ASSESSMENT | QUESTIONS AND CORRECT
ANSWERS | GRADED A+ | VERIFIED ANSWERS |
LATEST VERSION | JUST RELEASED
A nurse in an outpatient mental health clinic is caring for four clients. The
nurse should recognize that which of the following clients is effectively
using sublimation as a defense mechanism? ---------CORRECT ANSWER--
---------------A client who channels their energy into a new hobby following
the loss of their job
A nurse is assessing for correct placement of a client's NG feeding tube
prior to administering a bolus feeding. Which of the following actions should
the nurse take? ---------CORRECT ANSWER-----------------Aspirate contents
from the tube and verify the pH level.
An antepartum nurse is caring for four clients. For which of the following
clients should the nurse initiate seizure precautions? ---------CORRECT
ANSWER-----------------A client who is at 33 weeks of gestation and has
sever gestational hypertension
A nurse is providing discharge teaching to a client who is to receive home
oxygen therapy. Which of the following instructions should the nurse
include in the teaching? ---------CORRECT ANSWER-----------------Wear
clothing made with cotton fabrics while oxygen is in use.
A nurse is providing teaching for a client who has a fracture of the right
fibula with a short-leg cast in place and a new prescription for crutches. The
client is non-weight-bearing for 6 weeks. Which of the following instructions
should the nurse include in the teaching? ---------CORRECT ANSWER-------
----------Use a three-point gait.
,A nurse is preparing to transfer a client from the ICU to the medical floor.
The client was recently weaned from mechanical ventilation following a
pneumonectomy. Which of the following information should the nurse
include in the change-of-shift report? ---------CORRECT ANSWER------------
-----The time of the client's last dose of pain medication
A nurse is assessing an infant who has hydrocephalus and is 6 hr
postoperative following the placement of a ventriculoperitoneal (VP) shunt.
Which of the following findings should the nurse report tot he provider? -----
----CORRECT ANSWER-----------------Irritability when being held
A nurse is caring for a client who has a prescription for chlorpromazine.
Which of the following findings should the nurse identify as an indication
that the medication is effective? ---------CORRECT ANSWER-----------------
Decreased hallucinations
A nurse is providing teaching about lithium to a client who has bipolar
disorder. Which of the following statements should the nurse include in the
teaching? ---------CORRECT ANSWER-----------------"Notify your provider if
you experience increased thirst."
A nurse is caring for a client who has a fecal impaction. Which of the
following actions should the nurse take when digitally evacuating the stool?
---------CORRECT ANSWER-----------------Insert a lubricated gloved finger
and advance along the rectal wall.
, A nurse is updating the plan of care for a client who is 48 hr postoperative
following a laryngectomy and is unable to speak. Which of the following
actions should the nurse plan to take first? ---------CORRECT ANSWER-----
------------Determine the client's reading skills.
A nurse is caring for a school-age child who has dehydration and is
receiving an oral rehydration solution. Which of the following laboratory
results indicates that the treatment regimen is effective? ---------CORRECT
ANSWER-----------------Serum sodium 138 mEq/L
A school nurse is notified of an emergency in which several children were
injured following the collapse of playground equipment. Upon arrival at the
playground, which of the following actions should the nurse take first? -------
--CORRECT ANSWER-----------------Survey the scene for potential hazards
to staff and children.
A nurse in an emergency department is caring for a client who is
unconscious and requires emergency medical procedures. The nurse is
unable to locate members of the client's family to obtain consent. Which of
the following actions should the nurse take? ---------CORRECT ANSWER---
--------------Proceed with provision of medical care.
A nurse is caring for a school-age child who is taking valproic acid. The
nurse should expect the provider to order which of the following diagnostic
tests? ---------CORRECT ANSWER-----------------Serum liver enzyme levels
A nurse manager is preparing to teach a group of newly licensed nurses
about effective time management. Which of the following steps of the time
management process should the nurse manager include as the priority? ----
-----CORRECT ANSWER-----------------Making a list of activities to complete