PEDS 106 NURSING EXAM QUESTIONS WITH ANSWERS STUDY MATERIALS, BEST COMPLETE SOLUTIONS (RA, Exams of Nursing

Download PEDS 106 NURSING EXAM QUESTIONS WITH ANSWERS STUDY MATERIALS, BEST COMPLETE SOLUTIONS (RA and more Exams Nursing in PDF only on Docsity! PEDS 106 NURSING EXAM QUESTIONS WITH ANSWERS STUDY MATERIALS, BEST COMPLETE SOLUTIONS (RATED A+) 1. A nurse in a mental health facility is caring for a client while who reports palpitation and a sense of impending doom. Which of the following actions should the nurse take first? Explain to the client that anxiety causes physical manifestations. Administer an anti-anxiety medication. Explore behaviors that have helped to reduce the client anxiety in the past. Minimize environmental stimuli in the client surroundings. 2. A nurse is collecting data from a 10-month-old infant during a well child visit. Which of the following findings should the nurse manifestation of torticollis? Feet turn inward Frenulum connected to the tip of the tongue. Asymmetry of gluten folds Neck is in a flexed position 3. A nurse is reinforcing teaching with a client who has a new prescription for warfarin. The nurse should identify which of the following over the counter medications as safe for use. with warfarin? Ibuprofen Omeprazole Aspirin Docusate- stool softer 4. A nurse in a long-term care facility is contributing to the pain of care for a client who has a new prescription for propranolol. The nurse should plan to monitor the client for which of the following adverse effects of the medication? Headache Hypertension Ringing in the ears. Bradycardia. pg34 5. A nurse is reinforcing about car seat safety with a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching? I should enable the airbag when my baby is in the front seat of the car. The client in room 203 will undergo surgery at 0900 tomorrow. The client in room 204 has a new prescription for IV gentamicin. The client in room 204 received some pain medicine earlier today. 15. A nurse is collecting data from a client who has a urinary tract infection and taking ciprofloxacin. The client reports pain in her calf muscle. Which of the following statements Should the nurse make? Discontinue the medication. I will ask your provider for another antibiotic. This is an allergic reaction. Take the medication with an antihistamine. That reaction means your dose is too high. Cut the pill in half. Continue to take the medication. Calf pain is a minor reaction itself. 16. A nurse is reinforcing with a client who has a new diagnosis of COPD. Which of the following statements by the client indicates understanding of the teaching? I should practice pursed -lip breathing exercises. I should do aerobic exercises once per day. I will consume low protein, low calorie foods. I will increase my fluid intake to 1,700 milliliter per day. 17. A nurse is contributing to the plan of care for a client who has ascites due to cirrhosis. Which of the following interventions should the nurse recommend including in the plan? Measure the client’s abdominal girth daily. Restrict the client’s sodium intake to 3 g per day. Keep the client’s daily protein intake below o.8g/kg Position the client supine with legs elevated. 18. A nurse is completing documentation in the medical record about a client who fell on the floor. Which of the following statements should the nurse include in the documentation? The client fell because the assistive personnel did not place non skid slippers on the client. Client stated, I lost my balance and fell when I got out of bed to go to the bathroom. An incident report has been completed and sent to risk management. The client does not appear to have any injuries resulting from the fall. 19. A nurse is reinforcing teaching with a newly licensed nurse about client privacy. Which of the following information should the nurse include.in the teaching. Unwanted printed health information can be discarded in a trash can. Information regarding client health can be emailed if encrypted. Members of a health care team can share a computer password. A client is restricted from accessing his own medical records. 20. A nurse is assisting with a community health program for caregivers of clients who have Alzheimer’s disease. Which of the following should the nurse include? Use written signs to assist the client with locating the bathroom. Use confrontation to manage the client ’s behavior. Limit the number of choices for the client. Provider a stimulating environment for the client. 21. A nurse is contributing to the pain of care for a client who has COPD. Which of the following interventions should include. Place the client in an orthopedic position. Encourage the client to cough and deep breathe once every 8 hr. Limit fluid intake to 1,00mL daily. Provide the client with three large meals. 