Advanced Prep Bundle Forms A, B & C | Verified
Q&A with Detailed Rationales | Updated Test
Bank & A+ Study Guide
1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-
old. Which of the following actions should the nurse take?
Tell the child they will feel discomfort during the catheter insertion.
Use a mummy restraint to hold the child during the catheter insertion.
Require the parents to leave the room during the procedure.
2. A nurse is caring for a client who has arteriovenous fistula Which of
the following findings should the nurse report?
Thrill upon palpation.
Absence of a bruit.
Distended blood vessels
Swishing sound upon auscultation.
3. A nurse is providing discharge teaching for a client who has an
implantable cardioverter defibrillator which of the following statements
demonstrates understanding of the teaching?
“I will soak in the tub rather and showering”
“I will wear loose clothing around my ICD”
“I will stop using my microwave oven at home because of my ICD”
“I can hold my cellphone on the same side of my body as the ICD”
,4. A nurse is caring for a client who is at 14 weeks’ gestation and
reports feelings of ambivalence about being pregnant. Which of the
following responses should the nurse make?
“Describe your feelings to me about being pregnant”
“You should discuss your feelings about being pregnant with your
provider”
“Have you discussed these feelings with your partner?”
“When did you start having these feelings?”
5. A nurse is planning care for a client who has a prescription for a bowel-
training program following a spinal cord injury. Which of the following actions should the
nurse include in the plan of care?
Encourage a maximum fluid intake of 1,500 ml per day.
Increase the amount of refined grains in the client’s diet.
Provide the client with a cold drink prior to defecation.
Administer a rectal suppository 30 minutes prior to scheduled
defecation times.
6. A nurse is caring for a client who is in active labor and requests pain
management. Which of the following actions should the nurse take?
Administer ondansetron.
Place the client in a warm shower.
Apply fundal pressure during contractions.
Assist the client to a supine position.
7. a nurse in an emergency department is performing triage for multiple clients
following a disaster in the community. To which of the following types of injuries
should the nurse assign the highest priority?
Below-the knee amputation
, Fractured tibia
95% full-thickness body burn
10cm (4in) laceration to the forearm
8. a nurse manager is updating protocols for the use of belt restraints. Which of the
following guidelines should the nurse include?
Remove the client’s restraint every 4hr
Document the client’s condition every 15 min
Attach the restrain to the bed’s side rails
Request a PRN restrain prescription for clients who are aggressive
9. A nurse is teaching an in-service about nursing leadership. Which of the
following information should the nurse include about an effective leader?
Acts as an advocate for the nursing unit.
(Unable to read) for the unit
Priorities staff request over client needs.
Provides routine client care and documentation.
10. A nurse is reviewing the laboratory findings of a client who has diabetes mellitus
and reports that she has been following her (unable to read) care. The nurse should
identify which of the following findings indicates a need to revise the client’s plan of
care.
Serum sodium 144 mEq/
(Unable to read)
Hba1c 10 %
Random serum glucose 190 mg/dl.
, 11. A nurse in a provider’s office is reviewing the laboratory results of a group of
clients. The nurse should identify that which of the following sexually transmitted
infections is a nationally notifiable infectious disease that should be reported to the
state health department?
Chlamydia
Human papillomavirus
Candidiasis
Herps simplex virus
12. A nurse is teaching a newly licensed nurse about therapeutic techniques to use
when leading a group on a mental health unit. Which of the following group facilitation
techniques should the nurse include in the teaching?
Share personal opinions to help influence the group’s values
Measure the accomplishments of the group against a previous group
Yield in situations of conflicts to maintain group harmony
Use modeling to help the clients improve their interpersonal skills
13. A nurse is planning for a client who practices Orthodox Judaism. The
client tells the nurse that (Unable to read) Passover holiday. Which of the
following action should the nurse include in the plan of care?
Provide chicken with cream sauce.
Avoid serving fish with fins and scales.
Provide unleavened bread.
Avoid serving foods containing lamb.