RN Comprehensive Online Practice 2019 B Updated 2023-2024 New Latest Version with All 150, Exams of Nursing

Download RN Comprehensive Online Practice 2019 B Updated 2023-2024 New Latest Version with All 150 and more Exams Nursing in PDF only on Docsity! lOMoAR cPSD|16256196 RN Comprehensive Online Practice 2019 B Updated 2023-2024 New Latest Version with All 150 Questions from Actual Past Exam and 100% Correct Answers Nursing integration (Miami Regional University) lOMoAR cPSD|16256196 RN Comprehensive Online Practice 2019 B 1. A nurse is assessing a client who received 2 units of packed RBCs 48 hr. ago. Which of the following findings should indicate to the nurse that the therapy has been effective? a. Hemoglobin 14.9 g/dl b. WBC count 12000/mm3 c. Potassium 4.8 mEq/L d. BUN 18 mg/dl 2. A nurse working in an emergency department is triaging four clients. Which of the following clients should the nurse recommend for treatment first? a. An older adult client who reports constipation of 4 days. b. A preschooler who has a skin rash. c. An adolescent who has a closed fracture d. A middle adult client who has unstable vital signs. 3. A nurse is caring for a client who has fluid volume overload. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? a. Palpate the degree of edema b. Regulate IV pump fluid rate. c. Measure the client’s daily weight. d. Assess the client’s vital sign. 4. A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a client who has severe oliguria. The client weights 198 lb. What is the amount in grams the nurse should administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) a. 18 G 5. A nurse is conducting a physical examination for an adolescent and is assessing the range of motion of the legs. Which of the following images indicates the adolescent is abducting the hip joint? E. La foto que está parado de frente y solo se ven pies que están separados uno del otro hacia afuera. The image, on the adolescent is abducting the hip joint by moving the leg away from the midline of the body. (imagen with patient facing you with her right leg lifted) answer quizlet (es la imagen con el paciente frente a usted con la pierna derecha levantada). lOMoAR cPSD|16256196 16. A nurse is caring for a client who has a clogged percutaneous gastrostomy feeding tube. Which of the following actions should the nurse take first? a. Obtain a prescription for the client to receive an enzyme product. b. Aspirate the client’s tube. c. Flush the client’s tube with 30 ml of water. d. Change the position of the client. 17. A home health care nurse is developing a teaching plan for a client who has a new ileostomy. Which of the following instructions should the nurse include? a. Limit intake of fluids to 1,000 ml daily b. Take a laxative if no stool has passed after 12 hr. c. Empty the appliance when it is one-third to one-half full. d. Change the entire pouch system every 1 to 2 days. 18. A nurse is reviewing the laboratory report of a client who has end-stage kidney disease and received hemodialysis 24 hr ago. Which of the following laboratory values should the nurse report to the provider? a. Platelets 268,000/mm3 b. Calcium 9,2 mg/dL c. WBC 5,200/mm3 d. Sodium 148mEq/L 19. A nurse is caring for four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? a. Evaluate dietary intake for a client who has anorexia. b. Measure the vital signs of a client who just returned from the PACU. c. Arrange the lunch tray for a client who has a hip fracture. d. Assess I&O for a client who is receiving dialysis. 20. A nurse is preparing a client for a paracentesis. Which of the following actions should the nurse take? a. Instruct the client to void. b. Position the client on their left side. c. Insert an IV catheter. d. Prepare the client for moderate (Conscious) sedation. lOMoAR cPSD|16256196 21. A nurse has received change-of-shift report on for assigned clients. For which of the following clients should the nurse intervene to prevent a potential food and medication interaction? a. A client who is receiving verapamil and has a continuous infusion of total parenteral nutrition (TPN b. A client who is taking phenytoin and is requesting a milkshake. c. A client who is receiving a diet high in potassium-rich foods and furosemide by mouth. d. A client who is receiving an MAOI and is requesting a cheeseburger for dinner. 22. A nurse is planning care for a client who has rheumatoid arthritis and has moderate to severe pain in multiple joints. Which of the following actions should the nurse plan to take? a. Perform ADLs for the client to promote rest. b. Allow for frequent rest periods throughout the day. c. Use heat to reduce joint inflammation. d. Develop a daily schedule for acetaminophen up to 6 g/day that covers peak periods of pain. 23. A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports bladder spasms, and the nurse observes a decreased urinary output. Which of the following actions should the nurse take? a. Increase tension on the urinary catheter. b. Irrigate the catheter with 0.9% sodium chloride irrigation. c. Assist the client to ambulate. d. Remove the urinary catheter immediately. 