ATIRNVATIComprehensivePredictor 2019
j j j j j
Form B
j j
Ajnursejisjcaringjforjajclientjwhojhadjabdominaljsurgeryj24jhrjago.jWhichjofjthejfollowingjacti
onsjisjthejnurse'sjpriority?j-j ANSWERj ==Assistjwithjdeepjbreathingjandjcoughing
AjnursejisjtalkingjwithjajclientjwhojhasjstagejIVjbreastjcancer.jThejnursejshouldjrecognizejw
hichjofjthejfollowingjstatementsjbyjthejclientjasjajconstructivejusejofjajdefensejmechanism?j
-
j ANSWERj =="IjtoldjmyjdoctorjthatjIjwouldjlikejtojstartjajsupportjgroupjforjotherjwomenjwhoj
arejsickjinjmyjcommunity"
AjnursejisjcaringjforjajclientjwhojhasjimmunosuppressionjandjajcontinuousjIVjinfusion.jWhichj
ofjthejfollowingjactionsjshouldjthejnursejtake?j-
j ANSWERj ==Monitorjthejclient'sjmouthjeveryj8jhr
Ajnursejisjcaringjforjaj2jmonthjoldjinfantjwhojhasjHirschsprungjdiseasej(HD).jWhichjofjthejfoll
owingjareasjshouldjthejnursejassessjforjmanifestationsjofjHD?j-j ANSWER
==C
Thejnursejshouldjassessjthejinfant'sjabdomenjforjdistentionjandjvisiblejperistalsis,jwhichjar
ejmanifestationsjofjHD
Ajnursejatjajmentaljhealthjclinicjisjcaringjforjfourjclients.jThejnursejshouldjrecognizejthejfollo
wingjclientsjisjusingjdissociationjasjajdefensejmechanism?j-
j ANSWERj ==Ajclientjwhojwasjabusedjasjajchildjdescribesjthejabusejasjifjitjhappenedjtojso
meonejelse
Ajnursejisjprovidingjteachingjtojajclientjwhojhasjajnewjdiagnosisjofjtypej1jdiabetesjmellitus.jT
hejnursejshouldjinstructjthejclientjtojmonitorjforjwhichjofjthejfollowingjfindingsjasjajmanifest
ationjofjhypoglycemia?j-j ANSWERj ==irritability
Ajnursejinjanjoutpatientjmentaljhealthjclinicjisjcaringjforjfourjclients.jThejnursejshouldjrecogni
zejthatjwhichjofjthejfollowingjclientsjisjeffectivelyjusingjsublimationjasjajdefensejmechanism?j
-j ANSWER
==Ajclientjwhojchannelsjtheirjenergyjintojajnewjhobbyjfollowingj
thejlossjofjtheirjjob
Ajhospicejnursejisjconsultingjwithjajclientjandjherjfamilyjaboutjreceivingjhomejservices.jW
hichjofjthejfollowingjstatementsjshouldjthejnursejidentifyjasjanjindicationjthatjthejfamilyjun
derstandsjhomejhospicejcare?j-j ANSWER
=="Wejcanjexpectjthejh
ospicejnursejtojprovidejsupportjforjusjafterjourjmother'sjdeath"
,Ajnursejisjcaringjforjajclientjwhojhasjactivejtuberculosis.jWhichjofjthejfollowingjactionsjshould
jthejnursejtake?j-j ANSWERj ==Assignjthejclientjtojajprivatejroomjwithjnegativejairjpressure
Ajnursejisjprovidingjteachingjtojajclientjwhojisjatj24jweeksjofjgestationjandjisjschedulejforjaj3jh
ourjoraljglucosejtolerancejtest.jWhichjofjthejfollowingjinstructionsjshouldjthejnursejincludejinj
thejteaching?j-j ANSWERj =="Youjwilljneedjtojfastjthejnightjbeforejthejtest"
Ajnursejonjajpediatricjunitjhasjreceivedjchangejofjshiftjreportjforjfourjchildren.jWhichjofjthejfoll
owingjchildrenjshouldjthejnursejassessjfirst?j-
j ANSWERj ==Aj10jyearjoldjchildjwhojisjawaitingjsurgeryjforjanjappendectomyjandjexperien
cedjsuddenjreliefjfromjpain
Ajnursejinjajcommunityjcenterjisjprovidingjanjeducationjsessionjtojajgroupjofjclientsjaboutj
ovarianjcancer.jW hichjofjthejfollowingjmanifestationsjofjovarianjcancerjshouldjthejnurseji
