PN COMPREHENSIVE PREDICTOR 2024 with NGN|180 QUESTIONS AND CORRECT ANSWERS|ALREADY GRADED, Exams of Nursing

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PN COMPREHENSIVE PREDICTOR 2024

with NGN| 180 QUESTIONS AND CORRECT

ANSWERS|ALREADY GRADED A+>.

An assistive personnel tells the charge nurse that her assignment is too demanding. She angrily tells the nurse to reassign one of her tasks to another AP. Which of the following actions should the nurse take to

resolve the conflict? - Correct answer Ask the AP to discuss the issue in a private area

A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is on seizure

precautions. Which of the following materials should the AP place in the client's room? - Correct

answer Oral Suction Equipment

A charge nurse on a mental health unit is supervising a newly licensed nurse. For which of the following

actions by the newly licensed nurse should the supervising nurse intervene? - Correct answer Tells a

client he will lose his phone privileges if he does not take his medication A nurse is caring for a client who follows a kosher diet. Which of the following menu items should the

nurse include in the meal tray? - Correct answer Roasted Salmon

A nurse is reviewing information about advance directives with a newly admitted client. Which of the

following statements by the client indicates an understanding of the information? - Correct

answer "Advance directives include a living will"

A nurse is collecting data from the caregiver of a client who has Alzheimer's disease. The caregiver reports the client has difficulty sleeping at night and wanders throughout the house. Which of the

following interventions should the nurse recommend? - Correct answer Encourage the client to take

frequent walks during the day

A nurse is assisting in the care of a client who is 8hr postpartum and has uterine atony with increased

bleeding. Which of the following actions should the nurse take? (Select all that apply) - Correct

answer Assist the client to empty her bladder

A nurse is reinforcing teaching with the support person of a client who is in the first stage of labor.

Which of the following instructions should the nurse include regarding effleurage? - Correct

answer "Gently stroke her abdomen during contractions"

A nurse is caring for an older adult client who is postoperative following a total hip arthroplasty. The client is incontinent of stool and urine. Which of the following actions should the nurse take to prevent

skin breakdown? - Correct answer Use a moisture barrier on the client's skin

A nurse is caring for a client who has terminal cancer. Which of the following actions should the nurse

take to promote the client's autonomy? - Correct answer Allow the client to choose treatment times

A nurse in a clinic is caring for a client who is at 40 weeks of gestation and experiences a sudden gush of

vaginal fluids. Which of the following findings is evidence of an obstetric complication? - Correct

answer Appears greenish-brown in color

A nurse is assisting with the care of an adolescent client immediately following a lumbar puncture.

Which of the following actions should the nurse take? - Correct answer Inform the adolescent that he

might experience a headache A nurse is reinforcing teaching about advance directives with a client who has end-stage heart failure.

Which of the following statements by the client indicates an understanding of the teaching? - Correct

answer "I should discuss this document with my family after I sign it"

A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of the prostate. The nurse notices clots and dark red blood in the catheter collection bag. Which of the

following actions should the nurse take? - Correct answer Irrigate the bladder with 20 to 30 mL of 0.9%

sodium chloride

A nurse is planning to obtain a 12-lead ECG for a client who has a history of cardiac dysrhythmias. Which

of the following actions should the nurse plan to take? - Correct answer Instruct the client to remain as

still as possible during the recording A nurse is reinforcing teaching with a client who has genital herpes. Which of the following information

should the nurse include in the teaching? - Correct answer "You should increase fluid intake to relieve

dysuria" A nurse is preparing to empty a postoperative client's closed-wound drainage system. Which of the

following actions should the nurse plan to take? - Correct answer Compress the container before

replacing the drainage plug A nurse is reinforcing teaching with the parents of a toddler who has a new diagnosis of asthma and a prescription for montelukast. Which of the following instructions should the nurse include in the

teaching? - Correct answer Administer the medication to the toddler each evening

A nurse in an acute mental health facility is caring for a newly admitted client. Which of the following

should occur during the orientation phase of the nurse-client relationship? - Correct answer Defining

responsibilities A nurse is caring for a client who reports having a decrease in fetal movement following an external cephalic version 6 hr ago. The nurse identifies the fetus is in the right occiput anterior position. The nurse should place the fetal heart monitor on which of the following sites to auscultate the fetal heart

rate? - Correct answer Lower left

A charge nurse is observing a newly licensed nurse perform suctioning for a client who has a tracheostomy. For which of the following actions by the newly licensed nurse should the charge nurse

intervene? - Correct answer Suction for 30 seconds

A nurse is reviewing the medication administration record of a client who takes atenolol PO and supplies a nitroglycerin transdermal patch daily. Which of the following interactions should the nurse monitor

with this client? - Correct answer Hypotension

A nurse in an acute care setting is preparing to administer medications to a client. Which of the

following actions should the nurse verify the client's identity? - Correct answer Verify the client's

identity using a photograph A nurse in a provider's office is collecting data from a client who has psoriasis. Which of the following

statements made by the client should she report to the provider? - Correct answer "I try not to look at

the scales on my body" A nurse is completing chart reviews in a long-term care facility in response to an increase in falls. Which of the following responses in the chart should the nurse use to determine the potential causes of falls? -

