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PRACTICE & EXCEL!
A nurse is caring for a client who has a recent diagnosis of a terminal illness. The
nurse should identify which of the following as an indication of hopelessness? Answer: -
The client has a Decreased Energy Level
.A nurse is preparing to collect data on a preschooler. Which of the following behaviors
by the child indicates that he is ready to cooperate? (Select all that apply) Answer: -Allows
the nurse to touch him on the arm
-Answers questions asked by the nurse
-Makes eye contact with the nurse
3.A nurse on a mental health unit is planning care for a group of clients. Which of the
following
clients should the nurse see first? Answer: --A client who has schizophrenia and is having
command hallucinations
A nurse is caring for a client who recently gave birth to her first child. The newborn is crying
and the client states, " I can't seem to do anything right. What should I do?" Which of the
following responses should the nurse make? Answer: -"Let me show How To Swaddle And
Cuddle Him,then try."
A nurse is using a glucometer to measure a client's capillary blood glucose level,
Which of the following actions should the nurse take? Answer: - Keep the finger in
Dependent Position
A nurse is reviewing the home medications of a client who recently had transient
ischemic attacks and is to begin taking clopidogrel. The nurse should instruct the client
that which of the following over-the-counter medications interacts adversely with
clopidogrel? Answer: Naproxen
A nurse is collecting data from a client who has a long leg cast that was applied 2 days
ago. The client's foot is pale with a weak pedal pulse, and the client reports foot
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,numbness. Which of the following actions should the nurse plan to take first? Answer: -
Check for pain with passive movement of the affected extremity
A nurse in a provider's office is reinforcing teaching about cigarette smoking with a
client. Which of the following adverse effects should the nurse include in the teaching?
Answer: -Somnolence
A nurse is contributing to the development of an in-service program for mental health
nursing
staff. The nurse should include that the staff can medicate a client against his will, without
a
court hearing, in which of the following situations? Answer: A client who is attempting to
hurt himself or others
A nurse is reinforcing teaching with a client who has a new prescription for digoxin.
Which of the following instructions should the nurse include in the teaching? Answer:
"Monitor For Muscle Weakness While Taking The Medication."
A charge nurse is discussing confidentiality requirements with a newly licensed nurse
when sharing a client's medical information. Which of the following individuals should
the charge nurse identify as appropriate with whom to share client information? Answer: A
social worker who's assigned an involuntary committed school-age client
A nurse is reviewing laboratory values for a client who is at 34 weeks of gestation.
Which of the following findings should the nurse report to the provider? Answer: Urine
Protein Plus
A nurse is collecting data from a client who is 4 hr postoperative following a
hemicolectomy. Which of the following findings is the nurse's priority, requiring
immediate intervention? Answer: Oxygen saturation 89%
A nurse in a provider's office is collecting data from a client who has a history of
hypertension during his annual physical examination. Which of the following findings
should the nurse report to the provider immediately? Answer: o Blurred Vision
A nurse is caring for a client who suddenly develops chest pain and dyspnea. Which
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, of the following actions should the nurse take first? Answer: o Elevate The Head Of The
Client's Bed
A nurse is reinforcing teaching on a client who has diabetes mellitus. Which of the
following laboratory tests is the most accurate of blood glucose effective management?
Answer: -Glycosylated Hemoglobin
A charge nurse on a mental health unit is supervising a newly licensed nurse. For
which of the following actions by the newly licensed nurse should the supervising nurse
intervene? Answer: -Tells a client he will lose his phone privileges if he does not take his
Medication
A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is on
seizure precautions. Which of the following materials should the AP place in the client's
room? Answer: - Oral Suction Equipment
A nurse is reinforcing discharge teaching with the faculty of a client who has
dependent personality disorder. Which of the following instructions should the nurse
indicate in the teaching? Answer: o Encourage Client To Be Assertive
A nurse is reinforcing discharge teaching with a client who had a right total hip
arthroplasty. Which of the following instructions should the nurse indicate? Answer: o "You
Should Avoid Crossing Your Legs For 3 Months."
A nurse is reinforcing dietary teaching with a client who has hyperemesis
gravidarum. Which of the following instructions should the nurse include in the
teaching? Answer: Eat a small meal every 2 to 3hr
22. A nurse is reinforcing teaching with a client who has GERD and a prescription for
ranitidine. Which of the following statements by the client indicates an understanding of
the teaching? Answer: "I should take this medication the morning and at night."
23.A nurse is assisting with the admission of a client who has pulmonary tuberculosis.
Which of the following types of isolation precautions should the nurse include? Answer: o
Airborne
A nurse is reinforcing discharge teaching with a client who has COPD and reports
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
PRACTICE & EXCEL!
