A nurse is reinforcing teaching with a client who plans to bottle feed her
newborn. Which of the following statements indicates an understanding of the
instructions?
I will feed my baby six to eight times a day
A nurse is reinforcing discharge teaching with a client who is postoperative
following laser surgery for open-angle glaucoma. Which of the following
statements by the client indicates an understanding of the instructions?
I will take a stool softener to prevent constipation
A nurse is caring for a school-age child who is scheduled for a bone marrow
aspiration biopsy. The child asks the nurse, "Will this be painful?" Which of the
following is an appropriate response by the nurse?
"There will be some pain, but I can give you medicine to make you more
comfortable."
A nurse is preparing a clients insulin regimen. Which of the following
insulin's can be mixed? Insulin aspart, regular insulin, insulin lispro
A nurse is caring for a client who had a stroke and is having difficulty swallowing.
The nurse should recommend a referral to which of the following members of
the interprofessional team?
Speech therapist
,A nurse is reinforcing teaching with a client who is 12 hr postpartum and has an
episiotomy. Which of the following instructions should the nurse include?
Change the perineal pad with each void
A nurse is collecting data from a child who has acute Glomerulonephritis. Which of
the following findings should the nurse expect?
Periorbital edema
A nurse in long-term care facility has received change-of-shift report about four
clients. Which of the following clients should the nurse attend to first?
A client who has COPD and dementia and was agitated during the night shift
A nurse is contributing to the discharge plans for four clients. The nurse should
identify that which of the following clients requires an interdisciplinary care
conference?
A client who has hemiparesis and lives alone
A nurse is assisting with the admission of a client who attempted suicide. When
the nurse processes the client's belongings, which of the following items should
the nurse remove from the client's suitcase?
Perfume
,A nurse is caring for a client who is experiencing chest pain. The client states, "I
am really afraid because my brother died a year ago of a heart attack." Which of
the following responses is appropriate?
"This must be a frightening experience for you."
A nurse is collecting data from a client who is 1 day postoperative following a
total hip arthroplasty and has deep-vein thrombosis. Which of the following
findings should the nurse expect in the affected extremity?
Dull, aching pain
A nurse is contributing to the plan of care for a client who has bipolar disorder
and is experiencing mania. Which of the following actions should the nurse
include in the plan of care?
Decrease the level of environmental stimuli.
A nurse is caring for a client who is receiving morphine 2 mg subcutaneously
every 4 hr for pain. The medication is available in a vial containing 10 mg/mL.
How many ml should the nurse administer? (Round the answer to the nearest
tenth. Use a leading zero if it applies. Do not use a trailing zero.)
0.2 ML
, A nurse is preparing to administer cefaclor to a preschooler who weighs 20 kg.
The child is to receive cefaclor 30 mg/kg/day to divide equally every 8 hr.
Available is cefaclor suspension 125 mg/5 mL. How many ml should the nurse
administer for one dose? (Round to the nearest whole number. Use a leading
zero if it applies. Do not use a trailing zero.)
8
A nurse is preparing to administer a liquid medication to a 6-month-old infant
who is crying. Which of the following actions should the nurse take to reduce the
risk of aspiration?
Administer using a needless syringe in the buccal cavity
A nurse is reinforcing teaching with a client who has peptic ulcer disease. Which
of the following statements by the client indicates an understanding of the
teaching?
I will plan to have my meals at regular intervals
A nurse in a urgent care clinic is collecting data from a client who reports having
diarrhea for the past 3 days. Which of the following findings indicates
hypokalemia?
Muscle weakness
newborn. Which of the following statements indicates an understanding of the
instructions?
I will feed my baby six to eight times a day
A nurse is reinforcing discharge teaching with a client who is postoperative
following laser surgery for open-angle glaucoma. Which of the following
statements by the client indicates an understanding of the instructions?
I will take a stool softener to prevent constipation
A nurse is caring for a school-age child who is scheduled for a bone marrow
aspiration biopsy. The child asks the nurse, "Will this be painful?" Which of the
following is an appropriate response by the nurse?
"There will be some pain, but I can give you medicine to make you more
comfortable."
A nurse is preparing a clients insulin regimen. Which of the following
insulin's can be mixed? Insulin aspart, regular insulin, insulin lispro
A nurse is caring for a client who had a stroke and is having difficulty swallowing.
The nurse should recommend a referral to which of the following members of
the interprofessional team?
Speech therapist
,A nurse is reinforcing teaching with a client who is 12 hr postpartum and has an
episiotomy. Which of the following instructions should the nurse include?
Change the perineal pad with each void
A nurse is collecting data from a child who has acute Glomerulonephritis. Which of
the following findings should the nurse expect?
Periorbital edema
A nurse in long-term care facility has received change-of-shift report about four
clients. Which of the following clients should the nurse attend to first?
A client who has COPD and dementia and was agitated during the night shift
A nurse is contributing to the discharge plans for four clients. The nurse should
identify that which of the following clients requires an interdisciplinary care
conference?
A client who has hemiparesis and lives alone
A nurse is assisting with the admission of a client who attempted suicide. When
the nurse processes the client's belongings, which of the following items should
the nurse remove from the client's suitcase?
Perfume
,A nurse is caring for a client who is experiencing chest pain. The client states, "I
am really afraid because my brother died a year ago of a heart attack." Which of
the following responses is appropriate?
"This must be a frightening experience for you."
A nurse is collecting data from a client who is 1 day postoperative following a
total hip arthroplasty and has deep-vein thrombosis. Which of the following
findings should the nurse expect in the affected extremity?
Dull, aching pain
A nurse is contributing to the plan of care for a client who has bipolar disorder
and is experiencing mania. Which of the following actions should the nurse
include in the plan of care?
Decrease the level of environmental stimuli.
A nurse is caring for a client who is receiving morphine 2 mg subcutaneously
every 4 hr for pain. The medication is available in a vial containing 10 mg/mL.
How many ml should the nurse administer? (Round the answer to the nearest
tenth. Use a leading zero if it applies. Do not use a trailing zero.)
0.2 ML
, A nurse is preparing to administer cefaclor to a preschooler who weighs 20 kg.
The child is to receive cefaclor 30 mg/kg/day to divide equally every 8 hr.
Available is cefaclor suspension 125 mg/5 mL. How many ml should the nurse
administer for one dose? (Round to the nearest whole number. Use a leading
zero if it applies. Do not use a trailing zero.)
8
A nurse is preparing to administer a liquid medication to a 6-month-old infant
who is crying. Which of the following actions should the nurse take to reduce the
risk of aspiration?
Administer using a needless syringe in the buccal cavity
A nurse is reinforcing teaching with a client who has peptic ulcer disease. Which
of the following statements by the client indicates an understanding of the
teaching?
I will plan to have my meals at regular intervals
A nurse in a urgent care clinic is collecting data from a client who reports having
diarrhea for the past 3 days. Which of the following findings indicates
hypokalemia?
Muscle weakness