Correct answer Medication record

A nurse is making client care assignments for an assistive personnel (AP). Which of the following tasks

should the nurse assign to the AP? - Correct answer Complete post mortem care for a client who has

died A nurse is reinforcing teaching with a client who is taking allopurinol about the risk for developing Stevens-Johnsons syndrome. For which of the following manifestations should the nurse instruct the

client to monitor and report? - Correct answer Skin rash with fever

A charge nurse in a long-term care facility is reinforcing teaching with a group of nurses about fall precautions. Which of the following statements made by the nurse indicates an understanding of the

teaching? - Correct answer "I will instruct the client to sit when putting on a pair of pants"

A nurse is recommending clients for discharge to allow for admission of clients following a tornado

disaster. Which of the following clients should the nurse recommend for discharge? - Correct answer A

client who has a sodium level of 140 mEq/L after one episode of diarrhea A nurse is assisting with the plan of care for a newly admitted client who has anorexia nervosa. Which of

the following interventions should the nurse include in the plan? - Correct answer Administer liquid

supplements A charge nurse is reinforcing teaching with a newly licensed nurse about floating to a different unit. Which of the following statements by the newly licensed nurse indicates an understanding of the

teaching? - Correct answer "I will document in the medical record the support nurse who assists with

planning care for my clients" A nurse is caring for a client who has dehydration due to diarrhea. Which of the following findings

should the nurse report to the provider? - Correct answer Urine output 12 mL/hr

A nurse is preparing the administer NPH (Novolin N) insulin to a client who has diabetes mellitus before breakfast at 0700. At which of the ff. times should the nurse plan to check the client for hypoglycemia? -

Correct answer 1100

A nurse in a clinic is obtaining a health history from a client scheduled to un- dergo a cardiac catheterization in 2 days. Which of the ff. questions is the most im- portant for the nurse to ask? -

Correct answer "Do you know if you're allergic to iodine?"

A nurse in an urgent-care facility is collecting data from a client who is scheduled for a procedure. Which

of the ff. clinical manifestations indicates a possi- ble latex allergy? - Correct answer Rhinorrhea

A nurse in a provider's office is reinforcing teaching with a client who has a new prescription for ferrous sulfate elixir. Which of the ff. statements by the client demonstrates understanding of the teaching? -

Correct answer "I will rinse my mouth after taking this medication"

A nurse is observing an assistive personnel (AP) apply antiembolic stockings for a client who is at risk for

a deep thrombosis. Which of the following actions the AP is applying the stockings correctly? - Correct

answer The AP applies the stockings before getting the client out of bed

A nurse working in a provider's office receives a phone call from the parent of a school-age child who has varicella (chickenpox). The parent asks the nurse when the child can return to school. Which of the

ff. responses by the nurse is cor- rect? - Correct answer "When all the blisters are scabbed over"

A nurse is caring for a client who just had blood drawn for an arterial blood gas analysis. Which of the ff.

values should the nurse expect if the client is in respi- ratory acidosis? - Correct answer PaCO2 51 mm

Hg

A nurse is reinforcing teaching with a client who has a new prosthesis for an above the knee amputation

of the right leg. Which of the ff. instructions should the nurse reinforce to the client? - Correct

answer Apply the prosthesis immediately upon waking each day

A nurse is preparing a client for the insertion of an NG tube. Which of the ff. actions should the nurse

take? - Correct answer Determine if the client has a deviated septum

A nurse is caring for a client who has a fractured radius and has a short arm cast applied yesterday.

Which of the ff. findings should the nurse report to the provider? - Correct answer Client report of

decreased sensation in the finger A nurse is contributing to the plan of care for a client who is on suicide pre- cautions. Which of the ff.

interventions is appropriate for the nurse to recommend? - Correct answer Encourage the client to sign

a no-harm contract A nurse is preparing to administer haloperidol (Haldol) 4 mg IM start to a client. Available is haloperidol for injection mg/mL. How many mL should the nurse administer? (Round the answer to the nearest

tenth. Use a leading zero if applicable. Do not use a trailing zero.) - Correct answer 0.8 mL

A nurse is caring for a client who reports an excruciating headache, nuchal rigidity, nausea and vomiting, and fever with chills. Which of the following diagnostics tests should the nurse expect to be prescribed?

