RN READINESS & COMPREHENSIVE REVIEW ||
VERIFIED QUESTIONS & ANSWERS || HIGH-YIELD
STUDY GUIDE || COMPLETE TEST BANK || GRADED
A+
The nurse is completing the admission assessment of a 3-year-old who is
admitted with bacterial meningitis and hydrocephalus. Which assessment
finding is evidence that the child is experiencing increased ICP? - CORRECT
ANSWER -Sluggish and unequal pupillary responses
A client with acute pancreatitis is admitted with severe, piercing abdominal pain
and an elevated serum amylase. Which additional information is the client most
likely to report to the nurse? - CORRECT ANSWER -Abdominal pain
decreases when lying supine
A child newly diagnosed with sickle cell anemia (SCA) is being discharged
from the hospital. Which information is most important for the nurse to provide
the parents prior to discharge? - CORRECT ANSWER -Instructions about
how much fluid the child should drink daily
After receiving report on an inpatient acute care unit, which client should the
nurse assess first? - CORRECT ANSWER -The client with a bowel
obstruction due to a volvulus who is experiencing abdominal rigidity?
A teenager presents to the emergency department with palpitations after vaping
at a party. The client is anxious, fearful, and hyperventilating. The nurse
anticipates the client developing which acid base imbalance? - CORRECT
ANSWER -Respiratory Alkalosis
The nurse is taking the blood pressure of a client with Parkinson's disease.
Which information in the client's admission assessment is reverent to the nurse's
plan for taking the blood pressure reading? SATA - CORRECT ANSWER -
Frequent syncope
Flat affect
Blurred vision
,While caring for a client's postoperative dressing, the nurse observes purulent
drainage at the wound. Before reporting this finding to the healthcare provider,
the nurse should review which of the client's laboratory values? - CORRECT
ANSWER -Culture for sensitive organisms
A preschool-aged boy is admitted to the pediatric unit following successful
resuscitation from a near-drowning incident. While providing care to the child,
the nurse begins talking with his preadolescent brother who rescued the child
from the swimming pool and initiated resuscitation. The nurse notices the older
boy becomes withdrawn when asked about what happened. Which action
should the nurse take? - CORRECT ANSWER -Ask the brother how he felt
during the incident
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he
has been soaking in hot baths at night with no relief. of his discomfort. Which
action should the nurse take? - CORRECT ANSWER -Encourage the client
to use cooler water and apply calamine lotion after soaking
An older client with a long history of coronary artery disease, hypertension and
heart failure arrives in the emergency department in respiratory distress. The
healthcare provider prescribes Furosemide IV. Which therapeutic response to
the furosemide should the nurse expect in the client with acute heart failure? -
CORRECT ANSWER -Reduced preload
Which intervention should the nurse include in the plan of care for a child with
tetanus? - CORRECT ANSWER -Minimize the amount of stimuli in the
room
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9
is admitted to the hospital in diabetic ketoacidosis. Which occurrence is the
most likely cause of the ketoacidosis? - CORRECT ANSWER -Had a cold
and ear infection for the past two days
, A client with a prescription for "do not resuscitate" (DNR) begins to manifest
signs of impending death. After notifying the family of the client's status, what
priority action should the nurse implement? - CORRECT ANSWER -The
client's need for pain medication should be determined
Which self-care measure is most important for the clinic nurse to emphasize
when teaching a client who was recently diagnosed with Type 2 diabetes
mellitus? - CORRECT ANSWER -Blood glucose monitoring
A client who gave birth 48 hours ago has decided to bottle feed the infant.
During the assessment, the nurse observes that both breasts are swollen, warm
and tender on palpation. Which instruction should the nurse provide? -
CORRECT ANSWER -apply ice to the breasts for comfort
The nurse is preparing a client who had a below-the-knee amputation for
discharge to home. Which recommendations should the nurse provide this
client? SATA - CORRECT ANSWER -Use a residual limb shrinker
Inspect skin for redness
Wash the stump with soap and water
A toddler presenting with a history of intermittent skin rashes, hives, abdominal
pain and vomiting that occurs after injecting of milk products arrives to the
clinic accompanied but the parents. Which type of testing should the nurse
provide education to the toddler's family about? - CORRECT ANSWER -
Serum immunoglubulin IgE
A client who is scheduled for a bronchoscope in the morning is anxious and
taking the nurse numerous questions about the procedure. In preparing the client
for the procedure, which intervention has the highest priority? - CORRECT
ANSWER -Instruct client to write down the questions