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1. Followingppdischarge t
The Marketplace to Buypand Sell your Study Materialp
eaching, a male client with duoden alppulcerp tellsp theppnursepthep hep willp drinkp plenty
p ofp dairyp products,p suchp asp milk,p top helpp coatp andp protectp
hispulcer.pWhatpispthepbe
stpfollow-uppactionpbypthepnurse?
A. Reviewpwithpthepclientpthepneedptopavoidpfoodspthatpareprichpinpmilkpandpcream
2. Apmalepclientpwithphypertension,pwhopreceivedpnewpantihypertensivepprescriptio
nspatphisplastpvisitpreturnsptopthepclinicptwopweeksplaterptopevaluatephispbloodppress
urep(BP).pHispBPpisp158/106pandphepadmitspthatphephaspnotpbeenptakingptheppres
cribedpmedicationpbecausepthepdrugspmakephimp“feelpbad”.pInpexplainingpthepne
edpforphypertensionpcontrol,pthepnursepshouldpstresspthatpanpelevatedpBPpplacesp
thepclientpatpriskpforpwhichppathophysiologicalpcondition?
A. Strokepsecondaryptophemorrhage
3. Thepnursepobservespanpunlicensedpassistiveppersonnelp(UAP)ppositioningpapnewlyp
admittedpclientpwhophaspapseizurepdisorder.pThepclientpispsupinepandpthepUAPpisppla
cingpsoftppillowspalongpthepsideprails.pWhatpactionpshouldpthepnursepimplement?
A. Instructp thep UAPp top obtainp softp blanketsp top securep top thep sidep railspinsteadp
ofppillows.
4. Anp adolescentp withp majorp depressivep disorderp hasp beenp takingp duloxetinep (Cymbalta)pf
orptheppastp12pdays.pWhichpassessmentpfindingprequirespimmediatepfollow-up?
A. Describesplifepwithoutppurpose
5. Ap60-year-
oldpfemalepclientpwithpappositivepfamilyphistorypofpovarianpcancerphaspdevelopedp
anpabdominalpmasspandpispbeingpevaluatedpforppossiblepovarianpcancer.pHerpPa
panicolaup(Pap)psmearpresultsparepnegative.pWhatpinformationpshouldpthepnurs
epincludepinpthepclient’spteachingpplan?
A. Furtherpevaluationpinvolvingpsurgerypmaypbepneeded
6. Apclientpwhoprecentlypunderwearpaptracheostomypispbeingppreparedpforpdischargeptophome.pW
hichpinstructionspispmostpimportantpforpthepnurseptopincludepinpthepdischargepplan?
A. Teachptrachealpsuctioningptechniques
7. Inpassessingpanpadultpclientpwithpappartialprebreatherpmask,pthepnursepnotespthatpthepo
xygenpreservoirpbagpdoespnotpdeflatepcompletelypduringpinspirationpandpthepclient’spre
spiratorypratepisp14pbreathsp/pminute.pWhatpactionpshouldpthepnursepimplement?
A. Documentpthepassessmentpdata
B. Rational:preservoirpbagpshouldpnotpdeflatepcompletelypduringpinspirationpa
ndpthepclient’sprespiratorypratepispwithinpnormalplimits.
8. Duringpshiftpreport,pthepcentralpelectrocardiogramp(EKG)pmonitoringpsystempal
arms.pWhichpclientpalarmpshouldpthepnursepinvestigatepfirs?
A. Respiratorypapneapofp30pseconds
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9. Duringp ap homep visit,p thep nursep observedp anp elderlyp clientp withp diabetesp slipp andpf
all.pWhatpactionpshouldpthepnurseptakepfirst?
A. Checkpthepclientpforplacerationsporpfractures
10. Atp0600pwhilepadmittingpapwomanpforpapscheduleprepeatpcesareanpsectionp(C-
pSection),pthepclientptellspthepnursepthatpshepdrankpapcuppapcoffeepatp0400pbecauseps
hepwantedptopavoidpgettingpapheadache.pWhichpactionpshouldpthepnurseptakepfirst?
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A. Informpthepanesthesiapcarepprovider
11. Afterpplacingpapstethoscopepaspseenpinptheppicture,pthepnursepauscultatespS1pand
p S2p heartp sounds.p Top determinep ifp anp S3p heartp soundp isp present,p whatp actionp
shoul
dpthepnurseptakepfirst?
A. Listenpwithpthepbellpatpthepsameplocation
12. Ap66-year-
oldpwomanpispretiringpandpwillpnoplongerphavepaphealthpinsurancepthroughpherppl
acepofpemployment.pWhichpagencypshouldpthepclientpbepreferredptopbypthepemplo
yeeA.
phealth pnursepforphealthpinsurancepneeds?
p Medicare
13. Ap clientp whop isp takingp anp oralp dosep ofp ap tetracyclinep complainsp ofp gastrointestinalp
upset.pWhatpsnackpshouldpthepnursepinstructpthepclientptoptakepwithptheptetracycline?
A.ppp Toastedpwheatpbreadpandpjelly
14. Followingpaplumbarppuncture,papclientpvoicespseveralpcomplaints.pWhatpcomplaintpi
ndicatedptopthepnursepthatpthepclientpispexperiencingpapcomplication?
A. “IphavepapheadachepthatpgetspworsepwhenpIpsitpup”
B. “IpamphavingppainpinpmyplowerpbackpwhenpIpmovepmyplegs”
C. “MypthroatphurtspwhenpIpswallow”
D. “Ipfeelpsickptopmypstomachpandpampgoingptopthrowpup”
15. Anp elderlyp clientp seemsp confusedp andp reportsp thep onsetp ofp nausea,p dysuria,pa
ndpurgencypwithpincontinence.pWhichpactionpshouldpthepnursepimplement?
A. Obtainpapcleanpcatchpmid-streampspecimen
16. Thepnursepispassistingpthepmotherpofpapchildpwithpphenylketonuriap(PKU)ptopselectp
foodspthatparepinpkeepingpwithpthepchild’spdietaryprestrictions.pWhichpfoodsparepcon
traindicatedpforpthispchild?
A. Foodspsweetenedpwithpaspartame
17. Beforeppreparingpapclientpforpthepfirstpsurgicalpcasepofpthepday,pappart-
timepscrubpnursepaskspthepcirculatingpnursepifpap3pminutepsurgicalphandpscrubpispa
dequateppreparationpforpthispclient.pWhichpresponsepshouldpthepcirculatingpnursepp
rovide?
A. Directpthepnurseptopcontinuepthepsurgicalphandpscrubpforpap5pminutepduration
18. Whichp breakfastp selectionp indicatesp thatp thep clientp understandsp thep nurse’spi
nstructionspaboutpthepdietarypmanagementpofposteoporosis?
A. Bagelpwithpjellypandpskimpmilk