• Correct answer Cerebrospinal fluid analysis A nurse is discussing alopecia with a client who is scheduled to begin chemotherapy. Which of the

following statements is appropriate for the nurse to make? - Correct answer If you'd like to wear a wig,

you should select it before hair loss occurs A charge nurse in a long-term care facility observes an assistive personnel (AP) who appears to be under

the influence of alcohol. Which of the following actions should the nurse take first? - Correct

answer Confront the AP about suspected impairment

A nurse is caring a client who has asthma and has a prescription for theophylline (theochron) 200mg PO

BID. Which of the following should the nurse include in the teaching? - Correct answer Discontinue

drinking caffeinated beverages

While a nurse is assisting a client to ambulate, the client reports lightheadedness and begins to fall. Which of the following nursing actions demonstrates a correct understanding by the nurse about

ergonomic principles? - Correct answer Spread feet apart and extend one leg for the client to slide

down while lowering the client to the floor A nurse is caring for an older adult client who appears lethargic and somnolent. The nurse reviews the client's medications prior to contacting the provider. Which of the following medication is the likely

cause of the increased sedation? - Correct answer Lorazepam (Ativan)

A nurse is caring for a client who had a bronchoscopy and just arrived to the medical surgical unit. Which

of the following actions should the nurse perform first? - Correct answer Check for a gag reflex

A client is requesting information from a nurse regarding the appointment of a health care proxy. Which

of the following responses by the nurse is appropriate? - Correct answer The person you appoint will

make health care decision for you if you cannot do so yourself A nurse enters client's room and sees smoke coming from a wastebasket next to the bed. Which of the

following actions should the nurse first? - Correct answer Assist the client to a nearby waiting room

A nurse is interviewing clients as part of a skin cancer screening program. Which of the following

statement made by a client indicates that he may have a premalignant lesion? - Correct answer I have

this flat, scaly area with red edge on neck A nurse is caring for a client who reports 12 liquid stools in the past 8hr. Which of the following findings

indicates that the client is experience dehydration? - Correct answer Potassium level 2.5 mg/L

A nurse is reinforcing teaching for a client undergoing radiation therapy to the neck. Which of the

following should the nurse include? - Correct answer Avoid exposing the neck to the cold

A nurse is providing anticipatory guidance to the parent of a 6-year old child. Which of the following statements by the parent indicated an understanding of appropriate safety precautions for the child? -

Correct answer "I will encourage my child to wear a bicycle helmet whenever bike riding"

A nurse is collecting data from a client who presents to the clinic reporting vomiting. Which of the

following findings indicate that the client is experiencing a fluid volume deficit? - Correct

answer Orthostatic hypotension

A nurse is caring for a client who is recieving warfarin (coumadin) for deep vein thrombosis. The nurse

observed that the client's INR is 3.8.Which of the following actions should the nurse take? - Correct

answer Withhold the ordered dose of the medication

A nurse is reinforcing teaching with the parents of a 4-month-old infant during a home visit. Which of

the following findings in the infant's room indicates a need for further teaching? - Correct answer The

infant is lying in the crib with a stuffed animal A nurse is caring for a client who has hepatitis B. When caring for the client, which of the following

actions places the nurse at highest risk for acquiring hepatitis B? - Correct answer Performing oral

hygiene A nurse is reinforcing dietary teaching with a client whose pre-pregnancy BMI was 30.5. The nurse

evaluates that the client understands the teaching when she states she will gain - Correct answer A..?

A nurse is reinforcing teaching with school staff about streptococcal infection of the pharynx. The nurse should instruct the staff that the period of contagion for children who have this infection is which of the

following? - Correct answer From onset of symptoms until 24 hours of antibiotic therapy

A nurse is caring for a client who is 2 days postoperative following a partial bowel resection. The client reports that the "felt something pop" when he sneezed. The nurse observes an evisceration. After

calling for assistance, which of the following actions should the nurse take first? - Correct answer Cover

the wound with sterile saline-soaked gauze A nurse is caring for a client who is in balanced skeletal traction for a leg fracture. Which of the following

should the nurse expect to be included in the care plan? - Correct answer Increase counter traction

every 24 hours. Inspect the ropes, knots, and pulleys every 8 hours.

