Level 2 Practice A EXAM NEWEST
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Amnurseminmanmemergencymdepartmentmismassessingmamclientmwhomhasmhyperthermia.mWhichmofmt
hemfollowingmfindingsmshouldmthemnursemidentifymasmanmindicationmthatmthemclientmhasmheatmexha
ustion?
A:mHallucinations
B:mVomiting
C:mBradycardia
D:mSeizuresm-mCORRECTmANSWERmB:mVomiting
Amnursemismdevelopingmanmin-
servicemformamgroupmofmcoworkersmaboutmadolescents'mreactionsmtomdeath.mWhichmofmthemfollowi
ngminformationmshouldmthemnursemincludemwhenmdiscussionmanmadolescent'smresponsemtomdeath?
A:mAdolescentsmcopemwithmdeathmbettermthanmchildrenmofmothermages.
B:mAdolescentsmviewmfuneralmservicesmasmanmopportunitymformclosure.
C:mAdolescentsmaremmoremconcernedmwithmthempastmthanmthempresentmormfuture.
D:mAdolescentsmoftenmalienatemthemselvesmfrommtheirmpeersmwhenmgrieving.m-
mCORRECTmANSWERmD:mAdolescentsmoftenmalienatemthemselvesmfrommtheirmpeersmwhenmgrieving
.
,Amnursemismprovidingmteachingmtomamclientmwhomismexperiencingmmalabsorptionmrelatedmtomlactos
emintolerance.mWhichmofmthemfollowingmfoodsmshouldmthemnursemrecommendmtomthemclientmasmth
embestmnondairymsourcemofmcalcium?
A:mGroundmbeef
B:mCollardmgreens
C:mCauliflower
D:mWalnutsm-mCORRECTmANSWERmB:mCollardmgreens
AmnursemismcaringmformamclientmwhomismreceivingmheparinmtherapymandmhasmanmaPTTmofm92msecond
s.mWhichmofmthemfollowingmmedicationsmshouldmthemnursemanticipatemthemprovidermmightmprescri
bemformthemclient?
A:mLeucovorin
B:mVitaminmK
C:mDeferoxamine
D:mProtaminem-mCORRECTmANSWERmD:mProtamine
Amnursemismassessingmamclientmwhomismpostoperativemfollowingmthemplacementmofmanmileostomymd
uemtomcomplicationmofmulcerativemcolitis.mInmwhichmofmthemfollowingmareasmshouldmthemnursemexp
ectmthemileostomymtombemlocated?m(Youmwillmhindmhotmspotsmtomselectminmthemartworkmbelow.mSele
ctmonlymthemhotmspotmthatmcorrespondsmtomyourmanswer.)A:mRightmlowermabdomenmsuperiormtomu
mbilicus.B:mLeftmlowermabdomenmevenmwithmthemumbilicus.C:mRightmlowermabdomenminferiormtom
umbilicus.m-
mCORRECTmANSWERmThemnursemshouldmexpectmamclientmwhomismpostoperativemfollowingmthemplac
ementmofmanmascendingmcolostomymtomhavemanmostomymlocatedmonmthemrightmsidemofmthemabdom
en,mlateralmto,mandmslightlymabovemthemumbilicus.
Amnursemismprovidingmteachingmtomthemparentmofmanminfantmwhomhasmgastroesophagealmrefluxmabo
utmhomemcare.mWhichmofmthemfollowingmstatementsmbymthemparentmindicatesmanmunderstandingmo
fmthemteaching?
A:m"Imshouldmfeedmmyminfantmamlargermamountmofmformulamlessmfrequently."
, B:m"Imshouldmfeedmmyminfantmambottlemofmformulamwithinm1mhourmofmbedtime."
C:m"Imshouldmplacemmyminfantmonmhismsidemtomsleep."
D:m"Imshouldmaddm1mteaspoonmofmricemcerealmtommyminfant'smformula."m-
mCORRECTmANSWERmD:m"Imshouldmaddm1mteaspoonmofmricemcerealmtommyminfant'smformula."
Amnursemismreviewingmthemlaboratorymreportmofmamclientmwhomismtakingmexenatidemtomtreatmtypem2
mdiabetesmmellitus.mThemnursemshouldmrecognizemthatmwhichmofmthemfollowingmlaboratorymresultsm
ismanmindicationmofmanmadversemreactionmtomthemmedication?
A:mHbA1cm6.8%
B:mHctm45%
C:mCreatininem0.9mmg/dL
D:mLipasem185munits/Lm-mCORRECTmANSWERmD:mLipasem185munits/L
AmnursemismassessingmamclientmwhomismreceivingmmorphinemviamamPCAmpumpmtommanagempostoper
ativempain.mThemclientmhasmamheartmratemofm66/minmandmamrespiratorymratemofm9/min.mWhichmofmt
hemfollowingmmedicationsmshouldmthemnursemanticipatemthemprovidermwillmprescribemformthemclien
t?
A:mNaloxone
B:mFlumazenil
C:mAcetylcysteine
D:mGlucagonm-mCORRECTmANSWERmA:mNaloxone
Amnursemismreviewingmthemmedicalmrecordmofmamclientmwhomhasmamfamilymhistorymofmgallstones.mW
hichmofmthemfollowingmfindingsmshouldmthemnursemidentifymasmamriskmfactormformdevelopingmcholec
ystitis?
A:mClientmismanmadultmmale.
B:mClientmismtakingmatorvastatin.
C:mClientmismofmAsianmdescent.