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AND C >> QUESTIONS AND ANSWERS }GRADED A+ U
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An nursen isn providingn teachingn about n then gastrostomyntubenfeedingsn ton then parentsnofn anschooln agen ch
ild.n Whichn of n then followingn instructionsn should n then nursen take?
A.n Administern then feedingn overn 30n min.
B.n Placen then child n inn asn supinen positionn aftern then feeding.
C.n Chargen then feedingn bagn and n tubingn everyn 3n days.
D.n Warmn then formulan inn then microwaven priorn ton administration.
A.n Administern then feedingn overn 30n min.
2.n A n nursen isn administeringn digoxinn 0.125n mgn Pontonannadultn client.n Fornwhichn ofnthenfollowingn find
ingsn should n then nursen report n ton then provider?n
A.n Potassiumn leveln 4.2n mEq/L.n
B.n Apicaln pulsen 58/min.
C.n Digoxinn leveln 1n ng/ml.
D.Constipationn forn 2n days. B.n Apicaln pulsen 58/min
An nursen isn caringn forn an client n whonisn comatosen andn hasnadvancendirectivesn that nindicatenthenclient n do
esn not n want n life-sustainingn measures.n Then client'sn familyn want n then client n ton haven life-
sustainingn measures.n Whichn of n then followingn actionn should n then nursen take?
A.Arrangen forn ann ethicsn committeen meetingn ton addressn then family'sn concerns.
B.n Support n then family'sn decisionn and n initiaten life-sustainingn measures.n
C.n Completen ann incident n report.
D.Encouragen then familyn ton contact n ann attorney.
A.n Arrangen forn ann ethicsn committeen meetingn ton addressn then family'sn concerns.
An nursen isn caringn forn an client n whonwearsn glasses.n Whichn of n thenfollowingn actionsn shouldn then nursenta
ke?n
A.n Storen then glassesn inn an labeled n case.
B.n Cleann then glassesn withn hot n water.
C.n Cleann then glassesn withn an papern towel.n
D.n Storen then glassesn onn then bedsiden table. A.n Storen then glassesn inn an labeled n case.
An nursen isn teachingn an groupn of nnewlyn licensed n nursesn aboutn measuresn tontaken whenn caringn forn an clie
nt n whon isn onn contactn precautions.n Whichn ofnthenfollowingn should nthen nursen includen inn then teaching?
A.n Removen then protectiven gownn aftern then client'sn room.
B.n Placen then client n inn an roomn withn negativen pressure.
C.n Wearn glovesn whenn providingn caren ton then client.
,D.n Wearn an maskn whenn changingn then linensn inn then client'sn room.
C.n Wearn glovesn whenn providingn caren ton then client.
An nursen isn planningn onn caren forn an client n whon isn recoveringn fromn ann acuten myocardialn infarctionn thatn
occurred n 3n daysn ago.n Whichn of n then followingn instructionsn should n then nursen include?n
A.n Performn ann ECG n everyn 12n hr.n
B.n Placen then client n inn an supinen positionn whilen resting.
C.n Draw n an troponinn leveln everyn 4hr.
D.n Obtainn an cardiacn rehabilitationn consultation.
D.n Obtainn an cardiacn rehabilitationn consultation.
Then nursen isn reviewingn then medicaln record n of n an client n whon isn requestingn combinationn oraln contracep
tives.n Whichn of n then followingn conditionsn inn thenclient'sn historyn isn an contradictionntonthenusen ofn oraln c
ontraceptives?n
A.n Hyperthyroidism.
B.n Thrombophlebitis.n
C.n Diverticulosis.
D.n Hypocalcemia B.n Thrombophlebitis.
An nursen isn caringn forn an client n whonrequest n then creationn ofnan livingn will.n Whichn of n thenfollowingn actio
nsn should n then nursen take?
A.n Schedulen an meetingn betweenn then hospitaln ethicsn committeen and n then client.n
B.n Evaluaten then client'sn understandingn of n life-sustainingn measures.
C.n Determinen then client'sn preferencesn about n post n mortemn care.
D.n Request n an conferencen withn then client'sn family. B.n Evaluaten then client'sn understandingn of nlife-
sustainingn measures.
