Highscorers

HYPERTENSION Meet the Client: George Thomas A group of nursing students is conducting blood pressure and cholesterol screenings outside a local home improvement store on Saturday morning for its community service project. George Thomas, a 52-year-old Caucasian male stops by the booth to have his blood pressure and cholesterol checked. He tells the students that he is a construction foreman. Hypertension Assessment: George’s blood pressure is 189/110. His LDL Cholesterol is 200 mg/dL. H...

MATERNAL Maternal A nurse is performing a vaginal exam on a client who is in active labor. The nurse notesthe umbilical cord protruding through the cervix. Which of the following actions shouldthe nurse take? Administer oxytocin to the client via intravenous infusion. Apply oxygen at 2 L/min via nasal cannula. Prepare for insertion of an intrauterine pressure catheter. Assist the client into the knee-chest position. 1. A nurse is assessing a newborn who is 48 hr old and is experiencing ...

MANAGEMENT OF SURGICAL Management of Surgical Unit The nurse manager is the charge nurse on a busy surgical unit in a major metropolitan hospital. The charge nurse is working with a team composed of registered nurses (RNs), practical nurses (PNs), and unlicensed assistive personnel (UAPs). The charge nurse for the previous night shift is giving verbal report to Ms. Hatch and the oncoming staff nurses. During the report, one of the UAPs interrupts to state that a client is vomiting. How s...

RN CASE STUDY Management of an Oncology Unit RN Case Study This scenario demonstrates leadership and management on an oncology unit. Using effective leadership skills, the charge nurse demonstrates skill in priority setting, delegation, supervision, and client care assignments. Students on the oncology unit have the opportunity to observe effective communication and team collaboration resulting in the provision of safe client care. Ms. Young asks the nurse about the lab data and the nurs...

RN CASE STUDY Management of a Medical Unit RN Case Study The nurse manager is the 7:00 a.m. to 7:00 p.m. charge nurse on a general medical unit that includes five telemetry-monitored rooms. The nursing staff includes experienced nurses, newly-licensed nurses, practical nurses (PNs), unlicensed assistive personnel (UAPs), and a unit secretary. Each newly-licensed nurse has an assigned staff nurse as a preceptor. In addition to the nursing staff, a respiratory therapist, case manager, and p...

MATERNAL CHILD Maternal child The nurse understands that prenatal growth and development proceed in a cephalocaudal pattern, meaning that The brain will develop first One of the assessments performed in the delivery room is checking the umbilical cord for blood vessels. Which finding is considered to be within normal limits? Two arteries and one vein Which part of the mature sperm contains the male chromosomes? The head of the sperm Dizygotic twins develop from two fertilized ova and m...

MCH STUDY GUIDE TEST MCH Study Guide Test 1/50 questions 1. Women’s health encompasses breast care, GYN exams, and assessments. Be comfortable with the parameters of education for Self breast exams, and what is normal for a woman to note when doing breast exam? Lumps bumps do your own breast exam 10 days after menstrual 2. What is the most common complaint with the menstrual cycle? Dysmenorrhea = painful menstrual teach heat diet exercise pharmacology NSAIDS and complications; stress, di...

MATERNAL Maternal 1. A nurse is assessing a client who has gestational diabetes and is experiencing hyperglycemia. Which of the following findings should the nurse expect? a. Reports increased urinary output b. Diaphoresis c. Reports blurred vision d. Shallow respirations 2. A nurse is caring for a client who is at 22 weeks of gestation and is HIV positive. Which of the following actions should the nurse take? a. Administer penicillin G 2.4 million units IM to the client b. Instruct t...

MATERNAL CHILD Maternal Child Acute and infectious respiratory illnesses: Croup effects under the age of 5 - bark cough - comfort, treat fever, fluids, corticosteroids and nebulae treatments if needed, humid environments Signs of respiratory distress - dyspnea - rapid breathing Infectious mononucleosis (not on take home test) sore throat, swelling of lymph nodes, rash on trunk, effects young adults, mild analgesics, ampicillin or amoxicillin, throat licensers, corticosteroids for respira...

MATERNAL HESI Maternal HESI Client teaching is an important part of the maternity nurse's role. Which factor has the greatest influence on successful teaching of the gravid client? a. the client's readiness to learn b. the client's educational background c. the order in which the information is presented d. the extent to which the pregnancy is planned A A 38-week primigravida who works as a secretary and sits at a computer 8 hours each day tells the nurse that her feet have begun to...

