A nurse discovers that the wrong dosage of medication was given to client. When
determining
what action to take your should recognize that which of the following ethical principles
should be applied?
a) Utility
b) Paternalism
c) Veracity
d) Fidelity - CORRECT ANSWERS-c) Veracity
A nurse is review in the prescription for doxazosin with a client. Which of the following
should be
included in the teaching?
a) Decrease caloric intake to reduce weight gain.
b) Increased dietary fiber to prevent constipation.
c) Rise slowly when sitting up from bed.
d) Take this medication each morning. - CORRECT ANSWERS-c) Rise slowly when
sitting up from bed.
Addresses planning to provide teaching to young adult client who is insomnia. Which of
the
following should the nurse include in the teaching?
a) Exercising an hour before bedtime
b) Take a short nap today
c) Keep bedroom cool at night
d) Consume a high carbohydrate snack at bedtime. - CORRECT ANSWERS-d)
Consume a high carbohydrate snack at bedtime.
A nurse is caring for client who has a stool culture that is positive for Clostridium difficile.
Which
of the following infection control precautions is appropriate?
a) Wear a face shield prior into entering the room.
b) Place the client private room.
c) Place the client in a negative pressure room.
d) Use alcohol based hand rub following client care. - CORRECT ANSWERS-b) Place
the client private room.
A nurse is planning care for a child who has increased intracranial pressure with a
decreased
1|Page
,level of consciousness. Which of the following intervention should the nurse including
the plan of care?
a) Perform active range of motion exercises.
b) Perform neurological checks every 4 hours.
c) Suction the airway frequently.
d) Maintain the head at a midline position. - CORRECT ANSWERS-d) Maintain the
head at a midline position.
The nurse is assessing a client is receiving radiation therapy. Which of the following
findings
should the nurse expect?
a) White blood cell count at 12,500 mm3
b) Excessive salivation
c) +3 pitting edema
d) Platelets 95,000 mm3 - CORRECT ANSWERS-d) Platelets 95,000 mm3
A nurse is caring for a client who has preeclampsia and is experiencing postpartum
hemorrhage.
The nurse should identify that which of the following medications is contraindicated?
a) Methylergonovine.
b) Misoprostol
c) Dinoprostone
d) Oxytocin - CORRECT ANSWERS-a) Methylergonovine.
A nurse is caring for client was GERD. Which of the following assessment findings the
nurse expect
to find?
a) Shortness of breath
b) Rebound tenderness
c) Atypical chest pain
d) Vomiting blood - CORRECT ANSWERS-c) Atypical chest pain
A nurse is caring for a newborn who is under phototherapy lights. Which of the following
is an
appropriate nursing action?
a) Ensure eye shield is covering the eyes.
b) Apply lotion to expose skin.
c) Offer glucose water between feedings.
d) Discontinue breast-feeding during treatment. - CORRECT ANSWERS-a) Ensure eye
shield is covering the eyes.
This is assessing clients as had a long arm cast. Which of the following findings of the
dress
moderate and when assessing for acute compartment syndrome?
a) Shortness of breath
b) Petechiae
2|Page
,c) Change in mental status
d) Edema - CORRECT ANSWERS-d) Edema
A nurse is observing bonding to the client her newborn. Which of following actions by
the client requires the nurse to intervene?
a) Holding the newborn in face position
b) Asking the father to change the newborn's diaper
c) Requesting the nurse take the newborn nursery so she can rest
d) Viewing the newborn's actions to be uncooperative - CORRECT ANSWERS-d)
Viewing the newborn's actions to be uncooperative
A nurse is planning discharge teaching for cord care for the parent of a newborn. Which
instructions would you include in the teaching?
a) Contact provider if the cord still turns black
b) Clean the base of the cord with hydrogen peroxide daily
c) Keep the cord dry until it falls off
d) The cord stump will fall off in five days - CORRECT ANSWERS-c) Keep the cord dry
until it falls off
A nurse is assessing a client in the PACU. Which of the following findings indicates
decreased cardiac output?
a) Shivering
b) Oliguria
c) Bradypnea
d) Constricted pupils - CORRECT ANSWERS-b) Oliguria
A nurse is a receiving report on four clients. Which of the following clients should the
nurse assess first?
a) A client who has illeal conduit and mucus in the pouch
b) Client pleasant arteriovenous additional vibration palpated
c) A client whose chronic kidney disease with cloudy diasylate outflow
d) A client was transurethral resection of the prostate with a red tinged urine in the bag -
CORRECT ANSWERS-c) A client whose chronic kidney disease with cloudy diasylate
outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is an
appropriate nursing intervention?
a) Place's cardiac monitoring
b) Monitor the clients oxygen saturation level
c) Provide standby assist with the client from bed
d) Encourage foods high in potassium - CORRECT ANSWERS-c) Provide standby
assist with the client from bed
A nurse is caring for a client who is in labor and his seat is receiving electronic fetal
monitoring. The nurse is reviewing the monitor tracing and notes early decelerations.