24. A nurse is assessing a client who has COPD. Which of the following findings should the nurse expect? a. Weight gain. b. Decrease in anteroposterior diameter of the chest. c. HCO3 24 mEq/L. d. pH 7.31 25. A nurse in a community center is providing an educational session to a group of clients about ovarian cancer. Which of the following manifestations of ovarian cancer should the nurse include in the teaching? a. Diarrhea. b. Urinary retention. c. Purulent discharge. d. Abdominal bloating lOMoAR cPSD|16256196 26. A nurse is caring for a client who has active tuberculosis (TB). Which of the following actions should the nurse plan to take to prevent the transmission of the disease? a. Initiate contact precautions for the client upon admission. b. Restrict visitors from entering the client's room during hospitalization. c. Wear a surgical mask while providing care for the client. d. Have the client wear a surgical mask while being transported outside the room. 27. A nurse is caring for a group of clients. Which of the following clients should the nurse attend to _first? a. An older adult client who is anxious and attempting to pull out an IV line. b. A middle adult client who is reporting nausea after receiving pain medication. c. An older adult client who has kidney failure and returned from dialysis 4 hr ago. d. A middle adult client who has a terminal illness and is requesting a visit from the chaplain 28. An RN is observing a licensed practical nurse (LPN) and an assistive personnel (AP) move a client up in bed. For which of the following situations should the nurse intervene? A. The LPN and AP lower the side rails before lifting the client up in bed. B. Prior to lifting the client, the LPN and AP raise the bed to waist level. C. The LPN and the AP grasp the client under his arms to lift him up in bed. D. The LPN and the AP ask the client to flex his knees and push his heels into the bed as they lift. 29. A nurse is preparing to administer insulin to a client via a pen device. Which of the following actions should the nurse take? a. Hold the insulin pen device perpendicular to the client's skin to inject the medication. b. Shake the insulin pen device prior to injecting the medication. c. Withdraw the insulin from the pen device into an insulin syringe. d. Hold the pen device in place for 3 seconds after injecting the insulin. 30. A nurse is caring for a client who has immunosuppression and a continuous IV infusion. Which of the following actions should the nurse take? a. Assess the client's IV site every 8 hr. b. Check the client's WBC count every 48 hr. c. Monitor the client's mouth every 8 hr. d. Change the client's IV tubing every 48 hr. 31. A nurse is providing teaching about advance directives to a middle adult client. Which of the following client responses indicates an understanding of the teaching? a. "I can designate my partner as my health care surrogate." lOMoAR cPSD|16256196 42. A nurse is providing teaching for a client who has a fracture of the right fibula with a short leg cast in place and a new prescription for crutches. The client is non-weight-bearing for 6 weeks. Which of the following instructions should the nurse include in the teaching? Adjust the crutches for comfort as needed. Use a three-point gait Wear leather-soled shoes. Advance the affected leg first when walking upstairs. 43. A nurse is preparing to transfer a client from the ICU to the medical floor. The client was recently weaned from mechanical ventilation following a pneumonectomy. Which of the following information should the nurse include in the change-of-shift report? The last time the provider evaluated the client The client's most recent ventilator settings The time of the client's last dose of pain medication The frequency in which the client presses the call button 44. A nurse is assessing an infant who has hydrocephalus and is 6 hr postoperative following placement of a ventriculoperitoneal (VP) shunt. Which of the following findings should the nurse report to the provider? Heart rate 122/min Irritability when being held Hypoactive bowel sounds Urine specific gravity 1.018 45. A nurse is caring for a client who has a prescription for chlorpromazine. Which of the following findings should the nurse identify as an indication that the medication is effective? Decreased blood pressure Decreased hallucinations Decreased cholesterol lOMoAR cPSD|16256196 Decreased esophageal reflux 46. A nurse is providing teaching about lithium to a client who has bipolar disorder. Which of the following statements should the nurse include in the teaching? "Expect to have blurred vision while taking this medication." "Notify your provider if you experience increased thirst." "You should take this medication on an empty stomach." "You might be unable to have an orgasm while taking this medication." 