LATEST VERSION EXAM 2 COMPLETE 2024/2025
STUDY QUESTIONS WITH VERIFIED ANSWERS
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,A nurse begins to bath a newly admitted client who reports that she has not had anything to eat
that day. The nurse interrupts the bath and obtains a healthy meal for the client. The action by the
nurse is an example of which of the following? - Answer>>>Countertransference
A nurse is caring for a client who has been admitted to the mental health unit. While reinforcing
teaching about the client's prescribed exacerbations, the nurse communicates truthfully about the
adverse effects of the medication. Which of the following ethical concepts is the nurse
exhibiting? - Answer>>>Veracity
a nurse is caring for a client who is receiving oxygen when a fire starts in an adjacent room
(move steps in order) - Answer>>>1. move the client to a safe location
2. pull the nearest fire alarm
3. shut all the doors and windows
4. attempt to extinguish
A nurse is caring for a client who is postoperative following a subtotal thyroidectomy. The nurse
should place the client in which of the following positions? - Answer>>>Semi-fowler's
A nurse is reinforcing teaching w the parents of a child who has a new diagnosis of Wilms
tumor. Which of the following interventions should the nurse include in the teaching? -
Answer>>>"You should not palpate your child's abdomen prior to surgery"
A nurse is reinforcing teaching w a client who is at 18 weeks gestation and has a medical history
of mild hypertension. For which of the following findings should the nurse instruct the client to
monitor and report to the provider? - Answer>>>Persistent headache
A nurse is caring for a client who is 2 days postop. The client has a prescription for
acetaminophen 300 mg w codeine 30 mg. 1 tablet every 3-4 hr PRN for pain. The nurse
inadvertently administers 2 tablets to the client in which of the following locations should the
nurse document this error? - Answer>>>Incident report
A nurse enters the room of a school-age child and finds him on the floor experiencing a tonic-
clonic seizure. Which of the following actions should the nurse take? - Answer>>>Place a pillow
under the child's head
A nurse is contributing to the POC of a client who is to begin receiving intermittent enteral
feedings. Which of the following actions should the nurse recommend? - Answer>>>Place the
client in high-fowler's position during feedings
, A nurse is caring for a client who reports having a decrease in fetal movement following an
external cephalic version 6 hr ago. The nurse identifies the fetus is in the right occiput anterior
position. The nurse should place a fetal heart monitor on which of the following sites to
auscultate the fhr? - Answer>>>Lower left
A nurse is collecting data from a client in an outpatient clinic and observes extensive bruising on
the client's arm's. The nurse suspects the client is experiencing intimate partner abuse. Which of
the following is the nurse's priority action? - Answer>>>Provide information about moving to a
shelter
A nurse in an urgent care clinic, recently using methylenedioxy-methamphetamine. Which of the
following findings should the nurse expect? - Answer>>>Hallucinations
A nurse is reinforcing teaching w a client who has a prescription for ferrous sulfate elixir. Which
of the following statements by the client indicates an understanding of the teaching? -
Answer>>>I will mix the medication w water
A nurse is collecting data from a client who received oxytocin 10 units IM 30 mins ago for
excessive vaginal bleeding. Which of the following findings should the nurse expect? -
Answer>>>Boggy fundus 3 fingerbreadths above the umbilicus
A nurse is attending an educational workshop about client confidentiality. Which of the
following actions by the nurse indicates an understanding of the teaching? - Answer>>>Changes
her personal login password at random times
A nurse is assisting w d/c planning for a group of clients. Which of the following clients should
the nurse recommend a home health referral? - Answer>>>An older adult client who has heart
failure and lives alone
A nurse is reinforcing teaching w a female client who is taking phenytoin. Which of the
following instructions should the nurse include in the teaching? - Answer>>>You might
experience swollen gums while taking this medication
A nurse is preparing to administer paroxetine 15 mg/PO oral suspension to a client who has a
depressive disorder. The amount available is 10 mg/5mL. How many mL should the nurse
administer (Round to nearest tenth) - Answer>>>7.5 mL
A nurse is caring for a client who has paranoid schizo and believes that she is being followed by
FBI agents who are pretending to be the psychiatric staff. Which of the following responses
should the nurse make? - Answer>>>The psychiatric staff not the FBI. They're here to help you