Test A:
A nurse is caring for a client who is at 33 weeks of gestation following
an amniocentesis. The nurse should monitor the client for which of the
following complications?
D. Contractions
A nurse is providing teaching to an older adult client about methods to
promote nighttime sleep. Which of the following instruction should the
nurse include?
D. Eat a light stack before bedtime.
A nurse in an acute care facility is caring for a client who is homeless
and has a decubitus ulcer. Which of the following actions should the nurse
take as a client advocate?
A. Gather dressing supplies for the client’s discharge.
B. Provide client teaching about nutrition.
C. Consult with the facility’s quality improvement team.
D. Contact the facility’s case management department.
A nurse is caring for a client who has diarrhea and is receiving
intermittent enteral feedings. Which of the following actions should the
nurse take?
A. Discard the open can of formula after 36 hr.
B. Administer feedings at a slower rate.
C. Flush the tube with 10 mL of water after feedings.
D. Provide chilled formula.
A nurse is caring for a client who is postoperative and ahs a new
prescription for hydromorphone. Which of the following actions should the
nurse take?
, A. Withhold the medication if the client does not appear to be in pain.
B. Withhold the medication if the client has a fever.
C. Document administration of the medication upon removal
from the medication dispensing system.
D. Count the current number of unit doses available in the
medication dispensing system.
A nurse in a provider’s office is caring for a client who asks about using
acupuncture to manage his osteoarthritis pain. The nurse should identify
which of the following conditions as a contraindication for receiving this
treatment?
A. Herpes zoster
B. Hypertension
C. Obesity
D. Hypothyroidism
A nurse is assessing a client following abdominal surgery. Which of the
following findings should the nurse report to the provider?
A. Temperature 37.6 degrees C (99.7 degrees F)
B. Urinary output 20 mL/hr
C. Blood pressure 100/70 Hg
D. Serous drainage on abdominal dressing
A nurse in a long-term care facility is admitting a client who has dementia.
Which of the following actions should the nurse take to reduce the risk for
client injury?
A. Place the bedside table at the foot of the bed.
B. Keep the television on during the night.
C. Assist the client to the toilet frequently.
D. Raise the side rails up when the client is in bed.
A certified IV nurse is providing education about peripherally inserted
central catheters (PICC) to a newly licensed nurse. Which of the following
,statements by the newly licensed nurse indicated an understanding of the
teaching?
A. “Use a vein in the middle of the lower arm to insert a PICC.”
B. “Flush a PICC using a 3-milliliter syringe.”
C. “Informed consent is required prior to PICC placement.”
D. “Position the client’s arm in adduction for PICC placement.”
A nurse is teaching self-administration of insulin glargine to a client who
has type 1 diabetes mellitus. Which of the following statements by the client
indicates an understanding of the teaching?
A. “I will take this insulin before meals.”
B. “I will not mix this insulin with other types of insulin.”
C. “I will rotate the injection sites between my arm and my thigh.”
D. “I will shake the vial to mix the insulin.”
A nurse is auscultating for crackles on a client who has pneumonia. Which
of the following anterior chest wall locations should the nurse auscultate?
(You will find
hot spots to select in the artwork below. Select only the hot spot that
corresponds to your answer.)
A nurse is caring for a client who is immunocompromised. Which of
the following antiseptic solutions should the nurse use to perform
hand hygiene?
A. Isopropyl alcohol
B. Bleach
C. Chlorhexidine
D. Povidone-iodine
A nurse on a telemetry unit is caring for a client who becomes
unconscious and whose monitor displays ventricular tachycardia. Which of
the following actions should the nurse take first after determining the
client does not have a palpable pulse?
B. Defibrillate
, A nurse is admitting a client who is 1 week postpartum and reports
excessive vaginal bleeding. The nurse does not speak the same language as
the client. The client’s partner and 10-year-old child are accompanying her.
Which of the following actions should the nurse take to gather the client’s
admission data?
C. Request a female interpreter through the facility.
A nurse is caring for a client who is febrile. To reduce the client’s fever,
the nurse applies a cooling blanket. Which of the following findings
indicates the client is having an adverse reaction to the cooling.
D. Shivering
A nurse is caring for a client who has deep-vein thrombosis of the left
lower extremity which of the following actions should the nurse take?
(Click on the “Exhibit” button below for additional client information.
There are three tabs that contain separate categories of data.)
B. Withhold heparin IV infusion
[OR] C. Administer
acetaminophen
A nurse is reviewing assessment data from several clients. For which
of the following clients should the nurse recommend referral to a
dietitian.
B. A client who has a nonhealing leg ulcer
A nurse is providing discharge teaching to a client who has a chronic kidney
disease and is receiving hemodialysis. Which of the following instructions
should the nurse include in the teaching?
A. Eat 1 g/kg of protein per day
A nurse is caring for a client who is receiving intermittent enteral tube
feedings. Which of the following places the client at risk for aspiration?
B. A history of gastroesophageal reflux disease
A nurse is providing prenatal teaching to a client who is at 12 weeks of
gestation. The nurse should tell the client that she will undergo which of the
following screening tests at 16 weeks of gestation?
D. Maternal serum alpha-fetoprotein
A nurse is caring for a client who is on bed rest. The nurse should
recognize that which of the following findings is a complication of
A nurse is caring for a client who is at 33 weeks of gestation following
an amniocentesis. The nurse should monitor the client for which of the
following complications?
