h h h h h
B)hNauseah
D)hUr caria
E)hStridorh-
hAhschoolhnursehishassessinghahchildhwhohhashbeenhstunghbyhahbee.hThehchild'shhandhishswellinghandhthehnur
sehnoteshthaththehchildhishallergichtohinsecths ngs.hWhichhofhthehfollowinghfindingshshouldhthehnursehexpect
hifhthehchildhdevelopshanaphylaxis?h(SATA)
A)hBradycardiah
B)hNauseah
C)hHypertension
D)hUr caria
E)hStridor
A)hTesthforhthehpresencehofhthehclientshgaghreflexh-
hAhnursehishcaringhforhahclienthwhohishunconscious.hWhichhofhthehfollowinghac onshshouldhthehnursehtakehw
henhprovidinghoralhcarehforhthehclient?
A)hTesthforhthehpresencehofhthehclientshgaghreflex
B)hPlacehthehclienthinhthehsupinehposi on
C)hUsehahfirmhtoothbrushhforhtoothhandhgumhcare
D)hUseh2hgauze-wrappedhfingershtohholdhthehmouthhopen
A)hAvoidhIMhinjec onh-
hAhnursehishplanninghcarehforhahclienthwhohhashacutehmyelogenoushleukemiahandhahplatelethcounthofh48,00
0/mm^3.hWhichhofhthehfollowhinterven onshshouldhthehnursehinclude?
A)hAvoidhIMhinjec onsh
B)hAssesshthehclienthforhecchymosishoncehperhshi
C)hDohnothallowhthehclienthtohhavehvisitors
,D)hEncouragehdailyhflossinghbetweenhteeth
C)hCo onhwispsh-
hAhnursehishpreparinghtohassesshthehfunc onhofhthehclientshtrigeminalhnerveh(cranialhnervehV).hWhichhofhth
ehfollowinghitemshshouldhthehnursehgatherhforhthehtest?
A)hSugar
B)hCoffee
C)hCo onhwispsh
D)hSnellenhchart
D)hDisulfiramh-
hAhnursehishcaringhforhahclienthwithhalcoholhusehdisorderhwhohhashundergonehdetoxifica on.hWhichhofhthehf
ollowinghmedica onshshouldhthehnursehexpecththehproviderhtohprescribehtohassisththehclienthwithhmaintain
inghsobrietyh
A)hVarenicline
B)hClonidine
C)hBuprenorphine
D)hDisulfiram
C)h"Dohyouhfeelhlikehyouhdon'thdeservehtohfeelhgoodhabouthyourself?"h-
hAhnewlyhadmi edhclienthwhohhashmajorhdepressivehdisorderhstateshtohthehnurse,h"I'mhahfailure,hIhcan'theve
nhcopehwithhthehli lehthingshanymore."hWhichhofhthehfollowinghresponseshshouldhthehnursehprovide?
A)h"Whathhappenedhinhyourhlifehtohmakehyouhfeelhlikehsuchhahfailure?"
B)h"Ithsoundshashifhyouharehfeelinghpre yhoverwhelmedhrighthnow"
C)h"Dohyouhfeelhlikehyouhdon'thdeservehtohfeelhgoodhabouthyourself?"
D)h"Ihknowhyouhfeelhlikehthathnow,hbuthyou'llhfeelhdifferentlyhwhenhyouhgethbe er"
B)h"IhthinkhIhhavehdonehahgoodhjobhwithhmyhchildrenhsincehtheyharehallhindependenthnow."h-
hAhnursehishcaringhforhahmiddle-
, agedhadulthclient.hThehnursehshouldhiden fyhwhichhofhthehfollowinghstatementshashanhindica onhthaththehc
lienthhashcompletedhEriksonshdevelopmentalhtaskhforhherhagehgroup?
A)h"Ihamhcomfortablehwithhmyhdecisionhtohchoosehahlifelonghpartner."
B)h"IhthinkhIhhavehdonehahgoodhjobhwithhmyhchildrenhsincehtheyharehallhindependenthnow."
C)h"AshIhlookhbackhoverhmyhlife,hIhcanhseehthathIhhavehachievedhmosthofhthehgoalshIhsethforhmyself."
D)hIhlovehmyhworkhsohmuchhthathit'shdifficulthtohthinkhabouthre rement."
A)hClientshlevelhofhcomforthandhabilityhtohpar cipatehinhthehinterviewh-
hAhnursehishconduc nghanhadmissionhinterviewhwithhahclient.hWhichhofhthehfollowinghpieceshofhassessment
hinforma onhshouldhthehnursehcollecthduringhthehintroductoryhphasehofhthehinterview?"
A)hClientshlevelhofhcomforthandhabilityhtohpar cipatehinhthehinterview
B)hPrevioushillnesseshandhsurgeriesh
C)hEventshsurroundinghthehclientshrecenthillnessh
D)hSocioculturalhhistory
A)hInspec onh-
hAhnursehishplanninghtohassesshthehabdomenhofhahclienthwhohreportshfeelinghbloatedhforhseveralhweeks.hWh
ichhofhthehfollowinghmethodshofhassessmenthshouldhthehnursehusehfirst?
A)hinspec onh
B)hAusculta on
C)hPercussion
D)Palpa on
D)hGaith-
hAhnursehishperforminghahcomprehensivehphysicalhassessmenthofhahclient.hThehnursehshouldhusehinspec on
htohassesshwhichhofhthehfollowing?
A)hLiverhsize
B)hPedalhedema
C)hSkinhtextureh
D)hGait