NURS 4827 PREDICTOR EXIT EXAM DETAILED 206 QUESTIONS AND 100% CORRECT ANSWERS 2023/2024 UPDATE

NURS 4827 PREDICTOR EXIT EXAM DETAILED 206 QUESTIONS AND 100% CORRECT ANSWERS 2023/2024 UPDATE NURS 4827 PREDICTOR EXIT EXAM DETAILED 206 QUESTIONS AND 100% CORRECT ANSWERS 2023/2024 UPDATE Predictor Exit exam 1. A nurse is providing teaching to an adolescent who has peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching? a. I would avoid food and beverages that contain caffeine b. I will use ibuprofen as needed to control abdominal pain c. I will take sucralfate with meals three times per day d. I will decrease my daily protein to 15 g per day 2. A nurse is performing a gastric lavage for a client who has upper gastrointestinal bleed. Which of the following actions should the nurse take? a. Instruct the client to lay on the right side b. Instill 500 ML’s of solution through the NG tube c. Insert a large bore NG tube d. Use a cold irrigation solution 3. The nurse is caring for a postpartum client who has urinary retention which of the following actions should the nurse take? a. Place the client hands in warm water b. Perform bladder scan c. Administer a prescribed diuretic d. Apply an ice pack on the clients 4. A nurse manager is reviewing medical records to recommend clients for discharge following a local mass casualty event. Which of the following clients should the nurse recommend for discharge? a. Who was admitted 24 hours ago with chest pain b. A client who has heart failure and received euros in my IV eight hours ago c. A client is scheduled to have a colonoscopy in 12 hours d. A client who had a seizure 48 hours ago and he’s on seizure precaution 5. A nurse is reviewing the medical record of a client who has a prescription for intermittent heat therapy for a foot injury. Which of the following findings should the nurse identify as a contraindication for heat therapy? a. Peripheral neuropathy b. Osteoarthritis c. Abdominal aortic aneurysm d. Phlebitis 6. A nurse in an antepartum clinic is caring for four clients. Which of the following client should the nurse assess first. a. A client who is at 8 weeks gestation and reports excessive salivation b. A client who is at 34 weeks gestation and reports double vision c. A client who is at 38 weeks gestation and reports leg cramp d. A client who is at 24 weeks gestation and reports periodic finger numbness 7. A nurse is assessing a client who has left-sided heart failure which of the following findings should the nurse identify as a manifestation of pulmonary congestion. a. Jugular vein distention b. Bradypnea c. Weight gain d. Frothy, pink sputum 8. A nurse is caring for a client who has hypertension and a new prescription for chlorthalidone. The nurse should monitor for which of the following adverse effects? a. Hypokalemia b. Hypoglycemia c. Increased intraocular pressure d. Euphoria 9. A nurse in an emergency department is caring for a client following a motor vehicle crash. The client Glasgow coma scale is 15 which of the following findings should the nurse expect? a. The client is oriented times three b. The client open the eyes to sound c. The client is unable to be command d. The client with drawls from pain 10. A newly licensed nurse is unsure if an assigned task is within their scope of practice. Which of the following resources should the nurse consult? a. Institutional policies and procedures b. Verbal direction from the nurse manager c. State nurse practice act d. Written prescription for the provider 11. A nurse is preparing to assess a 2-week-old newborn. Which of the following actions should the nurse plan to take? a. Assess the newborns pain level using the FACES pain scale b. Obtained a newborns body temperature using a tympanic thermometer c. Measure the newborn head circumference over the eyebrows and below the occipital permanence d. Auscultate the newborns apical pulse for 60 seconds 12. A nurse is reviewing the medical records of a client who has delayed healing of a leg ulcer. Which of the following findings should the nurse identify as a contributing factor? a. The client takes prednisone for arthritis b. The client is receiving IV dextrose 5% in water at 100ml/hr c. The client has an albumin level of 3.8 g/dl d. The client has a total cholesterol level of 190 mg/dl 13. A nurse is reviewing the laboratory report of a client who is receiving lithium carbonate for the past 12 weeks. The nurse notes the lithium level is 0.8. which of the following should the nurse follow? a. Increase the dosage b. Administer the medication c. Discontinue the medication d. With all the next dose 14. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis which of the following findings should the nurse report to the provider? a. Erythrocyte sedentation rate 75mm/hr (no more than 30) b. WBC count 8,000/mm c. Platelets 150,000/mm d. Aspartate aminotransferase 10 units/L 15. A nurse is teaching a client who has GERD about appropriate dietary choices. Which of the following choices by the client indicates an understanding of the teaching? a. Whitefish b. Decaffeinated coffee c. Tomato soup d. Hot cocoa 16. A community health nurse is reviewing laboratory reports for a group of clients. The nurse should identify that which of the following disorders is on the CDC nationally notifiable conditions list? a. Bacterial vaginosis b. Pediculosis capitis c. Lyme disease d. Respiratory syncytial virus 17. A client’s partner tells a staff nurse that he overhears laboratory staff discussing the result of the client’s biopsy report while on the elevator. Which of the following actions should the nurse take? a. Report the information to the charger nurse b. Notify the facility legal department c. Review confidentiality policies with laboratory employees d. Contact the laboratory manager regarding the situation 18. A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take? a. Express sympathy for the client’s seclusion b. Confront the client about his behavior c. Stand within 30 cm (1 foot) of the client when speaking with them d. Speak assertively to the client 19. A nurse is caring for a client who is recovering from an amputation of her right arm below the elbow. Which of the fallowing interprofessional team member should the nurse consult with the Occupational therapies? a. The client lives in a two-story home b. The client is allergic to penicillin c. The client has two small children at home d. The client’s parent is in a skilled nursing facility 20. A nurse manager is planning to promote client advocacy among staff in a medical unit. Which of the following actions should the nurse take? a. Develop a system for staff members to report safety in the client care environment b. Tell staff to explain procedures to clients before obtaining informed consent c. Inquirer stuff to implement the principle of paternalism want to clan is having difficulty making decisions d. Instruct unit stuff to share personal experiences to help clients make decisions 21. Nurse is teaching a client who has heart failure about engaging in an exercise program. Which of the following statements by the client indicates an understanding of the teaching? a. I will make sure I can still talk while exercising b. I will slow my walking pace if I experience chest pain c. I will work to achieve 60 minutes of exercise each day d. I will wait 30 minutes after eating before exercising 22. A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. The client’s family want the client to have life- sustaining measures. Which of the following action should the nurse take? a. Complete an incident report b. Arrange for an ethnic committee meeting to address the family concerns c. Support the family’s decision and initiate life-sustaining measures d. Encourage the family to contact the attorney 23. A nurse is teaching a new licensed nurse about incident report. