QUESTIONS WITH CORRECT ANSWERS GUARANTEED PASS |
RATED A+
A nurse is collecting data from a school-age child who has sustained a skull fracture. Which of
the following is a manifestation Of increased intracranial pressure? - Answer>>> confusion
about knowing their own name
A nurse is performing vision testing for a client following a head injury. Which of the following
findings should the nurse identify as a problem with pupil accommodation? - Answer>>> lack of
change in the pupil size when the client looks form a far to near object.
A nurse is contributing to the plan of care for a client who is at risk of developing pressure
injuries. Which of the following interventions should the nurse include? - Answer>>> place the
client in a 30 lateral position
A nurse is checking a newborn's vital signs. Which Of the following methods Of temperature
measurement should the nurse use? - Answer>>> axillary
A nurse is transferring a client from a bed to a wheelchair. The client has right-sided weakness
following a recent stroke. Which of the following actions should the nurse take? - Answer>>>
Place the wheelchair on the clients left side.
A nurse is collecting data from a client who has hypokalemia. Which of the following findings
should the nurse expect? - Answer>>> Muscle weakness..
A nurse is reinforcing teaching with a client who has acute diverticulitis. Which of the following
statements by the client indicates an understanding of the instructions? - Answer>>> i will
receive the nutrients i need through my IV fluid.
A nurse is reinforcing teaching with a client who is scheduled for a colonoscopy. Which of the
following client statements indicates an understanding of the teaching? - Answer>>> i will
undergo bowel cleansing prior to the procedure
A nurse is reinforcing teaching with a female client who requests information about how to lose
weight. Which of the following statements should the nurse make? - Answer>>> keep fat intake
to no more than 30 percent of your daily caloric intake
A nurse in a long-term care facility is assisting with an in-service for newly hired assistive
,personnel about legal issues within the facility. Which of the following should the nurse include
as an example of assault? - Answer>>> informing a client the the nurse is going to administer an
injection even through the client refuses.
A nurse is assisting in the plan Of care for a female client who is to undergo a 12-lead ECG.
Which Of the following actions should the nurse include in the plan Of care? - Answer>>>
instruct the client to remain still while the test is performed,
A nurse is collecting data from a client who has multiple sclerosis. Which of the following
findings should the nurse expect? - Answer>>> ataxia
rationale: The nurse should expect a client who has multiple sclerosis to manifest ataxia, which is
a lack of coordination and movement. Other manifestations include fatigue, impaired memory,
diplopia, and bowel and bladder incontinence.
A nurse is reinforcing teaching with a client who is bottle feeding their full-term newborn with
formula. Which of the following instructions should the nurse include in the teaching? -
Answer>>> feeding newborn at least every 3 - 4 hrs
A nurse is preparing to administer a rectal suppository to a school-age child. Which of the
following actions should the nurse plan to take? - Answer>>> use one finger to insert the
suppository past the anal sphincters
A nurse is assisting with monitoring a client who is at 40 weeks of gestation and is in active
labor. The nurse recognizes late decelerations on the fetal monitor tracing. Which of the
following actions should the nurse take? - Answer>>> place the client in a lateral position
A nurse is assisting with an in-service about hepatitis A for a group of staff nurses. The nurse
should include that hepatitis A is transmitted through which of the following methods? -
Answer>>> Consumption of contaminated food
A nurse at a long-term care facility is caring for a client who requires oral suctioning. Which of
the following supplies should the nurse plan to use for this task? - Answer>>> yankeurs catheter
rationale: A Yankauer catheter is a clean suction catheter used when performing oral and
oropharyngeal suctioning to remove secretions from the client's mouth to facilitate breathing or
obtain a sample for diagnostic evaluation.
A nurse in a long-term care facility is serving on the ethics committee, which is addressing a
, client care dilemma. Which of the following strategies will facilitate resolving the dilemma?
(Select all that apply.) - Answer>>> [1] determine the facts related to the dilemma.
[2] identify possible solution
[3]consider the client wishes
A nurse is talking with a client whose son died in a motor-vehicle crash 2 weeks ago. The client
states, "l really thought I'd be back to my usual routines by now, but I can't think of anything else
except that my son is gone." Which Of the following responses should the nurse make? -
Answer>>> Grieving for your son is hard work. it will take as much time as you need to come to
terms with your loss.
A nurse is reinforcing teaching with a client about cancer prevention. The nurse should include
that frequent consumption of which of the following foods increases the risk for developing
cancer? - Answer>>> Lamb
rationale: including tuna fish reduces risk of developing cancer.
including poultry reduces risk,
A nurse notices an assistive personnel (AP) taking a nap in the break room during meal time. The
nurse also notes that the AP is drowsy while performing routine tasks. Which of the following
actions should the nurse take? - Answer>>> Report the observation about the AP to the Unit
nurse manager
A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the
following clients should the nurse identify as being at risk for urinary retention? - Answer>>> A
school age child who has allergic rhinitis and is taking diphenhydramine.
A nurse is caring for a client following a bronchoscopy. Which of the following actions should
the nurse take first? - Answer>>> check for gag reflex
A nurse is assisting with the admission of a client who has a latex allergy. The nurse should
identify that which of the following supplies has the potential to contain latex? - Answer>>>
Indwelling urinary catheter
A nurse is performing postmortem care for a client prior to the arrival Of the client's family for
viewing Of the body. Which Of the following actions should the nurse take? - Answer>>>
Gently close the client's eyelids
A nurse is reinforcing teaching with a client who has dumping syndrome about measures to