22. Charge nurse is observing a newly licensed nurse perform suctioning for a client who has tracheostomy. For which of the following the newly licensed nurse should the charge nurse intervene? Suctions for 30 seconds pg 93 Preoxygenation with 100% oxygen Auscultates breath sounds. Applies suction during catheter removal. 23. A nurse overhears two assistive personnel AP in the nurse station discussing a client who was recently admitted. Which of them should the nurse take? Document athe event in the client’s progress notes. 28. A nurse is collecting data from a 9 -year-old child during a well - child visit. Which of the following finding should the nurse expect? Expresses conflict over independence and control. Display emotional detachment from parents. Grasps concept of cause and effect Demonstrates self- centered thinking. 29. A nurse is caring for a client who is 2 days postoperative following a total bilateral. mastectomy. The client is tearful and looks away when surgical dressing is removed. The nurse should place the priority on which of the following actions? Providing the client with information on community resources that will strengthen her coping skills. Encouraging the client to write about her feelings in a journal each day. Identify the client's perception of the changes in her physical appearance. Demonstrating a nonjudgmental attitude toward the client when providing care for her surgical wounds. 30. A nurse working in a rehabilitation unit is administering medications to two clients who have the same name. Which of the following should the nurse use to verify the identities of each client? The names of the clients nearest relatives The telephone numbers of the clients. The room numbers of the clients The diagnoses of the clients 31. A nurse working on a medical - surgical unit is notified about a mass casualty events that recently took place in the community what following assignments should the nurse anticipate? Assist in discharging stable clients to home. Provide informational updates to members of the media. Delegate tasks to emergency health care specialists Determine the acuity and number of casualties arriving at the facility. 32. A nurse is reinforcing teaching with a client who has diabetes mellitus and is taking lispro. and insulting glargine. Which of the instructions should the nurse include in the teaching? Take an extra dose of insulin lispro prior to aerobic exercise. Expect insulin glargine to be cloudy. Draw up the insulin lispro and insulin glargine in separate syringes Anticipate that the insulin glargine wi hi ll peak in 3 hours. 33. A nurse is assisting with the care of a client who has hearings loss and has questions regarding their medication. Which of the following should the nurse take? Ask a few questions at a time. Choose a room that is well lit. Exaggerate lip movement while speaking. Sit on the client’s right side. 34. A nurse is caring for an older adult who is postoperative following a total hip arthroplasty. The client is incontinent of should of the following actions should the nurse take to prevent skin breakdown? Clean the client’s skin with soap and hot water. Massage the area around the client’s coccyx. Use a moisture barrier on the client’s skin. Limit the client’s fluid intake. 35. A nurse is reviewing the medical record of a client who has COPD. Which of the following findings should the nurse report to the provider? BP 112/64, Temp 100.4F, Heart rate 100/ min, Respiratory rate 24/min, fluid intake 2,200 ml/ 24 hr. Temperature Sputum color Platelet count Fluid intake 45. A nurse is collecting data from a client who uses a continuous positive airway (CPAP) machine at night for sleep apnea. Which action identify which of the following findings an as indication of proper CPAP use? There is one finger width between the strap on the mask and the client’s face. The mask fits loosely so air can escape from underneath. The therapeutic dose of albuterol is being inhaled. The mask is secured over the client’s mouth and the client’s nose is uncovered. 