Comprehensive
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1. A home health nurse is caring for a child who has a. Ensure the state health
lyme disease. Which of the following is an appropriate department has been no-
action for the nurse to take tified
a. Ensure the state health department has been noti-
fied
b. Administer antitoxin
c. Educate the family to avoid sharing personal be-
longings
d. Assess for skin necrosis
2. A nurse is caring for a client who has been admitted - Provide frequent rest pe-
to the hospital. (NGN) riods
- Restrict client sodium in-
take
- Advise client to avoid
using soap and alcohol
based lotions
- Instruct the client to
avoid blowing their nose
forcefully
- Assess the client's lv of
orientation
3. A nurse is caring for a client who has a vented NG b. Evaluate functioning of
tube set to low intermittent suction and has vomited. the suction device
Which of the following actions should the nurse per-
form first?
a. Administered an antiemetic medication
b. Evaluate functioning of the suction device
, Comprehensive
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c. Provide oral hygrine care
d. Replace the NG tube
4. While performing a routine assessment, a nurse no- c. Remove the device from
tices fraying on the electrical cord of a client's contin- the room
uous passive motion device. Which of the following
actions should the nurse take first
a. Initiate a requisition for a replacement CPM device
b. Report the defect to the equipment maintenance
staff
c. Remove the device from the room
d. Ensure the device inspection sticker is current
5. A nurse is setting up a sterile field to perform would a. Remove the cap and
irrigation for a client. Which of the following actions place it sterile-side up on
should the nurse take when pouring the sterile solu- a clean surface
tion
a. Remove the cap and place it sterile-side up on a
clean surface
b. Pace sterile gauze over areas of spilled
c. Hold the bottle in the center of the sterile field when
pouring the solution
d. Hold the irrigation solution bottle with the label
facing away from the palm of the hand
6. A nurse is creating a plan of care for a female client a. Wear loose-fitting un-
who has recurrent urinary tract infections. Which of derwear
the following interventions should the nurse include
in the plan
a. Wear loose-fitting underwear
, Comprehensive
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b. Take a bubble bath after intercourse
c. Drink four 240 ml (8 oz) glasses of water each day
d. Void every 5-6 hr during the day
7. A nurse is caring for a newborn. Fiil in the blank (NGN) Tachypnea of the newborn
and hypoglycemia.
The client at risk for developing _____ and _____
a. Hypoglycemia
b. Bronchopulmonary dysplasia
c. Transient tachypnea of the newborn
d. Tachycardia
8. A nurse is caring for an infant who has gastroenteritis. b. Sunken fontanels and
Which of the following assessment findings should dry mucous membranes
the nurse report to the provider?
a. Pale and a 24-hr fluid deficit of 30 mL
b. Sunken fontanels and dry mucous membranes
c. Decrease appetite and irritability
d. Temperature 38 C and pulse rate of 124/min
9. A nurse is conducting health promotion education a. Hypertension
regarding contraindication to combination oral con-
traceptive use to a group of women. Which of the
following conditions should the nurse includes in the
teaching?
a. Hypertension
b. Fibromyalgia
c. Renal calculi
d. Fibrocystic breast diseases
10.
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A nurse is providing teaching to a client who has a de- b. I know it will be a couple
pressive disorder and a new prescription for amitripty- of weeks before the med-
line. Which of the following statements by the client ication helps me feel bet-
indicates an understanding of the teaching? ter
a. I can continue to take St. john wort while taking this
medication
b. I know it will be a couple of weeks before the med-
ication helps me feel better
c. I expect this medication to raise my blood pressure
d. I should take this medication on an empty stomach
11. A nurse is caring for a client who is immobile. Which of c. Align a trochanter
the following interventions is appropriate to prevent wedge between the
contracture client's legs
a. Position a pillow under the client's knee
b. Place a towel roll under the client's neck
c. Align a trochanter wedge between the client's legs
d. Apply an orthotic to the client's foot
12. A nurse is assessing a client who is post-op follow- d. Obtain a urine speci-
ing abdominal surgery and has an indwelling urinary men for culture and sensi-
catheter that is draining dark yellow urine at 25 ml/h. tivity
Which of the following should the nurse anticipate?
