3 WITH (NEXT GENERATION) QUESTIONS ACTUAL EXAM 180
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse, an emergency department complete an assessment on an adolescent client that has
conduct disorder. The client threaten suicide to a teacher at school which of the following
statements should the nurse include in the assessment. - CORRECT ANSWER Tell me how often
do you drink alcohol?
A nurse is observing bonding to the client, her newborn, which of the following actions by the
client requires the nurse to intervene - CORRECT ANSWER Viewing the newborn's actions to be
uncooperative
A nurse is caring for a client who is taking levothyroxine, which of the following finding should
indicate that the medication was effective - CORRECT ANSWER Weight loss
A nurse is planning, discharge teaching for cord care for a parent of a newborn which
instructions would you include in the teaching - CORRECT ANSWER Keep the cord dry until it
falls off (cord should be kept clean and dry to prevent infection)
A nurse is assessing a client in PACU, which of the following findings indicates decreased cardiac
output - CORRECT ANSWER oliguria
A nurse is assisting with mass, casualty triage explosion at a local factory which of the following
client. Should the nurse identify as a priority. - CORRECT ANSWER A client with indications of
hypovolemic shock
A nurse is receiving report on for clients which of the following client should the nurse assess
first - CORRECT ANSWER A client who is chronic kidney disease with cloudy, diasylate outflow
A nurse is caring for a client just received the first dose of lisinopril. The following is appropriate
nursing intervention. - CORRECT ANSWER Provide standby assist with the client from bed
A nurse is caring for a client who is in labor, and is receiving electronics fetal monitoring. The
nurse is reviewing the monitor tracing in notes early decelerations, which of the following
should the nurse expect - CORRECT ANSWER Head compression
A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of
the following laboratory values as an indication of hemodialysis. - CORRECT ANSWER
Glomerular filtration rate of 14 ML/minute
,A nurse is caring for an infant who has prescription for continuous pulse oximetry. The following
is an appropriate action for the nurse to take. - CORRECT ANSWER Heat the skin one minute
prior to placing the program
A nurse in a mental health facility receives a change of shift report on four clients which of the
following client. Should the nurse plan to assess first. - CORRECT ANSWER Client placed in
restraints to the aggressive behavior
A nurse working at the clinic is teaching a group of clients who are pregnant on the use of
nonpharmacological pain management, which of the following statement by the nurse is an
appropriate description of the use of hypnosis during labor - CORRECT ANSWER Hypnosis
promotes increase control of her pain perception during contractions
A nurse in a County Jail health clinic is leading group therapy session. A client who was
incarcerated for theft is addressing the group. Which of the following is an example of reaction
formation? - CORRECT ANSWER I think that people just you're just lazy and should earn money
honestly
A nurse is obtaining a medical history of a client who has a new prescription for Isosorbide
monotitrate which of the following should the nurse identify as a contraindication to medication
- CORRECT ANSWER glaucoma
16 - CORRECT ANSWER No questions
The nurse is caring for a client recovering from an acute myocardial infraction, which of the
following intervention should the nurse include in the point of care - CORRECT ANSWER Obtain
a cardiac rehabilitation consult
A nurse is caring for a client who has breast cancer and has been covering receiving
chemotherapy, which of the following laboratory value should nurse report to the provider -
CORRECT ANSWER WBC 3,000/mm3
Home health nurse is carefully planned for Alzheimer's disease to the following action. Should
the nurse include in the plan of care - CORRECT ANSWER Place a daily calendar in the kitchen
A nurse is performing change of shift assessments on four clients which of the following
findings. Should the nurse report to the provider first. - CORRECT ANSWER Client who has
gastroenteritis and his lethargic and confused
A nurse is caring for a client who is in the second trimester of pregnancy and ask how to treat
constipation which of the following statements by the nurse is appropriate - CORRECT ANSWER
Drink hot water with lemon juice each morning when you wake up
22 - CORRECT ANSWER No question
, A nurse is caring for a client who is preparing his advance directives, which of the following
statements by the client indicates an understanding of advance directives SATA - CORRECT
ANSWER I have the right to refuse treatment
My health care proxy can make medical decisions for me
A nurse is caring for a client who is 32 weeks gestation and has a history of cardiac disease
which of the following positions to the nurse place the client to best promote optimal, cardiac
output - CORRECT ANSWER Left lateral
A nurse is caring for a group of clients which of the following client. Should the nurse assigned
to an AP. - CORRECT ANSWER Client who had a cerebral vascular accident two days ago, and
needs help toileting
A nurse is providing discharge, teaching to a client who has schizophrenia, isn't starting therapy
with clozapine which of the following is the highest priority for the client to report to the
provider - CORRECT ANSWER Fever
A nurse observes an AP providing care to a child, who is in a skeletal traction, which of the
following action requires intervention - CORRECT ANSWER Placing weights as a child's bed
A nurse is planning to delegate twin a piece of fasting blood glucose testing for a client who has
diabetes which of the following action should the nurse take - CORRECT ANSWER Determine if
the AP is qualified to perform the test
A nurse is assessing a client brought to the hospital psychiatric emergency service by law-
enforcement officer. The client has just organized incoherent speech with loose associations and
religious contact. You should recognize the signs and symptoms as being consistent with which
of the following. - CORRECT ANSWER Schizophrenia
A nurse is caring for a child who has infectious mononucleosis which of the following findings
are associated with this diagnosis SATA - CORRECT ANSWER Splenomegaly
Malaise
Sore throat