The registered nurse (RN) recognizes which client group is at the greatest risk for developing
a urinary tract infection (UTI)? (Rank from highest risk to lowest risk.)
- School-aged females
- Older males
- Older females
- Adolescent males - 1. older females
2. school-aged females
3. older males
4. adolescent males
The rregistered rnurse r(RN) ris rinterviewing ra rfemale rclient rwho rstates rshe rhas ra rpersistent
rproductive rcough rduring rthe rwinter rcaused rby rbronchitis. rWhich radditional rfinding
rshould rthe rRN rassess rfor rbronchitis? r
r
A.) rPhlegm rproduction r& r
rwheezing
B.) rSmoking r
rhistory
C.) r
rHemoptysis
D.) rNight rsweats r- rA.) rphlegm rproduction r&
rwheezing
r
The rregistered rnurse r(RN) ris rcaring rfor ra rclient rwith rtuberculosis r(TB) rwho ris rtaking ra
rcombination rdrug rregimen. rThe rclient rcomplains rabout rtaking r"so rmany rpills." rWhat
rinformation rshould rthe rRN rprovide rto rthe rclient rabout rthe rprescribed rtreatement? r
r
A.) rThe rdevelopment rof rresistant rstrains rof rTB rare rdecreased rwith ra rcombination rof r
rdrugs.
B.) rCompliance rto rthe rmedication rregimen ris rchallenging rbut rshould rbe r
rmaintained.
C.) rSide reffects rare rminimized rwith rthe ruse rof ra rsingle rmedication rbut ris rless r
reffective.
D.) rThe rtreatment rtime ris rdecreased rfrom r6 rmonths rto r3 rmonths rwith rthis rstandard
rregimen. r-
A.) rThe rdevelopment rof rresistant rstrains rof rTB rare rdecreased rwith ra rcombination rof r
rdrugs.
r
A rclient rwith rprogressive rhearing rloss rappears rdistressed rwhen rthe rregistered rnurse r(RN)
rasks r
open-ended rquestions rabout rthe rclient's rhealth rhistory. rWhich rforms rof r
rcommunication
,should rthe rRN ruse? r
r(SATA)
r
A.) Face rthe rclient rso rthe rclient rcan rsee rthe rRN's rmouth. r
B.) Increase rone's rspeech rvolume rwhen rinteracting rwith rthe rclient. r
C.) Repeat rinformation rto rthe rclient rif rmisunderstood. r
D.) Check rif rthe rclient's rhearing raides rare rworking rproperly. r
E.) Reduce renvironmental rnoise rsurrounding rthe rclient. r- rA.) rFace rthe rclient rso rthe rclient
rcan rsee rthe rRN's rmouth. r
D.) Check rif rthe rclient's rhearing raides rare rworking rproperly. r
E.) Reduce renvironmental rnoise rsurrounding rthe rclient. r
r
Speaking rclearly rwith renunciation rand rin ra rregular rtone ris reasier rfor ra rclient rto
runderstand r
than rincreasing rthe rvolume rof rspeech. rIf ra rclient rshows rsigns rof rconfusion, rrephrasing
rthe r
question, rinstead rof rrepeating, rshould rbe rdone rto rdecrease rclient ranxiety rand r
rfacilitate
understanding. r
r
The rregistered rnurse r(RN) ris radministering rhaloperidol r0.5 rmg rIM rPRN rto ra rclient rfor rthe
rfirst r
time. rWhat rside reffects rshould rthe rRN rassess rthe rclient rfor rduring rthe rinitial r
rdose?
r
A.) r
rBradykinesia. r
B.) r
rDystonia.
C.)
rSomatization.
D.) rAkathisia. r- rB.)
rDystonia
r
An rolder rclient ris radmitted rto rthe rhospital rwith rsevere rdiarrhea. rThe rregistered rnurse
r(RN) ris r
completing ran rassessment rand rnotes rthe rclient rhas rdry rmucous rmembranes rand rpoor r
rskin
turgor. rWhich rassessment rdata rshould rthe rRN rgather rto rdetermine rif rthe rclient rhas ra
rfluid r
volume r
rdeficit?
r
A.) rLower rextremity r
r
redema. r
B.) rOrthostatic
rhypotension.
, C.) rElevated rblood
rpressure.
D.) rCheyne-Stokes rrespirations r- rB.) rOrthostatic
rhypotension.
r
Orthostatic rhypotension rcan rbe ra rsign rof rfluid rvolume rdeficit rin ran rolder rclient rwho
rhas r
experienced rsevere r
rdiarrhea.
r
The rregistered rnurse r(RN) rnotifies rthe rspouse rof ra rclient rwho rwas radmitted rto rhospice
rwith rshallow rrespirations, rof ra rchange rin rthe rclient's rcondition. rOver rthe rpast rhour, rthe
rclient's rrespiratory rpattern rhas rchanged rto ra rCheyne rStokes rpattern. rAfter rreceiving rthis
rinformation, rthe rclient's rspouse rbegins rvacuuming raround rthe rbed. rWhich rstage rof rgrief
ris rthe rspouse rdisplaying rduring rthe rvisit? r
r
A.) Acceptance. r
B.) Denial. r
C.) Bargaining. r
D.) Depression. r- rB.) rDenial. r
r
The rspouse ris rexhibiting rthe rfirst rstage rof rdenial rof rKubler-Ross's rgrief rmodel rby
rignoring r
that rthe rclient's rdeath ris r
rimminent.
r
The rregistered rnurse r(RN) ris rteaching ra rclient rwho ris rbeing rdischarged rafter rtreatment rof
rtuberculosis r(TB). rWhich rcultural rissues rshould rthe rRN rassess rwhen rpreparing rthe rclient
rfor rdischarge? r(Select rall rthat rapply.) r
r
A.) Native rlanguage. r
B.) Education rlevel. r
C.) Type rof rlifestyle. r
D.) Financial rresources. r
E.) Previous rmedical rhistory. r- rA.) rNative rlanguage. r
B.) Education rlevel. r
C.) Type rof rlifestyle. r
D.) Financial rresources. r
r
The rregistered rnurse r(RN) ris rassisting rthe rhealthcare rprovider r(HCP) rwith rthe rremoval rof
ra rchest rtube. rWhich rintervention rhas rthe rhighest rpriority rand rshould rbe ranticipated rby
rthe rRN rafter rthe rremoval rof rthe rchest rtube? r
r
A.) Prepare rthe rclient rfor rchest rx-ray rat rthe rbedside. r
B.) Review rarterial rblood rgases rafter rremoval. r
C.) Elevate rthe rhead rof rbed rto r45 rdegrees. r
D.) Assist rwith rdisassembling rthe rdrainage rsystem. r- rA.) rPrepare rthe rclient rfor rchest rx-
ray rat rthe rbedside. r
r