Which the following should the nurse expect?
a) Feta hypoxia
3|Page
, b) Abrupto placentae
c) Post maturity
d) Head Compression - CORRECT ANSWERS-d) Head Compression
A nurse is caring for a client who has chronic kidney disease. The nurse should identify
which of the following laboratory values as in an indication for hemodialysis?
a) glomerular filtration rate of 14 mL/ minute
b) BUN 16 mg/DL
c) serum magnesium 1.8 mg mg/dl
d) Serum phosphorus 4.0 mg/dL - CORRECT ANSWERS-a) glomerular filtration rate of
14 mL/ minute
A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The
following is an appropriate action for the nurse to take?
a) Placed infant under radiant warmer
b) Move the probe site every 3 hours
c) Heat the skin one minute prior to placing the program
d) Placed a sensor on the index finger - CORRECT ANSWERS-c) Heat the skin one
minute prior to placing the program
A nurse in a mental health facility receives a change of shift report on for clients. Which
of the following clients should the nurse plan to assess first?
a) Client placed in restraints to the aggressive behavior
b) A new limited client pleasures history of 4.5 kg weight loss in the past two months
c) Client is receiving a PRN dose of health heard all two hours ago for increased anxiety
d) Applied he'll be receiving his first ECT treatment today - CORRECT ANSWERS-a)
Client placed in restraints to the aggressive behavior
A nurse in an emergency department completes an assessment on an adolescent client
that has conduct disorder. The client threatened suicide to teacher at school. Which of
the following statements should the
nurse include in the assessment?
a) Tell me about your siblings
b) Tell me what kind of music you like
c) Tell me how often do you drink alcohol
d) Tell me about your school schedule - CORRECT ANSWERS-c) Tell me how often do
you drink alcohol
A nurse working at the clinic is teaching a group of clients who are pregnant on the use
of non-pharmacological pain management. Which of the following statements by the
nurse is an appropriate description of the use of hypnosis during labor?
a) Hypnosis focuses on the biofeedback as a relaxation technique
b) Hypnosis promotes increased control of her pain perception during contractions
c) Hypnosis uses therapeutic touch to reduce anxiety during labor
d) Hypnosis provides instruction to minimize pain - CORRECT ANSWERS-b) Hypnosis
promotes increased control of her pain perception during contractions
4|Page
determining
what action to take your should recognize that which of the following ethical principles
should be applied?
a) Utility
b) Paternalism
c) Veracity
d) Fidelity - CORRECT ANSWERS-c) Veracity
A nurse is review in the prescription for doxazosin with a client. Which of the following
should be
included in the teaching?
a) Decrease caloric intake to reduce weight gain.
b) Increased dietary fiber to prevent constipation.
c) Rise slowly when sitting up from bed.
d) Take this medication each morning. - CORRECT ANSWERS-c) Rise slowly when
sitting up from bed.
Addresses planning to provide teaching to young adult client who is insomnia. Which of
the
following should the nurse include in the teaching?
a) Exercising an hour before bedtime
b) Take a short nap today
c) Keep bedroom cool at night
d) Consume a high carbohydrate snack at bedtime. - CORRECT ANSWERS-d)
Consume a high carbohydrate snack at bedtime.
A nurse is caring for client who has a stool culture that is positive for Clostridium difficile.
Which
of the following infection control precautions is appropriate?
a) Wear a face shield prior into entering the room.
b) Place the client private room.
c) Place the client in a negative pressure room.
d) Use alcohol based hand rub following client care. - CORRECT ANSWERS-b) Place
the client private room.
A nurse is planning care for a child who has increased intracranial pressure with a
decreased
1|Page
,level of consciousness. Which of the following intervention should the nurse including
the plan of care?
a) Perform active range of motion exercises.
b) Perform neurological checks every 4 hours.
c) Suction the airway frequently.
d) Maintain the head at a midline position. - CORRECT ANSWERS-d) Maintain the
head at a midline position.
The nurse is assessing a client is receiving radiation therapy. Which of the following
findings
should the nurse expect?
a) White blood cell count at 12,500 mm3
b) Excessive salivation
c) +3 pitting edema
d) Platelets 95,000 mm3 - CORRECT ANSWERS-d) Platelets 95,000 mm3
A nurse is caring for a client who has preeclampsia and is experiencing postpartum
hemorrhage.
The nurse should identify that which of the following medications is contraindicated?
a) Methylergonovine.
b) Misoprostol
c) Dinoprostone
d) Oxytocin - CORRECT ANSWERS-a) Methylergonovine.
