EXAM WITH A STUDY GUIDE AND PRACTICE EXAM | GUARANTEED PASS | LATEST
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A nurse is caring for a client with dehydration who has developed
hypovolemic shock. Which of the following laboratory values should
the nurse expect for this client? A. BUN 18 mg/dL B. Capillary refill 1.5
sec C. Hct 55% D. Urine specific gravity 1.001 Check Answer Question
Feedback Show Explanation Grade Pause Previous - CORRECT
ANSWER Hct 55%
A nurse in an emergency department is caring for a client who reports
developing severe right eye pain with a gritty sensation while sawing
wood. Which of the following actions should the nurse take first? -
CORRECT ANSWER Ask the client about first aid performed at the
scene
A nurse is caring for a client who is in the terminal stage of cancer.
Which of the following actions should the nurse take when she
observes the client crying? - CORRECT ANSWER Sit and hold the
client's hand
A nurse is caring for an older adult client who becomes agitated when
the nurse requests that the client's dentures be removed prior to
surgery. Which of the following responses should the nurse provide? A.
"It's for your safety. Dentures can slip and block your airway during
surgery." B. "You wouldn't want your teeth to be lost or broken during
surgery, would you?" C. "The anesthesiologist requires all clients to
remove their dentures." D. "What worries you about being without your
teeth?" Check Answer Question Feedback Show Explanation Grade
Pause Previous - CORRECT ANSWER "What worries you about being
without your teeth?"
A nurse is reviewing a client's laboratory results and notes a WBC
count of 3,600/mm^3. The nurse should identify this result as which of
the following conditions? - CORRECT ANSWER Leukopenia
,A nurse is performing a physical examination of a client. The nurse
should use percussion to evaluate which of the following parts of the
client's body? - CORRECT ANSWER Lungs
A nurse is administering a cleansing enema to a client who is
scheduled for a diagnostic procedure. Which of the following actions
should the nurse take? - CORRECT ANSWER Insert the tip of the
tubing 8 cm (3.1 in)
A nurse is caring for a client who has a fecal impaction. Before the
digital removal of the mass, which of the following types of enemas
should the nurse plan to administer to soften the feces? - CORRECT
ANSWER Oil retention
A nurse is assessing a client who is undergoing a physical
examination. Following the inspection, which of the following
techniques should the nurse use next when assessing the client's
abdomen? - CORRECT ANSWER Auscultation
A nurse is teaching a middle-aged adult client about health promotion
and disease prevention. The nurse should inform the client that which
of the following changes could occur? - CORRECT ANSWER
Decreased estrogen and testosterone production
A client who has glaucoma of the right eye self-administers timolol eye
drops by looking at the ceiling, instilling a drop onto the center of the
conjunctival sac, and applying gentle pressure to the lower lid with a
facial tissue. After observing this process, which of the following
actions should the nurse take? - CORRECT ANSWER Instruct the
client to apply pressure to the inside corner of the eye after
instillation.
A nurse is helping a client change his hospital gown. The client has an
IV infusion via an infusion pump. Which of the following actions should
the nurse take first? - CORRECT ANSWER Remove the sleeve of the
gown from the arm without the IV line
,A nurse is explaining the use of written consent forms to a newly
licensed nurse. The nurse should ensure that a written consent form
has been signed by which of the following clients? - CORRECT
ANSWER A client who has a prescription for a transfusion of packed
red blood cells
During a client care staff meeting, a nurse manager discusses
potential problems with data security that affect confidential client
information. Which of the following environments should the nurse
manager identify as an acceptable place for discussing clients'
information? - CORRECT ANSWER Areas with no public access
A nurse is caring for an older adult client who has constipation. Which
of the following actions should the nurse take?
1. Request that the provider prescribe a stool softener
2. Promote active range of motion activities
3. Add fluid and fiber to the diet
4. Avoid gas-producing foods. - CORRECT ANSWER 3 add fluid and
fiber to the diet
A nurse is planning to perform passive range of motion for a client who
is immobilized. Which of the following actions should the nurse plan to
take?
1. Spending extra time to calm an agitated client
2. Describing the adverse effects of a client's medication
3. Supporting a client's wishes to refuse prescribed treatment.
4. Ensuring that a client understands expectation for group
participation - CORRECT ANSWER 3. Supporting a client's wishes to
refuse prescribed treatment.
A nurse is caring for a group of client on a medical surgical unit. Which
of the following actions jeopardize client confidentiality? (SATA)
, 1. Sharing a personal password with a coworker
2. Discussing clients a the table in the cafeteria
3. Giving verbal report a change of shift in a designated conference
room
4. Removing client information from fax machine immediately
5. Disposing of written report sheet into the facility trash receptacle. -
CORRECT ANSWER 1,2,5
A nurse is assisting with the preparation of a presentation at a
community center about complementary and alternative therapies.
Which of the following therapies should the nurse describe as the use
of an electronic monitoring device to help clients learn to control
physical responses?
1. Reiki
2. Biofeedback
3. Acupuncture.
4. Yoga - CORRECT ANSWER 2. Biofeedback
A nurse in a long-term care facility enters the day room and finds the
window curtains on fire. Clients are panicking and the room is filling
with smoke. Indicate the emergency actions the nurse must take (
select order , use all the step)
Remove the clients from the room.
Activate the fire alarm.
Close the door.
Extinguish the fire. - CORRECT ANSWER Remove the clients from the
room.
Activate the fire alarm.
Close the door.
Extinguish the fire.