ncludejinjthejteaching?j-j ANSWERj ==Abdominaljbloating
Ajnursejisjcaringjforjajclientjwhojisjpostoperativejafterjreceivingjmoderatej(conscious)jsedat
ion.jThejclientjsuddenlyjbecomesjrestlessjandjreportsjfeelingjlightheaded.jWhichjofjthejfollo
wingjactionsjshouldjthejnursejtake?j-j ANSWER
==Checkjthejclient'sjoxyge
njsaturationjlevel
Ajnursejisjworkingjinjanjemergencyjdepartmentjisjtriagingjfourjclients.jWhichjofjthejfollow
ingjclientsjshouldjthejnursejrecommendjforjtreatmentjfirst?j-
j ANSWERj ==Ajmiddlejadultjclientjwhojhasjunstablejvitaljsigns
Ajnursejisjprovidingjteachingjforjajclientjwhojhasjajfracturejofjthejrightjfibulajwithjajshortjlegjc
astjinjplacejandjajnewjprescriptionjforjcrutches.jThejclientjisjnon-
weightjbearingjforj6jweeks.jWhichjofjthejfollowingjinstructionsjshouldjthejnursejincludejinjth
ejteaching?j-j ANSWERj ==Usejajthree-pointjgait
AjnursejisjpreparingjtojinitiatejIVjaccessjforjanjolderjadultjclient.jWhichjofjthejfollowingjsitesjsh
ouldjthejnursejselectjwhenjinitiatingjthejIVjforjthisjclient?j-
j ANSWERj ==Radialjveinjofjthejinnerjarm
AjnursejisjplanningjtojdelegatejclientjcarejtasksjtojanjAP.jWhichjofjthejfollowingjtasksjshouldj
thejnursejplanjtojdelegatejtojthejAP?j-
j ANSWERj ==Performjgastrostomyjfeedingsjthroughjajclient'sjestablishedjgastrostomyjtu
be
Ajnursejisjcaringjforjajnewbornjimmediatelyjafterjdelivery.jWhichjofjthejfollowingjinterventio
nsjshouldjthejnursejimplementjtojpreventjheatjlossjbyjconduction?j-
jANSWERj ==Usejajprotectivejcoverjonjthejscalejwhenjweighingjthejinfant
Ajnursejisjcaringjforjajclientjwhojisjreceivingjajcontinuousjheparinjinfusion.jW hichjofjthejfollo
wingjlaboratoryjtestsjshouldjthejnursejreviewjpriorjtojadjustingjthejclient'sjheparin?j-
j ANSWERj ==aPTT
,Ajnursejadministersjanjincorrectjdosejofjmedicationjtojajclient.jThejnursejrecognizedjthejerr
orjimmediatelyjandjcompletesjandjincidentjreport.jWhichjofjthejfollowingjfactsjrelatedjtojtheji
ncidentjshouldjthejnursejdocumentjinjthejclient'sjmedicaljrecord?j-
jANSWERj ==Timejthejmedicationjwasjgiven
Ajnursejisjprovidingjeducationjtojthejparentjofjajschooljagejchildjwhojhasjasthma.jWhichjofjth
ejfollowingjstatementsjbyjthejparentjindicatesjanjunderstandingjofjthejteaching?j-
j ANSWERj =="Ijwilljmakejsurejmyjchildjreceivesjajyearlyjinfluenzajimmunization"
Ajnursejisjcaringjforjajclientjwhojhasjtypej1jdiabetesjmellitusjandjreportsjseverejanklejpainjaft
erjfallingjoffjajstepjstooljatjhome.jW hichjofjthejfollowingjprescriptionsjshouldjthejnursejclarifyj
withjthejprovider?j-j ANSWERj ==Applyjajcoldjpackjtojthejclient'sjanklejforj30jminjeveryjhour
Ajnursejisjassessingjajclientjwhojhasjajmajorjdepressivejdisorderjandjisjtakingjamitriptyline.j
Whichjofjthejfollowingjfindingsjshouldjthejnursejidentifyjasjanjadversejeffectjofjthejmedicatio
n?j-j ANSWERj ==Blurredjvision
Ajnursejisjcaringjforjajclientjwhojhasjsignedjanjinformedjconsentjformjtojreceivejelectroconvu
lsivejtherapyj(ECT).jThejclientjstatesjtojthejnursej"I'mjnotjsurejaboutjthisjnow.jI'mjafraidjit'sjto
ojrisky."jWhichjofjthejfollowingjresponsesjshouldjthejnursejmake?