MATERNAL III Maternal A nurse in a woman's health clinic is providing teaching about nutritional intake to a client who is at 8 weeks of gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients? Calcium The recommendation for calcium intake during pregnancy is the same as that for women who are not pregnant: 1,300 mg/day for women younger than 19 years old and 1,000 mg/day for women between the ages of 19 and 50 years old. Vitam...

MED SURG CARDIAC QUESTIONS HESI RN Med Surg Cardiac Questions HESI RN A patient is receiving distal peripheral bypass graft surgery using a synthetic graft. Which medications would you expect the provider to order? Select all the apply a. aspirin b. metoprolol c. warfarin d. clopidogrel A and D Dual therapy is recommended for one year after surgery Which patient teaching by a student nurse to a patient with Raynaud's phenomenon would warrant correction by the RN? a. Wear loose fit...

HESI PHARM 1. Which response best supports the observations that the nurse identifies in a client who is experiencing a placebo effect? Psychological response to inert medication 2. Methylphenidate HCl (Concerta) is prescribed for daily administration to a 10-year-old child with attention deficit-hyperactivity disorder (ADHD). In preparing a teaching plan for the parents of this child newly diagnosed with ADHD, which instruction is most important for the nurse to provide to the parents? ...

MCH 1. A client in the 28th week gestation comes to the emergency department because she thinks that she is in labor. To confirm a diagnosis of preterm labor, the nurse would expect physical examination to reveal: a. Irregular uterine contractions with no cervical dilatation b. Painful contractions with no cervical dilatation c. Regular uterine contractions with cervical dilatation d. Regular uterine contractions with no cervical dilatation Ans: C – regular uterine contractions (every ...

MED SURG - THE HEMATOLOGIC SYSTEM Med Surg - The Hematologic System A healthcare professional is caring for a patient who is about to begin iron dextran (INFeD) therapy. When administering the drug IM, the healthcare professional should take which of the following actions? - Administer a test dose - Monitor blood pressure - Have epinephrine available - Use the Z-track technique A healthcare professional is caring for a patient who is about to begin taking clopidogrel (Plavix) to prev...

MATERNAL PROCTORED Maternal Proctored 1. Two days after delivery, a postpartum client prepares for discharge. What should the nurse teach her about lochia flow? Incorrect: Lochia does change color but goes from lochia rubra (bright red) on days 1-3, to lochia serosa (pinkish brown) on days 4-9, to lochia alba (creamy white) days 10-21. Incorrect: Numerous clots are abnormal and should be reported to the physician. Incorrect: Saturation of the perineal pad is considered abnormal and may in...

MED SURG ADAPTIVE QUIZZING AND RATIONALE Med Surg Adaptive Quizzing and Rationale The nurse is planning care for a patient with a new diagnosis of hypercalcemia resulting from treatment for hypocalcemia. Which change to the plan of care should the nurse anticipate? - weight bearing exercises A patient with hypercalcemia as a result of treatment for hypocalcemia would require the addition of weight-bearing exercises to the plan of care. These exercises will facilitate the movement of extr...

MED SURG CRITICAL CARE SHOCK AND SEPSIS Med surg Critical care Shock and sepsis 1. A nurse is discussing the concept of shock with a new graduate nurse. Which statement indicates the new graduate nurse understood the information? a. Shock is a physiologic state resulting in hypotension and tachycardia. b. Shock is an acute, widespread process of inadequate tissue perfusion. c. Shock is a degenerative condition leading to organ failure and death. d. Shock is a condition occurring with hy...

MED SURG CARDIAC Med Surg CARDIAC A nurse is reviewing self-care measures for a client with peripheral vascular disease. Which statement indicates proper self-care measures? A. "I like to soak my feet in the hot tub every day." B. "I walk only to the mailbox in my bare feet." C. "I stopped smoking and use only chewing tobacco." D. "I have my wife look at the soles of my feet each day." D. "I have my wife look at the soles of my feet each day." On a routine visir to the physici...

MED SURG-CRITICAL CARE SHOCK AND SEPSIS Med surg-Critical care Shock and sepsis A student is caring for a client who suffered massive blood loss after trauma. How does the student correlate the blood loss with the client's mean arterial pressure (MAP)? a. It causes vasoconstriction and increased MAP. b. Lower blood volume lowers MAP. c. There is no direct correlation to MAP. d. It raises cardiac output and MAP. B ~ Lower blood volume will decrease MAP. The other answers are not accura...