A nurse is using contact precautions while caring for a toddler. Which of the following actions should the

nurse take? - Correct answer Use a designated stethoscope for the toddler

A client's daughter calls the nurse requesting information about her mother's condition. The client's chart does not specify that information can be released to the daughter. Which of the following is an

appropriate response by the nurse? - Correct answer "You will need to contact your mother directly

about her condition" A nurse is reviewing the immunization records of a 9 year old child during a routine physical exam. Which of the following should indicate to the nurse the child is not current with the minimum required

immunization? - Correct answer One MMR vaccine

A nurse is reinforcing teaching with a new mother on facility security measure. Which of the following

statements by the mother indicates that the teaching was effective? - Correct answer "I will have an

identification band that matches the one my baby wears" A nurse is reinforcing teaching with a client who is at 10 weeks gestation and has a medical history of

mild hypertension. The nurse should remind the client to call the clinic if she - Correct answer Develops

edema of the ankles A nurse is caring for a client who has been placed in restraints. Which of the following is appropriate? -

Correct answer Monitor the client's skin integrity on a regular schedule

A nurse is working on a mental health unit is reviewing policies for client seclusion. For which

of the following is seclusion appropriate? - Correct answer Aggressive behavior

A nurse in a long-term care facility has received a change-of-shift report on four clients. Which of the

following clients should the nurse attend to first? - Correct answer A client who has COPD and

dementia and was agitated during the night shift A nurse is applying a condom catheter to a male client who is incontinent. Which of the following is an

appropriate technique to use? - Correct answer Leave space between the tip of the penis and the end

of the condom catheter

A nurse is assisting a client to move up in bed. Which of the following actions should the nurse take? -

Correct answer Ask the client to flex the hips and knees

A nurse is supervising an assitive personnel (AP). During the morning meal, the nurse observes the AP accidentally spill a cup of coffee on a client. Which of the following actions should the nurse take? -

Correct answer Reinforce safe meal setup techniques

A nurse is reinforcing teaching to a first-time mother about toddler safety. The nurse should recognize

the client's understanding of the teaching when the client states, "I will - Correct answer Install gates at

the top and bottom of the stairs A nurse is preparing a sterile field to peform a dressing change. Which of the following actions should

the nurse take? - Correct answer Place sterile objects at least 2.5 cm (1 inch) from the edge of the

sterile field A nurse is collecting data from an adolescent client who is a victim of sexual abuse. The nurse recognizes

the use of the defense mechanism of suppression when the client states, - Correct answer "I guess I

have to take some of the blame because of the way my friends and I dress" A client is prescribed 2g of ampicillin. The pharmacy dispenses this medication in 500 mg tablets. Which

of the following should the nurse give the client? - Correct answer 4 tablets

A nurse is providing home care to a client and is reinforcing teaching regarding home safety. Which of

the following by the client indicates a need for further teaching? - Correct answer "I will walk barefoot

to prevent slipping" "I will check my smoke alarms once a month" A Client with emphysema asks the nurse why he has difficulty exhaling. Which of the following

statements by the nurse is appropriate? - Correct answer "Your windpipe is inflamed and constricted"

A nurse is caring for a client who was admitted 12 hours ago and is experiencing acute alcohol

withdrawal. Which of the following is an expected finding for the client? - Correct answer Irritability

A nurse is caring for a client who is in active labor and is accompanied by her partner. The client and her partner tell the nurse they were unable to attend childbirth preparartion classes. Which of the following

responses by the nurse supports the partner's involvement during labor? - Correct answer "Breathing

with your partner will help her to relax during contractions" A nurse is planning tracheostomy care for a client in a long-term care facility. Which of the following

actions should the nurse plan to take first? - Correct answer Remove the tracheostomy inner cannula

A nurse in a provider's office is reinforcing teaching with the parents of a school-age child who has an

active case of pediculosis capitis. Which of the following should be included in the teaching? - Correct

answer Wash the bed linens in hot water.

Clean the child's toys with 1:10 bleach solution. A nurse caring for the mother of a newborn finds the client crying in her room. The client tells th nurse, "I don't think I can handle caring for a baby." Which of the following nursing interventions is

appropriate? - Correct answer Encourage the client to share her feelings

A nurse is assisting with the care of a 36-year-old client who is at 16 weeks of gestation and is scheduled for an amniocentesis. The nurse recognizes that the client understands the amniocentesis is performed

to identity - Correct answer Chromosomal abnormalities

A nurse is caring for client who is requesting assistance with smoking cessation. For which of the

following medications should the nurse anticipate having to reinforce teaching? - Correct

answer Nicotinic acid (niacin)

A nurse is caring for a client who is 12hr postpartum. The nurse observes an increase in vaginal bleeding.

