PRACTICE QUESTIONS AND SOLUTIONS FULL
REVIEW A+
◉ 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 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
Answer: Left lateral
◉ A nurse is caring for a group of clients which of the following
client. Should the nurse assigned to an AP. 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 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
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 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. Answer: Schizophrenia
◉ A nurse is caring for a child who has infectious mononucleosis
which of the following findings are associated with this diagnosis
SATA Answer: Splenomegaly
Malaise
Sore throat
, ◉ A nurse is performing dressing change for a client with a sacral
wound using negative pressure wound therapy which of the
following action should the nurse take first Answer: Determine pain
level
◉ A nurse is caring for a client recovery from a bowel surgery has a
nasogastric tube connected to load intermittent section which of the
following assessment findings should indicate to the nurse at the NG
tube may not be functioning properly Answer: Abdominal rigidity
◉ A nurse is preparing to administer TPN with added fat
supplements to client who has malnutrition which of the following
action should the nurse take Answer: Check for an allergy to eggs
◉ A charge nurse is discussing the use of applying ice to the clients
injured knee with a newly licensed nurse, which of the following
should the nurse identify as a benefit Answer: decreased capillary
permeability
◉ A nurse is developing discharge care plans for a client who has
osteoporosis to prevent injury. The nurse should instruct the client
to. Answer: Perform weight-bearing exercises
◉ A nurse on a cute meds. Surgical unit is performing assessments
on a group of clients which is highest priority. Answer: A client has
surgical hypoparathyroidism, and positive trousseau sign