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1. The iiregistered iinurse ii(RN) iiis iicaring iifor iia iiclient iiwho iihas iia iiclosed iihead iiinjury
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from a motor vehicle collision.Which finding should the RN assess the client
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for the risk of diabetes insipidus (DI)?
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A.High fever. ii
B.Low blood pressure. ii ii
C.Muscle rigidity.
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D.Polydipsia.: D. Polydipsia ii i
2. Which action should the registered nurse (RN) implement to complete an
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assessment for a client while using an interpreter?
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A. Ask closed-ended questions with the assistance of the interpreter.
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B. Maintain eye contact with the client while listening to the translation.
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C. Instruct interpreter to answer questions from interpreter's point of view.
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D. Protect the client's privacy by asking a limited number of questions.: B.
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Maintain eye contact with the client while listening to the translation.
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3. The registered nurse (RN) is assessing a male client who arrives at the clinic with
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severe abdominal cramping, pain, tenesmus, and dehydration.The RN
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discovers that the client has had 14 to 20 loose stools with rectal bleeding.
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Which condition should the RN ask the client about his medical history?
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A. Irritable bowel syndrome. ii ii
B. Diverticulitis.
C. Crohn's disease. ii
D. Ulcerative colitis.: D. Ulcerative Colitis ii ii i ii
4. A female client is recently diagnosed with Sarcoidosis.The client tells the
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registered nurse (RN) that she does not understand why she has this.When
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teaching about the occurrence of sarcoidosis, the RN should include that
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sarcoidosis most commonly occurs with which ethnic group of women?
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A. African American women. ii ii
B. Caucasian women. ii
C. Asian women. ii
D. Hispanic women.: A. African American Women ii ii i ii ii
5. While reviewing the client's electronic medical record (EMR), the registered
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nurse (RN) assesses a client who is at risk for a possible interaction with an
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over-the-counter (OTC) decongestant.Which client health history should the
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RN report to the healthcare provider concerning the OTC medication? (SATA)
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A. Type I diabetes mellitus (DM).
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B. Closed angle glaucoma. ii ii
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, BSN 246 HESI Practice ii ii ii
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C. Chronic iihypertension.
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D. Rheumatoid arthritis. ii
E. Crohn's disease.: B. Closed angle glaucoma ii ii i ii ii
6. The nurse palpates a weak pedal pulse in the client's right foot.Which
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assessment findings should the RN document that are consistent with dimin-
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ished peripheral circulation? (SATA)
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A. Diminished hair on legs ii ii ii
B. Bruising on extremities ii ii
C. Skin cool to touch ii ii ii
D. Capillary refill less than 3 seconds ii ii ii ii ii
E. Darkened skin on extremities: C. Skin cool to touch ii ii ii ii i ii ii ii
7. An older client is admitted to the hospital with severe diarrhea.The regis-
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tered nurse (RN) is completing an assessment and notes the client has dry
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mucous membranes and poor skin turgor.Which assessment data should the
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RN gather to determine if the client has a fluid volume deficit?
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A. Lower extremity edema. ii ii
B. Orthostatic hypotension. ii
C. Elevated blood pressure. ii ii
D. Cheyne-Stokes respirations.: B. Orthostatic Hypotension ii ii i ii
8. A client with progressive hearing loss appears distressed when the regis-
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tered nurse (RN) asks open-ended questions about the client's health history.
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Which forms of communication should the RN use? SATA
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A. Face the client so the client can see the RN's mouth.
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B. Increase one's speech volume when interacting with the client. ii ii ii ii ii ii ii ii
C. Repeat information to the client if misunderstood. ii ii ii ii ii ii
D. Check if the client's hearing aides are working properly.
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E. Reduce environmental noise surrounding the client.: A ii ii ii ii ii ii
D
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E
9. The registered nurse (RN) is assessing common complications related to
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a client's recent diagnosis, systemic lupus erythematosus (SLE).Which
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symptom should the RN instruct the client to report immediately?
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A. Fever related to infection. ii ii ii
B. Weight loss and anorexia. ii ii ii
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