EXAM 100% VERIFIED.
BA nurse is caring for a child who has cystic fibrosis and requires postural
drainage. Which of the following actions should the nurse take?
A. Perform the procedure twice each day.
B. Hold the hand flat to perform percussions on the child. C. Administer a
bronchodilator after the procedure.
D. Perform the procedure prior to meals. - CorreCt Answers -D. Perform
the procedure prior to meals.
A 16-year-old client reports to the clinic with their caregiver. The client's
caregiver informs the nurse that the client has "not been themselves lately."
Select the 4 findings that require follow-up.
A. Attends school regularly
B. Caregiver reporting client acting differently than usual
C. Witnessing their family's death
D. Heart rate 99/min
E. Smoking marijuana to clear their mind
F. Client experiences nightmares
G. Client experiences nightmares
H. Startles easy during thunderstorm - CorreCt Answers -B C EF
A nurse is caring for a client in the medical-surgical unit.
,Provider Prescriptions 0500:
Administer oxygen 2 L/min via nasal cannula Monitor intake and output.
Fluid
restriction of 1000 mL daily
Which of the following actions should the nurse take to decrease the risks
for
urinary tract infection for this client?
Select all that apply.
A. Use soap and water to provide perineal care.
B. Change the indwelling urinary catheter tubing every 3 days
C. Encourage the client to drink 3000 ml of fluid daily.
D. Review the need for the indwelling urinary catheter daily
F. Place the drainage beg on the bed when transporting the client - CorreCt
Answers -A, D
A nurse is performing a skin assessment on a client who has dark skin.
Which of
the following locations on the client's body should the nurse observe to
assess for
cyanosis?
A. Sacrum
B. Palms of the hands
C. Shoulders
D. Area of traum - CorreCt Answers -B. Palms of the hands
,A nurse is caring for a client who has end-stage liver disease and is
undergoing a
paracentesis. Which of the following actions should the nurse take to
evaluate the
effectiveness of the procedure?
A. Confirm that the client is able to urinate.
B. Check the client's serum albumin levels.
C. Compare the client's current weight with preprocedure weight.
D. Examine for leakage at the site of the procedure. - CorreCt Answers -C.
Compare the client's current weight with preprocedure weight.
A nurse is reviewing a client's cardiac rhythm strips and notes a constant P-
R
interval of
0.35 seconds. Which of the following dysrhythmias is the client displaying?
A. Premature atrial complexes
B. Complete heart block
C. Atrial fibrillation
D. First-degree atrioventricular block - CorreCt Answers -D. First-degree
atrioventricular block
A nurse is providing discharge teaching to the partner of a client who has a
tracheostomy. Which of the following information should the nurse include
in the
, teaching?
A. How to secure the tracheostomy tube with ties at the back of the neck
B. How to change the tracheostomy dressing using clean technique
C. How to operate the portable suction machine
D. How to change the nondisposable tracheostomy tube daily - CorreCt
Answers -C. How to operate the portable suction machine
Question 120:
A nurse is instructing a school-age child who has asthma about the use of a
peak
expiratory flow meter. Which of the following instructions should the nurse
include in the teaching?
A. Blow into the meter as hard and quickly as possible.
B. Maintain a semi-Fowler's position during testing.
C. Record the average of the readings.
D. Place tongue on the mouthpiece of the meter. - CorreCt Answers -A.
Blow into the meter as hard and quickly as possible.
A charge nurse is observing a conflict between two nurses who both insist
that the
charge nurse favors the other when making assignments. Which of the
following
conflict-resolution strategies should the charge nurse use?
A. Arrange for the nurses to have as few shifts together as possible.
B. Encourage collaboration between the two nurses when making
assignments.