( ) QUESTIONS AND CORRECT VERIFIED ANSWERS,
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A h;nurse h;is h;admitting h;a h;client h;who h;has h;antisocial h;personality h;disorder. h;Which h;of h;the
h;following h;client h;behaviors h;should h;the h;nurse h;identify h;as h;consistent h;with h;this h;disorder?
A. h;Compulsive h;attention h;to h;details
B. h;Avoids h;interacting h;with h;others
C. h;Uses h;others h;for h;personal h;gain
D. h;Socially h;awkward h;in h;group h;situations
ANS: C. Uses others for personal gain
h; h; h; h; h; h;
A h;nurse h;is h;interpreting h;the h;cardiac h;rhythm h;strip h;of h;a h;client h;who h;was h;admitted h;with
h;syncope. h;Which h;of h;the h;following h;images h;indicates h;that h;the h;client h;has h;atrial h;fibrillation?
A h;charge h;nurse h;on h;a h;pediatric h;unit h;is h;making h;assignments h;for h;a h;float h;nurse h;from h;the
h;medical h;unit. h;Which h;of h;the h;following h;clients h;is h;appropriate h;to h;assign h;to h;the h;float h;nurse?
A. h;A h;10-year-old h;client h;who h;has h;pneumonia h;and h;is h;receiving h;respiratory h;treatments
B. h;A h;4-year-old h;client h;who h;has h;a h;Wilms h;tumor h;and h;is h;receiving h;chemotherapy
C. h;An h;8-month-old h;client h;who h;is h;scheduled h;for h;a h;surgical h;repair h;of h;a h;ventricular h;septal
h;defect h;tomorrow
D. h;A h;14-year-old h;client h;who h;is h;scheduled h;for h;discharge h;today h;following h;placement h;of h;a
h;Harrington h;rod
ANS: A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
h; h; h; h; h; h; h; h; h; h; h; h;
A h;nurse h;is h;assessing h;an h;infant h;who h;has h;water h;intoxication. h;Which h;of h;the h;following h;findings
h;should h;the h;nurse h;expect?
A. h;Generalized h;edema
B. h;Elevated h;urine h;specific h;gravity
C. h;Thready h;pulse
D. h;Increased h;hematocrit
,ANS: A. Generalized edema
h; h; h;
A h;nurse h;is h;discussing h;the h;z-track h;administration h;of h;hydroxyzine h;with h;a h;newly h;licensed
h;nurse. h;Which h;of h;the h;following h;statements h;indicates h;the h;newly h;licensed h;nurse h;understands
h;the h;purpose h;of h;the h;technique?
A. h;This h;technique h;prevents h;injury h;to h;the h;sciatic h;nerve
B. h;This h;technique h;decreases h;the h;risk h;of h;subcutaneous h;infiltration
C. h;This h;technique h;allows h;a h;larger h;amount h;of h;medication h;to h;be h;injected
D. h;This h;technique h;increases h;the h;absorption h;rate h;of h;the h;drug
ANS: This technique decreases the risk of subcutaneous infiltration
h; h; h; h; h; h; h; h;
A h;nurse h;is h;creating h;a h;plan h;of h;care h;for h;a h;client h;who h;has h;anorexia h;nervosa. h;Which h;of h;the
h;following h;interventions h;should h;the h;nurse h;include h;in h;the h;plan?
A. h;Encourage h;the h;client h;to h;gain h;2.3 h;kg h;per h;week
B. h;Weigh h;the h;client h;once h;per h;week h;throughout h;hospitalization
C. h;Monitor h;the h;client h;for h;1 h;hr h;after h;meals
D. h;Allow h;the h;client h;to h;choose h;mealtimes
ANS: C. Monitor the client for 1 hr after meals
h; h; h; h; h; h; h; h; h;
A h;nurse h;is h;planning h;care h;for h;a h;child h;who h;has h;increased h;intracranial h;pressure h;with h;a
h;decrease h;in h;level h;of h;consciousness. h;Which h;of h;the h;following h;interventions h;should h;the h;nurse
h;include h;in h;the h;plan h;of h;care?
A. h;Perform h;active h;range-of-motion h;exercises
B. h;Maintain h;the h;head h;at h;a h;midline h;position
C. h;Suction h;the h;airway h;frequently
D. h;Perform h;neurological h;checks h;every h;4 h;hrs
ANS: B. Maintain the head at a midline position
h; h; h; h; h; h; h; h;
10. h;A h;nurse h;is h;assessing h;a h;client h;who h;has h;delirium h;due h;to h;a h;febrile h;illness. h;Which h;of h;the
h;following h;findings h;should h;the h;nurse h;expect?
A. h;Hallucinations
B. h;Agnosia
C. h;Bradycardia
D. h;Aphasia
ANS: A. Hallucinations
h; h;
A h;nurse h;is h;assessing h;a h;client h;who h;is h;receiving h;enteral h;feedings h;via h;a h;gastrostomy h;tube. h;The
h;nurse h;should h;identify h;that h;which h;of h;the h;following h;findings h;indicates h;fluid h;overload?
