A client with chronic renal insufficiency (CRI) is taking 25 mg of hydrochlorothiazide
(HCTZ) PO and 40 mg of furosemide (Lasix) PO daily. Today, at a routine clinic visit,
the client's serum potassium level is 4 mEq/L. What is the most likely cause of this
client's potassium level?
Give this one a try later!
The client's renal function has affected his potassium level.
Prior to administering an oral suspension, which intervention is most important for the
nurse to implement?
A.Assess the client's ability to swallow liquids.
B.Obtain applesauce in which to mix the medication.
C.Determine the client's food likes and dislikes.
D.Auscultate the client's breath sounds.
,Give this one a try later!
A
An oral suspension is a liquid, so the nurse needs to assess the client's
ability to swallow liquids (A) to ensure that the client will not choke. If the
client has difficulty swallowing liquids, a thickening substance may be used
(B). If a food product is used to thicken the liquid, (C) would be beneficial.
(D) may also be warranted, but only if the client is at risk for aspiration,
determined by (A).
The nurse recognizes which behavior(s) in a client as warning sign(s) of an impending
suicide attempt? (Select all that apply.)
Give this one a try later!
- Mood changes from depressed to happy
- Begins giving away possessions
The charge nurse working in the surgical department is making shift assignments. The
shift personnel include an RN with 12 years of nursing experience, an RN with 2 years
of nursing experience, and an RN with 3 months of nursing experience. Which client
should the charge nurse assign to the RN with 3 months of experience?
Give this one a try later!
A client who is 2 days postoperative with a right total knee replacement
A child with nephrotic syndrome is receiving prednisone (Deltasone). Which choice of
breakfast foods at a fast food restaurant indicates that the mother understands the
dietary guidelines necessary for her child?
,Give this one a try later!
Toasted oat cereal and low-fat milk
Which assessment is most important for the nurse to implement when seeing a client
with multiple myeloma?
Give this one a try later!
Pain scale measurement
The RN is caring for a client who is in skeletal traction. Which activity should the RN
assign to the PN?
A.Assess skeletal pins for infection.
B.Assist the client with toileting.
C.Establish thrombus prevention care.
D.Evaluate pain management plan.
Give this one a try later!
B
The PN can implement nursing care, such as (B). The PN assists the RN in
the development of a teaching plan and reinforces information to the client
according to the plan. (A, C, and D) are outside the scope of PN practice,
but the PN can assist the RN in gathering data, implementing nursing care,
and contributing to the plan of care under the supervision of the RN.
The nurse is developing a health risk assessment protocol for use in a well-baby clinic
in a low-income neighborhood. Which information is most important for the nurse to
, include in the assessment?
Give this one a try later!
.Immunization history
The nurse is planning a community teaching program regarding the use of folic acid
to prevent neural tube birth defects. Which community group is likely to benefit most
from this program?
A.Parents of children with spina bifida
B.High school girls in a health class
C.Individuals interested in having children
D.Postpartum women attending a baby care class
Give this one a try later!
C
Folic acid is needed early in pregnancy to prevent neural tube defects; the
group most likely to be considering pregnancy is (C). Parents with children
who already have a neural tube defect such as spina bifida (A) are not as
invested in the content as (C). High school age students (B) may have
interest in the topic but as a group are less likely to anticipate the likelihood
that problems could occur in their lives than (C). (D) may be interested if
planning future pregnancies, but have higher learning priorities during the
postpartum period.
A 2-day postpartum mother who is breastfeeding asks, "Why do I feel this tingling in
my breasts after the baby sucks for a few minutes?" Which information should the
nurse provide?
A.This feeling occurs during feeding with a breast infection.
B.This sensation occurs as breast milk moves to the nipple.
(HCTZ) PO and 40 mg of furosemide (Lasix) PO daily. Today, at a routine clinic visit,
the client's serum potassium level is 4 mEq/L. What is the most likely cause of this
client's potassium level?
Give this one a try later!
The client's renal function has affected his potassium level.
Prior to administering an oral suspension, which intervention is most important for the
nurse to implement?
A.Assess the client's ability to swallow liquids.
B.Obtain applesauce in which to mix the medication.
C.Determine the client's food likes and dislikes.
D.Auscultate the client's breath sounds.
,Give this one a try later!
A
An oral suspension is a liquid, so the nurse needs to assess the client's
ability to swallow liquids (A) to ensure that the client will not choke. If the
client has difficulty swallowing liquids, a thickening substance may be used
(B). If a food product is used to thicken the liquid, (C) would be beneficial.
(D) may also be warranted, but only if the client is at risk for aspiration,
determined by (A).
The nurse recognizes which behavior(s) in a client as warning sign(s) of an impending
suicide attempt? (Select all that apply.)
Give this one a try later!
- Mood changes from depressed to happy
- Begins giving away possessions
The charge nurse working in the surgical department is making shift assignments. The
shift personnel include an RN with 12 years of nursing experience, an RN with 2 years
of nursing experience, and an RN with 3 months of nursing experience. Which client
should the charge nurse assign to the RN with 3 months of experience?
Give this one a try later!
A client who is 2 days postoperative with a right total knee replacement
A child with nephrotic syndrome is receiving prednisone (Deltasone). Which choice of
breakfast foods at a fast food restaurant indicates that the mother understands the
dietary guidelines necessary for her child?
,Give this one a try later!
Toasted oat cereal and low-fat milk
Which assessment is most important for the nurse to implement when seeing a client
with multiple myeloma?
Give this one a try later!
Pain scale measurement
The RN is caring for a client who is in skeletal traction. Which activity should the RN
assign to the PN?
A.Assess skeletal pins for infection.
B.Assist the client with toileting.
C.Establish thrombus prevention care.
D.Evaluate pain management plan.
Give this one a try later!
B
The PN can implement nursing care, such as (B). The PN assists the RN in
the development of a teaching plan and reinforces information to the client
according to the plan. (A, C, and D) are outside the scope of PN practice,
but the PN can assist the RN in gathering data, implementing nursing care,
and contributing to the plan of care under the supervision of the RN.
The nurse is developing a health risk assessment protocol for use in a well-baby clinic
in a low-income neighborhood. Which information is most important for the nurse to
, include in the assessment?
Give this one a try later!
.Immunization history
The nurse is planning a community teaching program regarding the use of folic acid
to prevent neural tube birth defects. Which community group is likely to benefit most
from this program?
A.Parents of children with spina bifida
B.High school girls in a health class
C.Individuals interested in having children
D.Postpartum women attending a baby care class
Give this one a try later!
C
Folic acid is needed early in pregnancy to prevent neural tube defects; the
group most likely to be considering pregnancy is (C). Parents with children
who already have a neural tube defect such as spina bifida (A) are not as
invested in the content as (C). High school age students (B) may have
interest in the topic but as a group are less likely to anticipate the likelihood
that problems could occur in their lives than (C). (D) may be interested if
planning future pregnancies, but have higher learning priorities during the
postpartum period.
A 2-day postpartum mother who is breastfeeding asks, "Why do I feel this tingling in
my breasts after the baby sucks for a few minutes?" Which information should the
nurse provide?
A.This feeling occurs during feeding with a breast infection.
B.This sensation occurs as breast milk moves to the nipple.