-j ANSWERj =="Youjhavejthejrightjtojchangejyourjmindjaboutjthejprocedurejatjanyjtime"
Ajnursejisjpreparingjtojadministerjmannitolj0.2jg/kgjIVjbolusjoverj5jminjasjajtestjdosejtojajclie
ntjwhojhasjseverejoliguria.jThejclientjweighsj198jlb.jWhatjisjthejamountjinjgramsjthejnursejs
houldjadminister?j-j ANSWER ==18jg
AjnursejisjpreparingjtojadministerjanjIMjinjectionjtojajclientjwhojisjobese.jWhichjofjthejfollowin
gjactionsjshouldjthejnursejplanjtojtake?j-j ANSWERj ==Usejthejventroglutealjsite
Ajnursejisjprovidingjdischargejteachingjtojajclientjwhojisjtojreceivejhomejoxygenjtherapy.jW
hichjofjthejfollowingjinstructionsjshouldjthejnursejincludejinjthejteaching?j-
jANSWERj ==Wearjclothingjmadejwithjcottonjfabricsjwhilejoxygenjisjinjuse
Ajnursejisjprovidingjteachingjtojthejguardiansjofjajnewbornjaboutjmeasuresjtojpreventjsudde
njinfantjdeathjsyndromej(SIDS).jWhichjofjthejfollowingjguardianjstatementsjindicatesjanjun
derstandingjofjthejteaching?j-j ANSWERj =="Ijwilljnotjallowjanyonejtojsmokejnearjmyjbaby"
Ajnursejisjassessingjajclientjfollowingjajvaginaljdeliveryjandjnotesjheavyjlochjandjajboggyj
fundus.jWhichjofjthejfollowingjmedicationsjshouldjthejnursejexpectjtojadminister?j-
j ANSWER ==Oxytocin
, Ajnursejonjajmedical-
surgicaljunitjisjcaringjforjajclientjwhojhasjajnewjdiagnosisjofjterminaljcancer.jThejclientjtellsjt
hejnursejthatjtheyjwouldjlikejtojgojhomejtojbejwithjfamilyjandjlovedjones.jWhichjofjthejfollowi
ngjactionsjshouldjthejnursejtake?j-jANSWERj ==Makejajreferraljforjsocialjservices
Ajnursejisjcaringjforjajclientjwhojhasjajcloggedjpercutaneousjgastrostomyjfeedingjtube.jWhi
chjofjthejfollowingjactionsjshouldjthejnursejtakejfirst?j-j ANSWER
==Changejthejpositionjofjthejclient
Ajnursejisjcreatingjajplanjofjcarejforjajclientjwhojhasjleft-
sidedjweaknessjfollowingjajstroke.jWhichjofjthejfollowingjinterventionsjshouldjthejnursejinc
ludejinjthejplan?j-jANSWERj ==Supportjthejclient'sjleftjarmjonjajpillowjwhilejsitting
Ajnursejisjpreparingjtojassistjwithjajthoracentesisjforjajclientjwhojhasjpleurisy.jThejnursejsh
ouldjplanjtojperformjwhichjofjthejfollowingjactions?j-
j ANSWERj ==Instructjthejclientjtojavoidjcoughingjduringjthejprocedure
Ajchargejnursejisjprovidingjanjeducationaljsessionjaboutjinfectionjcontroljforjajgroupjofjstaffjn
urses.jWhichjofjthejfollowingjstatementsjbyjonejofjthejstaffjnursesjindicatedjanjunderstandin
gjofjisolationjprecautions?j-
j ANSWERj =="Ajclientjwhojrequiresjairbornejprecautionsjshouldjbejplacedjinjajnegativejpre
ssurejairflowjroom"
Ajnursejisjprovidingjdietaryjteachingjtojajclientjwhojhasjajnewjprescriptionjforjphenelzine.jW
hichjofjthejfollowingjfoodjrecommendationsjshouldjthejnursejmake?j-
jANSWERj ==Broccoli
Yogurt
Creamjcheese
Clientsjwhojtakejphenelzine,janjMAOI,jshouldjnotjeatjfoodsjthatjcontainjtyramine.jBroccoli,j
yogurt,jandjcreamjcheesejdojnotjcontainjtyramine.