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? a. They are mandatory government documentation b. They are used as a disciplinary tool for nurse evaluations c. They assist with unit equality improvement d. They assist the facility to achieve benchmark goals 24. A nurse is planning care for four client who are at risk for fluid imbalance. The nurse should identify that which of the following clients is address for fluid volume excess? a. A client who has an exacerbation of peptic ulcer disease b. A client who has ulcerative colitis c. A client who has diabetes insipidus d. A client who has advanced stage liver cirrhosis 25. A nurse is providing teaching about the administration of gastrostomy tube feedings to the parents of a school-age child. Which of the following instructions should the nurse take? a. Change the fitting bag and tubing every 3 days b. Administer the feeding over 30 minutes c. What is the formula in the microwave prior to administration d. Place the child in a supine position after the feedings 26. A nurse is planning care for a client who has an L4 spinal cord injury. Which of the following interventions to prevent skin breakdown should the nurse include in the plan of care? a. Maintain the head of the bed at a 45° angle b. Ask the client to shift his weight every 20 minutes while sitting in a chair. c. Provide a high fiber diet for the client d. Massage redness area or a boy prominence 27. A nurse is counseling a group of clients from a town that was affected by the hurricane 6 months ago. For which of the following client should the nurse initiate a referral to assess for the presence of posttraumatic stress disorder? (Select all that apply) a. A client who describes feeling disconnected from those around him following the hurricane b. A client who has frequents nightmares about the hurricane c. A client who describes having persistent felling of anger about the hurricane d. A client who moved to an apartment located in higher ground than her previous home e. A client who expresses a realization that life will not return to the way it was before the hurricane 28. A nurse in the emergency department is assessing a newly admitted client who is experiencing……. Which of the following action should the nurse take first? a. Obtain a blood specimen for ABG analysis b. Insert an 18 gauge IV cutter c. Apply 100% humidified oxygen d. Obtain a baseline ECG 29. A nurse is caring for a client who is experiencing a diazepam overdose. Which of the following medications should the nurse administer? a. Naltrexone b. Naloxone c. Disulfiram d. Flumazenil 30. A nurse is caring for a client who is taking clozapine. Which of the following finding should the nurse report? a. Tinnitus b. Headache c. Sore throat/ or fiver d. Diaphoresis 31. A nurse is teaching a client who has alcohol use disorder about disulfiram. Which of the following client statements indicates an understanding of the teaching? a. Taking disulfiram is an alternate therapy instead of joining alcoholic anonymous b. I should avoid products containing alcohol, like mouthwash, while taking this medication c. Disulfiram is mainly used for people who are high risk for a relapse of drinking alcohol d. My sensitivity to alcohol will go away 24 hours after I stop taking this medication 32. A nurse is planning care for a group of clients and is working with one licensed practical nurse (LPN) and one assistive personnel (AP). Which of the following actions should the nurse take first to manage her time effectively? a. Determine goals of the day b. Schedule daily activities c. Develop an hourly timeframe for tasks d. Delegate task to the 8P 33. A nurse is assessing a client who is in skeletal traction for fracture of the left tibia. They should report altered tissue perfusion with? a. Purulent drainage at the pin site b. Warm skin temperature distal to the pin site c. Paint pain with movement of the left great toe d. Faint pedal pulse of left leg 34. A nurse is caring for a client who has history of bipolar disorder and its schedule for electroconvulsive therapy. Wish of the following individuals should get the informed consent? a. The client’s provider b. The client c. a court-trained volunteer d. The client’s partner 35. A nurse is assessing a client who is receiving daily aspiring. The nurse should identify that which of the following may indicate an allergic reaction to this medication? a. Difficulty swallowing b. Blurred vision c. Weight gain d. High blood pressure 36. A nurse is reviewing home recommendations with a client who is postoperative following a knee surgery. Which of the following recommendations to the nurse make? a. Place a towel on the floor outside the shower b. Place a handrail in the entryway of the house c. Ensure that all area rugs are rubber- backed d. Wear slippers with cloth soles 37. A nurse is preparing to initiate and IV therapy for an older adult client. Which of the following actions should the nurse plan to take? a. Clean the site using vigorous friction b. Use a 22-gauge catheter for insertion c. Select the rain on the back of the hand d. Apply a tourniquet family above the insertion site 38. A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapy to obtain a copy of the therapist’s notes. Which of the following responses should the nurse make? a. Why are you interested in seeing your therapist notes? b. I don’t think you’ll benefit from receiving your therapist notes right now c. Are you not happy with your treatment d. We can provide a copy of your record for the therapy’s notes are not included 39. A nurse in an emergency department is caring for a toddler who has burns following a house fire. Which of the following actions should the nurse take first? a. Determine the location and depth of the burns b. Calculate fluid replacement based on vital signs and urinary output c. Check them out for soot and smoky breath d. Administer antibiotics prophylactically to prevent sepsis 40. A nurse is teaching a client who is pregnant and has a new prescription for an iron supplement. Which of the following statements should the nurse include? a. You should take this medication with a source of protein b. You should notify the provider if your stool turns black c. You might become constipated while taking this medication d. Your urine will be an orange color while on this medication 41. A nurse is preparing to perform a heel stick on an infant. Which of the following actions should the nurse plan to take to reduce the infant’s pain during the procedure? a. Apply lidocaine/prilocaine cream 15 minutes prior to the procedure b. Promote skin to skin contact with the infant’s guardian during the procedure c. Provide the infant with a bottle of water during the procedure d. Apply a cool cloth to the infants heel 5 minutes prior to the procedure 42. A nurse is caring for a client who wears glasses. Which of the following actions should the nurse take? a. store the glasses is in a labeled case b. Clean the glasses with hot water c. Clean the glasses with paper towel d. Store the glasses on the bedside table 43. A nurse is caring for a client who has a fractured leg and rates her pain a 7 on a scale of 0 to 10. Which of the following medication should the nurse expect to administer? a. Hydrocodone b. Fentanyl c. Aspirin d. Acetaminophen 44. A nurse is caring for a client who has cancer of the throat and is receiving radiotherapy. The nurse should monitor for which of the following findings as an adverse effect of the radiation? a. Insomnia b. Elevated platelet count c. Altered taste sensation d. Excessive salivation 45. A nurse is teaching a newly licensed nurse about postpartum hemorrhage which of the following statements by the newly licensed nurse indicates an understanding of the teaching? a. Postpartum hemorrhage from a cervical laceration is treated with turbulent 0.25 milligrams