p p p p
1. Apnurseponpapmedpsurgpunitphasprecievedpchangepofpshiftpreportpandpwillpcarepforp4p
clients.pWhichpofpthepfollowingpclientspneedspwillpthepnursepassignptopanpAP?
A. Feedingpapclientpwhopwaspadmittedp24phourspagopwithpaspirationppneumonia
B. Reinforcingpteachingpwithpapclientpwhopisplearningptopwalkpwithpapquadpcane
C. Reapplyingpapcondompcatheterpforpapclientpwhophaspurinarypincontinence
D. Applyingpapsterilepdressingptopappressurepulcer
Answer:pC
2. Apnursepispdelegatingpthepambulationpofpapclientpwhophadpkneeparthroplastyp5pdaysp
agoptopanpAP.pWhichpofpthepfollowingpinfopshouldpthepnursepsharepwithpthe
AP?
Selectpall:
A. theproommatepispuppindependently
B. Thepclientpambulatespwithphispslippersponpoverphispantiembolicpstockings
pC.pThepclientpusespapfrontpwheeledpwalkerpwhenpambulatingp
D.pThepclientphadppainpmedsp30pminutespago
E.p Thepclientpispallergicptopcodeine
F.p thepclientpatep50p%pofphispbreakfastpthispmorning
Answer:pB
Cp
D
3. AnpRNpispmakingpassignmentspforpclientpcareptopanpLPNpatpthepbeginningpofpthepshift.
WhichpofpthepfollowingpassignmentspshouldpthepLPNpquestion?
A. Assistingpapclientpwhopisp24phrppostopptopusepanpincentivepspirometer
B. Collectingpapcleanpcatchpurinepspecimenpfrompapclientpwhopwaspadmittedponpthep
previouspshift
C. providingpnasopharyngealpsuctioningpforpapclientpwhophasppneumoniap
D.p ReplacingpthepcartridgepandptubingponpapPCAppump
Answer:pDp
4. Apnursepisppreparingpanpinservicepprogrampaboutpdelegation.pWhichpofpthepfollowingp
elementspshouldpshepidentifypwhenppresentingpthep5prightspofpdelegation.pSelectpall:
A. Rightpclient
B.pRightpsupervision/evaluation
C.pRightpdirection/communication
D.pRightptime
E.pRightpcircumstances
Answer:pB
C
, 1. A nurse in a pediatric unit is preparing to insert an IV catheterfo
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r 7-year-old. Which of the following actions should the nurse take?
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Tell the child they will feel discomfort during the catheter
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insertion.
A. (Unable to read) p p p
B.
C. Use a mummy restraint to hold the child during the catheterins
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ertion.
D. Require the parents to leave the room during the procedure.
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2. A nurse is caring for a client who has arteriovenous fistula
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Which of the following findings should the nurse report?
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A. Thrill upon palpation.
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B. Absence of a bruit. p p p
C. Distended blood vessels p p
D. Swishing sound upon auscultation. p p p
3. A nurse is providing discharge teaching for a client who has ani
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mplantable cardioverter defibrillator which of the following stateme
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nts demonstrates understanding of the teaching?
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A. “I will soak in the tub rather and showering”
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B. “I will wear loose clothing around my ICD”
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C. “I will stop using my microwave oven at home because of myI
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CD”
D. “I can hold my cellphone on the same side of my body as theIC
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D”