صm 5:34m 2024/3/2 2022012m8121001m61f3dd19d8aaematimrnmcomprehensivempredi
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6 ctor
1. A mnurse min ma mpediatric munitmismpreparing mto minsertman mIV mcatheter mf
orm7-year-
mold.mWhich mofmthe mfollowing mactions mshould mthe mnurse mtake?
(Unable mto mread)
Tellmthe mchild mtheymwillmfeelmdiscomfortmduring mthe mcatheter minser
tion.mUse ma mmummy mrestraintmto mhold mthe mchild mduring mthe mcathe
terminsertion. mRequire mthe mparents mto mleave mthe mroom mduring mthe
mprocedure.
2. A mnurse mismcaring mforma mclientmwho mhas marteriovenous mfistula mWhi
ch mofmthe mfollowing mfindings mshould mthe mnurse mreport?
Thrill muponmpalpation. mA
bsencemofma mbruit.
Distended m blood m vessels
Swishing msound mupon mauscultation.
3. A mnurse mismproviding mdischarge mteaching mforma mclientmwho mhas
man mimplantable mcardioverter mdefibrillator mwhich mofmthe mfollowing ms
tatements mdemonstrates munderstanding mofmthe mteaching?
“Imwillmsoak min mthe mtub mrather mand mshow
ering” m“Imwillmwearmloose mclothing maround
mmy mICD”
“Imwillmstop musing mmymmicrowave moven matmhome mbecause mofm
my mICD”m“Imcan mhold mmy mcellphone mon mthe msame mside mofmmy
mbody mas mthe mICD”
4. A mnurse mismcaring mforma mclientmwho mismatm14 mweeks mgestation ma
nd mreports mfeelings mofmambivalence maboutmbeing mpregnant.mWhich m
ofmthe mfollowing mresponses mshould mthe mnurse mmake?
“Describe myour mfeelings mto mme maboutmbeing mpregnant”
“You mshould mdiscuss myourmfeelings maboutmbeing mpregnantmwith myour
provider”
“Have myou mdiscussed mthese mfeelings mwith myourmpartn
er?”m“When mdid myou mstartmhaving mthese mfeelings?”
5. A mnurse mismplanning mcare mforma mclientmwho mhas ma mprescription mforma
mbowel-
mtraining mprogram mfollowing ma mspinal mcord minjury. mWhich mofmthe mfollowin
g mactions mshould mthe mnurse minclude min mthe mplan mofmcare?
Encourage ma mmaximum mfluid mintake mofm1,500 mmlmper
mday.mIncrease mthe mamount mof mrefined mgrains min mthe
mclient’s mdiet. mProvide mthe mclient mwith ma mcold mdrink mp
riormto mdefecation.
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Administer ma mrectalmsuppository m30 mminutes mpriormto mscheduled md
efecation mtimes.
6. A mnurse mismcaring mforma mclientmwho mismin mactive mlabor mand mreq
uests mpain mmanagement. mWhich mofmthe mfollowing mactions mshould mt
he mnurse mtake?
Administer m ondansetron.
Place mthe mclientmin ma mwarm mshower.
Apply mfundal mpressure mduring mcontractions
.mAssistmthe mclientmto ma msupine mposition.
7. a mnurse min man memergency mdepartmentmismperforming mtriage mformmulti
ple mclients mfollowing ma mdisaster min mthe mcommunity. mTo mwhich mofmthe mfol
lowing mtypes mofminjuries mshould mthe mnurse massign mthe mhighestmpriority?
A. Below-the mknee mamputation
B. Fractured m tibia
C. 95% mfull-thickness mbody mburn
D. 10cm m(4in) mlaceration mto mthe mforearm
8. a mnurse mmanager mismupdating mprotocols mformthe muse mofmbeltmrestraint
s.mWhich mofmthe mfollowing mguidelines mshould mthe mnurse minclude?