46. A nurse is reviewing the medical records of a client who is at 37 weeks of restate and has HELP syndrome . Which of the following findings should the nurse expect? WBC count 18,000/ mm Hemoglobin 12g / dl Platelets count 77,000/ mm BUN 20 mg/dl 47. A nurse is reinforcing teaching with a client about advance directives and a health care poxy. Which of the following client statement an understanding of the teaching? Once my health care poxy is in place. I relinquish my right to make my own decision. I Do not need to name a relative as my designee in my health care proxy. My health care proxy designee is not able to sign a consent form on my behalf . If I have a health care proxy, then I do not need to have a living will. 48. A nurse is reinforcing teaching with a client about reducing dietary caffeine intake. The nurse should remind the client of the following which of the following contains the least amount of caffeine? Instant coffee Hot cocoa Brewed green tea Cola soft drink 49. A nurse is reinforcing teaching with a client who has GERD and a prescription for pantoprazole. Which of the following statement indicate understanding of the teaching? I have to take this medication on an empty stomach. I will need to remain upright for 1 hour after taking the medication. I can take antacids at the same time as this medication.? I should expect to have diarrhea while taking this medication. 50. A nurse is caring for a client who has a chlamydial infection and a new prescription for doxycycline. The client reports nausea and vomiting starting the medication. Which of the following recommendations should the nurse make? Take the medication with crackers. Take the medication with an antacid. Take the medication with calcium fortified orange juice. Take the medication and then lay down for 30 min. 51. A nurse is caring for a client who is confused and is trying to pull out their IV catheter. After attempting other measure is prevent the client from self-harm, the nurse places wrist restraints on the client. Which of the following actions should the nurse take? Remove the restraints from the client’s wrists every 2 hr. Contact the provider within 48 hr. to obtain a prescription for the restraints. Check the one finger will fit between the client’s wrists and the restraints. Fasten the restraints ties to the bed’s side rails. 52. A nurse is making client care assignment for an assistive personnel AP. Which of the following tasks should the nurse assign to the AP? Complete postmortem care for a client who has died. Evaluate the need to suction the airway of a client who has a new tracheostomy. Feed a client who has difficulty swallowing liquids following a stroke. Inspect the incision of a client who is postoperative following a leg amputation. 53. A nurse is caring for a 3-year-old child who has acute bacterial conjunctivitis of the right eye and been prescribed erythromycin ophthalmic ointment. Which of the following actions should the nurse take? Gently massage the eyelid to facilitate absorption of the medication. Place an occlusive dressing on the affected eye to prevent the spread of infection. Instruct guardian to apply erythromycin ophthalmic ointment every morning for 14 days. following statements by the client indicates an understanding of the teaching? I will be able to remove my contraceptive sponge Immediately after intercourse. My partner and I will both use condom during intercourse. My partner will use condoms with spermicides. My partner and I will use petroleum jelly with latex condoms. 64. A nurse reinforcing teaching with a client who has primary open- angle glaucoma and a new prescription for timolol eye drops following statements indicates an understanding of the teaching? This medication will darken the color of my eyes. This medication will dilate my eyes. I should take a zinc supplement while taking this medication. I should check my heart rate while taking this medication. 65. A nurse is assisting with the admission of an older adult client who has impaired mobility and is at risk for falls. Which of the following fall precautions should the nurse plan to implement first? Determine the client ability to use the call light. Create a schedule with assistive personnel to do hourly rounding for the client. Apply rubber soled slippers before ambulation. Move the bedside table with the client’s personal items close to the bed. 66. A nurse is reinforcing teaching with a newly licensed nurse about caring for a client who has a history of dysphasia. Which of the following instruction should the nurse include in the teaching? Place oral suction equipment next to the client’s bedside. Give the client a straw to use for drinking Provide thin liquids to help the client swallow Use a needless syringe to instill feedings. 67. A nurse is collecting data from a client whose partner died 1 year ago. Which of the following finding indicates that the client is experience complicated grief? The client reports he has no interest in dating. The client develops chest pain each time he talks about his partner. The client keeps a framed picture of his partner on the wall. The client attends a grid support group twice each month. 