A nurse is assessing an infant who has water intoxication. Which of the following
findings should the nurse expect? - answerbounding pulse
A nurse is discussing the z-track administration of hydroxyzine with a newly
licensed nurse. Which of the following statements indicates the newly licensed
nurse understands the purpose of the technique - answera. This technique
decreases the risk of subcutaneous infiltration
1. A nurse is creating a plan of care for a client who has anorexia nervosa. Which
of the following interventions should the nurse include in the plan? - answera.
Monitor the client for 1 hr after meals
A nurse notices smoke coming from a client's room and discovers a fire in the
wastebasket. After moving the client to safety, which of the followings is the
priority action? - answera. Close the fire door on the unit
A nurse is assessing a client who has delirium due to a febrile illness. Which of
the following findings should the nurse expect? - answera. Hallucinations
1. A nurse is caring for a client following an open colectomy. Which of the
following findings places the client at risk for delayed wound healing? -
answerhyperemesis
,1. A home health nurse is reviewing treatment goals with a client who has
diabetes mellitus. The nurse should evaluate which of the following laboratory
tests to determine effective long-term management of blood glucose levels? -
answerA1C
1. A nurse is caring for a client who has neutropenia due to HIV. Which of the
following precautions should the nurse take while caring for this client? -
answera. Use a dedicated stethoscope
1. A nurse is caring for a client who reports difficulty falling asleep at night.
Which of the following actions should the nurse take? - answerTell the client to
avoid drinking fluids 1 hr before bedtime
1. A nurse is planning care for a newborn who has hyperbilirubinemia and is to
receive phototherapy. Which of the following interventions should the nurse
include? - answera. Place the newborn 45 cm from the light source
1. A nurse is planning care for a client who has schizophrenia and is having
difficulty expressing their feelings. Which of the following referrals should the
nurse make? - answersocial worker
,1. A nurse is caring for a client who has heart failure and has started taking a loop
diuretic. Which of the following findings indicates the client is experiencing an
adverse effect of the medication - answerdecreased reflexes
1. At the start of an evening shift on a cardiac unit, a licensed practical nurse
brings the nurse a list of client reports. Which of the following client reports
should the nurse assess first? - answerindigestion
1. A nurse is caring for a client who has just returned to the unit following a
bronchoscopy. Which of the following actions by the assistive personnel requires
the nurse to intervene? - answeroffer oral fluids to the client
1. A nurse on a medical unit has just received change-of-shift report. Which of the
following clients should the nurse assess first? - answera. A 68 year old client
who had a myocardial infarction 2 days ago and reports chest pain as a 4 on a
scale of 0 to 10
1. A nurse is assessing a client prior to performing a blood draw. The nurse
should identify that an allergy to which of the following food can indicate that the
client has an allergy to latex? - answeravocados
1. A nurse is preparing to witness a client's signature on an informed consent for
a total knee arthroplasty. Which of the following client statements indicates the
, nurse should contact the surgeon? - answera. I am thankful there are no serious
complications from this type of surgery
1. A nurse is admitting a client who has antisocial personality disorder. Which of
the following client behaviors should the nurse identify as consistent with this
disorder? - answera. Uses others for personal gain
1. A nurse is teaching the parent of a school-age child who has scabies about the
application of permethrin 5% cream. The nurse should include which of the
following as a potential adverse effect of the medication? - answerburning
1. A nurse is teaching a client who has a new prescription for digoxin. Which of
the following statements should the nurse include in the teaching? -
answermuscle weakness
1. A nurse is planning teaching for a client who is at 10 weeks of gestation and
has a history of urinary tract infections. Which of the following information
should the nurse plan to include in the teaching about UTI prevention? - answera.
Empty the bladder before and after intercourse
1. A nurse is providing discharge teaching to a client who is postpartum and
plans to breastfeed. Which of the following should the nurse recommend the
client increase in their diet during lactation? - answera. Calcium