ExamVault

A nurse is completing an admission assessment on an adolescent child who is a vegetarian. He eats milk products but does not like beans. Which of the following items should the nurse suggest the client order for lunch to provide nutrients most likely to be lacking in his diet? - Answer- Peanut Butter and Jelly Sandwich A nurse is caring for a 1-month old infant who weighs 3540 g and is prescribed a dose of cefazolin 50mg/kg IV bolus TID. How many mg should the nurse administer per dose? - Ans...

D - AnswerA 30-year-old multiparous woman who has a 3-year-old boy and a newborn girl tells the nurse, "My son is so jealous of my daughter, I don't know how I'll ever manage both children when I get home." How should the nurse respond? A. "Tell the older child that he is a big boy now and should love his new sister." B. "Ask friends and relatives not to bring gifts to the older sibling because you do not want to spoil him." C. "Let the older child stay with his grandparents for th...

During the postpartum period a client tells a nurse that she has been having leg cramps. Which foods should the nurse encourage the client to eat? 1 Liver and raisins Cheese and broccoli 3 Eggs and lean meats 4 Whole-wheat breads and cereals - Answercheese and broccoli need calcium A pregnant client with severe preeclampsia is receiving IV magnesium sulfate. What should the nurse keep at the bedside to prepare for the possibility of magnesium sulfate toxicity? 1Oxygen 2Na...

Rn is planning assignments for 5 clients on the nursing unit. the team includes a LPN and a nursing assistant. which clients should the nurse assign to the LPN? - Answer1. a client w/ a colostomy who requires reinforcement regarding the procedure for irrigation 2. a pt w/ DM who requires the administration or regular insulin in accordance w/ a sliding dosage scale every 4 hrs A client scheduled for surgery tells the nurse that he signed an informed consent for the surgical procedure but was ...

A male client with schizophrenia is admitted to the mental health unit after abruptly stopping his prescription for ziprasidone (Geodon) one month ago. Which question is most important for the nurse to ask the client? - AnswerDo you hear voices A female client with a history of drinking who was admitted 8 hours ago after receiving treatmetn for minor abrasions occurred from a fall at home. The nurse determines the client's blood alcohol level (BAL) was not analyzed on administration action s...

What hormone is measured in urine to serum to determine pregnancy? - AnswerhCg What hormone is thought to cause insulin resistance which leads to gestational diabetes? - AnswerhPL (human placental lactogen) What hormones are secreted by the anterior pituitary? - AnswerLH & FSH What hormone is primarily responsible for maintaining the endometrial lining? - Answerprogesterone What hormone is responsible for producing secondary sex characteristics? - Answerestrogen What hormone can a...

Patient identifiers - Answer-Medical record number -home telephone number What lab values should a nurse monitor for a patient with chronic renal failure? - Answer■ Urinalysis Hematuria, proteinuria, and alterations in specific gravity Serum creatinine - Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal failure (ARF) - Gradual increase over months to years for chronic renal failure (CRF) exceeding 4 mg/dL ■ Blood urea nitrogen (BUN) - 80 to 100 mg/dL with...

The nursing staff on a busy unit enjoys autonomy and needs minimal direction for patient care. Which leadership style would be most effective on this unit? - AnswerDemocratic A nurse is caring for four clients. Which of the following assessment findings is the priority? - AnswerAn adult client who has a femur fracture reports feeling shortness of breath A nurse from a medical unit is asked to work on an orthopedic unit. The medical nurse has no orthopedic experience. Which of the following...

A nurse is caring for four clients. For which of the following clients should the nurse use the therapeutic communication technique of silence? a. a client who plans to leave the facility against medical advice b. a client who informs the nurse that he has made his funeral arrangements c. a client who tells the nurse that the night shift nurse did not bring his medication d. a client who has just experienced the death of his child - Answerd. a client who has just experienced the death of his...