Which of the following actions should the nurse plan to take first? - Correct answer Massage the

fundus. Obtain the client's vital signs. A nurse is preparing to administer ibuprofen solution 60 mg orally to a 7 month old infant who is febrile.

Available is ibuprofen 50 mg/ 1.25 mL. How many mL should the nurse administer? - Correct

answer 1.5 mL

A nurse is caring for a child who has terminated cancer. Which of the following responses by the child's

school-age brother should the nurse expect? - Correct answer Believes his bad behavior is causing his

brother's death A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following medications

should anticipate administering to prevent complications of withdrawal? - Correct answer Lorazepam

A nurse is reinforcing dietary teaching with a client whose pre-pregnancy BMI was 30.5. The nurse should recognize that the client understands the teaching when she states that she should expect to

gain how many pounds during her pregnancy? - Correct answer 16 lb

A nurse is assisting with the care of a client following electroconvulsive therapy for the treatment of a depressive disorder. Which of the following findings should the nurse expect 15 min following this

procedure? - Correct answer Disorientation

A nurse is caring for an adolescent client who has bulimia nervosa. Which of the following actions should

the nurse take first? - Correct answer Observe the client during and after meals

A nurse is monitoring a client who is postoperative. Which of the following actions should the nurse take

when collecting data about the client's respirations? - Correct answer Observe the movements of the

client's chest wall A nurse is preparing to give change-of-shift report on a client who is 2 days postoperative following a total knee arthroplasty. Which of the following information about the client should the nurse include in

the report? - Correct answer Time of last pain medication

An assistive personnel tells the charge nurse that her assignment is too demanding. She angrily tells the nurse to reassign one of her tasks to another AP. Which of the following actions should the nurse take to

resolve the conflict? - Correct answer I will plan to avoid grapefruit juice while taking this medication

A nurse is reinforcing teaching with a client who has arthritis. Which of the following instructions should

the nurse include in the teaching? - Correct answer Engage in low-impact aerobic exercises

A nurse is caring for a female client who has an indwelling catheter with a urinary drainage system.

Which of the following actions should the nurse take? - Correct answer Secure the tubing with adhesive

tape to the lower abdomen A nurse is assisting with a support group for clients who have experienced intimate partner violence. The nurse should identify which of the following client statements as indicating the greatest risk for

violence? - Correct answer I have decided to tell my husband I am leaving him

A nurse is collecting data from a client who is receiving magnesium sulfate via continuous IV infusion for

preterm labor. Which of the following findings should the nurse expect? - Correct answer Hypotension

A charge nurse working in a long-term care facility overhears two AP's in the nurses' stations discussing

a client who was just admitted. Which of the following actions should the charge nurse take? - Correct

answer Tell the APs to stop the conversation

A nurse is reinforcing teaching with a client who is scheduled for an intravenous pyelogram. Which of

the following statements made by the client indicates an understanding of the teaching? - Correct

answer I will feel a warming sensation after injection of the dye

A nurse is assisting with the plan of care for a client who has end-stage amyotrophic lateral sclerosis and

has developed pneumonia. Which of the following actions should the nurse take? - Correct

answer Verify the status of the client's advance directive

A nurse is reinforcing teaching with a new mother on facility security measures. Which of the following

statements by the mother indicates an understanding of the teaching? - Correct answer I will have an

identification band that matches the one my baby wears A nurse working at an inpatient mental health facility is contributing to the plan of care for a client who has anorexia nervosa. Which of the following actions should the nurse include in the plan of care? -

Correct answer Record the amount of food the client consumes

A nurse is discussing home safety with a group of clients who have type 1 diabetes mellitus. Which of

the following statements indicates any understand of the teaching? - Correct answer I will dispose of

my needles in a plastic laundry detergent container

A nurse is visiting the home of a client who recently had a total hip arthroplasty. During Observation of the clients' home, which of the following findings places the client at risk for falls? (select all that apply.)

• Correct answer Medication stored on the top shelf of the cupboard. Client walks barefoot in the house. A nurse is reinforcing teaching with a client who has a new prescription for nitro- glycerin (nitrostat) sublingual tablets for treatment of angina. Which of the following instructions should the nurse include?
• Correct answer Take up to three tablets during a single angina episode A nurse is caring for a client who has right-sided heart failure. The client's partner expresses concern

that the client will die. Which of the following is an appropriate re- sponse by the nurse? - Correct

answer "It is difficult to see someone so sick. What have you been told about your partner's prognosis?"

