RNo.ono.ao.MS.o.Whicho.ofo.theo.followingo.clientso.needso.willo.theo.nurseo.assigno.too.ano.AP?o.-
o.✔✔ANSo.Reapplyingo.ao.condomo.cathetero.foro.ao.cliento. whoo.haso.urinaryo.incontinence
RNo.delegatingo.theo.ambulationo.ofo.ao.cliento.whoo.hado.kneeo.arthroplastyo..o.Whicho.ofo.theo.followingo.infoo.sh
ouldo.theo.nurseo.shareo.witho.theo.AP?o.-
o.✔✔ANSo.cliento.ambulateso.witho.hiso.slipperso.ono.overo.hiso.antiembolico.stockings
cliento.useso.ao.fronto.wheeledo.walkero.wheno.ambulatingo
cliento.hado.paino.medso.30o.minuteso.ago
.
RNo.iso.makingo.assignments.o.Whicho.ofo.theo.followingo.assignmentso.shouldo.theo.LPNo.question?o.-
o.✔✔ANSo.D.
Replacingo.theo.cartridgeo.ando.tubingo.ono.ao.PCAo.pump
inserviceo.programo.abouto.delegation.o.Whicho.ofo.theo.followingo.elementso.shouldo.sheo.identifyo.wheno.prese
ntingo.theo.5o.rightso.ofo.delegation.o.-o.✔✔ANSo.B.o.Righto.supervision/evaluation
C.o.Righto.direction/communication
E.o.Righto.circumstances
Ao.cliento.iso.waitingo.transfero.backo.too.theo.unito.fromo.theo.PACUo.followingo.thoracico.surgery.o.Too.whicho.staffo.
membero.shouldo.theo.nurseo.assigno.theo.client?o.-o.✔✔ANSo.B.o.RN
Ao.nurseo.iso.caringo.foro.ao.cliento.whoo.decideso.noto.too.haveo.surgeryo.despiteo.significanto.blockageso.ino.hiso.c
oronaryo.arteries.o.Theo.nurseo.understandso.thato.thiso.clientso.choiceo.iso.ano.exampleo.ofo.whato.principles?o.-
✔✔ANSo.A.o.Fidelity
Ao.nurseo.offerso.paino.medso.too.ao.cliento.whoo.iso.postopo.prioro.too.ambulation.o.Theo.nurseo.understandso.thato.
thiso.aspecto.ofo.careo.deliveryo.iso.ano.exampleo.ofo.whicho.ofo.theo.followingo.ethicalo.principles?o.-
o.✔✔ANSo.D.o.Beneficience
Ao.nurseo.iso.instructingo.ao.groupo.ofo.nursingo.studentso.abouto.theo.responsibilitieso.involvedo.witho.organo.do
nationo.ando.procurement.o.Wheno.theo.nurseo.explainso.thato.allo.clientso.waitingo.foro.ao.kidneyo.transplanto.hav
eo.too.meeto.theo.sameo.qualifications,o.theo.studentso.shouldo.understando.thato.thiso.aspecto.ofo.careo.deliveryo.
iso.ano.exampleo.ofo.whicho.ethicalo.principleo.-o.✔✔ANSo.C.o.Justice
,Ao.nurseo.questionso.ao.medo.prescriptiono.aso.tooo.extremeo.ando.lighto.ofo.theo.clientso.advancedo.ageo.ando.uns
tableo.status.o.Theo.nurseo.understandso.thato.thiso.actiono.iso.ano.exampleo.ofo.whicho.ethicalo.principleo.-
o.✔✔ANSo.D.o.Non-o.Malificence
Whicho.ofo.theo.followingo.situationso.cano.beo.identifiedo.aso.ano.ethicalo.dilemma?o.-
o.✔✔ANSo.C.o.Ao.familyo.haso.conflictingo.feelingso.abouto.theo.initiationo.ofo.enteralo.tubeo.feedingso.ofo.theiro.fat
hero.whoo.iso.terminallyo.ill
Ao.four-month-
oldo.infanto.iso.admittedo.too.theo.pediatrico.intensiveo.careo.unito.witho.ao.temperatureo.ofo.105°Fo.(40.5o.°C).o.Th
eo.infanto.iso.irritable,o.ando.theo.nurseo.observeso.nuchalo.rigidity.o.Whicho.assessmento.findingo.wouldo.indicateo.
ano.increaseo.ino.intracranialo.pressure?o.-o.✔✔ANSo.2.High-pitchedo.cry
Ao.cliento.iso.receivingo.totalo.parenteralo.nutritiono.(TPN).o.Too.determineo.the
client'so.toleranceo.ofo.thiso.treatment,o.theo.nurseo.shouldo.assesso.foro.whicho.ofo.theo.Following?o.-o.✔✔ANS
4.Urineo.outputo.ofo.ato.leasto.30cco.pero.hour.
