1. The nurse is contributing to the plan of care for a 2. Provide the
client with chronic obstructive pulmonary disease client with
(COPD). Which of the following interventions should a high-carbo-
the nurse suggest including in the client's plan of hydrate diet
care? and high-carbohy-
1. Place the client in low-Fowler's position for meals. drate snacks.
2. Provide the client with a high-carbohydrate diet and
high-carbohydrate snacks.
3. Restrict the client's fluid intake to 500 mL daily.
4. Provide the client with small, frequent meals, and
schedule a rest period before and after meals.
2. The nurse has reinforced teaching with a client who 2. "ECT is com-
is scheduled for electroconvulsive therapy (ECT). monly used to
Which of the following statements by the client would treat depression
indicate a correct understanding of the teaching? when several anti-
depressants have
1. "I will experience a tonic-clonic seizure for approx- not been effec-
imately 15 minutes during the ECT procedure." tive."
2. "ECT is commonly used to treat depression when
several antidepressants have not been effective."
3. "ECT is effective because it decreases the level of
neurotransmitters in the central nervous system."
4. "Common side effects of ECT are diarrhea, a
low-grade fever and short-term memory loss."
3. The nurse is caring for a 6-year-old client who is 2 the pull of the
receiving prescribed skeletal traction. Which of the traction on the
following would be a priority for the nurse to monitor? client's pins
1. the distance between the client's knees
2. the pull of the traction on the client's pins
3. the degree of flexion of the client's ankles
4. the position of the client's cervical spine on the bed
4. The nurse is caring for a client with dysthymic disor- 4. inability to expe-
der. Which of the following behaviors would the nurse rience joy or plea-
expect to observe? sure in life
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1. grandiose actions
2. reports of auditory hallucinations
3.expansive, pressured speech
4.inability to experience joy or pleasure in life
5. The nurse is caring for a client. Which of the follow- 3.furosemide 20
ing prescriptions should the nurse clarify? Click the mg, p.o., once dai-
exhibit button for additional client information. ly
1.2 g sodium diet
2.implement bed rest
3. furosemide 20 mg, p.o., once daily
4.enalapril 5 mg, p.o., twice daily
6. The nurse is talking with the spouse of a client with 3."The type of
left-sided hemiplegia. The spouse tells the nurse, "I care that you have
scheduled this appointment because I noticed a sore undertaken is not
had developed on my spouse's hip. I feel so guilty be- easy."
cause I caused this to happen. I do not know what to
do." Which of the following would be an appropriate
initial response for the nurse to make?
1. "Have you been offering your spouse fluids at reg-
ular time intervals?"
2. "How often do you change your spouse's posi-
tion?"
3. "The type of care that you have undertaken is not
easy."
4. "We will make sure that you have help if this re-
quires special dressings."
7. The nurse is assisting to admit a client who has Strep- 4.Request the di-
tococcal pharyngitis. Which of the following actions etary department
should the nurse take? provide dispos-
able dishes and
1. Wear a surgical mask when checking the client's utensils for the
vital signs. client's meals.
2. Ensure the assigned room has monitored negative
air pressure.
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3. Obtain particulate respirator masks for staff mem-
bers to use when providing client care.
4. Request the dietary department provide disposable
dishes and utensils for the client's meals.
8. The nurse is reinforcing teaching with the parents of 3. the ability to void
a child who is scheduled for surgical repair of hy- while standing
pospadias. The nurse should reinforce that intended
outcomes of the procedure include
1. relief from pain
2. relief from bladder obstruction
3. the ability to void while standing
4. the ability to achieve an erection
9. The nurse has reinforced teaching with a client who 4. "I must sit up-
is receiving prescribed alendronate. Which of the fol- right for 30 min-
lowing statements by the client would indicate a cor- utes after taking
rect understanding of the teaching? the medication."
1. "I should take the medication with orange juice."
2. "I can take the medication at any time of day."
3. "I will avoid taking over-the-counter (OTC) vitamin
D supplements."
4. "I must sit upright for 30 minutes after taking the
medication."
10. The nurse is caring for a 12-year-old client who has a 0.05-
prescription for lorazepam 0.05 mg/kg, p.o., stat. The mg/kgXx/47X2mg/m
client weighs 103 lb (47 kg). The nurse has 2 mg/mL
of solution available. How many milliliters should the
nurse administer to the client? Record your answer
using one decimal place.
11. The nurse has reinforced discharge teaching with the 3. "I should give my
parent of a newborn. Which of the following state- baby a pacifier at
ments by the parent would require follow-up? bedtime to reduce
1. "I will leave my baby's diaper off when possible if the risk for sudden
the diaper area starts to become red." infant death syn-
2. "I will secure my baby in a rear-facing infant seat drome (SIDS)."
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in the front seat of the car since there is an airbag
there."
3. "I should give my baby a pacifier at bedtime to
reduce the risk for sudden infant death syndrome
(SIDS)."
4. "I should squeeze the bulb syringe before inserting
it into my baby's mouth when I suction excess secre-
tions."
12. The nurse is caring for a client with pediculosis. 1. Place a ther-
Which of the following infection control precautions mometer in the
should the nurse implement? client's room to
1. Place a thermometer in the client's room to be used be used with that
with that client only. client only.
2. Wear a surgical mask when assisting the client to
bathe.
3. Keep the door to the client's room closed.
4. Remove the gloves after leaving the client's room.
13. The charge nurse in a long-term care facility has 2. "Weigh your as-
completed client care assignments for unlicensed as- signed clients be-
sistive personnel (UAP). Which of the following state- fore breakfast with
ments by the charge nurse would provide the best the scale used 1
directions to a UAP regarding the assignment? day ago."
1. "Record your assigned clients' vital signs before
you take a mid-morning break."
2. "Weigh your assigned clients before breakfast with
the scale used 1 day ago."
3. "Help the clients who eat their meals in the dining
room with breakfast."
4. "Measure your assigned clients' intake and output
regularly."
14. The nurse in a long-term care facility is making client 1. "Clients who are
care assignments for unlicensed assistive personnel able to ambulate
(UAP). Which of the following statements by the nurse should be assisted
would provide UAP with the best directions for the to ambulate after
assignment? meals."