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1. A nurse is assigned to care for a client with chronic renal failure who is undergoing hemodialysis through an internal arteriovenous (AV) fistula in the right arm. Which of the following interventions should the nurse implement in caring for the client? Select all that apply. A. Assessing the radial pulse in the right extremity B. Using the left arm to take blood pressure readings C. Drawing predialysis blood specimens from the left arm D. Assessing the area over the AV fistula for ...

When selecting an NCLEX answer or determining the order of priority what should you remember or use and what is the exception? - correct answer Use the ABC rule: Airway breathing, and circulation. The exception to the rule is with actual CPR, use C-A-B for CPR. Also remember safety first and acute before chronic. If the pt. is not in distress then you assess. If the pt is in distress then you should do something. If the pt has diaphorisis you should always do something. How should you addres...

The client is diagnosed with glaucoma. Which symptom should the nurse expect the client to report? a. Loss of peripheral vision b. Floating spots in the vision c. A yellow haze around everything d. A curtain coming across vision - correct answer a. Loss of peripheral vision Rationale: In glaucoma, the client is often unaware he or she has the disease until the client experiences blurred vision, halos around lights, difficulty focusing, or loss of peripheral vision. Glaucoma is often cal...

A nursing student is preparing a prenatal class on the process of fetal circulation. The nursing instructor asks the student specifically to describe the process through the umbilical cord. Which of the following statements from the student is correct? 1. "The one artery carries freshly oxygenated blood and nutrient-rick blood back from the placenta to the fetus." 2. "The two arteries carry freshly oxygenated blood back from the placenta to the fetus." 3. "The two arteries in the umbil...

What is the NCLEX RN exam? - correct answer A national exam that must be passed before the RN license will be awarded by the state Board of Nursing (BON) allowing practice National Council Licensing Examination for Registered Nurses (NCLEX-RN) - correct answer This examination must be taken by all graduates of diploma, associate degree, and baccalaureate degree nursing programs prior to a license being issued. Successful completion of the examination is a requirement for practice as a reg...

The nurse is instructing a client with hypertension about foods that are low in sodium. Which menu items indicate that the client understands what has been taught? a. Spaghetti with fresh tomatoes b. Boiled lobster, baked potato c. Grilled chicken with turnip greens d. Instant hot cereal with bacon e. Tomato soup with a ham sandwich - correct answer Spaghetti/fresh tomatoes Grilled chicken, turnip greens Rationale: Foods that are lower in sodium include fruits and vegetables, which do no...

The primary healthcare provider has prescribed phenytoin 100 mg intravenous push (IVP) stat for an adult client. What is the least amount of time that the nurse can safely administer this medication? 1. 1 minute 2. 2 minutes 3. 5 minutes 4. 10 minutes - correct answer 2. Correct: The rate of IV administration should not exceed 50 mg/min. for adults and 1-3 mg/kg/min (or 50 mg/min, whichever is slower) in pediatric clients because of the risk of severe hypotension and cardiac arrhythmias. So...

The peak pressure alarm is sounding on the ventilator of the client with a recent tracheostomy. What intervention should be done first? A. Assess the client's respiratory status B. Decrease the sensitivity of the alarm C. Ensure that the connecting tubing is not kinked D. Suction the client - correct answer A The client must always be assessed before attention is turned to equipment. The client with respiratory failure has been intubated and placed on a ventilator and is requiring 1...

Nursing can best be defined as a discipline that focuses on which of the following? A. Human responses to health and illness B. A wide variety of disease states C. The interaction between nurses and other disciplines D. The relationship between prevention and teaching - correct answer A. Human responses to health and illness Which challenge must a nurse in today's health care field be prepared to meet? A. Developing standardized plans of care to control costs B. Teaching patients to b...

A client is being prepped for a surgical procedure and the nurse is reviewing the informed consent with the client. The client asks, "Is there any other way to take care of this without have surgery?" The nurse has a duty to first: A. Reassure the client that the surgery is the best treatment option B. Tell the client if they don't want they surgery, they don't have to have it C. Notify the surgeon that the client has additional question about alternatives to surgery D. Call the surgeo...

