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1. The nurse is contributing to the plan of care for a client with chronic obstruc-
tive pulmonary disease (COPD). Which of the following interventions should
the nurse suggest including in the client's plan of care?
1.Place the client in low-Fowler's position for meals.
2.Provide the client with a high-carbohydrate diet and high-carbohydrate
snacks.
3.Restrict the client's fluid intake to 500 mL daily.
4.Provide the client with small, frequent meals, and schedule a rest period
before and after meals.: 2.Provide the client with a high-carbohydrate diet and high-carbohydrate snacks.
2. The nurse has reinforced teaching with a client who is scheduled for electro-
convulsive therapy (ECT). Which of the following statements by the client would
indicate a correct understanding of the teaching?
1."I will experience a tonic-clonic seizure for approximately 15 minutes during
the ECT procedure."
2."ECT is commonly used to treat depression when several antidepressants
have not been effective."
3."ECT is effective because it decreases the level of neurotransmitters in the
central nervous system."
4."Common side effects of ECT are diarrhea, a low-grade fever and short-term
memory loss.": 2. "ECT is commonly used to treat depression when several antidepressants have not been
effective."
3. The nurse is caring for a 6-year-old client who is receiving prescribed skeletal
traction. Which of the following would be a priority for the nurse to monitor?
1.the distance between the client's knees
2.the pull of the traction on the client's pins
3.the degree of flexion of the client's ankles
4.the position of the client's cervical spine on the bed: 2 the pull of the traction on the client's
pins
4. The nurse is caring for a client with dysthymic disorder. Which of the following
behaviors would the nurse expect to observe?
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1.grandiose actions
2.reports of auditory hallucinations
3.expansive, pressured speech
4.inability to experience joy or pleasure in life: 4.inability to experience joy or pleasure in life
5. The nurse is caring for a client. Which of the following prescriptions should
the nurse clarify? Click the exhibit button for additional client information.
1.2 g sodium diet
2.implement bed rest
3.furosemide 20 mg, p.o., once daily
4.enalapril 5 mg, p.o., twice daily: 3.furosemide 20 mg, p.o., once daily
6. The nurse is talking with the spouse of a client with left-sided hemiplegia.
The spouse tells the nurse, "I scheduled this appointment because I noticed a
sore had developed on my spouse's hip. I feel so guilty because I caused this
to happen. I do not know what to do." Which of the following would be an
appropriate initial response for the nurse to make?
1."Have you been offering your spouse fluids at regular time intervals?"
2."How often do you change your spouse's position?"
3."The type of care that you have undertaken is not easy."
4."We will make sure that you have help if this requires special dressings.": 3."The
type of care that you have undertaken is not easy."
7. The nurse is assisting to admit a client who has Streptococcal pharyngitis.
Which of the following actions should the nurse take?
1.Wear a surgical mask when checking the client's vital signs.
2.Ensure the assigned room has monitored negative air pressure.
3.Obtain particulate respirator masks for staff members to use when providing
client care.
4.Request the dietary department provide disposable dishes and utensils for
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the client's meals.: 4.Request the dietary department provide disposable dishes and utensils for the client's
meals.
8. The nurse is reinforcing teaching with the parents of a child who is scheduled
for surgical repair of hypospadias. The nurse should reinforce that intended
outcomes of the procedure include
1.relief from pain
2.relief from bladder obstruction
3.the ability to void while standing
4.the ability to achieve an erection: 3.the ability to void while standing
9. The nurse has reinforced teaching with a client who is receiving prescribed
alendronate. Which of the following statements by the client would indicate a
correct understanding of the teaching?
1."I should take the medication with orange juice."
2."I can take the medication at any time of day."
3."I will avoid taking over-the-counter (OTC) vitamin D supplements."
4."I must sit upright for 30 minutes after taking the medication.": 4. "I must sit upright
for 30 minutes after taking the medication."
10. The nurse is caring for a 12-year-old client who has a prescription for lo-
razepam 0.05 mg/kg, p.o., stat. The client weighs 103 lb (47 kg). The nurse has 2
mg/mL of solution available. How many milliliters should the nurse administer
to the client? Record your answer using one decimal place.: 0.05mg/kgXx/47X2mg/ml=
11. The nurse has reinforced discharge teaching with the parent of a newborn.
Which of the following statements by the parent would require follow-up?
