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1. A nurse is reinforcing information with a client who wishes to complete their
advance
directives. Which of the following statements should the nurse make?: "You can
decline to have certain medical procedures performed in your living will."
2. A nurse is reinforcing teaching with a client who is premenopausal. Which of
the
following statements by the client indicates in understanding of the teaching?-
: "I might have headaches due to a decline in my estrogen levels."
3. A nurse in a provider's office is calculating a client's BMI. Which of the follow-
ing pieces
of the client data should the nurse use as a part of the calculation?: height
4. A nurse is reinforcing teaching with a client about the use of a peak flow
meter. Which of
the following actions should the nurse make first?: Determine the client's knowledge of the
use of the peak flow meter.
5. A nurse is collecting data about a client's oral care. The client wears dentures
and reports
having mouth sores. The nurse should identify which of the following oral care
practices
by the client as a possible cause of the mouth sores?: Wears dentures while sleeping at
night.
6. A nurse is preparing to administer a medication from an ampule. Which of
the following: Use a filter needle to aspirate the medication.
7. A nurse on a medical-surgical unit is caring for a group of clients. Which of
the following
findings should the nurse identify as a safety hazard?: A client who has a transcutaneous
electrical nerve stimulation unit reports a buzzing
sensation at the application site.
8. A nurse is caring for a client who is 2 days postoperative following a be-
low-the-knee
amputation. Which of the following statements by the client should the nurse
identify as
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indicating an acceptance of the limb loss?: "I need to learn how to perform a dressing change on
my leg."
9. 9. A nurse on a medical-surgical unit is collecting data from a client who is
postoperative
following abdominal surgery. The client's BP was 126/72 mm Hg 15 min ago.
The nurse
now finds that the client's BP is 176/96 mm Hg. Which of the following actions
should
the nurse make?: a) Measure the client's BP in the other arm.
10. A nurse is assisting with the admission of a client who has streptococcal
pharyngitis.
Which of the following precautions should the nurse make?: Wear a surgical mask when
giving the client direct care.
11. 12. A nurse working in a rehabilitation unit is caring for a client who has
dysphagia and has
difficulty swallowing during meals. Which of the following actions should the
nurse take
to prevent the client from aspiration while eating?: Add liquid to foods to thin consistency.
12. A nurse in a provider's office performs a fecal occult blood test with a positive
result on a
client. Which of the following clients may have a false positive result?: A client who
takes an iron supplement.
13. 14. A nurse is caring for a client who is flushed and has temperature of 38.7
C (101.7 F).
Which of the following actions should the nurse take?: Remove blankets from the client.
14. 15. A nurse is caring for a client who has a hip fracture and plans to admin-
ister a pain
medication prior to turning the client. Which of the following ethical principles
is the
nurse implementing?: beneficence
15. A nurse is caring for a client who was recently admitted to hospice care and
tells the