A nurse mixes a short-acting and an intermediate-acting insulin in the same syringe to administer to a client with diabetes. List the actions in the order the nurse should perform them. A) Don a pair of clean gloves. B) Put air into the intermediate-acting insulin vial. C) Withdraw the prescribed amount of short-acting insulin. D) Put air into the short-acting insulin vial. E) Withdraw the prescribed amount of intermediate-acting insulin. - correct answer A, D, B, C, E An client who is...

These markings are a visual precursor and are intended to prevent runway incursions. They are optional. - correct answer -Enhanced hold position markings These markings identify the location for aircraft to hold short of an intersecting taxiway or taxiLane on an apron. - correct answer -Intermediate hold positions By how many inches should you interrupt a taxiway or taxilane centerline when marking intermediate hold positions? - correct answer -6 inches each side UFC 3-260-01 Table 3-1 ...

You are evaluating screening instruments to help you better identify depression and anxiety in your patients. Which one of the following is NOT true regarding screening instruments for mental health disorders in primary care settings? The Mood Disorder Questionnaire (MDQ) can be used to screen for bipolar disorder The PHQ-2 has high sensitivity for depression The GAD-2 questionnaire can detect several anxiety disorders The GAD-7 can identify panic disorder The question "Do you want help ...

What is the normal form of the accounting equation? - correct answer Assets = Liabilities + Owners Equity Define 'Asset' - correct answer Anything the company owns and is not mortgaged/ loaned What is an example of an asset? - correct answer Paid for stock Define 'liability' - correct answer Anything that is owed to other people/ businesses What is an example of a liability? - correct answer Bank loan/ mortgage What is another way to write the accounting equation? - correct an...

CCRN exam 2023 with 100% correct answers CCRN Pulmonary exam 2023 with 100% correct answers

anorexic, COPD, bipap that favors R side. shallow area of tissue loss w yellow slough on R bony prominence of hip. No bone exposed. What stage is the injury? - correct answer 3 during initial assessment of pt w pancreatitis, nurse notices a spasm in its hand when BP cuff is inflated. What electrolyte imbalance does this represent? - correct answer low serum calcium pt w DKA admitted. to best manage electrolyte imbalances, the nurse should INITIALLY collaborate with _____ - correct answ...

What are acute coronary syndromes (ACSs)? - correct answer -Unstable angina (UA), ST-segment elevation myocardial infarction (STEMI), and non-ST segment elevation myocardial infarction (NSTEMI) What are the characteristics of a "vulnerable" plaque in the coronary artery? - correct answer -Large lipid-rich core, thin fibrous cap over the lipid core, and activated smooth muscle cells and macrophages What is plaque erosion? - correct answer -The endothelium erodes, exposing the intimal laye...

A patient presents with labored breathing and an RR of 40 beats per minute (bpm). The following ABG is obtained: PaO2 68 PaCO2 50 pH 7.34 SaO2 91% HCO3 22 Which of the following is the most accurate interpretation of the above situation? A. Normal ABG for COPD patient B. Respiratory failure due to metabolic acidosis C. Obstructive upper airway most likely causing respiratory failure D. Respiratory failure due to dead space - correct answer D Normally, as the minute ventilation (...

Which ventilator setting is most likely to decrease the work of breathing? - correct answer pressure support A nurse is caring for a patient with an acute inferior wall MI, post coronary artery stent deployment. For optimal care of this patient, the nurse should: A. administer an analgesic for acute back pain. B. apply a pressure dressing to the groin. C. continuously monitor the patient in lead II. D. maintain the patient in a supine position. - correct answer C. continuously mon...

A 59 year old male is admitted complaining of chest pain and dyspnea. ST elevation and T wave inversion were seen on the EKG in V2,V3 and V4. IV thrombolytic therapy was started in ED. Indications of successful reperfusion would include all of the following except: (A) pain cessation (B) decrease in CK or troponin (C) reversal of ST segment elevation with return to baseline (D) short runs of ventricular tachycardia - correct answer (B)Coronary artery reperfusion due to PCI or fibrinolysis...