QUESTIONS AND ANSWERS BEST RATED A+
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3. A nurse is reviewing the immunization status of a client who is pregnant. The
nurse should inform theclient that it is safe for her to receive which of the
following immunizations during pregnancy?
a. Tetanus
b. Rubeola
c. Varicella
d. Rubella
,4. A nurse is reviewing laboratory findings for a client who is at 20 weeks of
gestation. Which of thefollowing findings should the nurse report to the
provider?
a. Creatinine 0.9 mg/dL
b. Hematocrit 35%
c. Fasting blood glucose 180 mg/dL
d. WBC count 11,000/mm^3
5. A nurse is caring for a client who is at 35 weeks of gestation and on
bed rest due to severepreeclampsia. Which of the following is an
appropriate action for the nurse to take?
a. Obtain BP every 8 hr
b. Maintain NPO status
c. Auscultate fetal heart tones twice per day
d. Keep the lights dimmed in the room
6. A nurse is caring for a client who is 2 days postpartum and states, “I want to
continue breastfeeding,but my nipples are so sore.” Which of the following
responses should the nurse make?
a. Removing breast shields from your bra will decrease discomfort
b. Allow expressed milk to air dry on the nipples after
feeding your infant
c. You should switch your infant to formula until the soreness goes away
d. Apply an antibiotic ointment to the nipples prior to each feeding
7. A nurse is caring for a newborn immediately following birth and notes a large
, amount of mucus in thenewborn’s mouth and nose. Identify the sequence the nurse
should follow when performing suction with a bulb syringe. (Move the steps into
the box on the right, placing them in the selected order of performance. Use all the
steps.)
A nurse is counseling a young adult who describes having difficulty dealing w/several
issues. Which of the following problems the clientverbalized should the nurse identify
as the priority for further assessment & intervention?
A. "I have my own apartment now, but it's not easy living away from myparents."
B. "It's been so stressful for me to even think about having my ownfamily."
C. "I don't even know who I am yet, & now I'm supposed to know whatto do."
D. "My girlfriend is pregnant, & I don't think I have what it takes to be agood
father."
The nurse is caring for a client who has histrionic personality disorder.
Which of thefollowing findings should the nurse expect?
a. Repeated acts of unlawful Behavior
b. Suspicious demeanor
c. Seductive Behavior
d. Lack of remorse
A nurse in a prenatal Clinic is teaching a client about non
pharmacological pain management during labor. Which of the following
statements by the client indicates anunderstanding of the teaching?
a. My nurse can teach me biofeedback at the beginning of labor-
biofeedback would betaught earlier to control other pain, not pain of labor
b. A transcutaneous electrical nerve stimulator will help with pelvic
pressure- This wouldmess with the readings of the pt and baby
c. The nurse will initiate acupuncture when I arrive at the unit - Needles during
labor no.
d. I can use my ultrasound picture as a focal point during contractions
A nurse is assessing a client Telemetry strip. Which of the following
findings should thenurse report to the provider?
, a. Heart rate 98 per minute - wnr
b. ST segment elevations_ Remember this could possibly lead to infarctions
c. 2 PVCs per minute
Widened P waveWhich bed position is preferred for use with a client in an
extended care facility onfalls risk prevention protocol?
A) All 4 side rails up, wheels locked, bed closest to door
B) Lower side rails up, bed facing doorway
C) Knees bent, head slightly elevated, bed in lowest positionD)
Bed in lowest position, wheels locked, place bed against wall
The correct answer is D: Bed in lowest position, wheels locked, place bed against wall
When administering enteral feeding to a client via a jejunostomy tube, the
nurseshould administer the formula
A) Every four to six hoursB)
Continuously
A) In a bolus