47. A nurse is caring for a client who has a fecal impaction. Which of the following actions should the nurse take when digitally evacuating the stool? Place the client in the lithotomy position. Elicit a vagal response by performing gentle rectal stimulation. Administer oral bisacodyl 30 min prior to the procedure. Insert a lubricated gloved finger and advance along the rectal wall 48. A nurse is planning to delegate client care tasks to an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP? Perform gastrostomy feedings through a client's established gastrostomy tube Administer a glycerin suppository to a client who is constipated. Provide instructions about client care to a family member over the telephone. Teach a client how to measure their own blood pressure. 49. A nurse manager is preparing an educational session for nursing staff about how to provide cost-effective care. Which of the following methods should the nurse include in the teaching? Delegate non-nursing tasks to ancillary staff. Stock client rooms with extra supplies. Assign dedicated equipment to each client's room. Change continuous IV infusion tubing every 24 hr. lOMoAR cPSD|16256196 50. A nurse on an inpatient mental health unit is monitoring a visit between a client who has a history of aggressive behavior and the client's partner. Which of the following observations should the nurse identify as an indication for potential violence? The client is taking numerous deep, measured breaths. The client is calmly telling their partner that "the staff here is so controlling." The client is sitting with their head in their hands and appears to be crying The client is pacing around the chair in which their partner is sitting. 51. A nurse is caring for a client who has signed an informed consent form to receive electroconvulsive therapy (ECT). The client states to the nurse, "I'm not sure about this now. I'm afraid it's too risky." Which of the following responses should the nurse make? "Perhaps you think the ECT is dangerous, but I've seen it have good results." "You have the right to change your mind about this procedure at any time." "Everyone gets a little nervous about this procedure as the time for it approaches." "Your doctor wouldn't have suggested ECT if they didn't think it would help you." 52. A rural community health nurse is developing a plan to improve health care delivery for migrant farmworkers. To identify health services data for this minority group, the nurse should gather information from which of the following sources? Agency for Healthcare Research and Quality. National Institutes of Health Department of Agriculture World Health Organization 53. A nurse is assessing a newborn following a vaginal delivery. Which of the following findings should the nurse report to the provider? Heart rate 136/min Nasal flaring Transient strabismus Overlapping of sutures lOMoAR cPSD|16256196 62. A nurse is providing teaching to a client who is scheduled for electroconvulsive therapy (ECT). The nurse should inform the client that which of the following findings is an adverse effect of ECT? Agitation Short-term memory loss Post-treatment seizures Incontinence of the bowel and bladder 63. A charge nurse notices that one of the nurses on the shift frequently violates unit policies by taking an extended amount of time for break. Which of the following statements should the charge nurse make to address this con conflict? "I would like to talk to you about the unit policies regarding break time." "If you continue to take a long lunch break, I will have to report this to the nurse manager." "Have you thought about how your extended lunch breaks affect the other members of our team?" "Did you inform the other members of your team about when you left and returned from break?" 64. A nurse in an emergency department is caring for a client who is at 9 weeks of gestation and reports nausea and vomiting for the past 2 days. Which of the following findings should the nurse expect? Hgb 15 g/dL Specific gravity 1.052 Urine osmolality 300 mOsm/kg Hct 44% lOMoAR cPSD|16256196 65. A nurse is caring for an older adult client who is experiencing chronic anorexia and is receiving enteral tube feedings. Which of the following laboratory values indicates that the client needs additional nutrients added to the feeding? Creatinine 1.1 mg/dL Albumin 2.8 g/dL Triglycerides 100 mg/dL Alkaline phosphatase 118 units/L 66. A nurse is conducting group therapy with clients who have breast cancer. The nurse should recognize which of the following statements by a client as an example of altruism? "I have experienced physical discomfort when intimate with my partner since my diagnosis." "I wish other women would stop socializing with my partner." I told my doctor that I would like to start a support group for other women who are sick in my community I used to mistrust my doctor, but now I know that she is the best one to care for me during my illness." 