subcutaneous. b. A woman is a high risk for postpartum hemorrhage during her first delivery c. Inversion of the ureter uterus is leading cause of postpartum hemorrhage d. Postpartum hemorrhage can occur within the first six weeks after delivery 46. A nurse is caring for a client following application of a cast. Which of the following actions should the nurse take first? a. Position the cast of extremity on a pillow b. Teach the client to keep the cats clean and dry c. Place an ice pack over the cast d. Palpate the pulse distal to the cast 47. A nurse is caring for a client who has depression and reports taking ST.John’s wort along with citalopram. The nurse should monitor the client for which of the following conditions as a result of an interaction between these substances? a. Acute dystonia b. Serotonin syndrome c. Pseudoparkinsonism d. Tardive Dyskinesia 48. A nurse is assessing a client who has Alzheimer's disease and has been taking Donepezil which of the following information is the priority for the nurse to report to the provider? a. new onset of incontinence b. loss of weight since previous visit c. blood pressure 120/78 mm Hg d. HR 54 49. A nurse is providing teaching to a group of client.The nurse should recommend a referral to a dietitian for which of the following clients? a. a client who has a prescription for spironolactone and states I would reduce my intake of foods that contain potassium b. a client has a prescription for Warfarin and states I will need to limit how much Spanish I eat c. a client who has osteoporosis and states I would plan to make my calcium carbonate with a full glass of water d. a client who has gout and states I can continue to eat anchovies on my pizza 50. A nurse is preparing to administer a blood transfusion to a client. which of the following action should the nurse take? a. prime the tubing with 0.9% sodium chloride b. use tubing that does not have a filter in the drip chamber c. use an Ivy catheter that is at least 24 gauge d. attach a single line administration set 51. A nurse is assessing a client who is 30 minutes postoperative following an arterial thrombectomy which of the following findings is the priority for the nurse to report? a. incisional pain b. chest pain c. cool, moist skin d. muscle spasm 52. a nurse is providing discharge teaching to a female client who has to tuberculosis and new prescription for rifampin which of the following information should the nurse include? a. you should avoid getting pregnant for six months after stopping this medication b. weight gain is unexpected adverse effects of this medication c. your urine will be orange while taking this medication d. you should avoid sun exposure while taking this medication 53. A nurse is providing discharge instructions to a client who has a new prescription for spironolactone. which of the following instructions should the nurse include in the teaching? a. use a salt substitute with meals b. monitor weight once a week c. take the medication in the morning d. administer a potassium supplement daily 54. A nurse is providing discharge teaching to a client who has a new prescription for phenelzine. The nurse should insure that client is safe to eat which of the following foods while taking this medication? a. pepperoni pizza b. smoked salmon c. avocados d. whole grain bread 55. A nurse manager is reviewing documentation with a newly licensed nurse. which of the following actions by the newly licensed nurse indicates an understanding of the teaching? a. OOB with assistance for breakfast b. administered 8 u of regular insulin sq c. dressing changed qd d. given 2mg MSO4 IM for report of pain 56. A nurse is reviewing assessment data from several clients. for which of the following client should the nurse recommend referral to a dietitian? a. An older adult client who has a BMI of 24 b. A client who has a non-healing leg ulcer c. An older adult client who has presbyopia d. A client who has an albumin level of 7.3 57. A nurse is planning care for a child who has neutropenia 22 leukemia. Wish of the following intervention should the nurse include in the plan of care? a. Screen the child’s visitor for active infections b. Initiate a low protein diet for the child c. Prepare the child for a platelet transfusion d. Monitor the child for indications of active bleeding 58. A nurse is reviewing the ECG tracing strip of a client who is receiving telemetry monitoring. The nurse should locate the S-T segment at which of the following locations on the electrocardiographic waveform? 59. A nurse is teaching a group of clients who are planning to have bariatric surgery. Which of the following statements by a client indicates an understanding of the teaching? a. I should reduce my daily caloric intake by 250 calories to lose 2lb each week after surgery b. I will consume 48 ounces of carbonated beverage daily prior to surgery c. I would need to lose 25% of my excess body weight prior to surgery d. I should wait 30 minutes after eating solid foods to drink beverage following surgery 60. A nurse is assessing a client who has heart failure and is prescribed a 2000 ml/ 24hr fluid restriction. which of the following findings should the nurse report to the provider? a. Watery stools of 400 ml in 8hr b. oral intake of 300 ml in 8 hours c. urinary output of 420 ml in 8hr d. intravenous intake of 240 ml in 8hr 61. A nurse is preparing to perform a sterile wound irrigation and dressing change for a client. Which of the following actions by the nurse indicates a break in surgical aseptic technique? a. placing the supplies on the sterile field and leaving a 1inch perimeter b. applying a sterile down after applying a sterile mask c. putting on sterile gloves after preparing the sterile field d. balancing the bottle on the sterile basin while pouring the liquid 62. A nurse is preparing to administer an IV medication to a client. An accidentally punctures the IV bag causing the medication to leak on the counter. Which of the following medication requires the nurse to follow facility procedures in the safe handling of a biohazard material spill? a. Ampicillin sodium b. Phenytoin c. Doxorubicin hydrochloride d. Metronidazole 63. A nurse is admitting a client who has dementia to a long-term care facility. The client tells the nurse that she lived in the facility years ago and took care of all the residents by herself the nurse should document this as which of the following findings. a. projection b. confabulation c. perseveration d. agnosia 64. A nurse is preparing to administer an autologous blood product to a client. Which of the following action should the nurse take to identify the client? a. Confirm the providers prescription matches the number on the blood component b. Ensure that the client's identification band matches the number on the blood unit c. Match the client's blood type with the type and cross match specimen d. Ask the client to state his blood type on the date of the blood transfusion 65. A nurse is caring for a one-month-old infant who has manifestation of severe dehydration and a prescription for parenteral fluid therapy. The Guardian asked what are the indications that my baby needs an IV? which of the following responses should the nurse make? a. Your baby needs an IV because she's not producing tears b. Your baby needs an IV because she's breathing slower than normal c. Your baby needs an IV because her heart rate is decreased d. Your baby needs an IV because her fontanelles are bulging 66. A nurse is providing dietary teaching to each client who had an exacerbation of COPD. Which of the following information should the nurse include in the teaching a. while eating you should drink the liquid's frequently b. lunch should be your largest meal of the day c. you should eat hot foods to reduce your sense of fullness during a meal d. during meals you should eat