A. Remove mthe mclient’s mrestraintmevery m4hr
B. Documentmthe mclient’s mcondition mevery m15 mmin
C. Attach mthe mrestrain mto mthe mbed’s mside mrails
D. Request m a mPRN m restrain m prescription m form clients mwhomarem aggressive
9. A mnurse mismteaching man min-
service mabout mnursing mleadership.mWhich mofmthe mfollowing minformation
mshould mthe mnurse minclude mabout man meffective mleader?
Acts mas man madvocate mformthe mnursing muni
t.m(Unable mto mread)mformthe munit
Priorities mstaffmrequestmovermclientmneeds.mPr
ovides mroutine mclientmcare mand mdocumentation.
10. A mnurse mismreviewing mthe mlaboratory mfindings mofma mclientmwho mhas m
diabetes mmellitus mand mreports mthatmshe mhas mbeen mfollowing mherm(unabl
e mto mread)mcare.mThe mnurse mshould midentify mwhich mofmthe mfollowing mfin
dings mindicates ma mneed mto mrevise mthe mclient’s mplan mofmcare.
Serum msodium m144 mm
Eq/m(Unable mto mread)
Hba1c m 10 m%
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Random m serum m glucose m 190m mg/dl.
11. A mnurse min ma mprovider’s moffice mismreviewing mthe mlaboratory mresult
smofma mgroup mofmclients.mThe mnurse mshould midentify mthatmwhich mofmt
he mfollowing msexually mtransmitted minfections misma mnationally mnotifiable
minfectious mdisease mthatmshould mbe mreported mto mthe mstate mhealth mde
partment?
A. Chlamydia
B. Humanm papillomavirus
C. Candidiasis
D. Herps msimplex mvirus
12. A mnurse mismteaching ma mnewly mlicensed mnurse maboutmtherapeutic mtec
hniques mto muse mwhen mleading ma mgroup mon ma mmentalmhealth munit.mWhic
h mofmthe mfollowing mgroup mfacilitation mtechniques mshould mthe mnurse minclu
de min mthe mteaching?
A. Share mpersonal mopinions mto mhelp minfluence mthe mgroup’s mvalues
B. Measure mthe maccomplishments mofmthe mgroup magainst ma mprevious mgroup
C. Yield min msituations mofmconflicts mto mmaintain mgroup mharmony
D. Use mmodeling mto mhelp mthe mclients mimprove mtheirminterpersonal mskills
13. A mnurse mism planning mfor ma mclientmwho mpractice ms mOrthodox mJudai
sm.mThe mclientmtells mthe mnurse mthatm(Unable mto mread)mPassover mholi
day.mWhich mofmthe mfollowing maction mshould mthe mnurse minclude min mth
e mplan mofmcare?
A. Providem chicken m withm cream m sauce.
B. Avoidmserving mfishmwith mfins mandmscal
es. mProvide munleavened mbread.
Avoidm serving m foods m containing m lamb.
14. A mnurse mismcaring mforma mclientmwho mhas ma mpulmonarymembolism. mT
he mnurse mshould midentify mthe meffectiveness mofmthe mtreatment
A mchestmx-
ray mreveals mincreased mdensity min mallmfields.mThe mcli
entmreports mfeeling mless manxious.
Diminished mbreath msounds mare mauscultated mbilaterally
ABG mresults minclude mPhm7.48 mPaO2m77mmm mHgmandmPaCO2 m47m mm mHg.
15. A mnurse min man memergency mdepartment mismassessing ma mclientmwho
mreports mingesting mthirty mdiazepam mtablets m(Unable mto mread) ma mrespir
atory mrate mofm10/min.mAftermsecuring mthe mclient’s mairway mand minitiatin
g man mIV,mwhich mofmthe mfollowing mactions mshould mthe mnurse mdo mnext.
Monitor mthe mclient’s mIV msite mformthrombophlebitis.
