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1. A nurse is providing teaching about advance directives A. "I can designate my
to a middle adult pt. Which of the following pt respons- partner as my health care
es indicates an understand of the teaching? surrogate."
A. "I can designate my partner as my health care sur-
rogate."
B. "I am only 40 years old, so I don't need to worry
about this yet."
C. "I will need a lawyer's help to draw up the docu-
ments."
D. "I have no family, so I don't need to worry about
having advance directives."
2. A nurse is providing dietary teaching to a patient tak- A) Broccoli
ing phenelzine. Which food recommendations should B) Yogurt
the nurse make? (Select all) D) Cream cheese
A) Broccoli
B) Yogurt
C) Pepperoni pizza
D) Cream cheese
E) bologna sandwiches
3. A nurse is assessing a client who has major depressive D) Blurred vision
disorder and is taking amitriptyline. Which of the fol-
lowing findings should the nurse identify as an adverse
effect of the medication?
A) Diarrhea
B) Frequent urination
C) Excessive salivation
D) Blurred vision
4. A nurse is caring for a patient who has cancer and is
deciding between two treatment plans. Patient asks
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, comprehensive pre assessment vati
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nurse for assistance in making a decision. What should B. "Tell me more about
the nurse say? your understanding of the
A. "I understand this is a difficult decision." options."
B. "Tell me more about your understanding of the op-
tions."
C. "You will make the right choice."
D. "I will ask your provider to talk with you further."
5. A nurse is caring for a client who has a prescription for A. Turn off the CPM ma-
a continuous passive motion (CPM) machine following chine during mealtime.
a total knee arthroplasty. Which of the following ac-
tions should the nurse take?
A. Turn off the CPM machine during mealtime.
B. Maintain the client's affected hip in an externally
rotated position.
C. Instruct the client how to adjust the CPM settings for
comfort.
D. Store the CPM machine under the client's bed when
not in use.
6. A nurse is performing an admission assessment on a C. February 15
client who had a recent positive pregnancy test. The
first day of her last menstrual period (LMP) was May
8. According to Nagele's rule, which of the following
dates should the nurse document as the client's esti-
mated date of birth (EDB)?
A. February 1
B. February 8
C. February 15
D. February 22
7.
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