food with a high calorie content first 67. A nurse is providing teaching about management of a tet-spell with guardian of a 3 month old infant who has the Tetralogy of Fallot .Which of the following instructions should the nurse include? a. restrict your baby’s fluids b. place your baby in a knee chest position c. give your baby ibuprofen suspension d. lay your baby on their back 68. a nurse is discussing group treatment and therapy with the client the nurse should include which of the following as being a characteristic of a therapeutic group? a. the group encourages member to focus on a particular issue b. the group encourages clients to form dependent relationships c. the group must be led by a licensed psychiatrist d. the group is organized in an autocratic structure 69. A nurse is assessing a client who is receiving packed RBC which of the following findings indicates fluid overload? a. hypotension b. thready pulse c. Dyspnea d. low back pain 70. A nurse is caring for a client who has a pressure injury to the coccyx. Which of the following finding should indicate to the nurse that the wound is a stage III pressure injury? a. The skin is reddened and intact b. Slough and eschar is present c. Bone is exposed within the wound d. Subcutaneous fat is visible 71. a nurse in a surgical clinic is providing teaching to a client who is scheduled for a modifiable radical mastectomy. which of the following statements by the client indicates an understanding of the teaching? a. I will complete my arm exercises four times a day b. I would have my drains remove one hour prior to going home c. I can begin to drive 24 hours after surgery d. I can shower within 48 hours of my surgery 72. A nurse is caring for a client who is near the end of life and is on complete bed rest, the client states that he needs to have a bowel movement and the nurse offers a bedpan. The client states I have always used the bathroom which of the following responses should the nurse make ? a. tell me what concerns you have about using a bedpan b. I will have the physical therapist ambulate you to the bathroom c. you have to use the bedpan for your own safety d. make sure to use nearby furniture to support yourself when walking to the bathroom 73. A nurses came for a client who is newly diagnosed with pancreatic cancer. Anna has questions about the disease to research the disease the nurse should identify that which of the following electronic databases has the most comprehensive collection of nursing Journal articles? a. CINAHL b. Proquest c. medline d. health source 74. A nurses is caring for school age child who has sickle cell anemia and is in a vaso-occlusive crisis. Which of the following action should the nurse take? a. promote active range of motion exercises b. increase oral fluid intake c. prepare for a transfusion of platelets d. apply cold compresses to the affected areas 75. A nurse is caring for a client who has generalized petechiae and ecchymosis. The nurse should expect a prescription for which of the following laboratory test? a. platelet count b. potassium level c. pre albumin d. creatinine clearance 76. A nurses is caring for a client who has a Halo Fixation device in place following a spinal cord injury which of the following action should the nurse take? a. Use a small pillow to support the clients head while in bed b. Loosens the screws around the pins while cleaning c. Turn the client in bed by holding onto the Halo device d. Keep the original best line are in place for the duration of therapy 77. A nurse is caring for a newborn who is experiencing neonatal abstinence syndrome. Which of the following action should the nurse take ? a. Wrap the newborn loosely in a blanket b. Decrease the lighting levels in the nursery c. Encourage frequent eye contact with a newborn during feedings d. Provide frequent stimulation for the newborn 78. a nurse is going for a client who reports the creation of a living will. which of the following action should the nurse take? a. schedule a meeting between the hospital Ethics Committee and the client. b. request a conference with the client's family. c. evaluate the client's understanding of life sustaining measures. d. determine the client preferences about postmortem care. 79. A nurse is accessing a client who is immediately postoperative following a subtotal thyroidectomy. The nurse observes tetany, which of the following medication should the nurse expect to administer. a. sodium bicarbonate b. sodium phosphate c. calcium gluconate d. potassium chloride 80. A nurse is teaching the parents of a newborn about health promotion. Which of the following instruction should the nurse include in the teaching? a. You should have your child screem for hearing loss at one month of age b. You need to start offering solid foods to your child by three months of age c. You should bring your child in for a well child checkup every six months until they are two years of age d. You should have your child immunized for measles mumps and rubeola at 8 months of age. 81. A nurse is caring for a group of clients who have chronic pain. for which of the following client should the nurse initiate a referral to an occupational therapist? a. A client who has ulcerated colitis and reports severe abdominal pain b. A client who is postoperative and uses a PCA pump c. A client who has migraines and reports a severe headache d. A client who has degenerative joint disease and report painful hands. 82. a nurse is helping to prepare a client in the operating room prior to a surgical procedure which of the following action should the nurse take? a. Minimize conversation with the client to reduce anxiety b. Leave the client's arms and legs uncovered till after the induction of anesthesia c. Provide padding to the procedure point areas when positioning the client d. Remove the client’s eyeglasses upon arrival to operating room 83. A nurse is teaching a childbirth education class and is discussing sexual intercourse during pregnancy. Which of the following statements should the nurse make? a. Your sexual desire might increase during the first trimester of pregnancy b. Frequent intercourse increases the risk for miscarriage in early pregnancy c. You should limit the frequency of intercourse after 34 weeks of pregnancy d. The female superior position can be used during the 3rd trimester of pregnancy 84. A nurse is meeting a client who has a history of developing delirium while receiving inpatient care to which of the following room should the nurse assign the client? a. a private rule where the lights can be kept dim b. a private room that is near the nurse’s station c. a semiprivate room with a client who has heart failure d. a semiprivate room with a client who receives multiple visitors 85. A charge nurse is planning a staff education and competent session about operating newly acquired cardiac monitoring equipment. which of the following action should the nurse plan to take? (select all that apply) a. Identify the current level staff knowledge about equipment b. Provide reinforcement of teaching until the skill is learned c. Require a return demonstration using the equipment d. Wait to offer feedback on staff use of the equipment until the end of the session e. Caution staff that the equipment is complicated to use 86. a nurse is providing teaching to a client who is breastfeeding and experiencing engorgement which of the following recommendation should the nurse include? a. take aspirin to reduce pain and swelling b. allow the infant to nurse on one breast per feeding c. wear a tight-fitting underwire bra d. apply warm compresses on the breast before feedings 87. A nurse is caring for a group of clients which of the following actions by the nurse demonstrate client advocacy? a. Selecting meal choices for client b. Administering a client schedule medication on time c. Explaining