1."I will leave my baby's diaper off when possible if the diaper area starts to
become red."
2."I will secure my baby in a rear-facing infant seat in the front seat of the car
since there is an airbag there."
3."I should give my baby a pacifier at bedtime to reduce the risk for sudden
infant death syndrome (SIDS)."
4."I should squeeze the bulb syringe before inserting it into my baby's mouth
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when I suction excess secretions.": 3."I should give my baby a pacifier at bedtime to reduce the risk
for sudden infant death syndrome (SIDS)."
12. The nurse is caring for a client with pediculosis. Which of the following
infection control precautions should the nurse implement?
1.Place a thermometer in the client's room to be used with that client only.
2.Wear a surgical mask when assisting the client to bathe.
3.Keep the door to the client's room closed.
4.Remove the gloves after leaving the client's room.: 1.Place a thermometer in the client's
room to be used with that client only.
13. The charge nurse in a long-term care facility has completed client care
assignments for unlicensed assistive personnel (UAP). Which of the following
statements by the charge nurse would provide the best directions to a UAP
regarding the assignment?
1."Record your assigned clients' vital signs before you take a mid-morning
break."
2."Weigh your assigned clients before breakfast with the scale used 1 day ago."
3."Help the clients who eat their meals in the dining room with breakfast."
4."Measure your assigned clients' intake and output regularly.": 2."Weigh your as-
signed clients before breakfast with the scale used 1 day ago."
14. The nurse in a long-term care facility is making client care assignments for
unlicensed assistive personnel (UAP). Which of the following statements by the
nurse would provide UAP with the best directions for the assignment?
1."Clients who are able to ambulate should be assisted to ambulate after
meals."
2."Notify me if any client develops an abnormal temperature."
3."Check the meal trays distributed to clients with diabetes mellitus (type 1)."
4."Obtain vital signs first for the client with hypertension and report the results
to me.": 1."Clients who are able to ambulate should be assisted to ambulate after meals."
15. The nurse in an outpatient facility has collected the following data regarding
the clients' concerns. The nurse should place in a private room first the client
with
Study online at https://quizlet.com/_a4yszg
1. The nurse is contributing to the plan of care for a client with chronic obstruc-
tive pulmonary disease (COPD). Which of the following interventions should
the nurse suggest including in the client's plan of care?
1.Place the client in low-Fowler's position for meals.
2.Provide the client with a high-carbohydrate diet and high-carbohydrate
snacks.
3.Restrict the client's fluid intake to 500 mL daily.
4.Provide the client with small, frequent meals, and schedule a rest period
before and after meals.: 2.Provide the client with a high-carbohydrate diet and high-carbohydrate snacks.
2. The nurse has reinforced teaching with a client who is scheduled for electro-
convulsive therapy (ECT). Which of the following statements by the client would
indicate a correct understanding of the teaching?
1."I will experience a tonic-clonic seizure for approximately 15 minutes during
the ECT procedure."
2."ECT is commonly used to treat depression when several antidepressants
have not been effective."
3."ECT is effective because it decreases the level of neurotransmitters in the
central nervous system."
4."Common side effects of ECT are diarrhea, a low-grade fever and short-term
memory loss.": 2. "ECT is commonly used to treat depression when several antidepressants have not been
effective."
3. The nurse is caring for a 6-year-old client who is receiving prescribed skeletal
traction. Which of the following would be a priority for the nurse to monitor?
1.the distance between the client's knees
2.the pull of the traction on the client's pins
3.the degree of flexion of the client's ankles
4.the position of the client's cervical spine on the bed: 2 the pull of the traction on the client's
pins
4. The nurse is caring for a client with dysthymic disorder. Which of the following
behaviors would the nurse expect to observe?
, nclex
Study online at https://quizlet.com/_a4yszg
1.grandiose actions
2.reports of auditory hallucinations
3.expansive, pressured speech
4.inability to experience joy or pleasure in life: 4.inability to experience joy or pleasure in life
5. The nurse is caring for a client. Which of the following prescriptions should
the nurse clarify? Click the exhibit button for additional client information.
1.2 g sodium diet
2.implement bed rest
3.furosemide 20 mg, p.o., once daily
4.enalapril 5 mg, p.o., twice daily: 3.furosemide 20 mg, p.o., once daily
6. The nurse is talking with the spouse of a client with left-sided hemiplegia.
The spouse tells the nurse, "I scheduled this appointment because I noticed a
sore had developed on my spouse's hip. I feel so guilty because I caused this
to happen. I do not know what to do." Which of the following would be an
appropriate initial response for the nurse to make?