A nurse working in a hospital overhears the following conversation between two other nurses on the elevator. Which of the following actions should the nurse take? - AnswerTell the nurses that this conversation is not appropriate. A nurse is reinforcing teaching about carbohydrate counting with a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first? - AnswerAsk the client what he already knows about meal planning. A nurse is caring ...

Primary concern when a person cannot stop coughing/clearing their throat following house fire/smoke? - Answer - Airway/Intubate Lab evidence of cellular perfusion - Answer - Base Excess (Less than -6 is BAD) Multiple people are in the ER of different ages who all go to the same church. They all have the same symptoms. What is the most likely cause? - Answer - Biologic Suspected shock type with a spinal cord injury - Answer - Distributive Shock (Includes neurogenic) Patient has GCS of...

What is the first step in the TNP? - Answer - State the need to activate the trauma team When the instructor asks "Is there any specific equipment that you would prepare?" What is your first response? - Answer - State the need to prepare the trauma room What are some things that you would need in order to prepare the trauma room. (4) - Answer - - Fluid warmer - Pediatric equipment - Bariatric equipment - Difficult airway or IV equipment When the instructor asks "Is there any speci...

Preparation and Triage - Answer - 1. Activate the trauma team. 2. Prepare the Trauma Room. - Rapid infuser - Chest trauma equipment 3. States the need to don PPE Across-the-room Observation - Answer - Assess for obvious uncontrolled external hemorrhage. Primary Survey: Airway + Cervical Spinal Stabilization (A) - Answer - 1. Assess AVPU** 2. Ask a 2nd person to provide manual cervical spinal stabilization *AND* manually open the airway using the jaw-thrust maneuver.** 3. Determine ai...

A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of the following is the priority intervention for this patient? - Answer - Expedite transfer to the closest trauma center Which of the following considerations is the most important when caring for a geriatric trauma pt? - Answer - a pertinent ...

A 56 y/o M involved in a MVC is brought to the ED. He complains of neck pain, SOB, and diffuse abdominal pain. His GCS is 15, VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which is the priority intervention for this patient? - Answer - Expedite transfer to the closest trauma center Which of the following considerations is the most important when caring for a geriatric trauma pt? - Answer - a pertinent medical hx is crucial Following a review of recent drills and a rea...

What is kinematics? - Answer - A branch of mechanics (energy transfer) that refers to motion and does not consider the concepts of force and mass of the object or body. What is Newton's First Law? - Answer - A body at rest will remain at rest. A body in motion will remain in motion until acted on by an outside force. What is the Law of Conservation of Energy? - Answer - Energy can neither be created nor destroyed. It is only changed from one form to another. What is Newton's Second La...

A nurse is providing care based on Maslow's hierarchy of basic human needs. For which nursing activities is this approach useful? a. Making accurate nursing diagnoses b. Establishing priorities of care c. Communicating concerns more concisely d. Integrating science into nursing care - Answer - b. Maslow's hierarchy of basic human needs is useful for establishing priorities of care. The nurse is prioritizing nursing care for a patient in a long-term care facility. Which examples of nur...

When selecting an NCLEX answer or determining the order of priority what should you remember or use and what is the exception? - 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 address quest...

Brad is an agent working with a large general agency. He has just saw a very large life insurance policy to a client who is later discovered to be part of a terrorist network. And restaurant back to the same of this life policy could be viewed as which of the following - Answer - Placement All of the following are descriptive of the anti-money laundering program required by the regulation except - Answer - One size fits all The purpose of which of the following components of the AML progra...

What is money laundering? - Answer - Claiming illegal funds as a legitimate business transaction Who oversees money laundering? - Answer - federal regulations like the USA PATRIOT Act, What is AML mean? - Answer - AML refers collectively to laws, policies, and company programs intended to deter and detect money laundering. The first stage in the money laundering process is called? - Answer - placement What does placement mean? - Answer - brings the illicit cash into the legal financi...