the risk of a surgical procedure d. assisting a client to obtain a second opinion for diagnosis 88. A nurse is assessing a client who is one day postoperative following the placement of an ileostomy which of the following findings should the nurse report to a provider? a. the stomach has a purplish hue b. the soma bleed slightly when touched c. the output is dark green liquid d. blood is present in the output 89. A nurse is assessing a client who is receiving peritoneal dialysis for manifestations of peritonitis. Which of the following findings should the nurse identify as the first indication of peritonitis? a. fever b. cloudy effluent c. abdominal pain d. nausea 90. A nurse is caring for a client who has preeclampsia and is experiencing a postpartum hemorrhage. The nurse should expect the provider to prescribe which of the following medications? a. Oxytocin b. Nifedipine c. Carboprost d. Methylergonovine 91. A nurse in an intensive care unit is assessing a client who has heart failure and has been receiving metoprolol for 3 days. Which of the following findings indicates the treatment has been effective? a. Increased blood pressure b. Decreased urinary output c. Increased heart rate d. Decreased edema 92. A nurse is providing discharge instructions about newborn safety to a client who is 2 days postpartum. Which of the following instructions should the nurse include? a. Change smoke detector batteries every other year b. Place a plastic waterproof sheet over the crib bedding c. Use a car seat when traveling by airplane d. Lay the baby on his stomach to nap during the daytime 93. A nurse is teaching a client about foods that are high in calcium to decrease the risk for developing osteoporosis. Which of the following foods should the nurse recommend as the best source of calcium? a. One large, hard-boiled egg b. 1 cup cooked kale c. 1 cup raspberries d. One large, raw carrot 94. (PICTURE) a nurse is administering an intradermal injection for allergy testing to a client. Into which of the following sites should the nurse inject the medication? - I think its “A” (the upper back) 95. a nurse is teaching a client who had a left below the knee amputation 3 days ago. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? a. “I can elevate my left leg on a pillow while lying in bed” b. “I might still experience the feeling of numbness and tingling in my left foot” c. “I should avoid moving the joints in my leg left” d. “I will change the wrapping on my left leg once a day at home” 96. A charge nurse is assigning care tasks for the upcoming shift. Which of the following tasks should the charge nurse assign to an? (not sure what it says) a. inserting an epidural catheter b. obtaining blood cultures from a central catheter c. inserting an endotracheal tube d. performing a thoracentesis 97. A nurse is performing a safety assessment for a client who has Parkinson’s disease. Which of the following statements by the client indicates the need for a referral to physical therapy? a. “I noticed that I am having a harder time holding on to my toothbrush” b. “I have been experiencing more tremors in my left arm than before” c. “lately, I feel like my feet are freezing up, as if they are stuck to the ground” d. “sometimes, I feel like I am making a chewing motion when I am not eating” 98. A nurse is providing dietary teaching to a client who has chronic kidney disease. Which of the following instructions should the nurse include? a. increase intake of high potassium foods b. limit iron supplements c. increase dietary intake of sodium d. restrict foods containing phosphorus 99. A nurse is teaching the guardian of a 6-year-old child about how to administer ear drops. Which of the following instructions should the nurse include in the teaching? a. massage the area posterior to the affected ear following administration b. pack the ear canal of the affected ear with a cotton ball following administration c. cool the medication prior to administration d. Pull the pinna of the affected ear upward and back during administration 100. A nurse is teaching a wellness class about depression for a group of older adult clients. Which of the following information should the nurse include in the teaching? a. higher dosages of antidepressants are required to achieve a therapeutic effect in older adult clients b. treatment options for depression are different for older adult clients than for clients in other age groups c. changes in sleep patterns are not a manifestation of depression in older adult clients d. depression can be misdiagnosed as a neurocognitive disorder in older adult clients 101. A nurse is preparing a change of shift report for an adult female client who is postoperative. which of the following client information should the nurse include in the report? a. RBC 4.4 million/mm3 b. Potassium 4.2 mEq/L c. Platelets 100,000/mm3 d. Hgb 12.8 g/dL 102. a nurse is providing preoperative teaching about PCA to a client. Which of the following statements should the nurse include in the teaching? a. “you can adjust the amount of pain medication you receive by pushing on the keypad” b. “continuous PCA infusion is designed to allow fluctuating plasma medication levels” c. “The PCA will deliver a double dose of medication when you push the button twice” d. “You should push the button before physical activity to allow maximum pain control” 103. A nurse is reviewing the medical record of a client who is requesting combination contraceptives. Which of the following conditions in the client’s history is a contraindication to the use of combination oral contraceptives? a. Thrombophlebitis (they put the patient at risk for DVT) b. diverticulosis c. hypocalcemia d. hyperthyroidism 104. A nurse is assessing a client who is postoperative and has a history of pulmonary embolism. Which of the following findings is the priority for the nurse to report to the provider? a. dyspnea b. tachycardia c. dry cough d. hypotension 105. A nurse is planning care for a client who is postoperative following a total hip arthroplasty. Which of the following actions should the nurse plan to take when positioning the client? a. maintain the client in a supine position for the first 24 hr after surgery b. ensure that the client’s hip remains in an abducted position c. place the client’s heels directly against the bed mattress d. flex the clients hip up to 120 degrees when sitting in a chair 106. A nurse is caring for a newborn who has hyperbilirubinemia and is receiving phototherapy. Which of the following actions should the nurse take? a. Feed the newborn 1 oz (300 mL) of glucose water after feedings b. Apply a moisturizing lotion to the newborns skin c. Close the newborns eyes before applying the mask d. Remove the newborns diaper 107. A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. The nurse should identify that which of the following findings is a manifestation of magnesium toxicity? a. blurred vision b. hyperventilation c. hyperreflexia d. tachysystole 108. A nurse is caring for a client who is experiencing a hypertensive crisis. Which of the following actions should the nurse take first? a. Takes the clients blood pressure every 5 minutes b. Place the client on oxygen c. Initiate 0.9% sodium chloride IV at an open rate d. Administers nitroprusside IV to the client 109. a nurse is teaching a client who is trying to conceive. Which of the following should the nurse instruct the client to increase in her diet to prevent neural tube defect? a. folate b. calcium c. zinc d. iron 110. a nurse is caring for an older adult client who has prescriptions for multiple medications which of the following factors should the nurse identify as an age-related change that increases the risk for adverse effects from medications? a. prolonged medication half-life b. decreased medication sensitivity c. increased medication elimination