PRACTICE EXAM TEST BANK WITH A STUDY GUIDE | ALL
VERSIONS OF THE EXAM WITH ALL MODULES COVERED |
ACCURATE AND VERIFIED QUESTIONS AND ANSWERS FOR
GUARANTEED PASS | LATEST UPDATE
What instruction should the nurseprovide the parents of a 3-year-old boywith a BMI-for-age at the 97th
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percentile?
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Yourchild is tall for his age, so be sure he gets plentyto eat to stayhealthy.
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Yourchild isoverweight forhis ageand size, so help him select morehealthyfoods. Your
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child's weight is in the high range, but is probably normal for his body build.
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Yourchild has verystrong bones, so continue to maintain the same diet.
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Your child is overweight for his age and size, so help him select more healthyfoods.
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Rationale:
Children with a BMI-for-age at or above the 95th percentile are considered overweight, and at risk for
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obesityand all theassociated health problems. Thenurseshould offer recommendations for healthy
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eating and exercise.
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When should the nurse conduct an Allen's test?
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When pulmonary artery pressures are obtained.
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Prior to attempting a cardiac output calculation.
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To assess for presence of a deep vein thrombus in the leg. Just
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before arterial blood gasses are drawn peripherally.
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Just before arterial blood gasses are drawn peripherally.
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Rationale:
The Allen's test should be performed prior to puncturingthe radial arteryto obtain a blood gas specimen
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to determine patency of the ulnar artery in the selected extremity. To perform an Allen's test the client's
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hand is formed into a fist while the nurse compresses the ulnar artery.
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,Compression continues while the fist is opened. If blood perfusion through the radial arteryis adequate,
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the hand should flush and resume its normal pinkish coloration.
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In earlyseptic shockstates, whatistheprimarycause ofhypotension?
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Peripheral vasoconstriction.
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Peripheralvasodilation. ;
Cardiac failure.
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A vagal response. Peripheral
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vasodilation.
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,Rationale:
Toxinsreleased bybacteria insepticshockcreate massive peripheral vasodilation andincrease
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microvascular permeability at the site of the bacterial invasion.
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Aclient withbleedingesophageal varices receives vasopressin IV.Whichshould thenurse monitor for
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during the IV infusion of this medication?
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Chest pain and dysrhythmia. ; ; ;
Vasodilation of the extremities.
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Hypotension and tachycardia.
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DecreasingGIcrampingandnausea.
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Chest pain and dysrhythmia. ; ; ;
Rationale:
Inlargedoses, vasopressinmayproduceincreased blood pressure, coronaryinsufficiency, myocardial
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ischemia or infarction, and dysrhythmia.
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The wifeof a client diagnosed with Parkinson's disease tells the nursethat her husband is having trouble
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swallowing and she is afraid he is going to choke. Which intervention should the nurse implement?
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Offer the wife assurance that difficulty with swallowing is usually temporary.
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Encouragethecoupleto considerinsertionofanasogastric tubefortube feedings. Teach
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the wife to thicken all liquids and serve primarily semi-solid foods.
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Instruct wife to give carbidopa-levodopa 30-minutes before each meal.
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; Teach the wifeto thicken all liquids and serveprimarilysemi-solid foods.
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; Rationale:
Dysphagia isusuallya chronicproblem forthe client with Parkinson's disease. Asemi-solid diet with; ; ; ; ; ; ; ; ; ; ; ; ; ; ;
thick liquids is easier to swallow than solid foods.
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Several clients on a busy antepartum unit are scheduled for procedures that require informed consent.
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Whichsituation should thenurseexplore furtherbeforewitnessingtheclient's signature on the consent
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form?
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A15-year-old primigravidawho hasbeenself-supportingfor thepast 6 months. The
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obstetrician explained a procedure that a neurologist will perform.
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The client was medicated for pain with a narcotic analgesic IM 6 hours ago.
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Theclientisilliteratebut verbalizes understanding andconsent fortheprocedure. The
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; obstetrician explained a procedure that a neurologist will perform. ; ; ; ; ; ; ; ;
, Rationale:
The individual who is ultimately responsible for the procedure should provide the information
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necessaryforinformed consent, so when an obstetrician explains theprocedurescheduledto be
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