A nurse in a long-term care facility is auscultating the lung sounds of a client who reports shortness of breath and increase fatigue. Listen to the audio clip. Which of the following lung sounds should the

nurse report to the provider? - Correct answer Fine crackles

A nurse is reinforcing teaching with a client who is to self-administer epoetin alfa (Epogen). Which of the

following instructions should the nurse include? - Correct answer Administer the medication

subcutaneously A nurse is caring for a client who has a Salem Sump tube connected to intermittent wall suction. Which

of the following nursing interventions should the nurse perform? - Correct answer Reposition the client

every 2 hours A nurse is provider's office is reviewing pediculosis capitis management and pre- vention strategies with the parent of a school-age child. Which of the following strategies should the nurse include? (select all

that apply) - Correct answer Store the child's clothing in a separate cubicle when at school.

Boil brushes and combs in water for 10 min. Dry bed linens and clothing for at least 20 mins.

A nurse is contributing to the plan of care for an adolescent who has cystic fibrosis. Which of the

following diets should the nurse recommend? - Correct answer High-calorie

A nurse is assisting with the transfer of a client to a long-term care facility. The nurse should review which of the following sections of the medical record to the locate information about the clients

personal health insurance? - Correct answer Admission sheet

A nurse is reinforcing teaching with a client who has a new prescription for pred- nisone for the

treatment of Addison's disease. Which of the ff. instructions should the nurse include? - Correct

answer "You will need to schedule a bone density test"

A nurse is assisting in the admission of a client who has diabetic ketoacidosis to a medical unit. Which of

the ff. IV solutions the nurse anticipates administering first upon admission? - Correct answer 0.9%

sodium chloride A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following

findings is the priority? - Correct answer Tingling around the mouth

A client who has asthma and is started on montelukast (Singular) returns to the clinic 1 month later.

Which of the ff. indicates that the client is complying with this medication regimen? - Correct

answer The client takes the medication once daily at bedtime

A nurse is collecting data from an older adult client who is receiving a unit of packed RBCs. Which of the

ff. findings should the nurse report to the provider as an indication of circulatory overload? - Correct

answer Crackles heard on auscultation

A nurse is preparing a client for surgery. The client states, "I'm sure this surgery will not help me get

better." Which of the ff. responses by the nurse is appropriate? - Correct answer "You're saying that

you are doubtful that this procedure will benefit you" A nurse is preparing to provide suctioning for a toddler who has a tracheostomy. Which of ff. actions

should be included in the plan of care? - Correct answer Allow the child to rest for 45 seconds between

aspirations

A nurse in a long-term care facility is assisting with the admission of a client who requires oropharyngeal

suction. Which of the ff. supplies does the nurse need to perform this task? - Correct answer Yankauer

catheter A nurse is maintaining droplet precautions for a client who has meningitis. Which of the following

actions by the nurse is appropriate? - Correct answer Wear a surgical mask within 3 feet of the client

A nurse is collecting data from a client who has cholecystitis. In which of the ff. lo- cations should the

nurse expect the client to report pain? - Correct answer Right upper quadrant

The parents of a 12-month-old voice their concern that their child is crawling but not pulling herself up to stand like the other children at the day care center. The nurse should recommend to the parents that

they - Correct answer Have the child evaluated by a pediatrician

A nurse recognizes that nurse-client communication is effective when the client. - Correct answer Asks

the nurses to listen to potential solutions A nurse is caring for a client who is receiving IV fluids. As the nurse enters the room, the IV pump's alarm begins beeping. The client tells the nurse, "That happens all the time. Just turn off the alarm." Which of

the ff. actions should the nurse take first? - Correct answer Observe the IV site

A nurse is caring for a client who is scheduled for colonoscopy with polyp removal. Which of the following client statements should alert the nurse that the client may be at risk for complications from

the procedure? - Correct answer "I needed three ibuprofens for my arthritis pain last night"

A nurse is reinforcing teaching with the parents of a newborn about physical assessments. Which of the ff. statements by the parent demonstrates understanding of the newborn hearing screening test? -

Correct answer "If my baby fails the hearing test, he will need to be tested in 3 months"

A nurse is reviewing instructions with a male client who is uncircumcised about obtaining a clean-catch midstream urine specimen. Identify the sequence of actions the client should take after washing his hands. (Move the steps into the box on the right, placing them in the selected order of performance. All

steps must used.) - Correct answer A. Expose the glans of the penis

B. Cleanse the penis using aseptic swab

C. Begin urination D. Pass the cup into the urine stream E. Move the cup out of the urine stream F. Move the cup out of the urine stream G. Replace the foreskin (IDK if in right order??) A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. Which of the ff.

actions should the nurse take? - Correct answer Provide step-by-step instructions for performing ADLs

A nurse is reinforcing teaching about breastfeeding with a pregnant client. Which of the ff. statements

by the nurse is appropriate? - Correct answer "Breastfeeding reduces the infant's risk of infection"

A nurse is reviewing client positioning for a thoracentesis with a newly licensed nurse. The nurse validates that newly licensed nurse's understanding when he indicates that the client should be placed

in which of the ff. positions for the procedure? - Correct answer Leaning forward over pillows

A nurse is reinforcing teaching with a group of expectant parents regarding the proper use of car seat.