a. Initiate continuous bladder irrigation
b. Administer fluid bolus
c. Clamp the catheter tubing for 30 min
d. Obtain a urine specimen for culture and sensitivity
13. A nurse is reporting a client's laboratory tests to the c. INR
provider to obtain a prescription for the client's daily
Study online at https://quizlet.com/_fsz7q6
1. A home health nurse is caring for a child who has a. Ensure the state health
lyme disease. Which of the following is an appropriate department has been no-
action for the nurse to take tified
a. Ensure the state health department has been noti-
fied
b. Administer antitoxin
c. Educate the family to avoid sharing personal be-
longings
d. Assess for skin necrosis
2. A nurse is caring for a client who has been admitted - Provide frequent rest pe-
to the hospital. (NGN) riods
- Restrict client sodium in-
take
- Advise client to avoid
using soap and alcohol
based lotions
- Instruct the client to
avoid blowing their nose
forcefully
- Assess the client's lv of
orientation
3. A nurse is caring for a client who has a vented NG b. Evaluate functioning of
tube set to low intermittent suction and has vomited. the suction device
Which of the following actions should the nurse per-
form first?
a. Administered an antiemetic medication
b. Evaluate functioning of the suction device
, Comprehensive
Study online at https://quizlet.com/_fsz7q6
c. Provide oral hygrine care
d. Replace the NG tube
4. While performing a routine assessment, a nurse no- c. Remove the device from
tices fraying on the electrical cord of a client's contin- the room
uous passive motion device. Which of the following
actions should the nurse take first
a. Initiate a requisition for a replacement CPM device
b. Report the defect to the equipment maintenance
staff
c. Remove the device from the room
d. Ensure the device inspection sticker is current
5. A nurse is setting up a sterile field to perform would a. Remove the cap and
irrigation for a client. Which of the following actions place it sterile-side up on
should the nurse take when pouring the sterile solu- a clean surface
tion
a. Remove the cap and place it sterile-side up on a
clean surface
b. Pace sterile gauze over areas of spilled
c. Hold the bottle in the center of the sterile field when
pouring the solution
d. Hold the irrigation solution bottle with the label
facing away from the palm of the hand
6. A nurse is creating a plan of care for a female client a. Wear loose-fitting un-
who has recurrent urinary tract infections. Which of derwear
the following interventions should the nurse include
in the plan
a. Wear loose-fitting underwear
, Comprehensive
Study online at https://quizlet.com/_fsz7q6
b. Take a bubble bath after intercourse
c. Drink four 240 ml (8 oz) glasses of water each day
d. Void every 5-6 hr during the day
7. A nurse is caring for a newborn. Fiil in the blank (NGN) Tachypnea of the newborn
and hypoglycemia.
The client at risk for developing _____ and _____
a. Hypoglycemia
b. Bronchopulmonary dysplasia
c. Transient tachypnea of the newborn
d. Tachycardia
8. A nurse is caring for an infant who has gastroenteritis. b. Sunken fontanels and
Which of the following assessment findings should dry mucous membranes
the nurse report to the provider?
a. Pale and a 24-hr fluid deficit of 30 mL
b. Sunken fontanels and dry mucous membranes
c. Decrease appetite and irritability
d. Temperature 38 C and pulse rate of 124/min
9. A nurse is conducting health promotion education a. Hypertension
regarding contraindication to combination oral con-
traceptive use to a group of women. Which of the
following conditions should the nurse includes in the
teaching?
a. Hypertension
b. Fibromyalgia
c. Renal calculi
d. Fibrocystic breast diseases
10.
, Comprehensive
Study online at https://quizlet.com/_fsz7q6
A nurse is providing teaching to a client who has a de- b. I know it will be a couple
pressive disorder and a new prescription for amitripty- of weeks before the med-
line. Which of the following statements by the client ication helps me feel bet-
indicates an understanding of the teaching? ter
a. I can continue to take St. john wort while taking this
medication
b. I know it will be a couple of weeks before the med-
ication helps me feel better
c. I expect this medication to raise my blood pressure
d. I should take this medication on an empty stomach
11. A nurse is caring for a client who is immobile. Which of c. Align a trochanter
the following interventions is appropriate to prevent wedge between the
contracture client's legs
a. Position a pillow under the client's knee
b. Place a towel roll under the client's neck
c. Align a trochanter wedge between the client's legs
d. Apply an orthotic to the client's foot
12. A nurse is assessing a client who is post-op follow- d. Obtain a urine speci-
ing abdominal surgery and has an indwelling urinary men for culture and sensi-
catheter that is draining dark yellow urine at 25 ml/h. tivity
Which of the following should the nurse anticipate?
a. Initiate continuous bladder irrigation
b. Administer fluid bolus
c. Clamp the catheter tubing for 30 min
d. Obtain a urine specimen for culture and sensitivity
13. A nurse is reporting a client's laboratory tests to the c. INR
provider to obtain a prescription for the client's daily
