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1. A nurse is caring for a client who 20 mL
has a prescription for famotidine
160 mg PO every 6 hr. Available
is famotidine oral suspenision 40
mg/5 mL. How many mL should the
nurse administer per dose?
2. A nurse is collecting data from a Difficulty concentrating
client who has an iron deficiency
anemia. Which of the following find- *In clients who have iron deficien-
ings should the nurse expect? cy anemia, body cells do not receive
the required oxygen because there is
less hemoglobin for binding. The nurse
should recognize that impaired oxy-
genation of brain tissue can lead to
dizziness and difficulty concentrating.
3. A nurse manager is preparing to Discuss how each AP's actions mea-
complete a performance analysis sure against the job description.
for a group of assistive person-
nel (AP). The manager asks a staff *To provide objective information, the
nurse for feedback on each AP's staff nurse should compare the behav-
abilities. Which of the following ac- ior of each AP to the facility job de-
tions should the staff nurse take? scription. The nurse can provide spe-
cific information about how each AP
either meets the standard or demon-
strates a need for improvement.
4. A nurse is reviewing a client's Check the client's temperature
electronic medical record and kids
that an assistive personnel (AP) *According to the nursing process, the
recorded the client's temperature first action the nurse should take is to
as 35.5°C (95.5°F) 2 hr earlier. Which collect data from the client. Therefore,
of the following actions should the the nurse should retake the client's
nurse take first? temperature.
5. A nurse on an acute care unit is Reports lack of appetite
collecting data from a school-age
child who has cystic fibrosis (CF). *The nurse should identify that the
, PN Comprehensive Online Practice 2020 B
Study online at https://quizlet.com/_czqvc6
Which of the following findings is greatest risk to a child who has a de-
the priority for the nurse to report creased appetite is pulmonary infec-
to the provider? tion. Anorexia, along with other man-
ifestations, such as loss of weight and
lethargy, are commonly seen in chil-
dren who have CF which an infec-
tion exacerbation. Typical manifesta-
tions of pulmonary infection, such as
fever and tachypnea, might now be
seen in a child who has CF. Addition-
ally, a child who is anorexic is at in-
creased risk for diminished lung func-
tion.
6. A nurse in a long-term care facility Hydrogen peroxide
is observing a newly licensed nurse
who is providing tracheostomy care *The nurse should identify that sterile
for a client. The nurse identifies hydrogen peroxide solution is used to
proper performance of the proce- loosen secretions from the inner can-
dure when the newly licensed nurse nula during cleaning. If the client skin
selects which of the following solu- becomes irritated, the nurse should
tions to clean the inner cannula? choose 9% sodium chloride solution.
7. A nurse is reinforcing discharge "Perform Kegel exercises daily."
teaching with a client who is post-
operative following an open radical *The nurse should instruct the client to
prostatectomy. Which of the follow- perform Keagle exercises to promote
ing instruction should the nurse in- the control of urine flow and reduce
clude in the teaching? incontinence.
8. A nurse is reinforcing teaching with Difficulty breathing
a group of clients about the Heim- Coughing
lich maneuver during a first aid Presence of stridor
class. The nurse should include the
teaching that which of the following *The Heimlich maneuver is performed
manifestations indicates the need when the airway is obstructed by
for the Heimlich maneuver to be foreign body. A client who has an
performed? obstructed airway may exhibit mani-
festation such as coughing, choking,