Which of the following statements by a parent indicates an understanding of the teaching? - Correct

answer "I can place a rolled towel on each side of my newborn's head until he can hold his head up"

A nurse is preparing to apply a pulse oximeter to a client's finger. Which of the following actions should

the nurse take before applying the sensor? - Correct answer Check the client's capillary refill

A nurse is caring for a client who is asking about the technique of eTheurage and its use in labor and

delivery. Which of the following responses should the nurse make regarding this technique? - Correct

answer "It is a light stroking of the skin during a uterine contraction"

A nurse is administering hydromorphone (Dilaudid) to a client who is experiencing postoperative pain.

Which of the following is an adverse effect of this medication? - Correct answer Urinary Retention

A nurse is administering medication. A client states, "I know that the Inderal helps my blood pressure, but I don't like the way it makes me feel. I don't think I'll take it today." Which of the following actions

should the nurse take? - Correct answer Asks the client to describe what he is experiencing

A nurse is reinforcing teaching with a client regarding the use of guided imagery to relieve back pain.

Which of the following statements made by the nurse is appropriate? - Correct answer "Think about a

pleasant memory as you visualize your pain floating away" A nurse is caring for an older adult client who is postoperative following a total hip replacement. -

Correct answer The client is incontinent of stool and urine.

To prevent skin breakdown, the nurse should apply moisture-absorbing undergarments. A client comes to the clinic with reports to nasal congestion. Which of the following medications should

the nurse anticipate that the primary care provider will prescribe? - Correct answer Pseudoephedrine

(Sufaded) A nurse is provider's office is reinforcing teaching to the parents of a school-age child who has an ankle

sprain. The nurse should include which of the following statements in the teaching? - Correct

answer "Offer aspirin every 4 hours for discomfort"

"Elevate the affected extremity to a level higher than the heart" A nurse is caring for a client with a closed head injury. Which of the following findings should indicate to

the nurse a need for futher data collection? - Correct answer Inappropriate words when speaking.

Sharp sensation when touched with safety pin point. A nurse is reinforcing teaching regarding management of penetrating eye injuries with a parent of a school-age child during a sports physical. Which of the following statements by the child's parent

indicates an understanding of the teaching? - Correct answer A or C?

A nurse is reinforcing teaching to the parents of an infant who has pavlik harness. Which of the following

statements should the nurse include in the teaching? - Correct answer "The harness promotes hip joint

development"

A nurse is caring for a client in a mental health inpatient facility who reports auditory and visual hallucinations. Which of the following should the nurse recognize as indicating the client is most in need

of intervention? - Correct answer States he is being told to hit his roommate

A nurse is reinforcing teaching for a client who has just started taking amitriptyline (Elavil). Which of the

following should the nurse include as an adverse effect of this medication? - Correct answer Orthostatic

hypotension A nurse in a long-term care facility is caring for a client who uses a continuous positive airway pressure (CPAP) machine at night for sleep apnea. The client reports daytime sleepiness. Which of the following

actions should the nurse take first? - Correct answer Check for proper fit of the mask on the CPAP

machine. Provide activities during the day to stimulate the client. A nurse is caring for a client in the provider's office who has is experiencing an episode of acute asthma.

The nurse should aminister which of the following medications? - Correct answer Traimcinolone

(Azmacort) A nurse is assisting with the care of a client who is recieving IV therapy of 0.9% sodium chloride. The client recieved 200mL more than prescribed in 1 hr because the infusion pump was set incorrectly. Data collection reveals that the client is stable. This incident does not meet the criteria of malpractice

because - Correct answer The client was not harmed as a result of the incident

A nurse is reinforcing teaching with a client who is undergoing chemotherapy to treat laryngeal cancer and has developed mucositis. Which of the following client statements indicates an understanding of

the teaching? - Correct answer "I will rinse my mouth with room-temperature saline solution"

A nurse is caring for a toddler who is admitted to the pediatric unit and is 2 hr postoperative following a

tonsillectomy. Which of the following findings is a sign of hemorrhage? - Correct answer Frequent

swallowing A nurse is caring for an adolescent client who has anorexia nervosa. Which of the following findings

should the nurse expect? - Correct answer Absence of menses.