d. rapid gastric emptying 111. a nurse in a clinic is assessing a 6-month-old infant. Which of the following findings should the nurse report to the provider? a. Closed anterior fontanel b. abdominal breathing c. respiratory rate 26/min d. pulse 140/min 112. a nurse observes two AP’s discussing a client’s information in the cafeteria. Which of the following actions should the nurse take? a. notify the ethics committee of the breach of confidentiality b. notify the client of the breach of confidentiality c. remind the AP about maintaining client confidentiality d. file an incident report with the risk management department 113. A nurse is preparing to obtain a client’s signature on an informed consent form. Which of the following actions should the nurse take first? a. Inform the client of his right to change his mind b. Notify the provider if the client has questions about the procedure c. Witness the client signing the informed consent form d. Ask the client to explain his understanding of the procedure 114. a nurse working in a health department is conducting a health screening for a group of farmworkers. Which of the following client statements indicates a possible health risk? a. “I am currently sharing my home with two roommates” b. “my home has running water and electricity” c. “I wear a hat and long sleeves while I am working” d. “I eat vegetables directly from the field where I work” 115. A nurse is admitting a client who does not speak the same language as the nurse and is scheduled for outpatient surgery. Which of the following actions should the nurse take? a. Explain the procedure to the client through an interpreter b. Provide a consent form that is written in the clients own language c. Help the client look up the information about the procedure on the internet d. Request a family member to interpret the information 116. A nurse is planning teaching for a client who has a new diagnosis of HIV. Which of the following information should the nurse include about preventing the spread of the infection? a. wash soiled clothes in cold water b. use condom with a petroleum-based lubricant c. Clean blood-contaminated surfaces with bleach d. Buy disposable dishes for daily use 117. a nurse is caring for a client who is in labor and requires augmentation of labor. Which of the following conditions should the nurse recognize as a contraindication to the use of oxytocin? a. Diabetes mellitus b. Dost term with oligohydramnios c. Chorioamnionitis d. Shoulder presentation 118. a nurse is caring for a client who is in labor and receiving oxytocin. Which of the following findings indicates that the nurse should increase the rate of infusion? a. Montevideo units consistently 300 mm H b. Urine output of 20 mL/hr c. Contractions every 5 minutes that last 30 seconds d. FHR pattern with absent variability 119. a nurse is caring for a client who speaks a language different from the nurse. Which of the following actions should the nurse take? a. Use a facility based interpreter of the same sex as the client b. Use hand gestures to assist with communication c. Address questions directly to an interpreter d. Have a family member translate information to the client 120. A public health nurse is managing several projects for the community. Which of the following should the nurse identify as a primary prevention strategy? a. referring clients who have obesity to community exercise programs b. providing crisis intervention through a mobile counseling unit c. conducting mental health screenings at the local community center d. teaching parenting skills to expectant mothers and their partners 121. a nurse is providing discharge teaching about car seat safety to a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching? a. “I will position my baby at a 45-degree angle in the car seat” b. “I can turn my baby’s car seat around when she weighs 15 pounds” c. “I will place my baby in a forward-facing car sear in my back seat” d. “I can place my baby un the front seat with the airbag turned off” 122. A nurse is initiating bladder retraining for a client who has urge urinary incontinence. Which of the following education should the nurse give the client? a. “take your diuretic medication with your evening meal” b. “decrease your intake of cranberry juice” c. “plan to urinate every 3 hours while you are awake” d. “limit your fluid intake to 500 mL per day” 123. A nurse administers digoxin 0.125 mg PO to an adult client. For which of the following findings should the nurse notify the provider? a. digoxin level 1 mg/dL b. apical pulse 58/min c. constipation for 2 days d. potassium level 4.2 mEq/L 124. A nurse is caring for a client who has respiratory depression from an opioid administration. After administering naloxone to the client, which of the following findings should the nurse expect? a. hypoventilation b. somnolence c. increased pain d. hyperglycemia 125. A nurse realized that the wrong medication has been administered to a client. Which of the following actions should the nurse take first? a. file an incident report b. report the incident to the nurse manager c. notify the provider d. measure the clients vital signs 126. A nurse is providing discharge teaching to a client who is postoperative following surgery for carpal tunnel syndrome. Which of the following statements by the client indicates an understanding of the teaching? a. “I should not use my affected hand for 4-6 weeks” b. “I should expect numbness and tingling in my hand” c. “I will need to keep my hand elevated above my heart for several days” d. “I can apply heat for the first 24 hours to minimize the pain in my hand” 127. A nurse is planning care for a client who is recovering from an acute MI that occurred 3 days ago. Which of the following interventions should the nurse include? a. place the client in a supine position while resting b. obtain a cardiac rehabilitation consultation c. Draw a troponin level every 4 hr d. Perform an ECG every 12 hr 128. a nurse is caring for a client who has rapid eye movement sleep behavior disorder. Which of the following actions should the nurse take? a. administer a benzodiazepine to the client prior to sleep b. apply a CPAP device when sleeping c. encourage a consistent bedtime d. place the client’s mattress on the floor 129. a nurse is preparing to administer vancomycin IV to an adult client. The client asks the nurse if the medication can be given 2 hr earlier. Which of the following statements should the nurse make? a. “I have up to 2 hours after the usual schedule time to give you this medication” b. “I can infuse the medication at a faster rate” c. “I can adjust the time and schedule for when it is convenient for you” d. “I can start the medication 30 minutes earlier” 130. A nurse is teaching at a community health fair about electrical fire prevention. Which of the following information should the nurse include in the teaching? a. check for tingling sensation around the cord to ensure the electricity is working b. cover extension cords with a rug c. removes the plug from the socket by pulling the cord d. Use three pronged grounded plugs 131. a nurse is preparing to administer PRN pain medication to a client who has cholelithiasis and is experiencing moderate abdominal pain. Which of the following medications should the nurse plan to administer? a. omeprazole b. ketorolac c. acetaminophen d. metoclopramide 132. A nurse is caring for a client who is experiencing acute mania. Which of the following foods should the nurse provide for the client? a. oatmeal with butter b. celery sticks c. peanut butter sandwich d. chicken noodle soup 133. A nurse is reviewing legal issues in health care with a group of newly licensed nurses. Which of the following recommendations should the nurse make? a. ensure that each client has a living will on file prior to treatment b. overestimate client’s acuity to prevent short staffing c. place copies of incident reports in the client’s medical records d. obtain personal professional liability insurance coverage 134. A nurse is preparing to administer a NG tube feeding to a school-age child. Which of the following actions should the nurse plan to take? a. Warm the formula in the microwave b. Measure the tubing from the nose to the distal port c. Complete the feeding in 5 min d. Position the child at a 10 degree to 20 degree angle after feeding 135. (STEPS) a nurse manager is reviewing the steps of the progressive discipline process prior to counseling a staff member who exhibits unprofessional behavior. Identify the sequence of steps the nurse manager should plan to take in response to the staff members conduct. 