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1.Aclientwhoreceivedmultipleantihypertensivemedicationsexperiences
syncopeduetoadropinbloodpressureto70/40.Whatistherationalefor
thenurse’sdecisiontoholdtheclient’sscheduledantihypertensive
medication?
increasedurinaryclearanceofthemultiplemedicationshasproduced
diuresisandloweredthebloodpressure
theantagonisticinteractionamongthevariousbloodpressure
medicationshasreducedtheireffectiveness
Theadditiveeffectofmultiplemedicationshascausedtheblood
pressuretodroptoolow
thesynergisticeffectofthemultiplemedicationshasresultedindrugtoxicity
and
resultinghypotension
2.Whichclientisatthegreatestriskfordevelopingdelirium?
Anadultclientwhocannotsleepduetoconstantpain.
anolderclientwhoattempted1monthago
ayoungadultwhotakesantipsychoticmedicationstwiceaday
amiddle-agedwomanwhousesatankforsupplementaloxygen
3.Whichinterventionshouldthenurseincludeinalong-termplanofcarefor
aclientwithChronicObstructivePulmonaryDisease(COPD)?
Reducerisksfactorsforinfection
Administerhighflowoxygenduringsleep
Limitfluidintaketoreducesecretions NEWGENERATIONRNHESIExitRNExamover700
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PASSUsediaphragmaticbreathingtoachievebetterexhalation
4.Whichlocationshouldthenursechooseasthebestforbeginninga
screeningprogramforhypothyroidism?
Abusinessandprofessionalwomen'sgroup.
AnAfrican-Americanseniorcitizenscenter
AdaycarecenterinaHispanicneighborhood
Anafter-schoolcenterforNative-Americanteens
5.Afemaleclienthasbeentakingahighdoseofprednisone,a
corticosteroid,forseveralmonths.Afterstoppingthemedicationabruptly,
theclientreportsfeeling“verytired”.Whichnursinginterventionismost
importantforthenursetoimplement?
Measurevitalsigns
Auscultatebreathsounds
Palpatetheabdomen
Observetheskinforbruising
6.Amaleclientreportstheonsetofnumbnessandtinglinginhisfingersand
aroundhismouth.Whichlabisimportantforthenursetoreviewbefore
contactingthehealthcareprovider?
capillaryglucose
urinespecificgravity
Serumcalcium
whitebloodcellcount
7.Whatexplanationisbestforthenursetoprovideaclientwhoasksthe
purposeofusingthelog-rollingtechniqueforturning?
workingtogethercandecreasetheriskforbackinjury
Thetechniqueisintendedtomaintainstraightspinalalignment.
Usingtwoorthreepeopleincreasesclientsafety. NEWGENERATIONRNHESIExitRNExamover700
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PASSturninginsteadofpullingreducesthelikelihoodofskindamage
8.Aclientreceivingchemotherapyhassevereneutropenia.Whichsnack
isbestforthenursetorecommendtotheclient?
Bakedapplestoppedwithdriedraisins
9.Whichactionshouldtheschoolnursetakefirstwhenconductinga
screeningforscoliosis?
Inspectforsymmetricalshoulderheight.
10.Anunlicensedassistivepersonnel(UAP)assignedtoobtainclientvitalsignsreports
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PASSthechargenursethataclienthasaweakpulsewitharateof44beat/
minutes.Whatactionshouldthechargenurseimplement?
Assignapracticalnurse(LPN)todetermineifanapicalradialdeficitispresent
11.Afterasuddenlossofconsciousness,afemaleclientistakentotheEDand
initialassessmentindicatethatherbloodglucoseleveliscriticallylow.
Onceherglucoselevelisstabilized,theclientreportsthatwasrecently
diagnosedwithanorexianervosaandisbeingtreatedatanoutpatientclinic.
Whichinterventionismoreimportanttoincludeinthisclient’sdischarge
plan?
Encouragealow-carbohydrateandhigh-proteindiet
12.Aclientwithaperipherallyinsertedcentralcatheter(PICC)linehasafever.
Whatclientassessmentismostimportantforthenursetoperform?
Observetheantecubitalfossaforinflammation.
13.Thenurseadministersanantibiotictoaclientwithrespiratorytractinfection.
Toevaluatethemedication’seffectiveness,whichlaboratoryvaluesshould
thenursemonitor?Selectallthatapply
Whitebloodcell(WBC)count
Sputumcultureandsensitivity
14.Aclientisadmittedtoisolationwiththediagnosisofactivetuberculosis.
Whichinfectioncontrolmeasuresshouldthenurseimplement?
Negativepressureenvironment
contactprecautions
dropletprecautions
protectiveenvironment
15.Aschoolnurseiscalledtothesoccerfieldbecauseachildhasanosebleed
(epistaxis).Inwhatpositionshouldthenurseplacethechild?