a male client admitted the morning of his scheduled surgery tells the PN that he drank water
last night. What intervention will the PN implement first? - CORRECT ANSWER Determine the
amount of water and exact time it was taken
A client receives ondansetron prior to chemotherapy treatment.How should the PN evaluate
this medication? - CORRECT ANSWER Monitor the client for nausea or vomiting following the
treatment
During morning rounds a client is admitted with OCD is in the...of the same table. What
intervention should the PN implement when approached? - CORRECT ANSWER Provide time for
the behavior then guide the client to other activities
The PN is caring for an older adult client who is confused and spends...factor contributes to an
increased risk for impaired skin integrity for this client? - CORRECT ANSWER Has increasing
episodes of urinary incontinence
The pn determines that a client with cirrhosis is experiencing peripheral....take? - CORRECT
ANSWER Protect the clients feet from injury
A client is admitted to the postoperative surgical unit after a left lobectomy with two chest
tubes......observes the water-sealed chambers, set and prescribed suction of 20cm water...what
action should the PN implement? - CORRECT ANSWER Maintain system integrity and to
promote lung reexpansion
photo of chest and locating apical HR - CORRECT ANSWER just below the left nipple
At the end of a 12-hour shift the PN observes the urine in a clients drainage..what action should
the PN take next? - CORRECT ANSWER note the most recent white blood count
A client with a compound fracture of the left ankle is being discharged with a below the knee
cast....PN provide to the client prior to discharge? - CORRECT ANSWER never scratch under the
cast
Thirty minutes after receiving IV morphine, a postoperative male client continue to rate his
pain...what action should the PN implement first? - CORRECT ANSWER implement
complementary pain relief methods
A male client has been diagnosed with schizophrenia is withdrawn, isolates himself in....with
one or two word responses. the morning the PN observes that he...Which intervention is most
important for the PN to implement? - CORRECT ANSWER Measure appropriate vital signs
,The PN is assisting an unsteady client to ambulate from the bed to the bath...client loses
balance and falls onto the bedside table. what action should the PN take first? - CORRECT
ANSWER Stay with the client and call for assistance
The PN is assisting a female client to obtain a voided specimen for uri...meatus. Which
intervention is performed next? - CORRECT ANSWER initiate the urine stream?
An 8-year old is placed in 90-90 traction for a fractured femur that resulted from...further
action by the PN? - CORRECT ANSWER weights are touching the foot of the bed
The PN is reviewing diet instructions with a female client who has hyper...she has increased her
intakes of protein and calories. What action should the PN take? - CORRECT ANSWER
Encourage the client to continue the dietary changes she has made
A 3-year old child returns to the pediatricians office for a postoperative visit after
having...procedure. The PN should expect to observe which behavior that indicates... - CORRECT
ANSWER plays doctor and nurse with the dolls
The PN reviews the procedure for measuring fluid intake and output ...glomerulonephritis and
is preparing for discharge from the hospital. What... - CORRECT ANSWER -why the fluid
measurements need to be recoded
-which food types are included when measuring fluid take
-what container to use for the most accurate measurement
A male client receives a prescription for 3,000 mg of medication daily, which is available...taken
twice daily in equal dosages.How many tablets should the PN... - CORRECT ANSWER 3
... - CORRECT ANSWER request return visit for examination after her period when hormones are
lowest
A mother brings her 5-year old child to the clinic for school physical examinations. Which
assessment... PN that intergenerational violence may be occurring in the home? - CORRECT
ANSWER -The 6-year old son hits his younger sister during the interview
-the 10-year old daughter has circular burns on her trunk and legs
-the 3-year old has multiple bruises on the chest and both legs
A client has a prescription to discontinue intravenous therapy when the liter that is infusing at
150 mL per hour is...1200 the PN notes that there are 750 ml of solution remaining.At what
time should the nurse expect to discontinue the intravenous therapy? - CORRECT ANSWER
1700
the PN is caring for a client who had a total laryngectomy, left radical neck dissection... client is
receiving nasogastric tube feedings via an internal pump. today the rate of the feeding was
, increased...ml/hr. What parameter should the PN use to evaluate the clients tolerate to the
rate of the feeding? - CORRECT ANSWER gastric residual volumes
A new mother is breastfeeding her newborn for the first time after delivery and complains of
nipple pain...Based on the client complaint, what action should the PN take? - CORRECT
ANSWER Ensure that all the areolar tissue of the nipple is in the infants mouth.
Which site should the PN use when administering an injection of Rho (D) Immune negative
postpartum client? - CORRECT ANSWER deltoid
Before inserting medication into a clients vagina, what instructions should the pn... - CORRECT
ANSWER urinate until bladder is empty
An 18-year old female client with pelvic inflammatory disease (PID0 asks the pn..Which
information is best for the PN to provide? - CORRECT ANSWER A history of untreated
gonnorhea can lead to PID
A 28-year old client is in active labor and complains of a cramp in her leg. What intervention
should the PN implement? - CORRECT ANSWER extend the leg and flex the foot?
A new mother is bottle feeding instead of breastfeeding her newborn, The PN...most effectively
deal with breast engorgement and discomfort? - CORRECT ANSWER Wear a supportive bra at
all times
A client with schizophrenia reports auditory hallucinations when admitted to the hospital. PN to
include in the assessment of this client? - CORRECT ANSWER "what are the voices uttering?"
A young adult male tells the PN he has declared to change his hours at work so that he can...his
community. Which stage of Maslow's development is this young adult attempting to achieve? -
CORRECT ANSWER Self-actualiztion
A female client arrives to the clinic for an annal physical examination. when reviewing...the PN
that she takes herbs for high blood pressure instead of the prescribed..important for the PN to
reinforce with the client? - CORRECT ANSWER Explain risks associated with using herbs instead
of the prescribed antihypertensives.
A female Native American client who is receiving chemotherapy places a native artifact...the
health care provider removes the medicine wheel and tells the client "this type..hospital" what
intervention should the PN implement ? - CORRECT ANSWER Act as the clients advocate when
discussing the issue with the HCP
The PN is caring for a client receiving chemotherapy who has thrombocytopenia..important to
include in the nursing care plan? - CORRECT ANSWER watch the client for abnormal bleeding