An nursen isn caringn forn ann adolescent n whon hasn sickle-
celln anemia.n Whichn of n then followingn manifestationsn indicatesn acutenchest nsyndromen andnshould nbeni
mmediatelyn reported n ton then provider?
A.n Substernaln retractions.
B.n Hematuria.
C.n Temperaturen 37.9n Cn (100.2n F).n
D.n Sneezing. A.n Substernaln retractions.
An nursen isn preformingn an gastricn lavagen forn an client n whonhasn uppern gastrointestinaln bleeding.n Whichn
of n then .followingn actionn should n then nursen take?
A.n Instilln 500n mln of n solutionn throughn then NGn tube.n
B.n Insert n an large-boren NGn tube.
C.n Usen an cold n irrigationn solution.
D.n Instruct n then client n ton lien onn hisn right n side. B.n Insert n an large-boren NGn tube.
An nursen isn providingn caren forn an client n whon isn inn thenadvancenstagen of n amyotrophicn lateraln sclerosis.n (
ALS).n Whichn of n then followingn referralsn isn then nurse'sn priority?
A.n Psychologist.
B.n Socialn worker.
C.n Occupationaln therapist.
D.n Speech-languagen pathologist. D.n Speech-languagen pathologist.
An nursen isn reviewingn then laboratoryn resultsn of n an client nwhonhasn rheumatoid n arthritis.n Whichn of n then f
ollowingn findingsn should n then nursen report n ton then provider?n
A.n WBCn count n 8,000/mm3.n
B.n Plateletsn 150,000/mm3.
,C.n Aspartaten aminotransferasen 10n units/L.n
D.n Erythrocyten sedimentationn raten 75n mm/hr D.n Erythrocyten sedimentationn raten 75n mm/hr
An nursen isn caringn forn an client n whon hasn generalized n petechiaen and n ecchymoses.n Then nursen should n ex
pect n an prescriptionn forn whichn of n then followingn laboratoryn tests?n
A.n Platelet n count.n
B.n Potassiumn level.
C.n Creatinen clearance.n
D.n Pre-albumin. A.n Platelet n count.
An nursen isn caringn forn an client n followingn applicationn of nan cast.nWhichn ofn then followingn actionsn should
n then nursen taken first?
A.n Placen ann icen packn overn then cast.
B.n Palpaten then pulsen distaln ton then cast.
C.n Teachn then client n ton keepn then cast n cleann and n dry.n
D.n Positionn then casted n extremityn onn an pillow. B.n Palpaten then pulsen distaln ton then cast.
An nursen isn caringn forn an client n whonhasn visionn loss.n Whichn of n thenfollowingn actionsn shouldn then nursent
ake?n (Select n alln that n apply)
A.n Keepn objectsn inn then client'sn roomn inn then samen place.
B.n Ensuren theren isn high-wattagen lightingn inn then client'sn room.
C.n Approachn then client n fromn then side.
D.n Allow n extran timen forn then client n ton performn tasks.n
E.n Touchn then client n gentlyn ton announcen presence.
A.n Keepn objectsn inn then client'sn roomn inn then samen place.
B.n Ensuren theren isn high-wattagen lightingn inn then client'sn room.
D.n Allow n extran timen forn then client n ton performn tasks.
An nursen isn caringn forn an client n whonisn newlyn diagnosed nwithnpancreaticn cancern andn hasnquestionsn abo
ut n then disease.n Ton researchn then nursen should nidentifynthatnwhichn ofn then followingn electronicn databas
en hasn then most n comprehensiven collectionn of n nursingn (Unablen ton read)n articles?
A.n MEDLINE
B.n CINAHL.
C.n ProQuest.
D.n Healthn Source. B.n CINAHL.
An nursen inn ann emergencyn department n isn assessingn newlyn admittedn client n whon isn experiencingn drooli
ngn and n hoarsenessn followingn an burnn injury.n Whichn of nthenfollowingn should nactionsn shouldn then nurse
n taken first?n
A.n Obtainn an baselinen ECG.
B.n Obtainn an blood n specimenn forn ABG n analysis.n
C.n Insert n ann 18-gaugen IVn catheter.
D.n Administern 100%n humidified n oxygen. D.n Administern 100%n humidified n oxygen.
