100% Real Actual Exam with
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Answers [Graded A+]
The client has a decreased level of energy - ANS✔✔---A nurse is caring
for a client who has a recent diagnosis of a terminal illness. The nurse
should identify which of the following as an indication of hopelessness?
1. Allows the nurse to touch him on the arm
2. Answers questions asked by the nurse
3. Makes eye contact with the nurse - ANS✔✔---A nurse is preparing
to collect data on a preschooler. Which of the following behaviors by
the child indicates that he is ready to cooperate? (SATA-3)
A client who has schizo and is having command hallucinations -
ANS✔✔---A nurse on a mental health unit is planning care for a group
of clients. Which of the following clients should the nurse see first?
Changes her personal login password at random times - ANS✔✔---A nurse is
attending an educational workshop about client confidentiality. Which of the
following actions by the nurse indicates an understanding of the teaching?
"Let me show how to swaddle and cuddle him, then try." - ANS✔✔---A nurse
is caring for a client who recently gave birth to her first child. The newborn is
,crying and the client states, "I can't seem to do anything right. What
should I do?" Which of the following responses should the nurse make?
Keep the finger in dependent position - ANS✔✔---A nurse is
using a glucometer to measure a client's capillary blood glucose
level. Which of the following actions should the nurse take?
Naproxen - ANS✔✔---A nurse is reviewing the home medications
with a client who recently had a transient ischemic attacks and is
to begin taking clopidogrel. The nurse should instruct the client that
which of the following otc meds interact adversely w clopidogrel?
Check for pain w passive movement of the affected extremity - ANS✔✔---A nurse is
collecting data from a client who has a long leg cast that was applied 2 days ago.
The client's foot is pale w a weak pedal pulse and the client reports foot numbness.
Which of the following actions should the nurse take first?
Somnolence - ANS✔✔---A nurse in a providers office is reinforcing
teaching about cigarette smoking w a client. Which of the following
adverse effects should the nurse include in the teaching?
A client who is attempting to hurt himself or others - ANS✔✔---A nurse is
contributing to the development of an in-service program for mental health
nursing staff. The nurse should include that the staff can medicate a client
against his will, without a court hearing in which of the following situations?
"Monitor for muscle weakness while taking the medication" - ANS✔✔---A
nurse is reinforcing teaching with a client who has a new prescription for
digoxin. Which of the following instructions should the nurse include in the
teaching?
A social worker who's assigned an involuntary committed school-
age client - ANS✔✔---A charge nurse is discussing confidentiality
requirements w a newly licensed nurse when sharing a client's
medical info. Which of the following individuals should the charge
nurse identify as appropriate with whom to share client info?
, Urine protein plus - ANS✔✔---A nurse is reviewing lab values
for a client who is at 34 weeks of gestation. Which of the
following findings should the nurse report to the provider?
O2 sat 89% - ANS✔✔---A nurse is collecting data from a client who
is 4 hr postop following a hemicolectomy. Which of the following
findings is a nurse's priority, requiring immediate intervention?
Blurred vision - ANS✔✔---A nurse in a provider's office is
collecting data from a client who has a history of hypertension
during his annual physical examination. Which of the following
findings should the nurse report to the provider immediately?
Elevate the client's HOB - ANS✔✔---A nurse is caring for a
client who suddenly develops chest pain and dyspnea.
Which of the following actions should the nurse take first?
Glycoslated Hemoglobin - ANS✔✔---A nurse is reinforcing teaching
on a client who has diabetes mellitus. Which of the following lab
tests is most accurate of blood glucose effective management?
Tells a client he will lose his phone privileges if he does not take his
medication - ANS✔✔---A nurse charge on a mental health unit is
supervising a newly licensed nurse. For which of the following actions
by the newly licensed nurse should the supervising nurse intervene?
Oral suction equipment - ANS✔✔---A nurse is supervising an AP
obtain supplies for a client who is on seizure precautions. Which of
the following materials should the AP place in the client's room?
Encourage client to be assertive - ANS✔✔---A nurse is reinforcing
discharge teaching with a family of a client who has dependent
personality disorder. What action should the nurse take?