A nurse is caring for a client who has a recent diagnosis of a terminal illness. The
nurse should identify which of the following as an indication of hopelessness? Answer: -
The client has a Decreased Energy Level
.A nurse is preparing to collect data on a preschooler. Which of the following behaviors
by the child indicates that he is ready to cooperate? (Select all that apply) Answer: -Allows
the nurse to touch him on the arm
-Answers questions asked by the nurse
-Makes eye contact with the nurse
3.A nurse on a mental health unit is planning care for a group of clients. Which of the
following
clients should the nurse see first? Answer: --A client who has schizophrenia and is having
command hallucinations
A nurse is caring for a client who recently gave birth to her first child. The newborn is crying
and the client states, " I can't seem to do anything right. What should I do?" Which of the
following responses should the nurse make? Answer: -"Let me show How To Swaddle And
Cuddle Him,then try."
A nurse is using a glucometer to measure a client's capillary blood glucose level,
Which of the following actions should the nurse take? Answer: - Keep the finger in
Dependent Position
A nurse is reviewing the home medications of a client who recently had transient
ischemic attacks and is to begin taking clopidogrel. The nurse should instruct the client
that which of the following over-the-counter medications interacts adversely with
clopidogrel? Answer: Naproxen
A nurse is collecting data from a client who has a long leg cast that was applied 2 days
ago. The client's foot is pale with a weak pedal pulse, and the client reports foot
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,numbness. Which of the following actions should the nurse plan to take first? Answer: -
Check for pain with passive movement of the affected extremity
A nurse in a provider's office is reinforcing teaching about cigarette smoking with a
client. Which of the following adverse effects should the nurse include in the teaching?
Answer: -Somnolence
A nurse is contributing to the development of an in-service program for mental health
nursing
staff. The nurse should include that the staff can medicate a client against his will, without
a
court hearing, in which of the following situations? Answer: A client who is attempting to
hurt himself or others
A nurse is reinforcing teaching with a client who has a new prescription for digoxin.
Which of the following instructions should the nurse include in the teaching? Answer:
"Monitor For Muscle Weakness While Taking The Medication."
A charge nurse is discussing confidentiality requirements with a newly licensed nurse
when sharing a client's medical information. Which of the following individuals should
the charge nurse identify as appropriate with whom to share client information? Answer: A
social worker who's assigned an involuntary committed school-age client
A nurse is reviewing laboratory values for a client who is at 34 weeks of gestation.
Which of the following findings should the nurse report to the provider? Answer: Urine
Protein Plus
A nurse is collecting data from a client who is 4 hr postoperative following a
hemicolectomy. Which of the following findings is the nurse's priority, requiring
immediate intervention? Answer: Oxygen saturation 89%
A nurse in a provider's office is collecting data from a client who has a history of
hypertension during his annual physical examination. Which of the following findings
should the nurse report to the provider immediately? Answer: o Blurred Vision
A nurse is caring for a client who suddenly develops chest pain and dyspnea. Which
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, of the following actions should the nurse take first? Answer: o Elevate The Head Of The
Client's Bed
A nurse is reinforcing teaching on a client who has diabetes mellitus. Which of the
following laboratory tests is the most accurate of blood glucose effective management?
Answer: -Glycosylated Hemoglobin
A charge nurse on a mental health unit is supervising a newly licensed nurse. For
which of the following actions by the newly licensed nurse should the supervising nurse
intervene? Answer: -Tells a client he will lose his phone privileges if he does not take his
Medication
A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is on
seizure precautions. Which of the following materials should the AP place in the client's
room? Answer: - Oral Suction Equipment
A nurse is reinforcing discharge teaching with the faculty of a client who has
dependent personality disorder. Which of the following instructions should the nurse
indicate in the teaching? Answer: o Encourage Client To Be Assertive
A nurse is reinforcing discharge teaching with a client who had a right total hip
arthroplasty. Which of the following instructions should the nurse indicate? Answer: o "You
Should Avoid Crossing Your Legs For 3 Months."
A nurse is reinforcing dietary teaching with a client who has hyperemesis
gravidarum. Which of the following instructions should the nurse include in the
teaching? Answer: Eat a small meal every 2 to 3hr
22. A nurse is reinforcing teaching with a client who has GERD and a prescription for
ranitidine. Which of the following statements by the client indicates an understanding of
the teaching? Answer: "I should take this medication the morning and at night."
23.A nurse is assisting with the admission of a client who has pulmonary tuberculosis.
Which of the following types of isolation precautions should the nurse include? Answer: o
Airborne
A nurse is reinforcing discharge teaching with a client who has COPD and reports
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