An nursen isn planningn caren forn an client n whonhasn unilateraln paralysisn and n dysphagian followingn an right n h
emisphericn stroke.n Whichn of n then followingn interventionsn should n then nursen includen inn then plan?n
A.n Placen food n onn then left n siden of n then client'sn mouthn whenn hen isn readyn ton eat.
B.n Providen totaln caren inn performingn then client'sn ADLs.n
C.n Maintainn then client n onn bed n rest.
D.n Placen then client'sn left n armn onn an pillow n whilen hen isn sitting.
D.n Placen then client'sn left n armn onn an pillow n whilen hen isn sitting.
, An nursen isn caringn forn an client n whonisn inn an seclusionn roomn followingn violent n behavior.n Then client n cont
inuesn ton displayn aggressiven behavior.n Whichn of n then followingn actionsn should n then nursen take?
A.n Confront n then client n about n thisn behavior.
B.n Expressn sympathyn forn then client'sn situation.
C.n Speakn assertivelyn ton then client.
D.n Stand n withinn 30n cmn (1n ft)n of n then client n whenn speakingn withn them.
A.n Confront n then client n about n thisn behavior.
An nursen isn caringn forn an client n whon isn receivingn brachytherapyn forn treatment n of n prostaten cancer.n Whi
chn of n then followingn actionsn should n then nursen take?
A.n Cleansen equipment n beforen removaln fromn then client'sn room.
B.n Limit n then client'sn visitorsn ton 30n minn pern day.
C.n Discard n then client'sn linensn inn an doublen bag.nD.nDiscard n then radioactiven sourcen inn an biohazard n bag
B.n Limit n then client'sn visitorsn ton 30n minn pern day.
An nursen isn assessingn an client n whon hasn left-
sided n heart n failure.n Whichn of nthenfollowingn should n then nursen identifyn asnan manifestationnof npulmona
ryn congestion?
A.n Frothy,n pinkn sputum.n
B.n Jugularn veinn distention.
C.n Weight n gain.n
D..Bradypnea A
An nursen isn caringn forn an client n whonisn inn laborn and nrequiresn augmentationn of nlabor.n Whichn of nthen follo
wingn conditionsn should n then nursen recognizen asn an contraindicationn ton then usen of n oxytocin.
A.n Diabetesn mellitus.
B.n Shouldern presentation.
C.n Post n termn withn oligohydramnios.n
D.n Chorioamnionitis C.n Post n termn withn oligohydramnios.
An nursen isn caringn forn an 5-month-
old n infant n whonhasn manifestationsn ofnseveren dehydrationn and n an prescriptionn forn paternaln fluid n thera
py.n Then guardiann asks.n "What n aren then indicationsn that nmyn babynneedsn annIV?"n Whichn of n then followi
ngn responsesn should n then nursen make?
A.n "Yourn babyn needsn ann IVn becausen shen isn not n producingn anyn tears"
B.n "Yourn babyn needsn ann IVn becausen hern fontanelsn aren budging"
C.n "Yourn babyn needsn ann IVn becausen shen isn breathingn slowern thann normal"n
D.n "Yourn babyn needsn ann IVn becausen hern heart n raten isn decreasing"
A.n "Yourn babyn needsn ann IV n becausen shen isn not n producingn anyn tears"
An nursen isn providingn teachingn ton anclient n whon hasn heart n failuren and n an new n prescriptionn forn furosemi
de.n Whichn of n then followingn statementsn should n then nursen make?
A.n "Takingn furosemiden cann causen yourn potassiumn levelsn ton ben high"n
B.n "Eat n foodsn that n aren highn inn sodium"
C.n "Risen slowlyn whenn gettingn out n of n bed"
D.n "Takingn furosemiden cann causen youn ton ben overn hydrated"
C.n "Risen slowlyn whenn gettingn out n of n bed"
An nursen isn creatingn an plann of n caren forn an newlyn admitted n client n whon hasn obsessive-
compulsiven disorder.n Whichn of n then followingn interventionsn should n then nursen take?n
A.n Allow n then client n enoughn timen ton performn rituals.n
B.n Given then client n autonomyn inn schedulingn activities.