1."Have you been offering your spouse fluids at regular time intervals?"
2."How often do you change your spouse's position?"
3."The type of care that you have undertaken is not easy."
4."We will make sure that you have help if this requires special dressings.": 3."The
type of care that you have undertaken is not easy."
7. The nurse is assisting to admit a client who has Streptococcal pharyngitis.
Which of the following actions should the nurse take?
1.Wear a surgical mask when checking the client's vital signs.
2.Ensure the assigned room has monitored negative air pressure.
3.Obtain particulate respirator masks for staff members to use when providing
client care.
4.Request the dietary department provide disposable dishes and utensils for
, nclex
Study online at https://quizlet.com/_a4yszg
the client's meals.: 4.Request the dietary department provide disposable dishes and utensils for the client's
meals.
8. The nurse is reinforcing teaching with the parents of a child who is scheduled
for surgical repair of hypospadias. The nurse should reinforce that intended
outcomes of the procedure include
1.relief from pain
2.relief from bladder obstruction
3.the ability to void while standing
4.the ability to achieve an erection: 3.the ability to void while standing
9. The nurse has reinforced teaching with a client who is receiving prescribed
alendronate. Which of the following statements by the client would indicate a
correct understanding of the teaching?
1."I should take the medication with orange juice."
2."I can take the medication at any time of day."
3."I will avoid taking over-the-counter (OTC) vitamin D supplements."
4."I must sit upright for 30 minutes after taking the medication.": 4. "I must sit upright
for 30 minutes after taking the medication."
10. The nurse is caring for a 12-year-old client who has a prescription for lo-
razepam 0.05 mg/kg, p.o., stat. The client weighs 103 lb (47 kg). The nurse has 2
mg/mL of solution available. How many milliliters should the nurse administer
to the client? Record your answer using one decimal place.: 0.05mg/kgXx/47X2mg/ml=
11. The nurse has reinforced discharge teaching with the parent of a newborn.
Which of the following statements by the parent would require follow-up?
1."I will leave my baby's diaper off when possible if the diaper area starts to
become red."
2."I will secure my baby in a rear-facing infant seat in the front seat of the car
since there is an airbag there."
3."I should give my baby a pacifier at bedtime to reduce the risk for sudden
infant death syndrome (SIDS)."
4."I should squeeze the bulb syringe before inserting it into my baby's mouth
, nclex
Study online at https://quizlet.com/_a4yszg
when I suction excess secretions.": 3."I should give my baby a pacifier at bedtime to reduce the risk
for sudden infant death syndrome (SIDS)."
12. The nurse is caring for a client with pediculosis. Which of the following
infection control precautions should the nurse implement?
1.Place a thermometer in the client's room to be used with that client only.
2.Wear a surgical mask when assisting the client to bathe.
3.Keep the door to the client's room closed.
4.Remove the gloves after leaving the client's room.: 1.Place a thermometer in the client's
room to be used with that client only.
13. The charge nurse in a long-term care facility has completed client care
assignments for unlicensed assistive personnel (UAP). Which of the following
statements by the charge nurse would provide the best directions to a UAP
regarding the assignment?
1."Record your assigned clients' vital signs before you take a mid-morning
break."
2."Weigh your assigned clients before breakfast with the scale used 1 day ago."
3."Help the clients who eat their meals in the dining room with breakfast."
4."Measure your assigned clients' intake and output regularly.": 2."Weigh your as-
signed clients before breakfast with the scale used 1 day ago."
14. The nurse in a long-term care facility is making client care assignments for
unlicensed assistive personnel (UAP). Which of the following statements by the
nurse would provide UAP with the best directions for the assignment?
1."Clients who are able to ambulate should be assisted to ambulate after
meals."
2."Notify me if any client develops an abnormal temperature."
3."Check the meal trays distributed to clients with diabetes mellitus (type 1)."
4."Obtain vital signs first for the client with hypertension and report the results
to me.": 1."Clients who are able to ambulate should be assisted to ambulate after meals."
15. The nurse in an outpatient facility has collected the following data regarding
the clients' concerns. The nurse should place in a private room first the client
with