Ajnursejisjassessingjanjolderjadultjclientjwhojhasjpneumonia.jW hichjofjthejfollowingjfindin
gsjshouldjthejnursejexpect?j-j ANSWER ==Acutejconfusion
Anjolderjadultjclientjwhojhasjpneumoniajwilljalsojtypicallyjhavejacutejconfusion,jfatigue,jleth
argy,jandjanorexia.
Ajnursejisjprovidingjteachingjaboutjhomejcarejtojthejparentsjofjajchildjwhojhasjautismjspectru
mjdisorder.jWhichjofjthejfollowingjinstructionsjshouldjthejnursejinclude?j-
jANSWERj ==Usejajrewardjsystemjtojmodifyjthejchild'sjbehavior
Ajnursejisjpreparingjtojadministerjlactatedjringer'sj1,500jmLjIVjtojinfusejatj50jmL/hr.jThejdr
opjfactorjofjthejmanualjIVjtubingjisj15jgtt/mL.jThejnursejshouldjsetjthejmanualjIVjinfusionjtoj
deliverjhowjmanyjgtt/min?j-j ANSWER ==13jgtt/min
j j j j j
Form B
j j
Ajnursejisjcaringjforjajclientjwhojhadjabdominaljsurgeryj24jhrjago.jWhichjofjthejfollowingjacti
onsjisjthejnurse'sjpriority?j-j ANSWERj ==Assistjwithjdeepjbreathingjandjcoughing
AjnursejisjtalkingjwithjajclientjwhojhasjstagejIVjbreastjcancer.jThejnursejshouldjrecognizejw
hichjofjthejfollowingjstatementsjbyjthejclientjasjajconstructivejusejofjajdefensejmechanism?j
-
j ANSWERj =="IjtoldjmyjdoctorjthatjIjwouldjlikejtojstartjajsupportjgroupjforjotherjwomenjwhoj
arejsickjinjmyjcommunity"
AjnursejisjcaringjforjajclientjwhojhasjimmunosuppressionjandjajcontinuousjIVjinfusion.jWhichj
ofjthejfollowingjactionsjshouldjthejnursejtake?j-
j ANSWERj ==Monitorjthejclient'sjmouthjeveryj8jhr
Ajnursejisjcaringjforjaj2jmonthjoldjinfantjwhojhasjHirschsprungjdiseasej(HD).jWhichjofjthejfoll
owingjareasjshouldjthejnursejassessjforjmanifestationsjofjHD?j-j ANSWER
==C
Thejnursejshouldjassessjthejinfant'sjabdomenjforjdistentionjandjvisiblejperistalsis,jwhichjar
ejmanifestationsjofjHD
Ajnursejatjajmentaljhealthjclinicjisjcaringjforjfourjclients.jThejnursejshouldjrecognizejthejfollo
wingjclientsjisjusingjdissociationjasjajdefensejmechanism?j-
j ANSWERj ==Ajclientjwhojwasjabusedjasjajchildjdescribesjthejabusejasjifjitjhappenedjtojso
meonejelse
Ajnursejisjprovidingjteachingjtojajclientjwhojhasjajnewjdiagnosisjofjtypej1jdiabetesjmellitus.jT
hejnursejshouldjinstructjthejclientjtojmonitorjforjwhichjofjthejfollowingjfindingsjasjajmanifest
ationjofjhypoglycemia?j-j ANSWERj ==irritability
Ajnursejinjanjoutpatientjmentaljhealthjclinicjisjcaringjforjfourjclients.jThejnursejshouldjrecogni
zejthatjwhichjofjthejfollowingjclientsjisjeffectivelyjusingjsublimationjasjajdefensejmechanism?j
-j ANSWER
==Ajclientjwhojchannelsjtheirjenergyjintojajnewjhobbyjfollowingj
thejlossjofjtheirjjob
Ajhospicejnursejisjconsultingjwithjajclientjandjherjfamilyjaboutjreceivingjhomejservices.jW
