CORRECT ANSWERS (QUESTION BANK)
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nurse is caring requesting assistance with smoking cassation. The nurse should
anticipate prescription for which of the following
Bupropion Naltrexone Methadone Disulfiram
A nurse is planning discharge teaching for a cord care for the parent of a
newborn. Which instructions would you include in the teaching?
a. Contact provider if the cord still turns black
b. Clean the base of the cord with hydrogen peroxide daily
C. Keep the cord dry until it falls off
d. The cord stump will fall off in five days
C. Keep the cord dry until it falls off
The cord should be kept clean and dry to prevent infection.
It's going to turn black, must be clean with neutral pH cleanser and
Cord falls off in 10-14 days.
Anurse is collecting data from a client who has diabetic ketoacdosis. Which of
the following findings should expect
Frutiy breath
A nurse is assessing a client in the PACU. Which of the following findings
indicates decreased cardiac output?
a. Shivering
b. Oliguria
c. Bradypnea
d. Constricted pupils
b. Oliguria
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
A nurse is assisting with mass casualty triage: explosion at a local factory. Which
of the following client should the nurse identify as the priority?
a. A client that has massive head trauma
b. A client has full thickness burns to face and trunk
c. A client with indication of hypovolemic shock
d. A client with open fracture of the lower extremity
,c. A client with indication of hypovolemic shock
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
A nurse is receiving a report on four clients. Which of the following clients should
the nurse assess first?
a. A client who has illeal conduit and mucus in the pouch
b. Client pleasant arteriovenous additional vibration palpated
c. A client whose chronic kidney disease with cloudy dialysate outflow
d. A client was transurethral resection of the prostate with a red tinged urine in
the bag
c. A client whose chronic kidney disease with cloudy dialysate outflow
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."
A nurse is caring for a client who has chronic kidney disease. The nurse should
identify which of the following laboratory values as in an indication for
hemodialysis?
a. glomerular filtration rate of 14mL/minute
b. BUN 16 mg/DL
c. serum magnesium 1.8 mg mg/dl
d. serum phosphorus 4.0 mg/dL
a. glomerular filtration rate of 14mL/minute
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."
A nurse in an emergency department completes an assessment on an adolescent
client that has conduct disorder. The client threatened suicide to teacher at
school. Which of the following statements should the nurse include in the
assessment?
a. Tell me about your siblings
b. Tell me what kind of music you like
c. Tell me how often do you drink alcohol
d. Tell me about your school schedule
c. Tell me how often do you drink alcohol
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
,A nurse is collecting data on four clients. Which of the following is the highest
priority finding by the nurse?
a. Malaise
b. Anorexia
c. Headache
d. Diarrhea
d. Diarrhea
Framework: ABCs
Diarrhea can deplete the body of fluids and cause a decrease in the circulating blood
volume
A nurse in a rehabilitation facility has received report on four clients. Which of the
following should the nurse evaluate first?
a. A client who has peripheral vascular disease and reports numbness in the toes
b. Client who has depression & is easily distracted
c. A client who has Alzheimer's disease and is unable to complete ADLS
d. A client who had abdominal surgery 10 days ago and reports feeling his
incision pop.
d. A client who had abdominal surgery 10 days ago and reports feeling his incision pop.
Framework: acute vs. chronic
Clients often report feeling the incision pop, indicating either dehiscence or evisceration
has occurred.
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.
A nurse is caring for a client who is in labor and his seat is receiving electronic
fetal monitoring. The nurse is reviewing the monitor tracing and notes early
decelerations. Which of the following should the nurse expect?
a. Fetal hypoxia
b. Abrupto placentae
c. Post maturity
d. Head compression
d. Head compression
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
A nurse is observing bonding to the client her newborn. Which of the following
actions by the client requires the nurse to intervene?
, a. Holding the newborn in an en face position
b, Asking the father to change the newborn's diaper
c. Requesting the nurse take the newborn nursery so she can rest
d. Viewing the newborn's actions to be uncooperative
d. Viewing the newborn's actions to be uncooperative
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
A nurse is caring for a client just received the first dose of lisinopril. The
following is an appropriate nursing intervention?
a. Place's cardiac monitoring
b. Monitor the clients oxygen saturation level
c. Provide standby assist with the client from bed
d. Encourage foods high in potassium
c. Provide standby assist with the client from bed
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
A nurse is caring for a client who is taking Levothyroxin. Which of the following
findings should indicate that the medication is effective?
a. Weight loss
b.. Decreased blood pressure
c. Absence of seizures
d. Decrease inflammation
a. Weight loss
This drug acts as T4 and will normalize the effects of hypothyroidism
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
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
A nurse caring for an older adult client who recently experienced the death of her
partner. Which of the following is the priority need of the client?
a. establishing a sense of achievement
b. contributing to society
c. creating meaningful social relationships
d. enhancing self-confidence