67. A nurse is providing dietary teaching to a client who has a new prescription for phenelzine. Which of the following food recommendations should the nurse make? (Select all that apply.) Broccoli Yogurt Pepperoni pizza Cream cheese Bologna sandwich lOMoAR cPSD|16256196 68. A nurse is assessing a client for compartment syndrome. Which of the following findings should the nurse expect? Fever Shortened femoral neck Edema Dark brown urine 69. A nurse is providing discharge teaching about disease management for a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following activities is the nurse's priority? Instruct the client about the importance of regular medical appointments. Encourage the client to participate in daily exercise. Explain proper foot care techniques to the client. Ensure that the client understands the medication regimen. 70. A nurse at an urgent care clinic is assessing a client who reports impaired vision in one eye. Which of the following reports by the client should indicate to the nurse that the client has a detached retina? Halos around lights Floating dark spots Pain in the affected eye Blurred vision lOMoAR cPSD|16256196 C (abdomen) 79. A nurse is admitting a client to the psychiatric unit after attempting suicide. The client states, “My family does not care whether I live or die.” Which of the following responses should the nurse make? “I’m sure your family does not want you to die” “Why would you believe such things?” “How does this make you feel?” “You should talk to your family about your feelings” 80. A nurse is providing discharge teaching for the parents of a preschool-age child who has a new prescription for amoxicillin/clavulanate suspension. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) “You will give the medication every 4 hours.” “Shake the medication bottle well before each dose is given.” “Store the medication in the refrigerator.” “Report diarrhea to the provider immediately.” “Discard the unused portion of medication after 21 days.” 81. A nurse on a medical-surgical unit is caring for a client who has a new diagnosis of terminal cancer. The client tells the nurse that they would like to go home to be with family and loves ones. Which of the following actions should the nurse take? Contact the facility chaplain to visit with the client Explain the process of leaving the facility against medical advice. Therefore, the nurse should notify the provider of the client’s wishes. Make a referral for social services Encourage the client to continue with inpatient care lOMoAR cPSD|16256196 82. A nurse is assessing a client who has a chest tube. Which of the following findings should the nurse expect? Drainage system located above the client’s chest level. Continuous bubbling in the water -seal chamber Occlusive dressing on the insertion site Drainage of 125 mL/hr 83. A nurse is preparing to transfer a client who has had a stroke to a rehabilitation facility. The client’s family tells the nurse they are concerned about the level of care the client will receive. Which of the following actions should the nurse take? Facilitate an interdisciplinary conference at the new facility for the family Refer the client and family to social worker for assistance and follow -up meeting. Reassure the client’s family that the same provider care at the new facility. Tell the family that the rehabilitation facility has an excellent client care record 84. A nurse is assessing a client who has major depressive disorder and is taking amitriptyline. Which of the following findings should the nurse identify as an adverse effect of the medication? Diarrhea Frequent urination Excessive salivation Blurred vision 85. A charge nurse is providing an educational session about infection control for a group of staff nurses. Which of the following statement by one of staff nurses indicates an understanding of isolation precaution? Droplet precautions should be initiated for a client who tests positive for measles. A client who requires airborne precautions should be placed in a negative pressure airflow room Airborne precautions should be initiated for a client who has clostridium difficile A client who is immunocompromised should be placed in negative – pressure airflow room lOMoAR cPSD|16256196 86. A nurse is preparing to administer a blood transfusion to a client. Which of the following procedures should the nurse follow to ensure proper client identification? Check the client’s blood type and crossmatch against the provider’s orders Ask the client to state their blood type prior to beginning blood administration Compare information on the blood product to the informed consent form Verify the client and blood product information with another licensed nurse 87. A nurse in a mental health clinic is assessing a client who has a history of seeking counseling for relationship problems. The client shows the nurse multiple superficial self – inflicted lacerations on their forearms. The nurse should identify these