1. set up a meeting to speak with the staff member about the behavior 2. verbally remind the staff member of the expected behavior changes 3. give the staff member a written warning about the behavior 4. suspend the staff member from work for several days 5. dismiss the staff member from employment at the facility 136. A] nurse is caring for a client who experienced a stroke 4 days ago and has dysphagia. Which of the following actions should the nurse take to assist the client during meals? a. provide the client with clear liquids to assist with swallowing b. place small bites of food in the unaffected side of the client’s mouth c. instruct the client to extend the head back when swallowing d. have the client sit in a semi fowlers position during meals 137. A nurse is creating a plan of care for a female client who has recurrent urinary tract infections. Which of the following interventions should the nurse include in the plan? a. Take a bubble bath after intercourse b. void every 5-6 hr during the day c. wear loose-fitting underwear d. drink four 240 mL (8oz) glasses of water each day 138. A nurse is assessing a newborn 2hr following birth. Which of the following findings should the nurse expect? a. heart rate 190/min b. central cyanosis c. temperature of 38.2 C (100.8 F) d. irregular respirations 139. A nurse on a mental health unit is admitting a client who has PTSD. Which of the following findings should the nurse expect? a. has difficulty concentrating on a task b. experiences frequent grandiose thoughts c. preoccupied with having a serious illness d. talks continuously about the event 140. A nurse is receiving a telephone prescription from a provider for a client who requires additional medication for pain control. Which of the following entries should the nurse make in the medical record? a. morphine 3.0 mg sub q every 4 hr PRN for pain b. morphine 3 mg SQ every 4 hr PRN for pain c. morphine 3 mg subcutaneous every 4 hr PRN for pain d. morphine 3 mg SC q 4 hr PRN for pain 141. a nurse is providing teaching to a client who has a new prescription for warfarin. The nurse should include that which of the following medications can increase the effects of warfarin? a. vitamin K b. nafcillin c. oral contraceptives d. aspirin 142. a newly licensed nursing is reviewing the role of a nurse in disaster planning. Which of the following is an activity a nurse should engage in to assist in disaster preparedness? a. assess types, levels, and scopes of disasters b. vaccinate susceptible children and adults against smallpox c. make quarantine preparations for those exposed to anthrax d. participate in community drills and mock events 143. A nurse is caring for an infant who has respiratory syncytial virus. Which of the following interventions should the nurse take? a. Suction nares prior to feedings b. Request a prescription for Guaisefin c. Administers palivizumab intravenously d. Initiate neutropenic precautions 144. A community health nurse is developing a plan to improve the community’s environmental health. Which of the following actions should the nurse take first? a. request funding from community organizations b. establish a timeframe for environmental improvements c. collect information about the community’s environmental status d. encourage community involvement in environmental improvement 145. a nurse is caring for a client who is receiving hospice care. The client expresses regret about the distant relationship they have had with their daughter. Which of the following responses should the nurse make? a. “if I were you, I would try to get in contact with my daughter” b. “Can you tell me more about your relationship with your daughter?” c. “who is at fault for the distant relationship with your daughter?” d. “I’m sorry you were not close with your daughter. You must feel terrible.” 146. A nurse is teaching a group of newly licensed nurses about measures to take when caring for a client who is on contact precautions. Which of the following should the nurse include in the teaching? a. wear a mask when changing the linens in the clients room b. remove the protective gown after leaving the clients room c. Wear gloves when providing care to the client d. place the client in a room with negative air pressure 147. a nurse is teaching a client who has chronic urinary tract infections. Which of the following instructions should the nurse include? a. Take tub baths instead of showers b. Try to void every 4 hours c. Wipe from back to front after a bowel movement d. Drink at least 1 L of fluid every day 148. A nurse is providing teaching to a client who is scheduled for radiation therapy to treat esophageal cancer. Which of the following statements should the nurse make? a. “soften foods with gravy and sauces” b. “use commercial mouthwashes to rinse your mouth” c. “drink mostly clear liquids” d. “warm up foods before eating” 149. A nurse is caring for an adolescent who has sickle cell anemia. which of the following manifestations indicates acute chest syndrome and should be immediately reported to the provider? a. Substernal retractions b. temperature 37.9C (100.2F) c. hematuria d. sneezing 150. A nurse is providing teaching to a client who is experiencing preterm contractions and dehydration. which of the following statements should the nurse make? a. “dehydration is associated with gastroesophageal reflux” b. “dehydration can increase the risk for preterm labor” c. “dehydration is caused by a decrease hg and htc” d. “dehydration is treated with calcium supplements” 151. A nurse in a family practice clinic is screening an adolescent client for idiopathic scoliosis. Which of the following assessments should the nurse perform as part of this screening? a. observe for sacral dimpling b. observe for a positive Romberg test c. measure the truncal rotation d. measure the anteroposterior diameter of the chest 152. a nurse is reviewing the formulary about NPH insulin before administering the medication to a client. Which of the following information should the nurse expect? a. Give NPH insulin by IV bolus b. Use NPH insulin to treat ketoacidosis c. Administer NPH insulin 30 min before breakfast d. Discard the NPH insulin vial if the medication is cloudy 153. a nurse is performing an initial assessment of a newborn. Which of the following actions should the nurse take to prevent any heat loss through conduction? a. Perform the assessment immediately after birth before removing amniotic fluid b. Evaluate respirations by observing the newborn uncovered chest for 1 minute c. Cover the scale with a warmed blanket before weighing the baby d. Place the newborns crib away from of an air vent to perform the assessment 154. A nurse is screening food brought in by a family member for a client who takes phenelzine. The nurse should instruct the family member that which of the following foods can cause an interaction with this medication? a. bologna sandwich b. cottage cheese c. orange gelatin d. iceberg lettuce salad 155. A nurse is caring for a client who has acute exacerbation of multiple sclerosis. Which of the following