GRADED A+
1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-
year-
old. Which of the following actions should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parents to leave the room during the procedure. -
CORRECT ANSWER - B. Tell the child they will feel discomfort during the
catheter insertion.
10. A nurse is reviewing the laboratory findings of a client who has
diabetes
mellitus and reports that she has been following her (unable to read)
care.
The nurse should identify which of the following findings indicates a
need to
revise the client's plan of care.
A. Serum sodium 144 mEq/
B. (Unable to read)
C. Hba1c 10 %
,D. Random serum glucose 190 mg/dl. - CORRECT ANSWER - C. Hba1c
10 %
100. A nurse is providing teaching to a client who has heart failure and a
new
prescription for furosemide. Which of the following statements should
the
nurse make?
A. "Taking furosemide can cause your potassium levels to be high"
B. "Eat foods that are high in sodium"
C. "Rise slowly when getting out of bed"
D. "Taking furosemide can cause you to be overhydrated" - CORRECT
ANSWER - C. "Rise slowly when getting out of bed"
101. A nurse is planning a teaching session for a client who is
postoperative
following a colon resection. Which of the following actions should the
nurse
take first?
A. Providing written material for the client to read
B. Plan a short instruction about coughing and deep breathing.
C. Determine the client's current pain level.
D. Instruct the client about dietary restrictions. - CORRECT ANSWER -
C. Determine the client's current pain level.
,102. A nurse is caring for a client who has chronic pancreatitis. Which of
the
following dietary recommendations should the nurse make?
A. Coffee with creamer.
B. Lettuce with sliced avocados.
C. Broiled skinless chicken breast with brown rice.
D. Warm toast with margarine. - CORRECT ANSWER - C. Broiled
skinless chicken breast with brown rice.
103. A nurse is caring for a client who asks for information regarding
organ
donation. Which of the following statement should the nurse make?
A. "I cannot be a witness for your consent to donate."
B. "Your name cannot be removed once you are listed on the organ
donor
list."
C. "Your desire to be an organ donor must be documented in writing."
D. "You must be at least 21 years of age to become an organ donor." -
CORRECT ANSWER - C. "Your desire to be an organ donor must be
documented in writing."
104. A nurse is teaching a female client about personal hygiene. Which
of
, the client actions indicates an understanding the teaching?
A. The client takes a hot bubble bath every day.
B. The client wipes back to front when toileting.
C. The client washes her perineum first when bathing.
D. The client brushes her teeth twice daily. - CORRECT ANSWER - D.
The client brushes her teeth twice daily.
107. A nurse is preparing to assess a 2-week-old newborn. Which of the
following actions should the nurse plan to take?
A. Obtain the newborn's body temperature using a tympanic
thermometer.
B. (Unable to read) FACES pain scale.
C. Auscultate the newborn's apical pulse for 60 seconds.
D. Measure the newborn's head circumference over the eyebrows and
below the occipital prominence. (NOT) - CORRECT ANSWER - C.
Auscultate the newborn's apical pulse for 60 seconds.
108. A nurse is caring for a client who has pneumonia and has gained 4.2
kg (9.3 lb) over the last 5 days. The client's laboratory values this
morning are the following: WBC 10,000/mm3, RBC 5.2 million/mm3,
platelets 250,000/mm3, BUN, and serum creatinine 2.1 mg/dL. The
nurse should report these finding to which of the following members of
the interdisciplinary team?
A. Dietitian