hichjofjthejfollowingjstatementsjshouldjthejnursejidentifyjasjanjindicationjthatjthejfamilyjun
derstandsjhomejhospicejcare?j-j ANSWER
=="Wejcanjexpectjthejh
ospicejnursejtojprovidejsupportjforjusjafterjourjmother'sjdeath"
,Ajnursejisjcaringjforjajclientjwhojhasjactivejtuberculosis.jWhichjofjthejfollowingjactionsjshould
jthejnursejtake?j-j ANSWERj ==Assignjthejclientjtojajprivatejroomjwithjnegativejairjpressure
Ajnursejisjprovidingjteachingjtojajclientjwhojisjatj24jweeksjofjgestationjandjisjschedulejforjaj3jh
ourjoraljglucosejtolerancejtest.jWhichjofjthejfollowingjinstructionsjshouldjthejnursejincludejinj
thejteaching?j-j ANSWERj =="Youjwilljneedjtojfastjthejnightjbeforejthejtest"
Ajnursejonjajpediatricjunitjhasjreceivedjchangejofjshiftjreportjforjfourjchildren.jWhichjofjthejfoll
owingjchildrenjshouldjthejnursejassessjfirst?j-
j ANSWERj ==Aj10jyearjoldjchildjwhojisjawaitingjsurgeryjforjanjappendectomyjandjexperien
cedjsuddenjreliefjfromjpain
Ajnursejinjajcommunityjcenterjisjprovidingjanjeducationjsessionjtojajgroupjofjclientsjaboutj
ovarianjcancer.jW hichjofjthejfollowingjmanifestationsjofjovarianjcancerjshouldjthejnurseji
ncludejinjthejteaching?j-j ANSWERj ==Abdominaljbloating
Ajnursejisjcaringjforjajclientjwhojisjpostoperativejafterjreceivingjmoderatej(conscious)jsedat
ion.jThejclientjsuddenlyjbecomesjrestlessjandjreportsjfeelingjlightheaded.jWhichjofjthejfollo
wingjactionsjshouldjthejnursejtake?j-j ANSWER
==Checkjthejclient'sjoxyge
njsaturationjlevel
Ajnursejisjworkingjinjanjemergencyjdepartmentjisjtriagingjfourjclients.jWhichjofjthejfollow
ingjclientsjshouldjthejnursejrecommendjforjtreatmentjfirst?j-
j ANSWERj ==Ajmiddlejadultjclientjwhojhasjunstablejvitaljsigns
Ajnursejisjprovidingjteachingjforjajclientjwhojhasjajfracturejofjthejrightjfibulajwithjajshortjlegjc
astjinjplacejandjajnewjprescriptionjforjcrutches.jThejclientjisjnon-
weightjbearingjforj6jweeks.jWhichjofjthejfollowingjinstructionsjshouldjthejnursejincludejinjth
ejteaching?j-j ANSWERj ==Usejajthree-pointjgait
AjnursejisjpreparingjtojinitiatejIVjaccessjforjanjolderjadultjclient.jWhichjofjthejfollowingjsitesjsh
ouldjthejnursejselectjwhenjinitiatingjthejIVjforjthisjclient?j-
j ANSWERj ==Radialjveinjofjthejinnerjarm
AjnursejisjplanningjtojdelegatejclientjcarejtasksjtojanjAP.jWhichjofjthejfollowingjtasksjshouldj
thejnursejplanjtojdelegatejtojthejAP?j-
j ANSWERj ==Performjgastrostomyjfeedingsjthroughjajclient'sjestablishedjgastrostomyjtu
be
Ajnursejisjcaringjforjajnewbornjimmediatelyjafterjdelivery.jWhichjofjthejfollowingjinterventio
nsjshouldjthejnursejimplementjtojpreventjheatjlossjbyjconduction?j-
