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2020-2025 Form A B C
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FORM_A
,6. A_nurse_is_caring_for_a_client_who_is_in_active_labor_and_requests_pain_management._Whic
h_of_the_following_actions_should_the_nurse_take?
A. Administer_ondansetron.
B. Place_the_client_in_a_warm_shower.
C. Apply_fundal_pressure_during_contractions.
D. Assist_the_client_to_a_supine_position.
7. a_nurse_in_an_emergency_department_is_performing_triage_for_multiple_clients_following_a
_disaster_in_the_community._To_which_of_the_following_types_of_injuries_should_the_nurse_as
sign_the_highest_priority?
A. Below-the_knee_amputation
B. Fractured_tibia
C. 95%_full-thickness_body_burn
D. 10cm_(4in)_laceration_to_the_forearm
8. a_nurse_manager_is_updating_protocols_for_the_use_of_belt_restraints._Which_of_the_follow
ing_guidelines_should_the_nurse_include?
A. Remove_the_client’s_restraint_every_4hr
B. Document_the_client’s_condition_every_15_min
C. Attach_the_restrain_to_the_bed’s_side_rails
D. Request_a_PRN_restrain_prescription_for_clients_who_are_aggressive
9. A_nurse_is_teaching_an_in-
service_about_nursing_leadership._Which_of_the_following_information_should_the_nurse_include
_about_an_effective_leader?
A. Acts_as_an_advocate_for_the_nursing_unit.
B. (Unable_to_read)_for_the_unit
C. Priorities_staff_request_over_client_needs.
D. Provides_routine_client_care_and_documentation.
10. A_nurse_is_reviewing_the_laboratory_findings_of_a_client_who_has_diabetes_mellitus_and_rep
orts_that_she_has_been_following_her_(unable_to_read)_care._The_nurse_should_identify_which_o
f_the_following_findings_indicates_a_need_to_revise_the_client’s_plan_of_care.
A. Serum_sodium_144_mEq/
B. (Unable_to_read)
C. Hba1c_10_%
D. Random_serum_glucose_190_mg/dl.
,11. A_nurse_in_a_provider’s_office_is_reviewing_the_laboratory_results_of_a_group_of_clients._
The_nurse_should_identify_that_which_of_the_following_sexually_transmitted_infections_is_a_nat
ionally_notifiable_infectious_disease_that_should_be_reported_to_the_state_health_department?
A. Chlamydia
B. Human_papillomavirus
C. Candidiasis
D. Herps_simplex_virus
12. A_nurse_is_teaching_a_newly_licensed_nurse_about_therapeutic_techniques_to_use_ when_lea
ding_a_group_on_a_mental_health_unit._Which_of_the_following_group_facilitation_techniques_sh
ould_thenurse_include_in_the_teaching?
A. Share_personal_opinions_to_help_influence_the_group’s_values
B. Measure_the_accomplishments_of_the_group_against_a_previous_group
C. Yield_in_situations_of_conflicts_to_maintain_group_harmony
D. Use_modeling_to_help_the_clients_improve_their_interpersonal_skills
13. A_nurse_is_planning_for_a_client_who_practices_Orthodox_Judaism._The_client_tells_the_nurs
e_that_(Unable_to_read)_Passover_holiday._Which_of_the_following_action_should_the_nurse_inclu
de_in_the_plan_of_care?
A. Provide_chicken_with_cream_sauce.
B. Avoid_serving_fish_with_fins_and_scales.
C. Provide_unleavened_bread.
D. Avoid_serving_foods_containing_lamb.
14. A_nurse_is_caring_for_a_client_who_has_a_pulmonary_embolism._The_nurse_should_identify_
the_effectiveness_of_the_treatment
A. A_chest_x-ray_reveals_increased_density_in_all_fields.
B. The_client_reports_feeling_less_anxious.
C. Diminished_breath_sounds_are_auscultated_bilaterally
D. ABG_results_include_Ph_7.48_PaO2_77_mm_Hg_and_PaCO2_47_mm_Hg.
15. A_nurse_in_an_emergency_department_is_assessing_a_client_who_reports_ingesting_thirty_dia
zepam_tablets_(Unable_to_read)_a_respiratory_rate_of_10/min._After_securing_the_client’s_airway
_and_initiating_an_IV,_which_of_the_following_actions_should_the_nurse_do_next.
A. Monitor_the_client’s_IV_site_for_thrombophlebitis.
B. Administer_flumazenil_to_the_client.
C. Evaluate_the_client_for_further_suicidal_behavior.
D. Initiate_seizure_precautions_for_the_client.
, 16. A_nurse_in_an_emergency_department_is_caring_for_a_client_who_reports_cocaine_use_1hr_a
go._Which_of_the_following_findings_should_the_nurse_expect?
A. Hypotension
B. Memory_loss
C. Slurred_speech
D. Elevated_temperature
17. A_nurse_is_assessing_a_newborn_who_has_a_blood_glucose_level_of_30_mg/dl._Which_of
_the_following_manifestations_should_the_nurse_expect?
A. Loose_stools
B. Jitteriness
C. Hypertonia
D. Abdominal_distention
18. A_nurse_in_a_pediatric_clinic_is_reviewing_the_laboratory_test_results_of_a_school_age_ch
ild._Which_of_the_following_findings_should_the_nurse_report_to_the_provider?
A. Hgb_12.5_g/dl
B. Platelets_250,000/mm3
C. Hct_40%
D. WBC_14,000/mm3
19. A_charge_nurse_is_teaching_a_newly_licensed_nurse_about_clients_designating_a_health_care_
proxy_in_situations_that_require_a_durable_power_of_attorney_for_heal_care_(DPSHC)._Which_of_
the_following_information_should_the_charge_nurse_include?
A. “The_proxy_should_make_health_care_decisions_for_the_client_regardless_of_the_clien
t’s_ability_to_do_so.”
B. “The_proxy_can_make_financial_decisions_if_the_need_arises.”
C. “The_proxy_can_make_treatment_decisions_if_the_client_is_under_anesthesia.”
D. “The_proxy_should_manage_legal_issues_for_the_client.”
20. A_nurse_in_the_PACU_is_caring_for_a_client_who_reports_nausea._Which_of_the_follow
ing_actions_should_the_nurse_take_first?
A. Turn_the_client_on_their_side.
B. Administer_an_analgesic
C. Administer_antiemetic
D. Monitor_the_client’s_vital_signs.