to the bed's side rails
D. Request a PRN restrain prescription for clients who are
aggressive
9. A nurse is teaching an in-service about nursing A. Acts as an advocate for the nursing unit.
leadership. Which of the
following information should the nurse include about an
effective leader?
A. Acts as an advocate for the nursing unit.
B. (Unable to read) for the unit
C. Priorities staff request over client needs.
D. Provides routine client care and documentation.
10. A nurse is reviewing the laboratory findings of a client C. Hba1c 10 %
who has diabetes
mellitus and reports that she has been following her
(unable to read) care.
The nurse should identify which of the following findings
indicates a need to
revise the client's plan of care.
A. Serum sodium 144 mEq/
B. (Unable to read)
C. Hba1c 10 %
D. Random serum glucose 190 mg/dl.
11. A nurse in a provider's office is reviewing the A. Chlamydia
laboratory results of a
group of clients. The nurse should identify that which of
the following
sexually transmitted infections is a nationally notifiable
infectious disease
that should be reported to the state health department?
A. Chlamydia
B. Human papillomavirus
C. Candidiasis
D. Herps simplex virus