jANSWERj ==Usejajprotectivejcoverjonjthejscalejwhenjweighingjthejinfant
Ajnursejisjcaringjforjajclientjwhojisjreceivingjajcontinuousjheparinjinfusion.jW hichjofjthejfollo
wingjlaboratoryjtestsjshouldjthejnursejreviewjpriorjtojadjustingjthejclient'sjheparin?j-
j ANSWERj ==aPTT
,Ajnursejadministersjanjincorrectjdosejofjmedicationjtojajclient.jThejnursejrecognizedjthejerr
orjimmediatelyjandjcompletesjandjincidentjreport.jWhichjofjthejfollowingjfactsjrelatedjtojtheji
ncidentjshouldjthejnursejdocumentjinjthejclient'sjmedicaljrecord?j-
jANSWERj ==Timejthejmedicationjwasjgiven
Ajnursejisjprovidingjeducationjtojthejparentjofjajschooljagejchildjwhojhasjasthma.jWhichjofjth
ejfollowingjstatementsjbyjthejparentjindicatesjanjunderstandingjofjthejteaching?j-
j ANSWERj =="Ijwilljmakejsurejmyjchildjreceivesjajyearlyjinfluenzajimmunization"
Ajnursejisjcaringjforjajclientjwhojhasjtypej1jdiabetesjmellitusjandjreportsjseverejanklejpainjaft
erjfallingjoffjajstepjstooljatjhome.jW hichjofjthejfollowingjprescriptionsjshouldjthejnursejclarifyj
withjthejprovider?j-j ANSWERj ==Applyjajcoldjpackjtojthejclient'sjanklejforj30jminjeveryjhour
Ajnursejisjassessingjajclientjwhojhasjajmajorjdepressivejdisorderjandjisjtakingjamitriptyline.j
Whichjofjthejfollowingjfindingsjshouldjthejnursejidentifyjasjanjadversejeffectjofjthejmedicatio
n?j-j ANSWERj ==Blurredjvision
Ajnursejisjcaringjforjajclientjwhojhasjsignedjanjinformedjconsentjformjtojreceivejelectroconvu
lsivejtherapyj(ECT).jThejclientjstatesjtojthejnursej"I'mjnotjsurejaboutjthisjnow.jI'mjafraidjit'sjto
ojrisky."jWhichjofjthejfollowingjresponsesjshouldjthejnursejmake?
-j ANSWERj =="Youjhavejthejrightjtojchangejyourjmindjaboutjthejprocedurejatjanyjtime"
Ajnursejisjpreparingjtojadministerjmannitolj0.2jg/kgjIVjbolusjoverj5jminjasjajtestjdosejtojajclie
ntjwhojhasjseverejoliguria.jThejclientjweighsj198jlb.jWhatjisjthejamountjinjgramsjthejnursejs
houldjadminister?j-j ANSWER ==18jg
AjnursejisjpreparingjtojadministerjanjIMjinjectionjtojajclientjwhojisjobese.jWhichjofjthejfollowin
gjactionsjshouldjthejnursejplanjtojtake?j-j ANSWERj ==Usejthejventroglutealjsite
Ajnursejisjprovidingjdischargejteachingjtojajclientjwhojisjtojreceivejhomejoxygenjtherapy.jW
hichjofjthejfollowingjinstructionsjshouldjthejnursejincludejinjthejteaching?j-
jANSWERj ==Wearjclothingjmadejwithjcottonjfabricsjwhilejoxygenjisjinjuse
Ajnursejisjprovidingjteachingjtojthejguardiansjofjajnewbornjaboutjmeasuresjtojpreventjsudde
njinfantjdeathjsyndromej(SIDS).jWhichjofjthejfollowingjguardianjstatementsjindicatesjanjun
derstandingjofjthejteaching?j-j ANSWERj =="Ijwilljnotjallowjanyonejtojsmokejnearjmyjbaby"