68. A nurse is reinforcing teaching with a parent of a preschooler about immunizations. Which of the following statements by the parents understanding of the teaching? It is recommended that my child receive his first flu immunization at the age of 6. My child will need to start the human papilloma virus series when he enters kindergarten. I can make several office visits, so my child does not get so many immunizations at once Understand that immunizations will be withheld if my child has lactose intolerance. 69. Nurse is an acute care facility is assisting with the development of an in-service about reducing environmental stressors to improve sleep. Which of the following instructions should the nurse include? Conduct change of shift report near the client’s room. Wear shoes with rubber soles. Turn on the overhead lights briefly when checking IV lines. Open curtains between clients in semiprivate rooms. 70. A nurse is caring for a client who has a prescription for acetaminophen 300 mg with codeine 30 mg. 1 tablet every 3 to 4 hr PRN for pain inadvertently administer 2 tablets to the client. In which of the following locations should the nurse document this client care incident? Incident report Nursing care plan Controlled substance inventory record. Provider’s progress notes 71. A community health nurse is developing a brochure about hypertension. Which of the following actions should the nurse take? Use a 12- point front size Write the information at an 8th grade reading level. Present information from complex to simple. Explain medical terminology using basic, one -syllable words. 72. A nurse is reinforcing teaching about disease management with a client who has GERD. Which of the following statements should include? You should lay down for 1 hour following a meal You should elevate the head of the head of the bed while sleeping. You should only drink 2 cups of coffee per day. You should eat three large meals and two snack per day. 73. A nurse is reinforcing teaching with a client who has an ankle injury and requires crutches. Which of the following instructions should the nurse provider? Maintain your head and neck erect when walking with crutches. Wash the tips of your crutches daily. Support your body weight by leaning on the crutches. Keep your elbows flexed at a 35 angle when the crutches. 74. A nurse is caring for a client who has end stage kidney disease. The client has decided to stop dialysis treatment. Which of the following actions should the nurse take? Tell the client she should discuss this decision with her family. Ask the facility chaplain to visit the client. Support the client’s decision to stop the treatment. Discuss alternative treatment methods with the client. 75. A nurse at a long-term care facility is part of a risk management team that is creating a plan to lower infection rates in the facility. Which of the following instructions regarding hand hygiene should the nurse include? Wash hands under running water for at least 10 seconds. Dry hands thoroughly from fingers to wrist. Clean hands with alcohol- based hand gel for 15 seconds. Hold the hands slightly higher than the elbows when using running water. 76. A nurse is talking with a client who refuses a blood transfusion for religious reasons. Which of the following responses should the nurse make. I am sure that everything will be all right, regardless of your decision. Making this decision is wrong. MgSO4 10 g PO daily Doxazosin .5 mg PO at bedtime Lorazepam 0.5 mg PO PRN at bedtime Heparin 5000 U subcutaneous every 8 hr. 86. A nurse is making a follow- up call to a client who has a new prescription for an ACE inhibitor to track hypertension. The client reports lightheadedness upon standing. Which of the following statements should the nurse make? Sit back down for a few minutes when this occurs. Discontinue this medication if this occurs again. Take a daily potassium supplement. Restrict your daily fluid intake. 87. A nurse is caring for a client who has a new prescription for a fentanyl transdermal patch. Which of the following actions should the nurse when administering a transdermal patch? ( Select all that apply) Remove the old transdermal patch before applying a new one. Apply the patch to a clean, hairless area of the client’s skin. Apply the transdermal patch to either of the client’s forearms. Use sterile gloves to apply and remove transdermal patches. Dispose of old transdermal patches in a childproof container. 88. A nurse is reinforcing teaching with a client who is scheduled for an intravenous pyelogram. Which of the following statement indicates an understanding of the teaching? I do not need to sign a consent form before this procedure. I will feel a warming sensation after the injection of the dye. I can have a meal up to 2 hours before the procedure. I should limit my fluid intake for 2 days after the procedure. 