3 WITH (NEXT GENERATION) QUESTIONS ACTUAL EXAM
180 QUESTIONS AND CORRECT DETAILED ANSWERS
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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 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 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 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
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
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