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A nurse is assessing an infant who has
water intoxication. Which of the following bounding pulse
findings should the nurse expect?
A nurse is discussing the z-track ad-
ministration of hydroxyzine with a newly
licensed nurse. Which of the following a. This technique decreases the risk of
statements indicates the newly licensed subcutaneous infiltration
nurse understands the purpose of the
technique
1. A nurse is creating a plan of care for a
client who has anorexia nervosa. Which
a. Monitor the client for 1 hr after meals
of the following interventions should the
nurse include in the plan?
A nurse notices smoke coming from a
client's room and discovers a fire in the
wastebasket. After moving the client to a. Close the fire door on the unit
safety, which of the followings is the pri-
ority action?
A nurse is assessing a client who has
delirium due to a febrile illness. Which of
a. Hallucinations
the following findings should the nurse
expect?
1. A nurse is caring for a client following
an open colectomy. Which of the follow-
hyperemesis
ing findings places the client at risk for
delayed wound healing?
1. A home health nurse is reviewing treat-
ment goals with a client who has dia-
betes mellitus. The nurse should eval-
A1C
uate which of the following laboratory
tests to determine effective long-term
management of blood glucose levels?
1. A nurse is caring for a client who has
neutropenia due to HIV. Which of the fol-
a. Use a dedicated stethoscope
lowing precautions should the nurse take
while caring for this client?
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1. A nurse is caring for a client who
reports difficulty falling asleep at night. Tell the client to avoid drinking fluids 1 hr
Which of the following actions should the before bedtime
nurse take?
1. A nurse is planning care for a new-
born who has hyperbilirubinemia and is
a. Place the newborn 45 cm from the light
to receive phototherapy. Which of the fol-
source
lowing interventions should the nurse in-
clude?
1. A nurse is planning care for a client
who has schizophrenia and is having dif-
ficulty expressing their feelings. Which of social worker
the following referrals should the nurse
make?
1. A nurse is caring for a client who has
heart failure and has started taking a
loop diuretic. Which of the following find- decreased reflexes
ings indicates the client is experiencing
an adverse effect of the medication
1. At the start of an evening shift on a
cardiac unit, a licensed practical nurse
brings the nurse a list of client reports. indigestion
Which of the following client reports
should the nurse assess first?
1. A nurse is caring for a client who has
just returned to the unit following a bron-
choscopy. Which of the following actions offer oral fluids to the client
by the assistive personnel requires the
nurse to intervene?
1. A nurse on a medical unit has just
a. A 68 year old client who had a myocar-
received change-of-shift report. Which of
dial infarction 2 days ago and reports
the following clients should the nurse as-
chest pain as a 4 on a scale of 0 to 10
sess first?
1. A nurse is assessing a client prior
to performing a blood draw. The nurse avocados
should identify that an allergy to which of
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the following food can indicate that the
client has an allergy to latex?
1. A nurse is preparing to witness a
client's signature on an informed consent
a. I am thankful there are no serious com-
for a total knee arthroplasty. Which of the
plications from this type of surgery
following client statements indicates the
nurse should contact the surgeon?
1. A nurse is admitting a client who has
antisocial personality disorder. Which of
the following client behaviors should the a. Uses others for personal gain
nurse identify as consistent with this dis-
order?
1. A nurse is teaching the parent of a
school-age child who has scabies about
the application of permethrin 5% cream.
burning
The nurse should include which of the
following as a potential adverse effect of
the medication?
1. A nurse is teaching a client who has a
new prescription for digoxin. Which of the
muscle weakness
following statements should the nurse in-
clude in the teaching?
1. A nurse is planning teaching for a
client who is at 10 weeks of gestation
and has a history of urinary tract infec- a. Empty the bladder before and after
tions. Which of the following information intercourse
should the nurse plan to include in the
teaching about UTI prevention?
1. A nurse is providing discharge teach-
ing to a client who is postpartum and
plans to breastfeed. Which of the fol-
a. Calcium
lowing should the nurse recommend the
client increase in their diet during lacta-
tion?
1. A nurse is providing teaching about
preventing mastitis to a client who is