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6 ctor
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,صm 5:34m 2024/3/2 2022012m8121001m61f3dd19d8aaematimrnmcomprehensivempredi
6 ctor
1. A mnurse min ma mpediatric munitmismpreparing mto minsertman mIV mcatheter mf
orm7-year-
mold.mWhich mofmthe mfollowing mactions mshould mthe mnurse mtake?
(Unable mto mread)
Tellmthe mchild mtheymwillmfeelmdiscomfortmduring mthe mcatheter minser
tion.mUse ma mmummy mrestraintmto mhold mthe mchild mduring mthe mcathe
terminsertion. mRequire mthe mparents mto mleave mthe mroom mduring mthe
mprocedure.
2. A mnurse mismcaring mforma mclientmwho mhas marteriovenous mfistula mWhi
ch mofmthe mfollowing mfindings mshould mthe mnurse mreport?
Thrill muponmpalpation. mA
bsencemofma mbruit.
Distended m blood m vessels
Swishing msound mupon mauscultation.
3. A mnurse mismproviding mdischarge mteaching mforma mclientmwho mhas
man mimplantable mcardioverter mdefibrillator mwhich mofmthe mfollowing ms
tatements mdemonstrates munderstanding mofmthe mteaching?
“Imwillmsoak min mthe mtub mrather mand mshow
ering” m“Imwillmwearmloose mclothing maround
mmy mICD”
“Imwillmstop musing mmymmicrowave moven matmhome mbecause mofm
my mICD”m“Imcan mhold mmy mcellphone mon mthe msame mside mofmmy
mbody mas mthe mICD”
4. A mnurse mismcaring mforma mclientmwho mismatm14 mweeks mgestation ma
nd mreports mfeelings mofmambivalence maboutmbeing mpregnant.mWhich m
ofmthe mfollowing mresponses mshould mthe mnurse mmake?
“Describe myour mfeelings mto mme maboutmbeing mpregnant”
“You mshould mdiscuss myourmfeelings maboutmbeing mpregnantmwith myour
provider”
“Have myou mdiscussed mthese mfeelings mwith myourmpartn
er?”m“When mdid myou mstartmhaving mthese mfeelings?”
5. A mnurse mismplanning mcare mforma mclientmwho mhas ma mprescription mforma
mbowel-
mtraining mprogram mfollowing ma mspinal mcord minjury. mWhich mofmthe mfollowin
g mactions mshould mthe mnurse minclude min mthe mplan mofmcare?
Encourage ma mmaximum mfluid mintake mofm1,500 mmlmper
mday.mIncrease mthe mamount mof mrefined mgrains min mthe
mclient’s mdiet. mProvide mthe mclient mwith ma mcold mdrink mp
riormto mdefecation.
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Administer ma mrectalmsuppository m30 mminutes mpriormto mscheduled md
efecation mtimes.
6. A mnurse mismcaring mforma mclientmwho mismin mactive mlabor mand mreq
uests mpain mmanagement. mWhich mofmthe mfollowing mactions mshould mt
he mnurse mtake?
Administer m ondansetron.
Place mthe mclientmin ma mwarm mshower.
Apply mfundal mpressure mduring mcontractions
.mAssistmthe mclientmto ma msupine mposition.
7. a mnurse min man memergency mdepartmentmismperforming mtriage mformmulti
ple mclients mfollowing ma mdisaster min mthe mcommunity. mTo mwhich mofmthe mfol
lowing mtypes mofminjuries mshould mthe mnurse massign mthe mhighestmpriority?
A. Below-the mknee mamputation
B. Fractured m tibia
C. 95% mfull-thickness mbody mburn
D. 10cm m(4in) mlaceration mto mthe mforearm
8. a mnurse mmanager mismupdating mprotocols mformthe muse mofmbeltmrestraint
s.mWhich mofmthe mfollowing mguidelines mshould mthe mnurse minclude?
