Form A Exam With 100% Correct And
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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 - Correct 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 - Correct 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
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,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 - Correct 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 - Correct 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 - Correct 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 - Correct
Answer-Inform the client of available community resources
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,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 - Correct 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 - Correct 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
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, D. This technique increases the absorption rate of the drug - Correct
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?
A. Instill erythromycin ophthalmic ointment in the newborn's eyes
B. Weigh the newborn
C. Place identification bracelets on the newborn
D. Dry the newborn - Correct Answer-Dry the newborn
A nurse is planning to provide community education about viral
hepatitis. Which of the following
should the nurse plan to include in the teaching?
A. A series of four hepatitis vaccines is recommended to prevent
viral hepatitis
B. Hepatitis B is transmitted by contaminated food
C. Chronic hepatitis can lead to renal cell cancer
D. Clients who have a history of viral hepatitis are unable to donate
blood - Correct Answer-Clients who have a history of viral hepatitis
are unable to donate blood
A nurse in a residential mental health facility is planning care for a
new client who has obsessive
compulsive disorder. Which of the following is appropriate for the
nurse to include in the plan of care?
A. Work with the client to create a flexible daily schedule
B. Gradually decrease the time allowed for ritualistic behavior
C. Offer solutions to assist in problem solving
D. Teach the client to meditate about obsessive thoughts - Correct
Answer-Gradually decrease the time allowed for ritualistic behavior
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