A nurse is caring for client was GERD. Which of the following assessment findings the
nurse expect
to find?
a) Shortness of breath
b) Rebound tenderness
c) Atypical chest pain
d) Vomiting blood - CORRECT ANSWERS-c) Atypical chest pain
A nurse is caring for a newborn who is under phototherapy lights. Which of the following
is an
appropriate nursing action?
a) Ensure eye shield is covering the eyes.
b) Apply lotion to expose skin.
c) Offer glucose water between feedings.
d) Discontinue breast-feeding during treatment. - CORRECT ANSWERS-a) Ensure eye
shield is covering the eyes.
This is assessing clients as had a long arm cast. Which of the following findings of the
dress
moderate and when assessing for acute compartment syndrome?
a) Shortness of breath
b) Petechiae
2|Page
,c) Change in mental status
d) Edema - CORRECT ANSWERS-d) Edema
A nurse is observing bonding to the client her newborn. Which of following actions by
the client requires the nurse to intervene?
a) Holding the newborn in face position
b) Asking the father to change the newborn's diaper
c) Requesting the nurse take the newborn nursery so she can rest
d) Viewing the newborn's actions to be uncooperative - CORRECT ANSWERS-d)
Viewing the newborn's actions to be uncooperative
A nurse is planning discharge teaching for cord care for the parent of a newborn. Which
instructions would you include in the teaching?
a) Contact provider if the cord still turns black
b) Clean the base of the cord with hydrogen peroxide daily
c) Keep the cord dry until it falls off
d) The cord stump will fall off in five days - CORRECT ANSWERS-c) Keep the cord dry
until it falls off
A nurse is assessing a client in the PACU. Which of the following findings indicates
decreased cardiac output?
a) Shivering
b) Oliguria
c) Bradypnea
d) Constricted pupils - CORRECT ANSWERS-b) Oliguria
A nurse is a receiving report on four clients. Which of the following clients should the
nurse assess first?
a) A client who has illeal conduit and mucus in the pouch
b) Client pleasant arteriovenous additional vibration palpated
c) A client whose chronic kidney disease with cloudy diasylate outflow
d) A client was transurethral resection of the prostate with a red tinged urine in the bag -
CORRECT ANSWERS-c) A client whose chronic kidney disease with cloudy diasylate
outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is an
appropriate nursing intervention?
a) Place's cardiac monitoring
b) Monitor the clients oxygen saturation level
c) Provide standby assist with the client from bed
d) Encourage foods high in potassium - CORRECT ANSWERS-c) Provide standby
assist with the client from bed
A nurse is caring for a client who is in labor and his seat is receiving electronic fetal
monitoring. The nurse is reviewing the monitor tracing and notes early decelerations.
Which the following should the nurse expect?
a) Feta hypoxia
3|Page
, b) Abrupto placentae
c) Post maturity
d) Head Compression - CORRECT ANSWERS-d) Head Compression
A nurse is caring for a client who has chronic kidney disease. The nurse should identify
which of the following laboratory values as in an indication for hemodialysis?
a) glomerular filtration rate of 14 mL/ minute
b) BUN 16 mg/DL
c) serum magnesium 1.8 mg mg/dl
d) Serum phosphorus 4.0 mg/dL - CORRECT ANSWERS-a) glomerular filtration rate of
14 mL/ minute
A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The
following is an appropriate action for the nurse to take?
a) Placed infant under radiant warmer
b) Move the probe site every 3 hours
c) Heat the skin one minute prior to placing the program
d) Placed a sensor on the index finger - CORRECT ANSWERS-c) Heat the skin one
minute prior to placing the program
A nurse in a mental health facility receives a change of shift report on for clients. Which
of the following clients should the nurse plan to assess first?
a) Client placed in restraints to the aggressive behavior
b) A new limited client pleasures history of 4.5 kg weight loss in the past two months
c) Client is receiving a PRN dose of health heard all two hours ago for increased anxiety
d) Applied he'll be receiving his first ECT treatment today - CORRECT ANSWERS-a)
Client placed in restraints to the aggressive behavior
A nurse in an emergency department completes an assessment on an adolescent client
that has conduct disorder. The client threatened suicide to teacher at school. Which of
the following statements should the
nurse include in the assessment?
a) Tell me about your siblings
b) Tell me what kind of music you like
c) Tell me how often do you drink alcohol
d) Tell me about your school schedule - CORRECT ANSWERS-c) Tell me how often do
you drink alcohol
A nurse working at the clinic is teaching a group of clients who are pregnant on the use
of non-pharmacological pain management. Which of the following statements by the
nurse is an appropriate description of the use of hypnosis during labor?
a) Hypnosis focuses on the biofeedback as a relaxation technique
b) Hypnosis promotes increased control of her pain perception during contractions
c) Hypnosis uses therapeutic touch to reduce anxiety during labor
d) Hypnosis provides instruction to minimize pain - CORRECT ANSWERS-b) Hypnosis
promotes increased control of her pain perception during contractions
4|Page