prescriptions should the nurse expect the provider to prescribe? a. amoxicillin b. interferon beta c. enoxaparin d. atorvastatin 156. A nurse is caring for a client who is 4 hours postpartum. The client reports an urge to void but is unable to void. Which of the following actions should the nurse take? a. Encourage the client to attempt to void while using a sitz bath. b. Massage the client’s fundus c. Administer a diuretic to the client. d. Instruct the client to place her hands in cold water while attempting to void. 157. A nurse is preparing to measure the temperature of an infant. Which of the following actions should the nurse take? a. Place the tip of the thermometer under the center of the infant’s axilla b. Insert the oral thermometer in front of the infants tongue c. Pull the pinna of the infants ear forward before inserting the probe d. Insert the probe 3.8 cm (1.5 in) into the infants rectum 158. a nurse is reviewing the laboratory results of a client who is taking cyclosporine following a kidney transplant. Which of the following findings should the nurse report to the provider? a. serum creatinine 1.6mg/dL b. Urine pH 6.2 c. BUN 18 mg/dL d. Urine specific gravity 1.023 159. A nurse in the infectious disease division of the local health department is caring for a client. Which of the following infections should the nurse identify should be reported to the health department? a. herpes simplex virus b. c-diff c. chlamydia trichromatic d. human papilloma virus 160. A nurse is administering a scheduled medication to a client. The client reports that the medication appears different than what they take at home. Which of the following responses should the nurse make? a. “did the doctor discuss with you that there was a change in this medication?” b. “I will call the pharmacist now to check on this medication” c. “do you know why this medication is being prescribed for you?” d. “I recommend that you take this medication as prescribed” 161. A nurse in a PACU is caring for a client who is postoperative following a total knee arthroplasty using general anesthesia. Which of the following findings should the nurse report to the provider immediately? a. nasal flaring is present with inspiratory stridor b. pedal pulse is decreased in the affected extremity c. urinary output is less than 15 mL/hr d. systolic blood pressure is 20 mm Hg below baseline 162. A nurse is creating a plan of care for a newly admitted client who has OCD. Which of the following should the nurse include? a. allow the client enough time to perform rituals b. give the client autonomy in scheduling activities c. discourage the client from exploring irrational fears d. provide negative reinforcement for ritualistic behaviors 163. a nurse is flushing a client’s intermittent infusion device. The client states, “why do you have to do that if you are not giving me medicine?” which of the following statements should the nurse make? a. This clears blood from the tubing and catheter b. this helps to keep you hydrated c. this prevent leakage of fluid and medication d. this makes sure it stays sterile 164. a nurse is verifying a record of informed consent for a client who is scheduled for surgery. Which of the following actions should the nurse take? a. explain the procedure to the client before verifying informed consent b. inform the client about the condition that requires treatment c. provide information on the informed consent form about the benefits of the surgery d. confirm the clients signature is authentic 165. A nurse is caring for a client who reports insomnia. Which of the following findings is the priority for the nurse to report to the provider? a. Seems depressed and irritable b. Snores loudly at night with morning headaches c. Takes 15-minute naps four to five times per day d. Awakens to urinate during the night 166. A nurse is assessing an older adult client. Which of the following statements indicates that the client is at risk for being socially isolated? a. “my hearing aid is lost, so I don’t go to church like I used to” b. “I only babysit my grandchildren twice each month” c. “my adult child takes me to the grocery store every other week” d. “people have to speak louder for me to hear when they visit” 167. A nurse is assessing the grief response of a client whose child died 6 months ago. Which of the following client statements should the nurse report to the provider as an indication of major depressive disorder? a. “I am unable to feel any joy since my child died” b. “I feel guilty because my child died” c. “I know that I will be reunited with my child someday” d. “I am angry that my child died” 168. A nurse is preparing to teach the parents of a child who has cystic fibrosis. Which of the following instructions should the nurse plan to include? a. give the child hot foods to reduce the sense of fullness b. administer pancreatic enzymes 30 minutes after meals c. trim the fat from the red meat prior to cooking d. provide a diet high in protein and calories 169. A nurse is caring for a client who is scheduled to undergo a procedure the following day. The client states “I don’t know what my surgery tomorrow is for.” Which of the following responses should the nurse make? a. “would you like me to tell you more about the procedure?” b. “I will tell your provider that you have questions about the surgery” c. “would you like to hear about some other possible treatment options?” d. “I will make a note in your medical record that you don’t understand the surgery” 170. A nurse is preparing to administer ranitidine 50 mg IV over 15 min to a client. Available is ranitidine 50 mg in 0.9% sodium chloride solution 100 mL. the nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 400 171. A charge nurse is teaching a group of newly licensed nurses about the correct use of restraints. Which of the following examples should the charge nurse include in the teaching? a. securing wrist restraints to the bed rails for an adolescent b. Applying elbow immobilizers on an infant recovering from cleft lip surgery c. placing a belt restraint on a school age child who has seizures d. keeping the side rails of a toddlers crib elevated 172. A nurse is reviewing laboratory data from a client who has chronic kidney disease. Which of the following findings should the nurse expect? a. increased bicarbonate b. Increased calcium c. Increased creatinine d. increased hemoglobin 173. A school nurse is teaching a parent about absent seizures. Which of the following information should the nurse include? a. “the child usually has an aura prior to onset.” b. “this type of seizure can be mistaken for daydreaming.” c. “this type of seizure has a gradual onset.” d. “this type of seizure lasts 30 to 60 seconds.” 174. A nurse is caring for a client who has a terminal illness. The client tells the nurse, “I have decided to discontinue my treatment. I want to pursue alternative therapies instead.” Which of the following responses should the nurse make? a. “I will come back to talk to you about your decision when you feel better.” b. “Why do you think that alternative therapies are a better choice?” c. “What has your doctor told you about your treatment options?” d. “You should consult with your family before seeking other treatments” 175. A nurse is caring for a client who has severe hypertension and is to receive nitroprusside via continuous IV infusion. Which of the following actions should the nurse plan to take? a. keep calcium gluconate at the client’s bedside. b. monitor blood pressure every 2 hr c. attach an inline filter to the IV tubing d. protect the IV bag from exposure to light 176. A nurse is interviewing the partner of a client who was admitted in the manic phase of bipolar disorder. The partner states, “I don’t know what to do. Everything has been happening so quickly.” Which of the following responses by the