RN Concept-Based Assessment Level 3 Outline Practice B with NGN

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1. A nurse is counseling a client who has experienced intimate partn
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er violence. Which of the following instructions is the priority for the
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nurse to include in the teaching?: Develop a safety plan.
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2. A nurse in a mental health facility is assessing a client who has a hx
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of alcohol use disorder. The client states their last drink was 24 hr ago
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. For which of the fol-
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lowing manifestation of alcohol withdrawal should the nurse monit
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or?: Tremors BJ


3. A nurse is teaching a client who has epilepsy and a prescription f
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or valproic acid. The nurse should instruction the client to report wh
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ich of the following as an adverse effect of the medication?: Yellow scle
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ra
4. a nurse is obtaining a history for a client who has major depre
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ssive disorder. Which of the following findings should the nurse id
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entify

- Family history of obsessive compulsive disorder
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- Attends weekly religious services B J B J B J


- Schedules monthly appointments with a health care provider
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- Recent move across the country to look for work: Recent move across the co
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untry to look for work BJ BJ BJ BJ




rationale:
loss of employment and isolation
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5. A nurse is assessing a 2 YO toddler at a well-
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child visit. For which if the following findings should the nurse
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refer the toddler for an eval for ASD?
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- Reluctance to make eye contact BJ BJ BJ BJ


- Plays alongside but not with other children
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- Speaks using only two- to three-word phrases
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- Displays temper tantrums: Reluctance to make eye contact
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6. A nurse is caring for a client who is experiencing a postpartum
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Jhemorrhage. Which of the following medications should the nurse BJ BJ BJ BJ BJ BJ BJ BJ BJ

1BJ/
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, RN Concept-
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Based Assessment Level 3 Outline Practice B with NGN
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plan to administer?
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- Methylergonovine
- Magnesium sulfate BJ




2BJ/
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, RN Concept- B J


Based Assessment Level 3 Outline Practice B with NGN
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- Terbutaline
- Betamethasone: Methylergonovine B J




rationale: causes contraction of the uterine muscle, which decreases bleeding
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7. A nurse at a crisis center is meeting with a client who reports t
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hat his ado- BJ BJ


lescent daughter has been increasingly defiant since the divorce
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2 years ago. the client states, "i'm so stressed that i can't take t
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his anymore" Which of the following actions should the nurse tak
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e first?
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- Refer the client and his daughter for family therapy.
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- Recommend that the client attend a support group for guardians
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BJof adoles- cents.
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- Identify the client's current coping strategies.
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- Teach the client stress- BJ BJ BJ


reduction techniques.: identify the client's current coping strategies.
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rationale: current strategies to provide additional
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8. A nurse is performing a skin assessment for a client who ha
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s a history of melanoma. Which of the following findings shoul
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d the nurse expect?
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- A nodular lesion with ulceration
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- An irregularly shaped, colored papule
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- A pearly papule with a waxy border
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- A dry, scaly macule: An irregularly shaped, colored papule
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rationale: irregularly shaped, various colors: blue, white, and red. Malignant and can occur anywhere on
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e body
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9. A nurse is reviewing the laboratory results for a client who h
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as HELLP syn-
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drome. Which of the following lab results should the nurse exp
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ect?
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, RN Concept- B J


Based Assessment Level 3 Outline Practice B with NGN
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- Hct 37% BJ


- BUN 15 mg/dL BJ BJ


- Platelet count 150,000/mm3
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- Serum uric acid 11 mg/dL: Serum uric acid 11 mg/dL
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