2019 Form B RETAKE GUIDE- BEST
GRADES GUARANTEED.
•
1. A nurse is assessing an infant who has water intoxication.Which of the
jw jw jw jw jw jw jw jw jw jw jw jw
followingfindingsshouldthenurseexpect?
jw jw jw jw jw jw
Answer :boundingpulse/generalizededema
jw jw jw jw
2. Anurseisdiscussingthez-trackadministrationofhydroxyzinewithanewly
jw jw jw jw jw jw jw jw jw jw jw
licensednurse.Whichofthefollowingstatementsindicatesthenewlylicensed
jw jw jw jw jw jw jw jw jw jw jw
nurse understands the purpose of the technique
jw jw jw jw jw jw jw
Answer: a.This technique decreases the risk of subcutaneous infiltration
jw jw jw jw jw jw jw jw jw
3. 1.A nurse is creating a plan of care for a client who has anorexia nervosa. Which
jw jw jw jw jw jw jw jw jw jw jw jw jw jw jw jw
ofthefollowing interventionsshouldthenurseincludeintheplan?
jw jw jw jw jw jw jw jw jw jw jw
Answer:a. Monitor the client for 1 hr after meals
jw jw jw jw jw jw jw jw jw
4. Anursenoticessmokecoming froma client'sroomanddiscoversa fire in the
jw jw jw jw jw jw jw jw jw jw jw jw jw jw
mailto:https://www.stuvia.com/user/Wisdoms 1 /36 jw jw
, jw wastebasket.After moving the client to safety,which of the followings is the jw jw jw jw jw jw jw jw jw jw jw jw
jw priority action? jw
Answer: a.Close the fire door on the unit jw jw jw jw jw jw jw jw
5. Anurseisassessingaclientwhohasdeliriumduetoafebrileillness.Which of the
jw jw jw jw jw jw jw jw jw jw jw jw jw jw jw jw
following findings should the nurse expect?
jw jw jw jw jw jw
Answer: a.Hallucinations jw jw
6. 1.A nurse is caring for a client following an open colectomy.Which of the
jw jw jw jw jw jw jw jw jw jw jw jw jw jw
followingfindingsplacestheclientatriskfordelayedwoundhealing?
jw jw jw jw jw jw jw jw jw jw jw
Answer:hyper- emesis jw jw
7. 1.A home health nurse is reviewing treatment goals with a client who has
jw jw jw jw jw jw jw jw jw jw jw jw jw
diabetesmellitus.Thenurseshouldevaluatewhichofthefollowinglaboratory
jw jw jw jw jw jw jw jw jw jw jw
teststodetermineeffectivelong-termmanagementofbloodglucoselevels?-
jw jw jw jw jw jw jw jw jw jw
Answer:A1C jw
8. 1.A nurse is caring for a client who has neutropenia due to HIV.Which of the
jw jw jw jw jw jw jw jw jw jw jw jw jw jw jw jw
followingprecautionsshouldthenursetakewhilecaringforthisclient?
jw jw jw jw jw jw jw jw jw jw jw
Answer:a. Use a dedicated stethoscope jw jw jw jw jw
9. 1.Anurseiscaringforaclientwhoreportsdifficultyfallingasleepatnight. Which
jw jw jw jw jw jw jw jw jw jw jw jw jw jw jw
of the following actions should the nurse take?
jw jw jw jw jw jw jw jw
Answer:Tell the client to avoid drinking fluids 1 hr before bedtime
jw jw jw jw jw jw jw jw jw jw jw
10. 1.Anurseisplanningcareforanewbornwhohashyperbilirubinemiaand is to
jw jw jw jw jw jw jw jw jw jw jw jw jw jw
receive phototherapy.Which of the following interventions should the nurse
jw jw jw jw jw jw jw jw jw jw
include?