,A. h;Diminished h;bowel h;sounds
B. h;Bradycardia
C. h;Hypotension
D. h;Bounding h;pulses
D. h;Bounding h;pulses
A h;nurse h;is h;caring h;for h;a h;client h;following h;an h;open h;colectomy. h;Which h;of h;the h;following
h;findings h;places h;the h;client h;at h;risk h;for h;delayed h;wound h;healing?
A. h;INR h;1.1
B. h;Hyperemesis
C. h;HbA1c h;5.6%
D. h;Uncontrolled h;pain
ANS: B. Hyperemesis
h; h;
A h;home h;health h;nurse h;is h;reviewing h;treatment h;goals h;with h;a h;client h;who h;has h;diabetes
h;mellitus. h;The h;nurse h;should h;evaluate h;which h;of h;the h;following h;laboratory h;tests h;to h;determine
h;effective h;long-term h;management h;of h;blood h;glucose h;levels?
A. h;3-hr h;oral h;glucose h;tolerance h;test
B. h;HbA1c
C. h;Fasting h;blood h;glucose h;test
D. h;Urinalysis h;for h;ketones
ANS: B. HbA1c
h; h;
A h;nurse h;is h;caring h;for h;a h;client h;who h;has h;neutropenia h;due h;to h;HIV. h;Which h;of h;the h;following
h;precautions h;should h;the h;nurse h;take h;while h;caring h;for h;this h;client?
A. h;Wear h;an h;N95 h;respirator
B. h;Insert h;an h;indwelling h;urinary h;catheter h;to h;monitor h;urinary h;output
C. h;Monitor h;the h;client's h;vital h;signs h;every h;8 h;hr
D. h;Use h;a h;dedicated h;stethoscope
ANS: D. Use a dedicated stethoscope
h; h; h; h; h;
A h;nurse h;is h;caring h;for h;a h;client h;who h;reports h;difficulty h;falling h;asleep h;at h;night. h;Which h;of h;the
h;following h;actions h;should h;the h;nurse h;take?
A. h;Encourage h;the h;client h;to h;ambulate h;in h;the h;hallway h;1 h;hr h;before h;bedtime
B. h;Tell h;the h;client h;to h;avoid h;drinking h;fluids h;1 h;hr h;before h;bedtime
C. h;Schedule h;routine h;care h;tasks h;during h;hours h;when h;the h;client h;is h;awake
D. h;Advise h;the h;client h;to h;leave h;the h;television h;in h;the h;room h;on h;when h;trying h;to h;fall h;asleep
, ANS: C. Schedule routine care tasks during hours when the client is awake
h; h; h; h; h; h; h; h; h; h; h; h;
A h;nurse h;is h;planning h;care h;for h;a h;newborn h;who h;has h;hyperbilirubinemia h;and h;is h;to h;receive
h;phototherapy. h;Which h;of h;the h;following h;interventions h;should h;the h;nurse h;include?
A. h;Clothe h;the h;newborn h;in h;light h;cotton
B. h;Check h;the h;newborn's h;temperature h;every h;8 h;hrs. h;(every h;4)
C. h;Administer h;120 h;mL h;of h;water h;between h;feedings
D. h;Place h;the h;newborn h;45 h;cm h;(18 h;in) h;from h;the h;light h;source
ANS: D. Place the newborn 45 cm (18 in) from the light source
h; h; h; h; h; h; h; h; h; h; h; h;
A h;nurse h;is h;planning h;care h;for h;a h;client h;who h;has h;schizophrenia h;and h;is h;having h;difficulty
h;expressing h;their h;feelings. h;Which h;of h;the h;following h;referrals h;should h;the h;nurse h;make?
A. h;Art h;therapist
B. h;Speech-language h;pathologist
C. h;Social h;worker
ANS: D. Recreational therapist
h; h; h;
A. h;Art h;therapist
A h;nurse h;is h;caring h;for h;a h;client h;who h;has h;heart h;failure h;and h;has h;started h;taking h;a h;loop h;diuretic.
h;Which h;of h;the h;following h;findings h;indicates h;the h;client h;is h;experiencing h;an h;adverse h;effect h;of
h;the h;medication?
A. h;Decreased h;reflexes
B. h;Weight h;gain h;of h;1.4 h;kg
C. h;Increased h;urinary h;output
D. h;Jugular h;vein h;distention
ANS: A. Decreased reflexes
h; h; h;
Loop h;diuretics h;cause h;excessive h;urination h;leading h;to h;hypotension h;and h;finally h;resulting h;in
h;decreased h;reflexes.
At h;the h;start h;of h;an h;evening h;shift h;on h;a h;cardiac h;unit, h;a h;licensed h;practical h;nurse h;brings h;the
h;nurse h;a h;list h;of h;client h;reports. h;Which h;of h;the h;following h;client h;reports h;should h;the h;nurse
h;assess h;first?
A. h;Constipation
B. h;Indigestion
C. h;Swollen h;ankles
D. h;Urinary h;frequency