Form D | 100% Accurate and Verified Questions | A+ Graded
| Ultimate Nursing Study Material
A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has
questions about the disease. To research the nurse should identify that which of the
following electronic database has the most comprehensive collection of nursing (Unable
to read) articles?
. MEDLINE
A. CINAHL.
B. ProQuest.
C. Health Source.
A nurse in an emergency department is assessing newly admitted client who is experiencing
drooling and hoarseness following a burn injury. Which of the following should actions the
nurse take first?
A. Obtain a baseline ECG.
B. Obtain a blood specimen for ABG analysis.
C. Insert an 18-gauge IV catheter.
D. Administer 100% humidified oxygen.
A n u r s e is planning care for a client who has unilateral paralysis and dysphagia
following a right hemispheric stroke. Which of the following interventions should
the nurse include in the plan?
A. Place food on the left side of the client’s mouth when he is ready to eat.
B. Provide total care in performing the client’s ADLs.
,C. Maintain the client on bed rest.
D. Place the client’s lef t arm on a pillow while he is sitting.
A nurse is caring for a client who is receiving brachytherapy for treatment
of prostate cancer. Which of the following actions should the nurse take?
Limit the client’s visitors to 30 min per day.
Discard the client’s linens in a double bag. Discard the
radioactive source in a biohazard bag
Cleanse equipment before removal from the client room
A nurse is admitting a client who is 1 week postpartum and reports
excessive vaginal bleeding, the nurse does not speak the same language as
the client. The client partner and a 10-year-old child are accompanying her.
Which of the following actions should the nurse take to gather the client’s
information?
Request a female translator interpreter through the facility
Ask a student nurse who speaks the same language to translate
Have the child translate
Allow the clients child to translate
A nurse is caring for a client who is in labor and requires augmentation of labor.
Which of the following conditions should the nurse recognize as a
contraindication to the use of oxytocin?
A. Diabetes mellitus.
Shoulder presentation.
Post term with hydramnios.
Chorioamnionitis
,A nurse is preparing to perform a sterile wound irrigation and dressing
change for a client. Which of the following actions by the nurse indicates a
break in surgical aseptic technique?
Applying a sterile gown after applying a sterile mask
Balancing the bottle on the sterile basin while pouring the liquid Placing
the supplies on the sterile filed and leaving a 1- inch perimeter Putting on sterile
gloves after preparing the sterile field
A nurse is assessing a client who has left-sided heart failure.
Which of the following should the nurse identify as a
manifestation of pulmonary congestion?
. Frothy, pink sputum.
A. Jugular vein distention.
B. Weight gain.
D. .Bradypnea
A nurse is obtaining a clients manual blood pressure and is having
difficulty auscultating sounds .Which of the following actions should the
nurse …?
Use the palpatory method to determine blood pressure Deflate
the cuff quickly
. Place the arm above the level of the client's heart Apply
the largest cuff available.
A nurse is caring for a 5-month-old infant who has manifestations of severe
dehydration and a prescription for paternal fluid therapy. The guardian
asks. “What are the indications that my baby needs an IV?” Which of the
following responses should the nurse make?
, A. “Your baby needs an IV because she is not producing any tears”
B. “Your baby needs an IV because her fontanels are budging”
C. “Your baby needs an IV because she is breathing slower than normal”
D. “Your baby needs an IV because her heart rate is decreasing”
A nurse is providing teaching to a client who has heart
failure and a new prescription for furosemide. Which of
the following statements should the nurse make?
“Taking furosemide can cause your potassium levels to be high”
“Eat foods that are high in sodium”
C. “Rise slowly when getting out of bed”
D. “Taking furosemide can cause you to be overhydrated”
A nurse is creating a plan of care for a newly admitted client who has
obsessive-compulsive disorder. Which of
the following interventions should the nurse take?
A. Allow the client enough time to perform rituals.
B. Give the client autonomy in scheduling activities.
C. Discourage the client from exploring irrational fears.
D. Provide negative reinforcement for ritualistic behaviors
A nurse is caring for a client who has depression and reports taking
ST. John’s wort along with citalopram. The nurse should monitor the
client for which of the following conditions as a result of an interaction
between these substances?
Serotonin syndrome
Tardive dyskinesia
Pseudo parkinsonism.
Acute dystonia.