A. Remove mthe mclient’s mrestraintmevery m4hr
B. Documentmthe mclient’s mcondition mevery m15 mmin
C. Attach mthe mrestrain mto mthe mbed’s mside mrails
D. Request m a mPRN m restrain m prescription m form clients mwhomarem aggressive
9. A mnurse mismteaching man min-
service mabout mnursing mleadership.mWhich mofmthe mfollowing minformation
mshould mthe mnurse minclude mabout man meffective mleader?
Acts mas man madvocate mformthe mnursing muni
t.m(Unable mto mread)mformthe munit
Priorities mstaffmrequestmovermclientmneeds.mPr
ovides mroutine mclientmcare mand mdocumentation.
10. A mnurse mismreviewing mthe mlaboratory mfindings mofma mclientmwho mhas m
diabetes mmellitus mand mreports mthatmshe mhas mbeen mfollowing mherm(unabl
e mto mread)mcare.mThe mnurse mshould midentify mwhich mofmthe mfollowing mfin
dings mindicates ma mneed mto mrevise mthe mclient’s mplan mofmcare.
Serum msodium m144 mm
Eq/m(Unable mto mread)
Hba1c m 10 m%
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Random m serum m glucose m 190m mg/dl.
11. A mnurse min ma mprovider’s moffice mismreviewing mthe mlaboratory mresult
smofma mgroup mofmclients.mThe mnurse mshould midentify mthatmwhich mofmt
he mfollowing msexually mtransmitted minfections misma mnationally mnotifiable
minfectious mdisease mthatmshould mbe mreported mto mthe mstate mhealth mde
partment?
A. Chlamydia
B. Humanm papillomavirus
C. Candidiasis
D. Herps msimplex mvirus
12. A mnurse mismteaching ma mnewly mlicensed mnurse maboutmtherapeutic mtec
hniques mto muse mwhen mleading ma mgroup mon ma mmentalmhealth munit.mWhic
h mofmthe mfollowing mgroup mfacilitation mtechniques mshould mthe mnurse minclu
de min mthe mteaching?
A. Share mpersonal mopinions mto mhelp minfluence mthe mgroup’s mvalues
B. Measure mthe maccomplishments mofmthe mgroup magainst ma mprevious mgroup
C. Yield min msituations mofmconflicts mto mmaintain mgroup mharmony
D. Use mmodeling mto mhelp mthe mclients mimprove mtheirminterpersonal mskills
13. A mnurse mism planning mfor ma mclientmwho mpractice ms mOrthodox mJudai
sm.mThe mclientmtells mthe mnurse mthatm(Unable mto mread)mPassover mholi
day.mWhich mofmthe mfollowing maction mshould mthe mnurse minclude min mth
e mplan mofmcare?
A. Providem chicken m withm cream m sauce.
B. Avoidmserving mfishmwith mfins mandmscal
es. mProvide munleavened mbread.
Avoidm serving m foods m containing m lamb.
14. A mnurse mismcaring mforma mclientmwho mhas ma mpulmonarymembolism. mT
he mnurse mshould midentify mthe meffectiveness mofmthe mtreatment
A mchestmx-
ray mreveals mincreased mdensity min mallmfields.mThe mcli
entmreports mfeeling mless manxious.
Diminished mbreath msounds mare mauscultated mbilaterally
ABG mresults minclude mPhm7.48 mPaO2m77mmm mHgmandmPaCO2 m47m mm mHg.
15. A mnurse min man memergency mdepartment mismassessing ma mclientmwho
mreports mingesting mthirty mdiazepam mtablets m(Unable mto mread) ma mrespir
atory mrate mofm10/min.mAftermsecuring mthe mclient’s mairway mand minitiatin
g man mIV,mwhich mofmthe mfollowing mactions mshould mthe mnurse mdo mnext.
Monitor mthe mclient’s mIV msite mformthrombophlebitis.
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