WITH VERIFIED ANSWERS LATEST UPDATES VERSION OF TH
1. Which intervention should the nurse implement first?
D) Increase oral fluid
2. A nurse is caring for a 1-day-old newborns who has jaundice and is receivingphototherapy. Which of the following actions sh
Ensure that the newborn wears a diaper.
3. A nurse is preparing a client for a paracentesis. What action should the nurse take?
Instruct the client to void prior to the procedure.
4. A nurse is providing dietary teaching to a client who has end-stage of kidney disease anda potassium level of 6. Which of the
recommend?
1 Hard boiled
. eggs.
5. A director of nursing in a rehab facility is planning for measure of quality care provided.
Which of the following should the nurse director plan to use after the client isdischarged to gather information about quality o
a. Outcome audit
6. A nurse is caring for a client who repeatedly refuses meals, a nurse overhears an APtelling the client “If you don’t eat, I’ll put
should intervene.
7. A nurse is caring for a client who reports insomnia. Which of the following is a priorityfor the nurse to report to the provider?
a Assa
. ult
, a. Wake up to urinate during the night.
8. A nurse is planning care for a client who has an L4 spinal cord injury. Which of the following interventions to prevent skin bre
planof care?
a. Massage reddened area over bony prominences
9. charge nurse is teaching a group of newly licensed nurses about the correct use ofrestraints. Which of the following should th
1. Applying elbow immobilizers of an infant receiving cleft lip injury
10. A nurse preparing to initiate IV fluid via infusion pump to a client. Which of the followingaction should the nurse take?
a. Check the expiration date?
11. A nurse is proving discharge instruction about newborn to client who is 2 dayspostpartum. Which of the following should be i
12. A nurse as identified task to delegate to a group of an AP.
aa Evaluate
Use car toseat
perform
wheneach
travelling by
task
.. airplane
b Communicate appropriate task to
. AP
13. Adverse effect of furosemide?
a Hearing
. loss
14. New diagnose of type 2 diabetes. Client readiness to learn:
a I like to wait when my partner is here so we can both learn
. together.
15. Diazepam overdose medication for reversal?
a Flumaze
. nil
,16. The nurse is planning a community health program about Parkinson’s disease. Which ofthe following intervention the nurse in
strategy?
a. Ambulation for client with Parkinson’s disease
17. A nurse is teaching a newly license nurse about incident report. Which of the followingstatement indicate understanding?
a They assist with quality
. improvement.
18. Peak expiratory flow meter teaching:
Blow air as hard and quickly as possible.
19. A nurse is caring for an infant who has RSV.
a Suction prior to
. feeding.
20. A nurse is preparing to teach the parent of a child who has cystic fibrosis. Which of the
following teaching should the nurse plan to include?
a Provide a diet high in protein and
. calories.
21. Taking Cyclosporine following a kidney transplant. Which Lab to report?
a Creatinine of
. 1.6
22. Auditory Hallucination teaching?
a Encourage the client listen to
. music.
23. A nurse is preforming a gastric lavage for a client who has upper gastrointestinalbleeding. Which of the following action shoul
B. Insert a large-bore NG tube.
, 24. A nurse is planning care for a group of clients, which of the following measure shouldthe nurse to manage time effectively?
25. A nurse is teaching a group of newly licensed nurses about client advocacy. Which of thefollowing statements by a newly lice
a Gather supplies prior to completing a dressing
. change.
of the teaching?
a. “I will intervene if there is conflict between a client and his provider”
26. A nurse is assessing a client who is pregnant and has new diagnosis of hyperemesisgravidarum. Which of the following findi
a Urine output of 20
. mL/Hr.
27. Apply physical restraint:
a. to maintain the patency of an IV line
28. A nurse is assessing a client who has anorexia nervosa. Which of the following findingindicates effectiveness of the treatmen
29. A nurse is assessing and older adult for social isolation. The nurse should identify thatwhich of the following statement by the
a. The client has clinical manifestation of
dehydration
isolation?
a My hearing aids have lost so I don’t attend Bingo like I used
. to.
30. A nurse is teaching a client who is pregnant and has a new prescription for Iron
supplement. Which of the following statement should the nurse include?
a You might become constipated while taking this
. medication.
31. Abdominal Assessment orders:
a. Inspection; Auscultation; Percussion; Palpation.