1. A nurse is reinforcing teaching with a postpartum Reducing the risk
client. Which of the following should the nurse ex- of newborn abduc-
plain as the most important reason for staff to wear tion
identification?
2. A nurse is reinforcing teaching with a client who I will feed my baby
plans to bottle feed her newborn. Which of the fol- six to eight times a
lowing statements indicates an understanding of the day
instructions?
3. A nurse is reinforcing teaching with a client I will exercise my
diagnosed with osteoarthritis who reports joint joints as much as i
pain,swelling, and stiffness. Which of the follow- can when they are
ing client statements indicates understanding of the inflamed
teaching?
4. A nurse is reinforcing teaching with a client who is Refrain from using
scheduled for a mammogram. Which of the following deodorant on the
instructions should the nurse include in the teach- morning of the test
ing?
5. A nurse is preparing a clients insulin regimen. Which Insulin aspart,
of the following insulin's can be mixed? regular insulin, in-
sulin lispro
6. A nurse is reinforcing discharge teaching with a client I will take a stool
who is postoperative following laser surgery for softener to prevent
open-angle glaucoma. Which of the following state- constipation
ments by the client indicates an understanding of the
instructions?
7. A nurse is caring for a client who had a stroke and Speech therapist
is having difficulty swallowing. The nurse should rec-
ommend a referral to which of the following members
of the interprofessional team?
8. A nurse is reinforcing teaching with a client who is 12 Change the per-
hr postpartum and has an episiotomy. Which of the ineal pad with
following instructions should the nurse include? each void
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9. A nurse is collecting data from a child who has acute Periorbital edema
Glomerulonephritis. Which of the following findings
should the nurse expect?
10. A nurse is preparing to administer a liquid medication Administer using a
to a 6-month-old infant who is crying. Which of the needless syringe
following actions should the nurse take to reduce the in the buccal cavi-
risk of aspiration? ty
11. A nurse is reinforcing teaching with a client who has I will plan to have
peptic ulcer disease. Which of the following state- my meals at regu-
ments by the client indicates an understanding of the lar intervals
teaching?
12. A nurse in long-term care facility has received A client who has
change-of-shift report about four clients. Which of the COPD and de-
following clients should the nurse attend to first? mentia and was
agitated during
the night shift
13. A nurse is collecting data from a client who has sub- Pinpoint pupils
stance use disorder and reports recently taking opi-
oids. Which of the following findings should the nurse
identify as a manifestation of opioid intoxication?
14. A nurse in a urgent care clinic is collecting data from Muscle weakness
a client who reports having diarrhea for the past 3
days. Which of the following findings indicates hy-
pokalemia?
15. A nurse is contributing to the discharge plans for four A client who has
clients. The nurse should identify that which of the hemiparesis and
following clients requires an interdisciplinary care lives alone
conference?
16. A nurse is reinforcing teaching with an adolescent Depression
who has a new prescription for cefazolin. For which
of the following findings should the nurse instruct the
adolescent to monitor and report to the provider?
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17. A nurse is reinforcing teaching with a group of ex- I can place a rolled
pectant parents regarding the proper use of a car towel on each side
seat. Which of the following statements by a parent of my newborns
indicates an understanding of the teaching? head until he can
hold his head up
18. A nurse is caring for a school-age child who has Apply pressure at
epistaxis. Which of them following actions should the the bridge of the
nurse take? child's nose
19. A nurse is caring for four clients. Which of the fol- My heartburn pain
lowing clients statements should the nurse attend to is going into my
first? jaw now
20. A nurse in a providers office is talking on the phone All vesicles have
with the parent of a school-age child who has varicel- crusted over
la.
21. A nurse is collecting data from a client who hgb is 8.8 I feel tired all the
mg/dL. Which of the following statements should the time
nurse expect?
22. A nurse is administering a cleansing enema to a client Slow the rate of in-
who reports mild cramping during instillation of the stillation
solution. Which of the following actions should the
nurse take?
23. A nurse receives report on four clients. The nurse A decreased level
should first collect data about the client who has of consciousness
which of the following? and vomiting
24. A nurse is setting up a sterile field prior to performing Open the out-
a dressing change. Which of the following actions ermost flap of
should the nurse take? the wrapper to-
ward the body
25. A nurse is caring for a client who has bipolar disorder Frequently remind
and is experiencing mania. Which of the following the client of the ex-
actions should the nurse take? pectations for her
behavior