Form B QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
A charge nurse is creating assignments for the next shift for
several nurses and one of the nurses is pregnant. Which of
the following clients should the charge nurse assign to a
nurse who is not pregnant? - CORRECT ANSWER A 60 year
old client who is recovering from shingles
A client at 38 weeks of gestation enters the emergency
department. The nurse should recognize that which of the
following indicates that the client is in the latent phase of
labor - CORRECT ANSWER Cervix dilated 2cm
A home health nurse is teaching the parents of a school age
child who has legg-calve-perthes disease. Which of the
following information should the nurse include - CORRECT
ANSWER Your child should continue to attend school
A nurse notices smoke coming from a client's room and
discovers a fire in the wastebasket. After moving the client to
safety, which of the followings is the priority action? -
CORRECT ANSWER notify the facility operator
wrong dosage of medication was given - CORRECT
ANSWER fidelity
A nurse is caring for a client who is racing a controlled
epidural analgesia infusion. Which of the following nursing
,action is appropriate? - CORRECT ANSWER Replacing the
infusion tubing every 72 hrs
A nurse is caring for a school age child who has a blood
pressure of 68/50 mm Hg and develop sepsis shock. Which
of the following medication should the nurse expect to be
prescribed? - CORRECT ANSWER Dopamine
A nurse is caring for a toddler who has RSV. Which of the
following actions should the nurse plan to take? - CORRECT
ANSWER use a designated stethoscope when caring for the
toddler
A nurse is precepting a nursing student who brings the
following client observations to the nurse's attention. Which
of the following client should the nurse assess first? -
CORRECT ANSWER a client who is coughing up pink-
tinged sputum following a bronchoscopy and lung biopsy 1
hr ago
A nurse is assessing a client who has pneumonia. Which of
the following findings is the priority for the nurse to report to
the provider? - CORRECT ANSWER Weight loss of 4lbs in 1
month
A nurse manager is making staffing assignments for the
medical-surgical unit. Which of the following clients is
appropriate to assign to a float nurse from the postpartum
unit? - CORRECT ANSWER A client who is 2 days post
following a colon resection.
A nurse is assessing a client who is gravida 2, para 1. This
client is at 41 weeks of gestation and is receiving oxytocin
for the augmentation of labor. The nurse should decrease the
,infusion rate for which of the following findings? - CORRECT
ANSWER Contractions are strong to palpatation
A nurse is caring for a client who has fractured ribs, has
developed thrombophlebitis, and is being treated with a
heparin drip. The client develops hematuria and has an
activated ptt of 100 seconds. Which of the following actions
should the nurse take first ? - CORRECT ANSWER Turn of
the heparin drip
A nurse in a mental health facility is interviewing a newly
admitted client. Which of the following actions should the
nurse take when conducting the interview? - CORRECT
ANSWER Seat the client at least 12 feet from the nurse
atrial fibrillation - CORRECT ANSWER C
A nurse is assessing a client who has minor injuries
following a motor-vehicle crash and appears agitated and
apprehensive. The nurse identifies that the client is in the
alarm stage of general adaption syndrome and should expect
which of the following findings? - CORRECT ANSWER
tachycardia
A nurse is caring for a client who is postpartum and has a
new prescription for methylergovine for vaginal bleeding
refectory to fundal massage and oxytocin. - CORRECT
ANSWER hypertension
A nurse is caring for a client who had a partial laryngectomy
and is receiving continuous enteral feedings at 65ml/hr
through gastrostomy tube. Which of the following findings
requires immediate interventions by the nurse? - CORRECT
ANSWER The infusion pump for administering continuous
feeding is turned off
, A nurse is teaching a prenatal class about evidence of
effective breastfeeding to a group of parents. Which of the
following information should be included - CORRECT
ANSWER Newborn swelling sound are audible while
breastfeeding
Newborn stools are yellow and seedy after 7 days of
breastfeeding
Maternal breast become soft following feedings.
A nurse is assessing an infant who has water intoxication.
Which of the following findings should the nurse expect? -
CORRECT ANSWER bounding pulse
A nurse is discussing the z-track administration of
hydroxyzine with a newly licensed nurse. Which of the
following statements indicates the newly licensed nurse
understands the purpose of the technique - CORRECT
ANSWER a. This technique decreases the risk of
subcutaneous infiltration
1. A nurse is creating a plan of care for a client who has
anorexia nervosa. Which of the following interventions
should the nurse include in the plan? - CORRECT ANSWER
a. Monitor the client for 1 hr after meals
A nurse notices smoke coming from a client's room and
discovers a fire in the wastebasket. After moving the client to
safety, which of the followings is the priority action? -
CORRECT ANSWER a. Close the fire door on the unit