child hood
RN COMPREHENSIVE ONLINE PRACTICE 2019 A
1. A nurse is performing tracheostomy care for a client who is postoperative
following a laryngectomy. Which of the following actions should the nurse
take when suctioning the client's airway?
Withdraw the catheter if the client begins coughing.
Apply suction for 10 seconds.
Advance the catheter 2 cm (0.8 in) after resistance is met.
Use medical asepsis when performing the procedure.
2. A nurse is preparing to administer a long-acting insulin to a client who has
diabetes mellitus. Which of the following actions should the nurse plan to
take first?
Teach the client reportable adverse effects from the medication.
Check the insulin dose with another licensed nurse
Administer the insulin at a 90° angle.
Clean the insertion site.
3. A nurse is caring for an older adult client in the PACU following general
anesthesia. Which of the following findings should the nurse report to the
provider?
Urine output 120 mL in 4 hr
Systolic blood pressure 12 mm Hg lower than the preoperative level
Audible stridor
Normal sinus rhythm with an occasional premature ventricular contraction
4. A nurse is preparing to administer diazepam 0.3 mg/kg IV bolus to a toddler
who weighs 22 lb and is experiencing a grand mal seizure. Available is
diazepam solution for injection 5 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.) 0.6
5. A charge nurse is planning an educational session for staff nurses about
working with parents whose terminally ill children are candidates for
donating their organs. Which of the following information should the nurse
plan to include?
Choosing to donate organs can delay the timing of the child's funeral.
The family can have the child an open casket without fearing that the organ donation
might disfigure the childs body
This study source was downloaded by 100000841990434 from CourseHero.com on 03-24-2022 06:20:32 GMT -05:00
https://www.coursehero.com/file/84995033/RN-COMPREHENSIVE-ONLINE-PRACTICE-2019-Adocx/
, The family should understand that an autopsy is mandatory prior to organ donation.
The nurse should introduce the option of organ donation to the parents when first
discussing the child's impending death.
6. A nurse manager is planning to make changes to the current scheduling
system on the unit. To facilitate the staff 's acceptance of this change, which
of the following actions should the nurse manager take first?
Provide information about scheduling issues to the staff
Ask staff members to participate in a trial of the new scheduling system. Encourage
staff to offer alternate scheduling solutions.
Develop goals to implement the new scheduling system.
7. A nurse is assessing a client who is receiving a blood transfusion. Which of
the following findings should indicate to the nurse that the client is having a
hemolytic transfusion reaction?
Bradycardia
Low back pain
Hypertension
Distended jugular veins
8. A nurse is assessing a client who has macular degeneration. Which of the
following findings should the nurse expect?
Increased intraocular pressure
Floating dark spots
Decreased central vision
Double vision
9. A nurse working in a long-term care facility is assessing an adult client.
Which of the following findings places the client at risk for development of a
pressure injury?
Report of persistent constipation
Hgb 14 g/dL
This study source was downloaded by 100000841990434 from CourseHero.com on 03-24-2022 06:20:32 GMT -05:00
https://www.coursehero.com/file/84995033/RN-COMPREHENSIVE-ONLINE-PRACTICE-2019-Adocx/
RN COMPREHENSIVE ONLINE PRACTICE 2019 A
1. A nurse is performing tracheostomy care for a client who is postoperative
following a laryngectomy. Which of the following actions should the nurse
take when suctioning the client's airway?
Withdraw the catheter if the client begins coughing.
Apply suction for 10 seconds.
Advance the catheter 2 cm (0.8 in) after resistance is met.
Use medical asepsis when performing the procedure.
2. A nurse is preparing to administer a long-acting insulin to a client who has
diabetes mellitus. Which of the following actions should the nurse plan to
take first?
Teach the client reportable adverse effects from the medication.
Check the insulin dose with another licensed nurse
Administer the insulin at a 90° angle.
Clean the insertion site.
3. A nurse is caring for an older adult client in the PACU following general
anesthesia. Which of the following findings should the nurse report to the
provider?
Urine output 120 mL in 4 hr
Systolic blood pressure 12 mm Hg lower than the preoperative level
Audible stridor
Normal sinus rhythm with an occasional premature ventricular contraction
4. A nurse is preparing to administer diazepam 0.3 mg/kg IV bolus to a toddler
who weighs 22 lb and is experiencing a grand mal seizure. Available is
diazepam solution for injection 5 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.) 0.6
5. A charge nurse is planning an educational session for staff nurses about
working with parents whose terminally ill children are candidates for
donating their organs. Which of the following information should the nurse
plan to include?
Choosing to donate organs can delay the timing of the child's funeral.
The family can have the child an open casket without fearing that the organ donation
might disfigure the childs body
This study source was downloaded by 100000841990434 from CourseHero.com on 03-24-2022 06:20:32 GMT -05:00
https://www.coursehero.com/file/84995033/RN-COMPREHENSIVE-ONLINE-PRACTICE-2019-Adocx/
, The family should understand that an autopsy is mandatory prior to organ donation.
The nurse should introduce the option of organ donation to the parents when first
discussing the child's impending death.
6. A nurse manager is planning to make changes to the current scheduling
system on the unit. To facilitate the staff 's acceptance of this change, which
of the following actions should the nurse manager take first?
Provide information about scheduling issues to the staff
Ask staff members to participate in a trial of the new scheduling system. Encourage
staff to offer alternate scheduling solutions.
Develop goals to implement the new scheduling system.
7. A nurse is assessing a client who is receiving a blood transfusion. Which of
the following findings should indicate to the nurse that the client is having a
hemolytic transfusion reaction?
Bradycardia
Low back pain
Hypertension
Distended jugular veins
8. A nurse is assessing a client who has macular degeneration. Which of the
following findings should the nurse expect?
Increased intraocular pressure
Floating dark spots
Decreased central vision
Double vision
9. A nurse working in a long-term care facility is assessing an adult client.
Which of the following findings places the client at risk for development of a
pressure injury?
Report of persistent constipation
Hgb 14 g/dL
This study source was downloaded by 100000841990434 from CourseHero.com on 03-24-2022 06:20:32 GMT -05:00
https://www.coursehero.com/file/84995033/RN-COMPREHENSIVE-ONLINE-PRACTICE-2019-Adocx/
