, 1. A nurse is admittinga client who has antisocial personality disorder. Which of the following client
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
,z behaviors should the nurse identify as consistent with this disorder?
,z ,z ,z ,z ,z ,z ,z ,z ,z
A. Compulsive attention to details ,z ,z ,z
B. Avoidsinteractingwithothers ,z ,z ,z
C. Usesothers forpersonal gain ,z ,z ,z ,z
D. Sociallyawkwardingroup situations ANS:C.Uses others for personalgain
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
2. enthasatrial ,z ,z
Anurseisinterpretingthecardiacrhythmstripofaclientwhowasadmitted withsyncope.Whichof
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
thefollowingimagesindicatesthatthecli
,z ,z ,z ,z ,z ,z ,z ,z fibrillation?:
3. A client who has a diagnosis of complete placenta previa is admitted to
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
the labor and delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1 min in
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
duration.Which of the following actions should the nurse take?
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
A. Rupture the amniotic sac ,z ,z ,z
B. Medicate the client for pain ,z ,z ,z ,z
C. Prepare the client for a cesarean section ,z ,z ,z ,z ,z ,z
D. Performavaginalexam ANS:C.Preparethe clientfora cesareansection ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
4. A charge nurse on a pediatric unit is making assignments for a float nurse from the medical unit.
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
,z Which of the following clients is appropriate to assign to the float nurse?
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
,A.A10-year-oldclientwhohaspneumoniaandisreceivingrespiratorytreat- ments
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
B.A 4-year-old client who has aWilms tumor and is receiving chemotherapy
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
C.An8-month-oldclientwhoisscheduledforasurgicalrepairofaventricular septal defect tomorrow
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
D.A14-year-oldclientwhoisscheduledfordischargetodayfollowingplace- ment of a Harrington rod
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
ANS: A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
5. A nurse notices smokecomingfrom aclient'sroomand discoversa firein the wastebasket. After
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
,z moving the client to safety, which of the following is the priority action?
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
A. Notify the facility operator. ,z ,z ,z
B. Close the fire doors on the unit. ,z ,z ,z ,z ,z ,z
C. Turnoffoxygensources. ,z ,z ,z
D. Putout the firewith theappropriateextinguisher. ANS:A.Notify thefacility opera- tor.
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
6. Anurse is assessing an infant who haswater intoxication.Which of the following findings
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
,z should the nurse expect? ,z ,z ,z
, A. Generalized edema ,z
B. Elevated urinespecific gravity ,z ,z ,z
C. Threadypulse ,z
D. Increasedhematocrit ANS:A.Generalizededema ,z ,z ,z ,z ,z
7. A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the
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,z following statements indicates the newly licensed nurse understands the purpose of the technique?
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
A. Thistechnique prevents injury to the sciatic nerve
,z ,z ,z ,z ,z ,z ,z
B. Thistechnique decreases the risk of subcutaneous infiltration
,z ,z ,z ,z ,z ,z ,z
C. This technique allows a larger amount of medication to be injected
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
D. This technique increases the absorption rate of the drug ANS:This technique decreases the risk
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
,z of subcutaneous infiltration
,z ,z
8. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of thefollowing
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
,z interventions should the nurse include in the plan?,z ,z ,z ,z ,z ,z ,z
A. Encourage the client to gain 2.3 kg per week ,z ,z ,z ,z ,z ,z ,z ,z
B. Weighthe client once per week throughout hospitalization
,z ,z ,z ,z ,z ,z ,z
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
,z behaviors should the nurse identify as consistent with this disorder?
,z ,z ,z ,z ,z ,z ,z ,z ,z
A. Compulsive attention to details ,z ,z ,z
B. Avoidsinteractingwithothers ,z ,z ,z
C. Usesothers forpersonal gain ,z ,z ,z ,z
D. Sociallyawkwardingroup situations ANS:C.Uses others for personalgain
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
2. enthasatrial ,z ,z
Anurseisinterpretingthecardiacrhythmstripofaclientwhowasadmitted withsyncope.Whichof
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
thefollowingimagesindicatesthatthecli
,z ,z ,z ,z ,z ,z ,z ,z fibrillation?:
3. A client who has a diagnosis of complete placenta previa is admitted to
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
the labor and delivery suite at 36 weeks gestation with contractions 5 min in frequency and 1 min in
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
duration.Which of the following actions should the nurse take?
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
A. Rupture the amniotic sac ,z ,z ,z
B. Medicate the client for pain ,z ,z ,z ,z
C. Prepare the client for a cesarean section ,z ,z ,z ,z ,z ,z
D. Performavaginalexam ANS:C.Preparethe clientfora cesareansection ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
4. A charge nurse on a pediatric unit is making assignments for a float nurse from the medical unit.
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
,z Which of the following clients is appropriate to assign to the float nurse?
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
,A.A10-year-oldclientwhohaspneumoniaandisreceivingrespiratorytreat- ments
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
B.A 4-year-old client who has aWilms tumor and is receiving chemotherapy
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
C.An8-month-oldclientwhoisscheduledforasurgicalrepairofaventricular septal defect tomorrow
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
D.A14-year-oldclientwhoisscheduledfordischargetodayfollowingplace- ment of a Harrington rod
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
ANS: A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
5. A nurse notices smokecomingfrom aclient'sroomand discoversa firein the wastebasket. After
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
,z moving the client to safety, which of the following is the priority action?
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
A. Notify the facility operator. ,z ,z ,z
B. Close the fire doors on the unit. ,z ,z ,z ,z ,z ,z
C. Turnoffoxygensources. ,z ,z ,z
D. Putout the firewith theappropriateextinguisher. ANS:A.Notify thefacility opera- tor.
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
6. Anurse is assessing an infant who haswater intoxication.Which of the following findings
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
,z should the nurse expect? ,z ,z ,z
, A. Generalized edema ,z
B. Elevated urinespecific gravity ,z ,z ,z
C. Threadypulse ,z
D. Increasedhematocrit ANS:A.Generalizededema ,z ,z ,z ,z ,z
7. A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
,z following statements indicates the newly licensed nurse understands the purpose of the technique?
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
A. Thistechnique prevents injury to the sciatic nerve
,z ,z ,z ,z ,z ,z ,z
B. Thistechnique decreases the risk of subcutaneous infiltration
,z ,z ,z ,z ,z ,z ,z
C. This technique allows a larger amount of medication to be injected
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
D. This technique increases the absorption rate of the drug ANS:This technique decreases the risk
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
,z of subcutaneous infiltration
,z ,z
8. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of thefollowing
,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z ,z
,z interventions should the nurse include in the plan?,z ,z ,z ,z ,z ,z ,z
A. Encourage the client to gain 2.3 kg per week ,z ,z ,z ,z ,z ,z ,z ,z
B. Weighthe client once per week throughout hospitalization
,z ,z ,z ,z ,z ,z ,z