89. A nurse is caring for a client who has an indwelling catheter with a urinary drainage system. Which of the following actions should the nurse take? Instruct the client to hold the drainage bag at waist height when ambulating. Secure the tubing with adhesive tape to the lower abdomen. Coil the tubing on the bed above collection bag. Deep tendon reflexes 2+ Positive clonus 99. A nurse is reinforcing teaching with a client who has a prescription for ferrous sulfate elixir. Which of the following statements that indicates an understanding of the teachings? I can prevent constipation if I drink more milk while taking this medication. I will mix the medication with a fell glass of water. I can prevent nausea if I take the medication on an empty stomach. I will report black stools to my doctor. 100. A nurse is reinforcing discharge teaching with a client who states. I don’t feel confident driving to my follow- up appointment. The nurse obtain a referral for which of the following members of the health care team? Physical thermal therapist Occupational therapist Social worker Primary care provider 101. A nurse is reinforcing teaching about hand hygiene with newly licensed nurses. Which of the following information should the by included in the teaching? Interlace the finger while rubbing hands together. Dry hands starting form arms to fingers. Apply friction to hands for 10 seconds. Use hot water to wash hands. 102. A nurse is caring for a client who recently gave birth to her first child. The newborn is crying and the client states. “ I can’t seem to do anything right. What should I do? Which of the following responses should the nurse make? Let me show you how to swaddle and cuddle him, then you try. Babies need to cry soon after they are born to develop their lungs. I’ll take him back to the nursery, so you can get some rest. If I turn him on his side, maybe he’ll go back to sleep. 103. A nurse is contributing to the plan of care for a client who had prolonged exposure to clod weather and has a core body temperature of 32.5 C (90.5 F). Which of the following data is the priority for the nurse to monitor? Muscle strength Pain sensation Heart rhythm Urinary output 104. A nurse is transcribing a client’s prescription for erythromycin 500 mg four times per day. Which of the following information should the nurse clarify with the provider? Dosage Time Medication Route 105. A nurse has assigned an assistive personnel (AP) to perform a gastrostomy feeding for a client who has been receiving feedings at home. Which the following actions should the nurse take to monitor the AP’s performance of the task? Instruct the AP to report back once the task is complete. Ask the family if the AP performed the task correctly. Tell the AP to list the steps of the task. Request the AP to provide a return demonstration of the task. 106. A nurse is assisting with developing a plan of care for a client who is immobilized. Which of the following interventions should the nurse recommend to reduce the development of pressure ulcers? Place a donut shaped cushion under the client. Turn the client every 3 hr. Place the client in a 30-lateral position. Check the client’s every 4 hr. 107. A nurse is caring for a client who has Clostridium difficile. When applying a cover gown, which of the following techniques should the nurse do? Tie the gown with the gloves on. calories. A client who has a sodium intake of 1,200 mg/ day A client who has a body mass index of 32. 117. A home health nurse is reinforcing teaching about home safety with an older adult client who lives alone. Which of the following client statement indicates an understanding of the teaching? I will have the heating system inspected once every 3 years I will make sure that my hot water faucets are colored coded. I will have my hearing tested every 2 years. I will make sure that electrical wires are run under carpeting. 118. A nurse is reinforcing discharge teaching with a client who has COPD and reports problems with maintaining adequate nutrition. What following insert should the nurse include? Drink at least 240 milliliters of water during each meal. Self- administer oxygen through your nasal cannula at 6 milliliters per min during meals. Perform pulmonary hygiene 1 hour before meals Lie down for 30 mins after eating. 119. A nurse is reinforcing dietary teaching with a client with a client who is at 12 weeks of gestation. Which of the statements should the nurse do? Limit your caffeine intake to 700 milligrams per day. Eat 40 milligram of protein rich foods per day. Increase your dietary intake by 500 calories per day. Consume 600 micrograms of folic acid per day. 120. A nurse is reinforcing teaching with a client’s family about home oxygen use via nasal cannula. Which of the following statement member indicates an understanding of the teaching? We can use petroleum jelly to keep his nares moist. We will need to remove the nasal cannula when he is eating. We will frequently check the top of his ears for sores. We can turn the oxygen up to 10 when he has trouble breathing. 