D. Contractions
A nurse is providing teaching to an older adult client about methods to
promote nighttime sleep. Which of the following instruction should the
nurse include?
D. Eat a light stack before bedtime.
A nurse in an acute care facility is caring for a client who is homeless
and has a decubitus ulcer. Which of the following actions should the nurse
take as a client advocate?
A. Gather dressing supplies for the client’s discharge.
B. Provide client teaching about nutrition.
C. Consult with the facility’s quality improvement team.
D. Contact the facility’s case management department.
A nurse is caring for a client who has diarrhea and is receiving
intermittent enteral feedings. Which of the following actions should the
nurse take?
A. Discard the open can of formula after 36 hr.
B. Administer feedings at a slower rate.
C. Flush the tube with 10 mL of water after feedings.
D. Provide chilled formula.
A nurse is caring for a client who is postoperative and ahs a new
prescription for hydromorphone. Which of the following actions should the
nurse take?
, A. Withhold the medication if the client does not appear to be in pain.
B. Withhold the medication if the client has a fever.
C. Document administration of the medication upon removal
from the medication dispensing system.
D. Count the current number of unit doses available in the
medication dispensing system.
A nurse in a provider’s office is caring for a client who asks about using
acupuncture to manage his osteoarthritis pain. The nurse should identify
which of the following conditions as a contraindication for receiving this
treatment?
A. Herpes zoster
B. Hypertension
C. Obesity
D. Hypothyroidism
A nurse is assessing a client following abdominal surgery. Which of the
following findings should the nurse report to the provider?
A. Temperature 37.6 degrees C (99.7 degrees F)
B. Urinary output 20 mL/hr
C. Blood pressure 100/70 Hg
D. Serous drainage on abdominal dressing
A nurse in a long-term care facility is admitting a client who has dementia.
Which of the following actions should the nurse take to reduce the risk for
client injury?
A. Place the bedside table at the foot of the bed.
B. Keep the television on during the night.
C. Assist the client to the toilet frequently.
D. Raise the side rails up when the client is in bed.
A certified IV nurse is providing education about peripherally inserted
central catheters (PICC) to a newly licensed nurse. Which of the following
,statements by the newly licensed nurse indicated an understanding of the
teaching?
A. “Use a vein in the middle of the lower arm to insert a PICC.”
B. “Flush a PICC using a 3-milliliter syringe.”
C. “Informed consent is required prior to PICC placement.”
D. “Position the client’s arm in adduction for PICC placement.”
A nurse is teaching self-administration of insulin glargine to a client who
has type 1 diabetes mellitus. Which of the following statements by the client
indicates an understanding of the teaching?
A. “I will take this insulin before meals.”
B. “I will not mix this insulin with other types of insulin.”
C. “I will rotate the injection sites between my arm and my thigh.”
D. “I will shake the vial to mix the insulin.”
A nurse is auscultating for crackles on a client who has pneumonia. Which
of the following anterior chest wall locations should the nurse auscultate?
(You will find
hot spots to select in the artwork below. Select only the hot spot that
corresponds to your answer.)
A nurse is caring for a client who is immunocompromised. Which of
the following antiseptic solutions should the nurse use to perform
hand hygiene?
A. Isopropyl alcohol
B. Bleach
C. Chlorhexidine
D. Povidone-iodine
A nurse on a telemetry unit is caring for a client who becomes
unconscious and whose monitor displays ventricular tachycardia. Which of
the following actions should the nurse take first after determining the
client does not have a palpable pulse?
B. Defibrillate
, A nurse is admitting a client who is 1 week postpartum and reports
excessive vaginal bleeding. The nurse does not speak the same language as
the client. The client’s partner and 10-year-old child are accompanying her.
Which of the following actions should the nurse take to gather the client’s
admission data?
C. Request a female interpreter through the facility.
A nurse is caring for a client who is febrile. To reduce the client’s fever,
the nurse applies a cooling blanket. Which of the following findings
indicates the client is having an adverse reaction to the cooling.
D. Shivering
A nurse is caring for a client who has deep-vein thrombosis of the left
lower extremity which of the following actions should the nurse take?
(Click on the “Exhibit” button below for additional client information.
There are three tabs that contain separate categories of data.)
B. Withhold heparin IV infusion
[OR] C. Administer
acetaminophen
A nurse is reviewing assessment data from several clients. For which
of the following clients should the nurse recommend referral to a
dietitian.
B. A client who has a nonhealing leg ulcer
A nurse is providing discharge teaching to a client who has a chronic kidney
disease and is receiving hemodialysis. Which of the following instructions
should the nurse include in the teaching?
A. Eat 1 g/kg of protein per day
A nurse is caring for a client who is receiving intermittent enteral tube
feedings. Which of the following places the client at risk for aspiration?
B. A history of gastroesophageal reflux disease
A nurse is providing prenatal teaching to a client who is at 12 weeks of
gestation. The nurse should tell the client that she will undergo which of the
following screening tests at 16 weeks of gestation?
D. Maternal serum alpha-fetoprotein
A nurse is caring for a client who is on bed rest. The nurse should
recognize that which of the following findings is a complication of
