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1.A nurse is reviewing the laboratory 3. After receiving change-of-shift report, which
results for a client who is at 32 gestation. of the following clients should the nurse collect
For which of the following results should data from first?
the nurse notify the provider? a. A client who has a history of
a. Hgb 12 g/dL pancreatitis and reports severe
b. Platelet count 90,000/mm2 abdominal pain
c. Hematocrit 37% b. A client who has heart failure and
d. Creatinine 0.7 mg/dL reports severe dyspnea
c. A client who is scheduled for
2. A nurse is preparing to instill an otic abdominal surgery in 1 hrs
suspension into an adult client’ ear. Which d. A postoperative client who has diabetes
of the following methods should the nurse mellitus and a blood glucose of 280
plan to use? mg/dK
a. Pull the auricle upward and outward.
b. Pull the auricle downward and 4. A nurse is preparing a client for surgery. The
backward. client tells the nurse that he is concerned about
c. Pull the auricle upward and the safety of a large sum of money in his
backward. wallet. Which of the following actions is
d. Pull the auricle downward an outward. appropriate for the nurse to take?
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a. Place the money in an envelope and a. Increased inflation of the basilar lungs
lock it in the client’s medication b. Increased elasticity of the thoracic cage
drawer c. Hypertrophy of the bronchial mucous
b. Contact security personnel to gland
place the money in the facility d. Hyperactive cough reflex
safe
c. Hold the money for the client 6. A client is participating in an anger
until he returns from surgery management session explain that his
d. Label the money and leave it with recent behavior are related to his job
the unit secretary. loss. Which of the following mechanism
is the client using?
a. Projection
5. A nurse is caring for an older adult b. Rationalism
client who has pneumonia. When c. Repression
reinforcing teaching about the d. Sublimation
diagnosis age- related changes with
the client’s family, which of the 7. A nurse is reinforcing teaching with the
following alterations should the nurse client who is about to undergo a
include? thoracentesis. Which if the following
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statements by the client indicates an b. Migraines with aura
understanding of the information? c. BMI of 26
a. “I will have general anesthesia d. History of cholecystectomy
during the procedure.”
b. “I will lie flat for 6 hours
before the procedure.”
c. “I will have the chest x-ray
following the procedure.”
d. “I will breathe deeply
through my nose during the
procedure.”
8. A nurse is reviewing the medical
record of a client who is requesting
an oral contraceptive. Which of the
following findings should the nurse
identify as a contraindication to the
use of oral contraceptive?
a. History of renal calculi
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9. A nurse is reinforcing discharge Which of the following information should the
teaching about transmission precautions nurse provide?
with a client who has Hepatitis C. Which a. “You will receive an injection of
of the following information should the contrast dye during the test.”
nurse include? b. “Consume a clear liquid breakfast on
a. Avoid sharing razors with other the day of the procedure.”
family members. c. “Someone should drive you home after
b. Clean toilet surfaces with bleach the procedure.”
after each use d. “You will have to drink a
c. Advice family members to contrast medium before the test.”
receive a hepatitis c
immunization 11.A nurse is reviewing the medical record of a
d. Do not prepare food for other client who has sustained a full-thickness burn
family member s while and is in the emergent phase of the burn. Which
infectious. of the following findings should the nurse
expect?
10.A nurse is reinforcing teaching with a a. Hypernatremia
client who is about to undergo an upper b. Hypercalcemia
gastrointestinal series with fluoroscopy. c. Hypermagnesemia
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