121. A nurse is assisting in the care of a client who is in active labor and is to undergo an amniotomy. Which of the following actions should the nurse take? List in order 1.Obtain a baseline reading of the FHR and contraction pattern. 2.Position the client with a rolled towel under hips 3. Pass the sterile hook to the provider 4.Check the fluid for color odor, and consistency. 5. Document the procedure in the electronic medical records. 122. A nurse is reinforcing teaching about common discomforts during the first trimester with a client who is at 10 weeks of gestation. Which of the following examples should the nurse include? Leukorrhea Diarrhea Swelling of the face Burning during urination 123. A nurse enters the room of a school- age and finds them on the floor experiencing a tonic - clonic. Which of the following actions should the nurse take? Turn the child onto their back. Place a pillow under the child’s head. Restrain the child’s upper extremities. Place a padded tongue blade in the child’s mouth. 124. A nurse is collecting data from a client who has anorexia nervosa. Which of the following findings should the nurse identity as ———- of treatment? The client develops lanugo. The client resumes menstruation. The client’s pulse rate is 44/ min. The client’s potassium level is 2.7 meq/l. 125. A nurse is caring for a client who has chronic diarrhea. Which of the following findings should the nurse expect? Respiratory acidosis Hypertension Hypokalemia History of mononucleosis 1 year ago Headaches with aura Irregular menstrual cycles 135. A nurse is collecting data from a client who has left sided heart failure. For which of the following findings should the nurse notify the provider? Weight loss of 1 kg (2.2 lb) in the past 24 hr. Productive cough with pink, frothy sputum. Pale, clammy skin. Fatigue when ambulating 152m ( 500 ft)? 136. A nurse is caring for client who is in bed and begin experiencing a tonic clonic seizure. Which of the following actions should the nurse take first? Lower the side rails of the bed when the seizure begins. Restrain the client’s arms and legs to prevent injury. Insert an oral airway into the client month. Measure the duration of the seizure. 137. A nurse is caring for a client who has schizophrenia. Which of the following behaviors of the client should the nurse identify as a negative symptom of schizophrenia? Mimics the nurse’s movements. Initiates speech rarely. Smells odors that don’t exist. Has a preoccupation with religious thoughts. 138. A nurse in provider’s office is collecting data from a client who was just diagnosed with. tuberculosis. Which of the following action should the nurse take first? Contact those who live with the client. Place a mask on the client Notify the local health department Communicate with personnel about the need for prophylaxis. 139. A nurse is reinforcing teaching with the guardians of a 6-year-old child who has cystic fibrosis. Which of the following information should the nurse include in the teaching? “Provide homeschooling for your child. Have your child wear a medical identification wristband. Ensure that your child does not receive the influenza vaccine annually. Do not include your child when making decision about treatment. 140. A nurse is caring for a client who is visibly upset and tearful about a recent terminal. diagnosis. Which of following responsible should the nurse make? I’m sorry you have to deal with this. “When you feel better, we’ll take about your treatment options. I will stay with you for a while. I’m going to contact your family so they can be with you. 141. A nurse is caring for a client who has a prescription for NPH insulin 10 units and regular insulin 15 units subcutaneously. After injection air into the NPH insulin vial, which of the following actions should the nurse take next? Inject 15 units of air into the regular insulin vial. Withdraw 10 units of NPH insulin. Verify the dosage with another nurse. Place the cap over the needle. 142. A nurse is assisting with the care of a preschooler who has manifestations that suggest epiglottis. Which of the following actions should the nurse take? Inspect the preschooler’s tonsils for edema. Obtain a specimen for throat culture. Determine the preschooler’s oxygen saturation level. Collect a sputum sample. 143. A nurse is collecting data from a client who has sodium level of 156 meq/L. Which of the following findings should the nurse expect? Nausea and vomiting Dysrhythmias Hypothermia Altered mental status 144. A nurse is recommending clients for discharge to allow for admission of clients following a