jw
Answer: a.Place the newborn 45 cm from the light sourcejw jw jw jw jw jw jw jw jw jw
11. 1. A nurse is planning care for a client who has schizophrenia and is having
jw jw jw jw jw jw jw jw jw jw jw jw jw jw
difficulty expressing their feelings. Which of the following referrals should the
jw jw jw jw jw jw jw jw jw jw jw
mailto:https://www.stuvia.com/user/Wisdoms 2 /36jw jw
, jw nurse make? jw
Answer: social worker jw jw
12. 1. A nurse is caring for a client who has heart failure and has started takinga
jw jw jw jw jw jw jw jw jw jw jw jw jw jw jw jw
loopdiuretic.Whichofthefollowingfindings indicatestheclient is experiencing
jw jw jw jw jw jw jw jw jw jw jw jw
an adverse effect of the medication
jw jw jw jw jw jw
Answer: decreased reflexes jw jw
13. 1.At the start of an evening shift on a cardiac unit,a licensed practical nurse
jw jw jw jw jw jw jw jw jw jw jw jw jw jw jw
brings the nurse a list of client reports. Which of the following client reports
jw jw jw jw jw jw jw jw jw jw jw jw jw jw
should the nurse assess first?
jw jw jw jw jw
Answer: indigestion jw
mailto:https://www.stuvia.com/user/Wisdoms 3 /36jw jw
, 14. 1.Anurse is caringfora client whohasjust returnedtotheunitfollowing a
jw jw jw jw jw jw jw jw jw jw jw jw jw jw jw jw
bronchoscopy.Which of the following actions by the assistive personnel
jw jw jw jw jw jw jw jw jw jw
requires the nurse to intervene?
jw jw jw jw jw
Answer: offer oral fluids to the client jw jw jw jw jw jw
15. 1.Anurseonamedicalunithasjustreceivedchange-of-shiftreport.Which of the
jw jw jw jw jw jw jw jw jw jw jw jw jw jw
following clients should the nurse assess first?
jw jw jw jw jw jw jw
Answer:a.A 68 year old client whohadamyocardialinfarction2daysagoandreports jw jw jw jw jw jw jw jw jw jw jw jw jw jw jw jw
chestpainasa4onascale of 0 to 10
jw jw jw jw jw jw jw jw jw jw jw jw
16. 1. A nurse is assessing a client prior to performing a blood draw. The nurse
jw jw jw jw jw jw jw jw jw jw jw jw jw jw
should identify that an allergy to which of the following food can indicate that the
jw jw jw jw jw jw jw jw jw jw jw jw jw jw jw
client has an allergy to latex?
jw jw jw jw jw jw
Answer: avocados jw
17. 1. A nurse is preparing to witness a client's signature on an informed consent
jw jw jw jw jw jw jw jw jw jw jw jw jw
foratotalkneearthroplasty.Whichofthefollowingclientstatements indicates the
jw jw jw jw jw jw jw jw jw jw jw jw jw
nurse should contact the surgeon?
jw jw jw jw jw
Answer:a.I am thankful there are no serious complications from this type of surgery
jw jw jw jw jw jw jw jw jw jw jw jw jw jw
18. 1. A nurse is admitting a client who has antisocial personality disorder. Which
jw jw jw jw jw jw jw jw jw jw jw jw
ofthefollowingclientbehaviorsshouldthenurseidentifyasconsistent with this
jw jw jw jw jw jw jw jw jw jw jw jw jw
disorder?
jw
Answer: a.Uses others for personal gain jw jw jw jw jw jw
19. 1. A nurse is teaching the parent of a school-age child who has scabies about
jw jw jw jw jw jw jw jw jw jw jw jw jw jw
theapplicationofpermethrin5%cream.Thenurseshouldincludewhich of the
jw jw jw jw jw jw jw jw jw jw jw jw jw
following as a potential adverse effect of the medication?
jw jw jw jw jw jw jw jw jw
Answer: burning jw
20. 1.A nurse is teaching a client who has a new prescription for digoxin. Whichof
jw jw jw jw jw jw jw jw jw jw jw jw jw jw jw
mailto:https://www.stuvia.com/user/Wisdoms 4 /36 jw jw