QUESTIONS AND ANSWERS RATED
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A nurse is monitoring the client during IV urography procedure which of
the following client reports is Priority finding
- Correct Answer - Swollen lips
A nurse is planning to delegate client assignments to an AP which of the
following task is appropriate for the nurse to delegate
- Correct Answer - Collecting urine sample
A nurse is assessing a client with the following vital signs oral
temperature: 37.2 (99F) apical pulse rate: 80/min, radial pulse rate:
62/min, respiratory rate: 16/min and BP: 132/40mmhg
What is the clients pulse pressure?
- Correct Answer - Systolic pressure subtracted by diastolic pressure
(132-40=92)
A nurse is caring for a group of clans in a medical surgical unit which of
the following situation requires completion of an incident report
- Correct Answer - A client who is IV pump has malfunctioned
,A nurse is caring for a client who has diabetes, insipidus and is receiving
desmopressin which of the following should the nurse monitor
- Correct Answer - weight
The nurse is providing discharge instructions about engorgement for a
client has decided not to breast-feed, which of the following statements
by the client indicates a need for further instruction by the nurse
- Correct Answer - I will manually expressed breastmilk
A nurse is caring for a client in preterm labor, who is receiving
magnesium sulfate by continuous IV infusion, which of the following
client findings indicates medication toxicity
- Correct Answer - Urine output of 20 ML per hour
The nurse is completing an assessment for newborn who is two hours
old which of the following findings is indicative of cold stress
- Correct Answer - Jitteriness of the hands
A nurse is planning care for four clients which of the following clients is
the highest priority
- Correct Answer - A client who is wearing an arm cast and reports
numb fingers
,A nurse is caring for a male adolescent client who has heart failure
based on the clients chart findings which of the following action should
the nurse plan to take "possible NGN"
- Correct Answer - Withhold the digoxin (0.8-2.0)
The nurse is assessing a clients blood glucose level of 250 MGDL which
of the following clinical manifestations are associated with this finding
- Correct Answer - Thirst
A nurse is assessing for allergies before administering propofol to a
client place on a mechanical ventilator, which of the following allergies is
a contraindication for this medication
- Correct Answer - Eggs
A nurse is assessing a client diagnosed with schizophrenia. The nurse
asked the client to interpret the following statement. When the cats away
the mice will play the client response was the mice come out when the
cat is not around the nurse should document this finding which of the
following in the clients chart
- Correct Answer - Concrete thinking
A nurse is caring for a client who is receiving total parenteral nutrition,
which of the following assessment findings required immediate
intervention by the nurse
, - Correct Answer - Weight increase of 2 KG/day
A nurse in the telemetry unit is receiving the laboratory findings for adult
male client who's been treated for myocardial infraction the following is
an expected finding for the client
- Correct Answer - Troponin 1 (TNI) 8mg/dl
A nurse is reviewing the results of an ABG performed on a client with
chronic emphysema, which of the following results suggest the need for
further treatment
- Correct Answer - PaCO2 level of 55mmhg
A nurse is teaching a client about nutritional intake. The nurse should
include which of the following in the teaching.
- Correct Answer - Carbohydrates should be at least 45% of your caloric
intake.
A nurse is caring for a client who has a prescription for a Vancomyosin
1g IV every 12 hours. The client is scheduled to have the morning dose
at oh 0700. The nurse should schedule the trough level to be drawn out
which of the following time
- Correct Answer - 1800