COMPLETE QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS ) ALREADY GRADED A+.
A client who has a diagnosis of complete placenta previa is admitted
to the labor and delivery suite at 36 weeks gestation with
contractions 5 min in frequency and 1 min in duration. Which of the
following actions should the nurse take?
A. Rupture the amniotic sac
B. Medicate the client for pain
C. Prepare the client for a cesarean section
D. Perform a vaginal exam - ANSWER-Prepare the client for a
cesarean section
A nurse enters a client's room and finds the client lying on the floor in
a puddle of water. Which of the following statements should the nurse
document in an incident report?
A. Client fell out of bed because an assistive personnel left the rails of
the bed down
B. Client's roommate thinks the client is confused and fell when
getting out of bed
C. Client appears to have slipped in water but reports no injuries
D. Client found lying on the floor near the bedside table - ANSWER-
Client found lying on the floor near the bedside table
,A charge nurse on a pediatric unit is making assignments for a float
nurse from the medical unit.
Which of the following clients is appropriate to assign to the float
nurse?
A. A 10-year-old client who has pneumonia and is receiving
respiratory treatments
B. A 4-year-old client who has a Wilms tumor and is receiving
chemotherapy
C. An 8-month-old client who is scheduled for a surgical repair of a
ventricular septal defect tomorrow
D. A 14-year-old client who is scheduled for discharge today
following placement of a Herrington rod - ANSWER-A 10-year-old
client who has pneumonia and is receiving respiratory treatments
A nurse is preparing to administer vancomycin to a client who has an
infected wound. The nurse should plan to monitor for which of the
following adverse reactions?
A. Hepatotoxicity
B. Ototoxicity
C. Hypercalcemia
D. Hypertension - ANSWER-Ototoxicity
A nurse is assessing an infant who has water intoxication. Which of
the following findings should the nurse expect?
,A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit - ANSWER-Generalized edema
A home health nurse is conducting an initial home visit for a client
who has terminal breast cancer.
The client has two school-age children and a limited support system.
Which of the following is the priority nursing action?
A. Inform the client of available community resources
B. Assist the client in finding childcare options
C. Agree upon short-term goals for the client
D. Ask the client about their understanding of the diagnosis -
ANSWER-Inform the client of available community resources
A nurse in an emergency department is assessing a client who has a
nasal fracture. Which of the following findings should cause the nurse
to suspect a skull fracture?
A. Clear fluid drainage from the nares
B. Report of pain around the eyes
C. Dried blood in the mouth
D. Mandibular asymmetry - ANSWER-Clear fluid drainage from the
nares
, A nurse in an urgent care clinic is collecting admission history from a
client who is at 16 weeks of gestation and has bacterial vaginosis.
The nurse should recognize that which of the following clinical
findings are associated with this infection?
A. Profuse milky white discharge
B. Frequency and dysuria
C. Low-grade fever
D. Hematuria - ANSWER-Profuse milky white discharge
A nurse is discussing the z-track administration of hydroxyzine with a
newly licensed nurse. Which of the following statements indicates the
newly licensed nurse understands the purpose of the technique?
A. This technique prevents injury to the sciatic nerve
B. This technique decreases the risk of subcutaneous infiltration
C. This technique allows a larger amount of medication to be injected
D. This technique increases the absorption rate of the drug -
ANSWER-This technique decreases the risk of subcutaneous
infiltration
10. A nurse is caring for a full-term newborn immediately following
birth. Which of the following
actions should the nurse take first?