CC PROCTOR 3 (C)

1. A nurse is providing care for a client who has esophageal cancer and has received radiation therapy. Which of the following finding should the nurse identify as the priority? A. Excoriation of the skin on the neck and chest B. Dysphagia C. Client reports a pain level of 6 on scale from 0-10 D. Xerostomia - B. Dysphagia 2. A nurse is assessing a client who is 2 hrs postpartum for uterine atony. Which of the following action should the nurse take? A. Monitor the client's urinary output B. Check the client VS C. Evaluate the client's pain level D. Palpate the client's fundus - D. Palpate the client's fundus 3. A school nurse is teaching a parent about absence seizures. Which of the following information should the nurse include? A. "This type of seizure can be mistaken for daydreaming" B. "The child usually has an aura prior to onset" C. This type of seizure last 30-60 sec" D. "This type of seizure has a gradual onset" - A. "This type of seizure can be mistaken for daydreaming" 4. A nurse in a surgical suite is planning care for a client who requires surgery and has a latex sensitivity. Which of the following is appropriate for this client? A. Disinfect and powder any latex products before use B. Tape stockinet over monitoring device and cords C. Schedule the client as the last surgery of the day D. Remove poopsocks from the IV - B. Tape stockinet over monitoring device and cords 5. A nurse is reviewing the medical record of a client. The nurse should identify that the client is at risk for which of the following complication. A. Dumping syndrome B. Ketoacidosis C. Hepatotoxicity D. Thyroid storm - ??? 6. A nurse is caring for a client who has lung cancer and has a sealed radiation implant. Which of the following action should nurse take? (SATA) A. Place the client in a semi-private room B. Wear a lead apron when providing care. C. Limit visitors to 30 mins D. Instruct visitors who are pregnant to remain 3 ft from the client E. Close the door to the client's room - B. Wear a lead apron when providing care. C. Limit visitors to 30 mins E. Close the door to the client's room 7. A CN (charge nurse) is providing teaching for group of newly licensed nurse about grieving process. Which of the following information should the CN include in the teaching? A. Client can expect to have feeling of hopelessness B. Client might feel guilt over some aspect of their loss C. Client will experience anhedonia D. Client will experience low self-esteem - B. Client might feel guilt over some aspect of their loss 8. A client who is pregnant voice her concern that her 3y/o son will feel left out one the newborn arrives. Which of the following statements by the nurse is appropriate? A. Offer your son a gift when the baby receives one B. Move your son to a toddler bed when the baby arrives C. Tell your son to kiss the baby D. Teach your son to change the baby diapers - C. Tell your son to kiss the baby 9. A nurse is obtaining a nutritional health hx on a client who reports problems with constipation. Which of the following should the nurse identify as a cause of constipation? A. Following high-fiber diet B. Currently taking probiotics- C. New prescription for an iron supplement D. Intolerance to lactose - C. New prescription for an iron supplement 10. A nurse is assessing a newborn who has patent ductus arteriosus. Which of the following findings should the nurse except? A. Increase PaO2 B. Hypoglycemia C. Board-like abdomen D. Bounding pulse - D. Bounding pulse 11. A nurse is developing a plan of care for a client who has preeclampsia and is to receive magnesium sulfate via continuous IV infusion. Which of the following actions should the nurse include in the plan? a. Measure the client's urine output every hour. b. Restrict the client's total fluid intake to 250ml/hr. c. Monitor the FHR via Doppler every 30 mind. d. Give the client protamine if sign of magnesium sulfate toxicity occur. - a. Measure the client's urine output every hour. - monitor for toxicity. 12. A nurse is caring for a client who has end stage kidney disease. The client's adult child asks the nurse about becoming a living kidney donor for her father. Which of the following conditions in the child's medical history should the nurse identify as a contraindication to the procedure? a. Hypertension b. Primary glaucoma c. Osteoarthritis d. Amputation - a. Hypertension 13. A nurse is caring for a client who has COPD and is 5kg (11lb) below her ideal body weight. The client experiences shortness of breath when eating. Which of the following actions should the nurse take? a. Administer a bronchodilator following meals. b. Request non gas forming foods from the dietary department c. Limit the client's food consumption between meals. d. Arrange for a low protein diet. HIGH PROTEIN. - b. Request non gas forming foods from the dietary department 14. A nurse in a provider's office is reviewing the laboratory results of a group of clients. The nurse should identify that which of the following sexually transmitted infectious disease that should be reported to the state health department? A. Candidiasis B. Herpes simplex virus C. Human papillomavirus D. Chlamydia - D. Chlamydia 15. A nurse is reviewing the laboratory findings of a client who is receiving IV infusion of insulin. The client's lab findings reveal a potassium level of 5.5 mEq/L, BUN of 15 mg/dL, and a creatinine level of 1 mg/dL. Which of the following interventions is appropriate for the nurse to take? a. Place a cardiac monitor on the client b. Stop the IV infusion of insulin c. Administer oral potassium to the client- potassium is already high d. Initiate a 24 hr urine collection. - a. Place a cardiac monitor on the client 16. A nurse is providing discharge teaching to a client who is postoperative following the surgical repair of a detached retina. Which of the following statements by the client indicates an understanding of the teaching?