Theo.cliento.iso.exhibitingo.symptomso.ofo.myxedema.o.Theo.nursingo.assessmento.shouldo.revealo.-
o.✔✔ANSo.2.o.decreasedo.temperature
Ao.nonstresso.testo.iso.scheduledo.foro.ao.cliento.ato.34-weekso.gestationo.who
developedo.hypertension,o.periorbitalo.edema,o.ando.proteinuria.o.Whicho.ofo.theo.followingo.nursingo.actionso.
shouldo.beo.includedo.ino.theo.careo.plano.ino.ordero.too.BESTo.prepareo.theo.cliento.foro.theo.diagnostico.test?o.-
o.✔✔ANS
3.o.Instructo.cliento.too.pusho.ao.buttono.wheno.sheo.feelso.fetalo.movement.
Whicho.ofo.theo.followingo.nursingo.interventionso.iso.MOSTo.importanto.foro.a
45-year-oldo.womano.witho.rheumatoido.arthritis?o.-
o.✔✔ANSo.4.o.Assisto.hero.witho.heato.applicationo.ando.ROMo.exercises.
Theo.nurseo.iso.caringo.foro.ao.youngo.adulto.admittedo.too.theo.hospitalo.witho.a
severeo.heado.injury.o.Theo.nurseo.shouldo.positiono.theo.patient.o.-
o.✔✔ANSo.1.o.witho.hiso.necko.ino.ao.midlineo.positiono.ando.theo.heado.ofo.theo.bedo.elevatedo.30°.
,Theo.nurseo.iso.teachingo.ao.40-year-
oldo.mano.diagnosedo.witho.ao.lowero.motoro.neurono.disordero.too.performo.intermittento.self-
catheterizationo.ato.home.o.Theo.nurseo.shouldo.instructo.theo.cliento.too.-
o.✔✔ANSo.2.o.performo.theo.Valsalvao.maneuvero."holdingo.breatho.ando.bearingo.down"o.beforeo.doingo.theo. ca
theterization.
Ao.cliento.iso.beingo.dischargedo.witho.sublingualo.nitroglycerino.(Nitrostat).
Theo.cliento.shouldo.beo.cautionedo.byo.theo.nurseo.to.o.-o.✔✔ANSo.4.o.avoido.abrupto.changeso.ino.posture.
Ao.38-year-oldo.womano.iso.returnedo.too.hero.roomo.aftero.ao.subtotal
thyroidectomyo.foro.treatmento.ofo.hyperthyroidism.o.Whicho.ofo.theo.following,o.ifo.foundo.byo.theo.nurseo.ato.th
eo.patient'so.bedside,o.iso.nonessential?o.-o.✔✔ANSo.1.o.Potassiumo.chlorideo.foro.IVo.administration.
Ao.nurseo.recognizeso.thato.ano.initialo.positiveo.outcomeo.ofo.treatmento.foro.a
victimo.ofo.sexualo.abuseo.byo.oneo.parento.wouldo.beo.thato.theo.cliento.-
o.✔✔ANSo.3.o.verbalizeso.thato.s/heo.iso.noto.responsibleo.foro.theo.sexualo.abuse.
Ano.adolescento.cliento.iso.orderedo.too.takeo.tetracyclineo.HCL
250o.mgo.POo.bid.o.Whicho.ofo.theo.followingo.instructionso.shouldo.beo.giveno.too.thiso.cliento.byo.theo.nurse?o.-
✔✔ANSo.2.o."Wearo.sunscreeno.ando.ao.hato.wheno.outdoors."
Aftero.ao.cliento.developso.left-
sidedo.hemiparesiso.fromo.ao.cerebralo.vascularo.accidento.(CVA),o.thereo.iso.ao.decreaseo.ino.muscleo.tone.o.Whic
ho.ofo.theo.followingo.nursingo.diagnoseso.wouldo.beo.ao.priorityo.too.includeo.ino.hiso.careo.plan?o.-
o.✔✔ANSo.2.o.Alterationo.ino.skino.integrityo.relatedo.too.decreaseo.ino.tissueo.oxygenation.
Ao.cliento.haso.ao.historyo.ofo.oliguria,o.hypertension,o.ando.peripheralo.edema.
