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A-nurse-is-admitting-a-client-who-has-antisocial-personality-disorder.-Which-of-the-following-client-
behaviors-should-the-nurse-identify-as-consistent-with-this-disorder?
A.-Compulsive-attention-to-details
B.-Avoids-interacting-with-others
C.-Uses-others-for-personal-gain
D.-Socially-awkward-in-group-situations---correct-answer-C.-Uses-others-for-personal-gain
A-nurse-is-interpreting-the-cardiac-rhythm-strip-of-a-client-who-was-admitted-with-syncope.-Which-of-the-
following-images-indicates-that-the-client-has-atrial-fibrillation?---correct-answer-
A-charge-nurse-on-a-pediatric-unit-is-making-assignments-for-a-float-nurse-from-the-medical-unit.-Which-
of-the-following-clients-is-appropriate-to-assign-to-the-float-nurse?
A.-A-10-year-old-client-who-has-pneumonia-and-is-receiving-respiratory-treatments
B.-A-4-year-old-client-who-has-a-Wilms-tumor-and-is-receiving-chemotherapy
C.-An-8-month-old-client-who-is-scheduled-for-a-surgical-repair-of-a-ventricular-septal-defect-tomorrow
D.-A-14-year-old-client-who-is-scheduled-for-discharge-today-following-placement-of-a-Harrington-rod---
correct-answer-A.-A-10-year-old-client-who-has-pneumonia-and-is-receiving-respiratory-treatments
,A-nurse-is-assessing-an-infant-who-has-water-intoxication.-Which-of-the-following-findings-should-the-
nurse-expect?
A.-Generalized-edema
B.-Elevated-urine-specific-gravity
C.-Thready-pulse
D.-Increased-hematocrit---correct-answer-A.-Generalized-edema
A-nurse-is-discussing-the-z-track-administration-of-hydroxyzine-with-a-newly-licensed-nurse.-Which-of-the-
following-statements-indicates-the-newly-licensed-nurse-understands-the-purpose-of-the-technique?
A.-This-technique-prevents-injury-to-the-sciatic-nerve
B.-This-technique-decreases-the-risk-of-subcutaneous-infiltration
C.-This-technique-allows-a-larger-amount-of-medication-to-be-injected
D.-This-technique-increases-the-absorption-rate-of-the-drug---correct-answer-This-technique-decreases-
the-risk-of-subcutaneous-infiltration
A-nurse-is-creating-a-plan-of-care-for-a-client-who-has-anorexia-nervosa.-Which-of-the-following-
interventions-should-the-nurse-include-in-the-plan?
A.-Encourage-the-client-to-gain-2.3-kg-per-week
B.-Weigh-the-client-once-per-week-throughout-hospitalization
C.-Monitor-the-client-for-1-hr-after-meals
D.-Allow-the-client-to-choose-mealtimes---correct-answer-C.-Monitor-the-client-for-1-hr-after-meals
A-nurse-is-planning-care-for-a-child-who-has-increased-intracranial-pressure-with-a-decrease-in-level-of-
consciousness.-Which-of-the-following-interventions-should-the-nurse-include-in-the-plan-of-care?
A.-Perform-active-range-of-motion-exercises
B.-Maintain-the-head-at-a-midline-position
C.-Suction-the-airway-frequently
D.-Perform-neurological-checks-every-4-hrs---correct-answer-B.-Maintain-the-head-at-a-midline-position
10.-A-nurse-is-assessing-a-client-who-has-delirium-due-to-a-febrile-illness.-Which-of-the-following-findings-
should-the-nurse-expect?
,A.-Hallucinations
B.-Agnosia
C.-Bradycardia
D.-Aphasia---correct-answer-A.-Hallucinations
A-nurse-is-assessing-a-client-who-is-receiving-enteral-feedings-via-a-gastrostomy-tube.-The-nurse-should-
identify-that-which-of-the-following-findings-indicates-fluid-overload?
A.-Diminished-bowel-sounds
B.-Bradycardia
C.-Hypotension
D.-Bounding-pulses---correct-answer-D.-Bounding-pulses
A-nurse-is-caring-for-a-client-following-an-open-colectomy.-Which-of-the-following-findings-places-the-
client-at-risk-for-delayed-wound-healing?
A.-INR-1.1
B.-Hyperemesis
C.-HbA1c-5.6%
D.-Uncontrolled-pain---correct-answer-B.-Hyperemesis
A-home-health-nurse-is-reviewing-treatment-goals-with-a-client-who-has-diabetes-mellitus.-The-nurse-
should-evaluate-which-of-the-following-laboratory-tests-to-determine-effective-long-term-management-
of-blood-glucose-levels?
A.-3-hr-oral-glucose-tolerance-test
B.-HbA1c
C.-Fasting-blood-glucose-test
D.-Urinalysis-for-ketones---correct-answer-B.-HbA1c
A-nurse-is-caring-for-a-client-who-has-neutropenia-due-to-HIV.-Which-of-the-following-precautions-should-
the-nurse-take-while-caring-for-this-client?
A.-Wear-an-N95-respirator
, B.-Insert-an-indwelling-urinary-catheter-to-monitor-urinary-output
C.-Monitor-the-client's-vital-signs-every-8-hr
D.-Use-a-dedicated-stethoscope---correct-answer-D.-Use-a-dedicated-stethoscope
A-nurse-is-caring-for-a-client-who-reports-difficulty-falling-asleep-at-night.-Which-of-the-following-actions-
should-the-nurse-take?
A.-Encourage-the-client-to-ambulate-in-the-hallway-1-hr-before-bedtime
B.-Tell-the-client-to-avoid-drinking-fluids-1-hr-before-bedtime
C.-Schedule-routine-care-tasks-during-hours-when-the-client-is-awake
D.-Advise-the-client-to-leave-the-television-in-the-room-on-when-trying-to-fall-asleep---correct-answer-C.-
Schedule-routine-care-tasks-during-hours-when-the-client-is-awake
A-nurse-is-planning-care-for-a-newborn-who-has-hyperbilirubinemia-and-is-to-receive-phototherapy.-
Which-of-the-following-interventions-should-the-nurse-include?
A.-Clothe-the-newborn-in-light-cotton
B.-Check-the-newborn's-temperature-every-8-hrs.-(every-4)
C.-Administer-120-mL-of-water-between-feedings
D.-Place-the-newborn-45-cm-(18-in)-from-the-light-source---correct-answer-D.-Place-the-newborn-45-cm-
(18-in)-from-the-light-source
A-nurse-is-planning-care-for-a-client-who-has-schizophrenia-and-is-having-difficulty-expressing-their-
feelings.-Which-of-the-following-referrals-should-the-nurse-make?
A.-Art-therapist
B.-Speech-language-pathologist
C.-Social-worker
D.-Recreational-therapist---correct-answer-A.-Art-therapist
A-nurse-is-caring-for-a-client-who-has-heart-failure-and-has-started-taking-a-loop-diuretic.-Which-of-the-
following-findings-indicates-the-client-is-experiencing-an-adverse-effect-of-the-medication?
A.-Decreased-reflexes
B.-Weight-gain-of-1.4-kg