1. nurse is caring requesting assistance with smoking cassation. The nurse should anticipoce
prescription for which of the following
- Bupropion Naltrexone Methadone Disulfiram
2. A nurse is collecting data from a client who has diabetic ketoacdosis. Which of the following
findings should expect
- Frutiy breath
3. A nurse is collecting data from a client who has sickle cell anemia and is experiencing a vaso-
occlusive which of the following actions should the nurse take? (Click on the "Exhibit" button for
additional information There are three tabs that contain separate categories data.) Exhibit
- Recommend a transfusion of packed Rbcs
4. A nurse is contributing to the development of an in-service training about the differences in
mental health bellefs across various cultural groups. Which of the following culture-bound
syndromes should the nurse include when discussing Navajo Indian cultural beliefs?
- Ghost sickness
5. A nurse is assisting with the care of a client who has schizophrenia and auditory hallueinations.
Which of the following responses should the nurse make
- "Let's talk about what the voices are saying to you."
6. A nurse is assisting with the care of a client who has schizophrenia and auditory hallucinations.
Which of the following reaponsea should the nurse make
- Let's talk about what the voices are saying to you.
7. A nurse is discussing informed consent with a newly licensed nurse. Which of the following
statements by the newly liscensed nurse indicates an understanding of the information
- "A client can. withdraw consent at any time after signing the informed consent form."
,8. A nurse is reinforcing teaching with a client who has hypertension about decreasing sodium
intake. Which of the following foods should the nurse recommend?
- 1 baked potato
9. A nurse is caring for a client who is postoperative following a transurethral resection of the
prostate. The nurse notes bright red urinary drainage after notifying the surgeon which of the
following actions should the nurse take?
- Request a prescription to obtain the clients bun level.
10. A nurse is reinforcing teaching with another nurse about how to change an ostomy appliance for
a client who has a sigmoid colostomy which of the following instruction should the nurse include
in the teaching
- Empty clients asked me pouch before removing skin barrier
11. A charge nurse is observing a newly licensed nurse performing dressing change on a peripheral
IV site. For which of the following actions by the new nurse should the charge nurse intervene -
Use a sterile gloves to remove the old dressing
12. A nurse is caring for a client who has a peanut allergy the client states I feel like my throat is
closing which of the following actions should the nurse take - Give epinephrine intramuscularly
13. A nurse is transcribing a clients prescription for erythromycin 500 mg four times per day which
of the following information shared the news clarify with the provider - Time
14. A nurse is reinforcing teaching with a client who has primary open angle glaucoma and a new
prescription for timilol Eyedrops which of the following statements by the client indicates an
understanding of the teaching - I should check my heart rate while taking this medicine
15. A nurse in a long-term care facility is caring for a client who has methicillin resistant
Staphylococcus aureus (Mrsa)which of the following actions should the nurse take - Wear a
gown when assisting the client with personal hygiene
,16. A nurse is reinforcing teaching about hand hygiene with a newly licensed news which of the
following information should the nurse include in the teaching - Interlace the fingers while
rubbing hands together
17. A nurse is reinforcing teaching with a client who has diabetes mellitus and is taking insulin lispro
and insulin glargine which of the following instruction should the nurse include in the teaching -
Drawl up the insulin list Bro and insulin glargine in separate syringes
18. A nurse is contributing to the plan of care for a client who has ascites Due to cirrhosis which of
the following interventions should the nurse recommend to include in the plan - Measure the
clients abdominal girth daily
19. A nurse is caring for a newborn who has hyperbilirubinemia and is receiving photo therapy
which of the following findings should the nurse report to the provider - Loose stools
20. A nurse is caring for a client who is today's postoperative the client has a prescription for
acetaminophen 300 mg with codeine 30 mg one tablet every 3 to 4 hours PRN for pain the nurse
in advertently administers two tablets to the client in which of the following location should the
nurse document the eror - Controlled substance inventory record
21. A nurse is caring for a adolescent client who is bulimia nevosa which of the following actions
should the nurse take first - Observe the client during and after meals
22. A nurse is assigned an assistive personnel to perform a Gastroatomy Feeling for a client who has
been receiving feedings at homeWhich of the following actions should the nurse take to monitor
the APs performance of the task - Request the AP to provide a return demonstration of the task
23. A community health nurse is a system in the development of a brochure about hypertension
which of the following actions should the nurse take - Explain the medical terminology using
basic one syllable words
24. And charge nurse assigned a nurse to care for a group of clients which of the following client
should the nurse ask the charge nurse to reassign to an RN - A client who has a new diagnosis of
diabetes mellitus and needs to learn self administration of insulin
, 25. A nurse is caring for a client who has depressive disorder the client states everyone will be
better off if I were not around which of the following responses should the nurse make - Are you
thinking of hurting yourself?
26. A nurse is providing a client with IV fluids and finds that the IV pump screen is malfunctioning
which of the following actions should the nurse take - Discontinue use and take the IV pump
27. A nurse is Reinforcing teaching with the Client family about home oxygen use via nasal cannula
which of the following statements by a family member indicates an understanding of the
teaching - We will frequently check the top of his ears for sores
28. A nurse is caring for a client who has been giving methylergonovine intramuscularly for
postpartum hemorrhage which of the following should the nurse monitor for adverse reactions -
Elevated blood pressure
29. A nurse is collecting data from a child who is one hour postoperative following a tonsillectomy
which of the following findings is the nurses priority - Frequent swallowing
30. A nurse is caring for a client who is in stage kidney disease the client has decided to stop dialysis
treatment which of the following actions should the nurse take - Support the clients
31. Decision and stop the treatment
32. A nurse is receiving change of shift report on a group of clients which of the following client
should the nurse see first - A client who is postoperative following hip arthroplasty and reports
calf pain
33. A charge nurse working in a long-term care facility overhears to assistive personnel in the nurses
station discussing a client who was just admitted which of the following actions should the
charge nurse take - Tell the APs to stop the conversation
34. A nurse is caring for a client who has a prescription for worsen which of the following laboratory
test should the nurse monitor - International normalized ratio