RN Comprehensive Practice B Questions and Answers

RN Comprehensive Practice B Questions and Answers A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the following actions is the nurse's priority? - answerAssist with deep breathing and coughing A nurse is talking with a client who has stage IV breast cancer. The nurse should recognize which of the following statements by the client as a constructive use of a defense mechanism? - answer"I told my doctor that I would like to start a support group for other women who are sick in my community" A nurse is caring for a client who has immunosuppression and a continuous IV infusion. Which of the following actions should the nurse take? - answerMonitor the client's mouth every 8 hr A nurse is caring for a 2 month old infant who has Hirschsprung disease (HD). Which of the following areas should the nurse assess for manifestations of HD? - answerC The nurse should assess the infant's abdomen for distention and visible peristalsis, which are manifestations of HD A nurse at a mental health clinic is caring for four clients. The nurse should recognize the following clients is using dissociation as a defense mechanism? - answerA client who was abused as a child describes the abuse as if it happened to someone else A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes mellitus. The nurse should instruct the client to monitor for which of the following findings as a manifestation of hypoglycemia? - answerirritability A nurse in an outpatient mental health clinic is caring for four clients. The nurse should recognize that which of the following clients is effectively using sublimation as a defense mechanism? - answerA client who channels their energy into a new hobby following the loss of their job A hospice nurse is consulting with a client and her family about receiving home services. Which of the following statements should the nurse identify as an indication that the family understands home hospice care? - answer"We can expect the hospice nurse to provide support for us after our mother's death" A nurse is caring for a client who has active tuberculosis. Which of the following actions should the nurse take? - answerAssign the client to a private room with negative air pressure A nurse is providing teaching to a client who is at 24 weeks of gestation and is schedule for a 3 hour oral glucose tolerance test. Which of the following instructions should the nurse include in the teaching? - answer"You will need to fast the night before the test" A nurse on a pediatric unit has received change of shift report for four children. Which of the following children should the nurse assess first? - answerA 10 year old child who is awaiting surgery for an appendectomy and experienced sudden relief from pain A nurse in a community center is providing an education session to a group of clients about ovarian cancer. Which of the following manifestations of ovarian cancer should the nurse include in the teaching? - answerAbdominal bloating A nurse is caring for a client who is postoperative after receiving moderate (conscious) sedation. The client suddenly becomes restless and reports feeling lightheaded. Which of the following actions should the nurse take? - answerCheck the client's oxygen saturation level A nurse is working in an emergency department is triaging four clients. Which of the following clients should the nurse recommend for treatment first? - answerA middle adult client who has unstable vital signs A nurse is providing teaching for a client who has a fracture of the right fibula with a short leg cast in place and a new prescription for crutches. The client is non-weight bearing for 6 weeks. Which of the following instructions should the nurse include in the teaching? - answerUse a three-point gait A nurse is preparing to initiate IV access for an older adult client. Which of the following sites should the nurse select when initiating the IV for this client? - answerRadial vein of the inner arm A nurse is planning to delegate client care tasks to an AP. Which of the following tasks should the nurse plan to delegate to the AP? - answerPerform gastrostomy feedings through a client's established gastrostomy tube A nurse is caring for a newborn immediately after delivery. Which of the following interventions should the nurse implement to prevent heat loss by conduction? - answerUse a protective cover on the scale when weighing the infant A nurse is caring for a client who is receiving a continuous heparin infusion. Which of the following laboratory tests should the nurse review prior to adjusting the client's heparin? - answeraPTT A nurse administers an incorrect dose of medication to a client. The nurse recognized the error immediately and completes and incident report. Which of the following facts related to the incident should the nurse document in the client's medical record? - answerTime the medication was given A nurse is providing education to the parent of a school age child who has asthma. Which of the following statements by the parent indicates an understanding of the teaching? - answer"I will make sure my child receives a yearly influenza immunization"