Elevated blood pressure.

A nurse has administered cephalexin (Keflex) to a client. Which of the following is the earliest indicator

of an anaphylatic reaction? - Correct answer Wheezes.

Hypotension. A nurse is admitting a client with active tuberculosis. Which of the following is an appropriate nursing

intervention? - Correct answer Place the client in a room that is ventilated to the outside

A nurse is providing change-of-shift report on four clients. Which of the following is most important for

the nurse to include in the report? - Correct answer A client had a blood glucose of 140 mg/dL

A nurse is caring for a client who has an order for NPH insulin (Humulin N) 10 units and regulat insulin

(humulin R) 15 units SQ. Which of the following actions should the nurse perform first? - Correct

answer Inject 10 unites of air into the NPH insulin vial

A nurse discovers a fire in the trash can of a client's room. Which of the following actions should the

nurse take first? - Correct answer Escort the client to a secure area

A client has a large, deep ulcer on her right hip. The primary care provider has prescribed a woman

vacuum to be applied. Which of the following is an appropriate nursing action? - Correct

answer Maintain hydrophillic material deep into the ulcer

A nurse is reinforcing teaching to a client who has been taking dig 0.25 mg PO daily for 6 months, which

of the following indicates a need for further teaching? - Correct answer I will call my provider if I

experience a yellow tinge to my vision A nurse receives a verbal order for a client to receive a stat dose of meperidine (demerol) 100 mg PO. She administers the medication, charts the administration, and then realizes she has administered Phenytoin (dilantin) 100 mg PO. After obtaining the client's vital signs, which of the following actions

should the nurse take? - Correct answer Notify the provider

A nurse is administering medication to a client. Which of the following actions is appropriate for the

nurse to take? - Correct answer Verify with another nurse when calculating a new dose of medication

A nurse is reinforcing discharge teaching to a client who is prescribed propylthiuracil. For which of the following should the nurse instruct the client to monitor and report to the provider immediately? -

Correct answer Sore throat

A nurse is reinforcing foot care to a client with diabetes mellitus. Which of the following clients'

statements indicate to the nurse a need for further teaching? - Correct answer "I will soak my feet in

warm water every night" A nurse is caring for a client who has heart failure and is taking furosemide (lasix). Which of the

following statements made by the client indicates a need for the nurse to intervene? - Correct

answer "I have to sleep sitting up"

A nurse is reinforcing teaching to a client who has a new prescription for transdermal nitroglycerin

(Nitro-Dur). Which of the following statements indicates the client understands the teaching? - Correct

answer "I will leave the patch on for 12 to 14 hours each day"

A nurse is caring for a client who is 2 days postoperative. The client has a prescription for acetaminophen 300mg with codeine 30 mg (Tylenol #3), 1 tablet every 3 to 4 hr PRN for pain. The nurse inadvertently gave the client 2 tablets. Which of the following is the proper place to document this

error? - Correct answer Incident report

A nurse is caring for a client in a mental health unit who is pacing back and forth and wringing his hands.

Which of the following interventions should the nurse implement? - Correct answer Take the client for

a walk to the recreation room A nurse is caring for a client who is in bed and experiencing a toni-clonic seizure. Which of the following

actions should the nurse take? - Correct answer Place the bed in the lowest position

A nurse is preparing to irrigate a wound of a client who has methicillin-resistant Staphylococcus aureus

(MRSA).The nurse should use which of the following personal protective equipment? - Correct

answer A face shield

A nurse is collecting data for a client who has been recieving medroxyprogesterone acetate (Depo- Provera) for the past 6 months. Which of the following statements made by the client should be

reported to the provider? - Correct answer "I'm experiencing calf pain"

A nurse is reinforcing teaching with a new mother regarding the use of breast milk. Which of the

following statements by the mother indicates an understanding of the teaching? - Correct answer "I

can store my breast milk in the freezer for up to 6 months" A nurse in a long-term care facility is caring for a client who has spinal cord injury. The client is demonstrating manifestations of autonomic dysreflexia. Which of the following actions should the nurse

take first? - Correct answer Check the client for bladder distention.

Loosen the client's clothing. A nurse is reinforcing dietary teaching with a client who has cholecystitis. Which of the following food

choices should indicate that the client understands the teaching? - Correct answer Skim milk

A nurse is caring for a client who has a new mastectomy. Which of the following statements by the client should indicate to the nurse that the client is beginning to cope with the changes in her body image? -

Correct answer I am afraid to discuss my concerns with my husband

A nurse is caring for an adult client who reports having trouble getting to sleep at night. Which of the

following recommendations should the nurse make? - Correct answer Establish a daily exercise routine