Ajnursejisjassessingjajclientjfollowingjajvaginaljdeliveryjandjnotesjheavyjlochjandjajboggyj
fundus.jWhichjofjthejfollowingjmedicationsjshouldjthejnursejexpectjtojadminister?j-
j ANSWER ==Oxytocin
, Ajnursejonjajmedical-
surgicaljunitjisjcaringjforjajclientjwhojhasjajnewjdiagnosisjofjterminaljcancer.jThejclientjtellsjt
hejnursejthatjtheyjwouldjlikejtojgojhomejtojbejwithjfamilyjandjlovedjones.jWhichjofjthejfollowi
ngjactionsjshouldjthejnursejtake?j-jANSWERj ==Makejajreferraljforjsocialjservices
Ajnursejisjcaringjforjajclientjwhojhasjajcloggedjpercutaneousjgastrostomyjfeedingjtube.jWhi
chjofjthejfollowingjactionsjshouldjthejnursejtakejfirst?j-j ANSWER
==Changejthejpositionjofjthejclient
Ajnursejisjcreatingjajplanjofjcarejforjajclientjwhojhasjleft-
sidedjweaknessjfollowingjajstroke.jWhichjofjthejfollowingjinterventionsjshouldjthejnursejinc
ludejinjthejplan?j-jANSWERj ==Supportjthejclient'sjleftjarmjonjajpillowjwhilejsitting
Ajnursejisjpreparingjtojassistjwithjajthoracentesisjforjajclientjwhojhasjpleurisy.jThejnursejsh
ouldjplanjtojperformjwhichjofjthejfollowingjactions?j-
j ANSWERj ==Instructjthejclientjtojavoidjcoughingjduringjthejprocedure
Ajchargejnursejisjprovidingjanjeducationaljsessionjaboutjinfectionjcontroljforjajgroupjofjstaffjn
urses.jWhichjofjthejfollowingjstatementsjbyjonejofjthejstaffjnursesjindicatedjanjunderstandin
gjofjisolationjprecautions?j-
j ANSWERj =="Ajclientjwhojrequiresjairbornejprecautionsjshouldjbejplacedjinjajnegativejpre
ssurejairflowjroom"
Ajnursejisjprovidingjdietaryjteachingjtojajclientjwhojhasjajnewjprescriptionjforjphenelzine.jW
hichjofjthejfollowingjfoodjrecommendationsjshouldjthejnursejmake?j-
jANSWERj ==Broccoli
Yogurt
Creamjcheese
Clientsjwhojtakejphenelzine,janjMAOI,jshouldjnotjeatjfoodsjthatjcontainjtyramine.jBroccoli,j
yogurt,jandjcreamjcheesejdojnotjcontainjtyramine.
Ajnursejisjassessingjanjolderjadultjclientjwhojhasjpneumonia.jW hichjofjthejfollowingjfindin
gsjshouldjthejnursejexpect?j-j ANSWER ==Acutejconfusion
Anjolderjadultjclientjwhojhasjpneumoniajwilljalsojtypicallyjhavejacutejconfusion,jfatigue,jleth
argy,jandjanorexia.
Ajnursejisjprovidingjteachingjaboutjhomejcarejtojthejparentsjofjajchildjwhojhasjautismjspectru
mjdisorder.jWhichjofjthejfollowingjinstructionsjshouldjthejnursejinclude?j-
jANSWERj ==Usejajrewardjsystemjtojmodifyjthejchild'sjbehavior
Ajnursejisjpreparingjtojadministerjlactatedjringer'sj1,500jmLjIVjtojinfusejatj50jmL/hr.jThejdr
opjfactorjofjthejmanualjIVjtubingjisj15jgtt/mL.jThejnursejshouldjsetjthejmanualjIVjinfusionjtoj
deliverjhowjmanyjgtt/min?j-j ANSWER ==13jgtt/min
