?A nurse is offering prenatal coaching to a consumer who is at 12 weeks of gestation. The
nurse ought to tell the customer that she will be able to go through which of the subsequent
screening tests at 16 weeks of gestation?
A. Chorionic villus sampling- as early as eight weeks
B. Cervical cultures for chlamydia- 1st appointment.
C. Nonstress check -28 weeks
D. Maternal serum alpha-fetoprotein- sixteen to 18 weeks - ANS-D. Maternal serum
alpha-fetoprotein- 16 to 18 weeks
a hundred and one.A customer who does no longer talk the equal language because the
nurse. The nurse is speaking with the consumer the usage of an interpreter. Which of the
following moves need to the nurse take?
A. Use gestures to carry that means
b. Speak without delay to the purchaser
c. Pause within the middle of sentences
d. Speak slowly when talking to the interpreter - ANS-b. Speak without delay to the
purchaser
102. A nurse is providing coaching approximately exercising to a patron who's at 28 weeks
of gestation. Which of the following statements via the patron shows an knowledge of the
teaching?
A. "I can hold to do exercises that require the supine role" X
b. "I need to test my pulse rate once each hour whilst workout"
c. "I have to boom my workout level to put together for labor" X
d. "I need to drink 16 to 24 oz of water after I workout" - ANS-d. "I ought to drink 16 to 24
ounces of water after I exercising"
12. A nurse in acute care intellectual hospital is taking part in a medication-training
organization. The chief of the group makes use of a laissez-faire management style. Which
of the following moves must the nurse anticipate from the chief all through the consultation?
A .The chief encourages group contributors to stay silent till questions are referred to as for
B. The leader lecture about remedy damaging consequences to the institution participants
c. The leader allows the group to talk about anything they would really like to concerning
their
medicines
d. The chief has institution participants vote on what they would like to study throughout the
consultation - ANS-d. The chief has institution participants vote on what they would like to
find out about all through the session
125. A nurse observes a consumer at the psychiatric unit muttering and status near a
window. The consumer states, "The voices are telling me to leap." Which of the following is
the proper response by means of the nurse?
A. "I recognize the voices are horrifying you, however I do now not pay attention any voices"
b. "Do you apprehend the voices as belonging to all and sundry you know?"
c. "You shouldn't be afraid when you suppose the voices are telling you to harm your self"
,d. "That can not be proper. The only voices in this room are yours and mine" - ANS-a. "I
understand the voices are scary you, but I do no longer hear any voices"
a hundred thirty. A nurse is receiving alternate-of-shift report for a collection of customers.
Which of the subsequent clients have to the nurse plan to assess first?
A. A customer who has sinus arrhythmia and is receiving cardiac tracking
b. A patron who has epidural analgesia and weak spot inside the decrease extremities
c. A patron who has a hip fracture and a brand new onset of tachypnea
d. A purchaser who has diabetes mellitus and hemoglobin A1C of 6.Eight% - ANS-c. A
purchaser who has a hip fracture and a brand new onset of tachypnea
19. A nurse is imparting teaching to a patron approximately the unfavorable effects
sertraline. Which of the following adverse outcomes must the nurse consist of?
A. Excessive sweating
B. Increased urinary frequency
C. Dry cough
D. Metallic flavor in mouth - ANS-A. Excessive sweating
31. A nurse is making plans care for a set of clients and is working with one certified realistic
nurse (LPN) and one assistive personnel (AP). Which of the following moves need to the
nurse take first to manipulate her time efficaciously?
A. Develop an hourly time frame for obligations
B . Schedule every day sports
C. Determine dreams of the day
D. Delegate duties to the AP - ANS-C. Determine desires of the day
seventy two. A nurse is caring for a purchaser who's 4 days postpartum. Which of the
following assessment findings have to the nurse count on? (Select all that observe)
A. Foul perineal odor
B. Lochia serosa
C. Postpartum... If blues, then correct
D. Fundus displaced to the right
E. Fundus four cm (1.6 cm) underneath the umbilicus decends 1cm according to day -
ANS-b, e, c?
78. A nurse is worrying for a client who has an indwelling urinary catheter. Which of the
following moves have to the nurse take to provide catheter care?
A. Empty the collected urine once each 24 hr
B. Hang the drainage bag on a bed rail
c. Provide perineal hygiene after defecation
d. Change the indwelling catheter every eight hr - ANS-c. Provide perineal hygiene after
defecation
eight. A nurse is supplying discharge teaching to a consumer who has a chronic kidney
sickness and is receiving hemodialysis. Which of the subsequent commands should the
nurse include in the coaching?
A. Eat 1 g/kg of protein in keeping with day
b. Take magnesium hydroxide for indigestion
c. Drink at the least 3 L of fluid each day-
Consume foods excessive in potassium- restriction - ANS-a. Eat 1 g/kg of protein consistent
with day
, ninety six. A domestic health nurse is assessing a consumer who has amyotrophic lateral
sclerosis (ALS) and has had current weight loss. Which of the subsequent is the concern
admission records for the nurse to reap?
A. Changes in appetite
B. Prescribed medications
C. Swallowing ability
D. Daily fluid intake - ANS-C. Swallowing potential
A licensed IV nurse is imparting training approximately peripherally inserted vital catheters
(PICC) to a newly certified nurse. Which of the following statements by using the newly
licensed nurse indicates an understanding of the teaching?
A. "Use a vein in the center of the lower arm to insert a PICC"- above elbow, under shoulder
B. "Flush a PICC using a 3-mililiter syringe"- 10 mL
C. "Informed consent is needed previous to a PICC placement"
D. "Position the purchaser's arm in adduction for PICC placement" - ANS-C. "Informed
consent is required prior to a PICC placement"
A price nurse is admitting four clients to an acute care unit. Which of the following customers
should the nurse area close to the nurses' station?
A. A client who is on fluid restrict
B. A customer who is in Buck's traction
C A purchaser who has orthostatic hypotension
D A client who has an open wound - ANS-C A consumer who has orthostatic hypotension
A rate nurse is evaluating a newly licensed nurse's know-how of advance directives. Which
of the subsequent statements with the aid of the newly certified nurse suggests an
know-how of enhance directives?
A. "I'll refer clients who do no longer have strengthen directives for legal help"
B. "I must witness a consumer's signature on his advance directives"
C. "I ought to record whether or now not a patron has organized his strengthen directives"
"D. I'll inspire customers to observe their provider's needs for quit-of-lifestyles care" - ANS-C.
"I should document whether or not or now not a consumer has organized his boost
directives"
A rate nurse is mentoring a newly licensed nurse. Which of the following movements by
using
the newly licensed nurse indicates the want for intervention by using the price nurse?
A. Uses an IV infusion pump to administer total parenteral nutrients to a customer
B. Inserts an NG tube for a patron using smooth technique
C. Crushes an SL pill to manage right into a customer's feeding tube
D. Stabilizes a purchaser's indwelling urinary catheter with the nondominated hand previous
to inflation of the balloon - ANS-C. Crushes an SL tablet to administer into a consumer's
feeding tube
A charge nurse is teaching new workforce participants approximately elements that growth a
consumer's chance to turn out to be violent. Which of the subsequent threat elements should
the nurse encompass because the exceptional predictor of future violence?
A. A history of being in prison
B. Experiencing delusions
C. Male gender
D. Previous violent conduct - ANS-D. Previous violent conduct
A charge nurse observes a coworker who has impaired coordination and is drowsy while
acting recurring duties. Which of the following movements need to the nurse take first?