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A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old.
Which of the following actions should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parents to leave the room during the procedure. - correct answer
✅B. Tell the child they will feel discomfort during the catheter insertion.
A nurse is providing discharge teaching for a client who has an implantable
cardioverter defibrillator which of the following statements demonstrates
understanding of the teaching?
A. "I will soak in the tub rather and showering"
B. "I will wear loose clothing around my ICD"
,C. "I will stop using my microwave oven at home because of my ICD"
D. "I can hold my cellphone on the same side of my body as the ICD" - correct
answer ✅B. "I will wear loose clothing around my ICD"
A nurse is caring for a client who is at 14 weeks gestation and reports feelings of
ambivalence about being pregnant. Which of the following responses should the
nurse make?
A. "Describe your feelings to me about being pregnant"
B. "You should discuss your feelings about being pregnant with your provider"
C. "Have you discussed these feelings with your partner?"
D. "When did you start having these feelings?" - correct answer ✅A. "Describe
your feelings to me about being pregnant"
A nurse in an emergency department is performing triage for multiple clients
following a disaster in the community. To which of the following types of injuries
should the nurse assign the highest priority?
A. Below-the knee amputation
B. Fractured tibia
C. 95% full-thickness body burn
,D. 10cm (4in) laceration to the forearm - correct answer ✅A. Below-the knee
amputation
A nurse manager is updating protocols for the use of belt restraints. Which of the
following guidelines should the nurse include?
A. Remove the client's restraint every 4hr
B. Document the client's condition every 15 min
C. Attach the restrain to the bed's side rails
D. Request a PRN restrain prescription for clients who are aggressive - correct
answer ✅B. Document the client's condition every 15 min
A nurse in a provider's office is reviewing the laboratory results of a group of
clients. The nurse should identify that which of the following sexually transmitted
infections is a nationally notifiable infectious disease that should be reported to
the state health department?
A. Chlamydia
B. Human papillomavirus
C. Candidiasis
, D. Herps simplex virus - correct answer ✅A. Chlamydia
A nurse is working on a surgical unit is developing a care plan for a client who has
paraplegia. The client has an area of no blanchable erythema over his ischium.
Which of the following interventions should the nurse include in the care plan?
A. Place the client upright on a donut-shaped cushion
B. Teach the client to shift his weight every 15 min while sitting
C. Turn and reposition the client every 3 hr while in bed
D. Assess pressure points every - correct answer ✅B. Teach the client to shift his
weight every 15 min while sitting
A charge nurse is teaching a newly licensed nurse about clients designating a
health care proxy in situations that require a durable power of attorney for heal
care (DPSHC). Which of the following information should the charge nurse
include?
A. "The proxy should make health care decisions for the client regardless of the
client's ability to do so."
B. "The proxy can make financial decisions if the need arises."
C. "The proxy can make treatment decisions if the client is under anesthesia."