Currento.labo.valueso.are:o.BUNo.-25,o.K+o.-
4.0o.mEq/L.o.Whicho.nutriento.shouldo.beo.restrictedo.ino.theo.client'so.diet?.
-o.✔✔ANSo.1.o.Protein
Ano.extremelyo.agitatedo.cliento.iso.receivingo.haloperidolo.(Haldol)o.IMo.everyo.30o.minuteso.whileo.ino.theo.psyc
hiatrico.emergencyo.room.o.Theo.MOSTo.importanto.nursingo.interventiono.iso.to.o.-
o.✔✔ANSo.1.o.monitoro.vitalo.signs,o.especiallyo.bloodo.pressure,o.everyo.30o.minutes.
, Theo.nurseo.iso.caringo.foro.clientso.ino.theo.skilledo.nursingo.facility.o.Whicho.ofo.theo.followingo.clientso.requireo.th
eo.nurse'so.IMMEDIATEo.attention?o.-
o.✔✔ANSo.1.o.Ao.cliento.admittedo.foro.ao.cerebralo.vascularo.accidento.(CVA)o.whoseo.prescriptiono.for
warfarino.(Coumadin)o.expiredo.twoo.dayso.ago.
Theo.nurseo.iso.observingo.careo.giveno.too.ao.cliento.experiencingo.severeo.to
panico.levelso.ofo.anxiety.o.Theo.nurseo.wouldo.interveneo.ino.whicho.ofo.theo.followingo.situations?o.-
o.✔✔ANSo.3.o.Theo.staffo.helpso.theo.cliento.identifyo.thoughtso.oro.feelingso.thato.occurredo. prioro.too. theo.onseto.
ofo.theo.anxiety.
Ao.69-year-
oldo.cliento.iso.undergoingo.hiso.secondo.exchangeo.ofo.intermittento.peritonealo.dialysiso.(IPD).o.Whicho.ofo.theo.fo
llowingo.wouldo.requireo.ano.nterventiono.byo.theo.nurse?o.-o.✔✔ANSo.3.o.Theo.dialysateo.outflowo.iso.cloudy.
Theo.clinico.nurseo.iso.performingo.dieto.teachingo.witho.ao.67-year-
oldo.cliento.witho.acuteo.gout.o.Theo.nurseo.shouldo.teacho.theo.cliento.too.limito.hiso.intakeo.ofo.-
o.✔✔ANSo.1.o.redo.meato.ando.shellfish.
Ao.cliento.iso.scheduledo.foro.ao.lefto.lowero.lobectomy.o.Theo.physiciano.haso.orderedo.diazepamo.(Valium)o.2o.mg
o.IMo.foro.anxiety.o.Theo.nurseo.wouldo.determineo.thato.theo.medicationo.iso.appropriateo.ifo.theo.cliento.displayso.
whicho.ofo.theo.followingo.symptoms?o.-o.✔✔ANSo.3.o.Restlessnesso.ando.increasedo.hearto.rate.
Ao.59-year-
oldo.womano.witho.bipolaro.disordero.iso.receivingo.haloperidolo.(Haldol)o.2o.mgo.POo.tid.o.Sheo.tellso.theo.nurse,o."
Milko.iso.comingo.outo.ofo.myo.breasts."o.Whicho.ofo.theo.followingo.responseso.byo.theo.nurseo.iso.BEST?o.-
✔✔ANSo.3.o."Youo.areo.experiencingo.ao.sideo.effecto.ofo.Haldol."
Theo.physiciano.orderso.ranitidineo.hydrochlorideo.(Zantac)o.150o.mgo.POo.qdo.foro.ao.client.o.Theo.nurseo.shouldo.
adviseo.theo.cliento.theo.BESTo.timeo.too.takeo.thiso.medicationo.iso.-o.✔✔ANSo.4.ato.hs
Ifo.ao.cliento.developso.coro.pulmonaleo.(right-sidedo.hearto.failure),o.theo.nurseo.wouldo.expecto.too.observeo.-
✔✔ANSo.3.o.peripheralo.edemao.ando.anorexia.
Theo.nurseo.iso.performingo.triageo.ono.ao.groupo.ofo.clientso.ino.theo.emergencyo.department.o.Whicho.ofo.theo.fol
lowingo.clientso.shouldo.theo.nurseo.seeo.FIRST?o.-o.✔✔ANSo.2.o.Ao.19-year-
oldo.witho.ao.fevero.ofo.103.8°Fo.(39.8°C)o.whoo.iso.ableo.too.identifyo.hero.sistero.buto.noto.theo.placeo.ando.time.