behaviors as characteristics of which of the following personality disorders? Borderline Antisocial Historic Paranoid 88. A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after falling off a stepstool at home. Which of the following prescriptions should the nurse clarify with the provider? Obtain capillary blood glucose level every 2 hr. Check the neurovascular status of the client’s lower extremities every hour Apply a cold pack to the client’s ankle for 30 min every hour. Maintain the affected ankle elevated and immobilized 89. A nurse is teaching about adverse effects with a client who is starting to take captopril. Which of the following findings should the nurse identify as an adverse effect of the medication to report to the provider? Tinnitus Cough Polyuria Blurred vision lOMoAR cPSD|16256196 97. A nurse is caring for school -age child has dehydration and is receiving an oral rehydration solution. Which of the following laboratory results indicates that the treatment regimen is effective? Hematocrit 45% Urine specific gravity 1.035 Serum sodium 138 mEq/L BUN 19 mg/dl 98. A school nurse is notified of an emergency in which several children were injured following the collapse of playground equipment. Upon arrival at the playground, which of the following actions should the nurse take first? Instruct a staff member to maintain a log of emergency care provider Apply cervical spine collars to children who have suspected neck trauma Notify guardians of the emergency and injuries to their children Survey the scene for potential hazards to staff and children 99. A nurse in an emergency department is caring for a client who is unconscious and requires emergency medical procedures. The nurse is unable to locate members of the client’s family to obtain consent. Which of the following actions should the nurse take? Contact the facility’s ethics committee Obtain consent from the client’s employer Limit care to comfort measures Proceed with provision of medical care 100. A nurse is caring for a school- age child who is taking valproic acid. The nurse should expect the provider to order which of the following diagnostic tests? Chest x- ray Serum liver enzyme levels ABGs Urine culture and sensitivity lOMoAR cPSD|16256196 101. A nurse manager is preparing to teach a group of newly licensed about effective time management. Which of the following steps of the time management process should the nurse manager included as the priority? Organizing the work environment Delegating assigned tasks appropriately Making a list of activities to complete Rewarding yourself for accomplishing goals 102. A nurse is caring for a client who has a pulmonary embolism. The client is receiving heparin via continuous IV infusion at 1,200 units/hr and warfarin 5 mg PO daily. The morning laboratory values for the client are a PTT 98 seconds, and INR 1.8. Which of the following actions should the nurse take? Prepare to administer vitamin K1. Prepare to administer alteplase Withhold the heparin infusion. Withhold the next dose of warfarin. 103. A nurse is providing teaching to a school-age child who has asthma about using an albuterol metered dose inhaler. Which of the following instructions should the nurse include? Clean the mouthpiece with warm water every 2 weeks. Wait 10 seconds between inhalations. Take a quick inhalation when pressing the dispenser. Take the medication 15 min before playing sports 104. A home health nurse is evaluating a school-age child who has cystic fibrosis. The nurse should initiate a request for a high-frequency chest compression vest in response to which of the following parent statements? "My child doesn't like to sit still for nebulizer treatments." "I think that my child has been running a fever over the last couple of days." "My child has only a small amount of mucus after percussion therapy." lOMoAR cPSD|16256196 "I am concerned about my child's future participation in team sports." 105. A nurse is planning care for a client who is receiving chemotherapy and has neutropenia. Which of the following interventions should the nurse include in the plan? Avoid including raw fruits in the client's diet. Restrict visits from young children to 2 hr per day. Measure the client's temperature once per shift. Use disposable gloves from a box outside the client's room. 106. A nurse is caring for a client who is in the fourth stage of labor and is receiving oxytocin via continuous IV infusion. Which of the following assessments is the nurse's priority? Amount of vaginal bleeding Amount of urinary output Pain level Fundal height 107. A nurse is caring for a client who is in the resuscitation phase of burn injury. Which of the following findings should the nurse expect? Decreased hematocrit Hypokalemia Hyponatremia Increased albumin 108. A nurse is teaching a client who has a new prescription for a total parenteral nutrition through a central line. Which of the following information should the nurse include in the teaching? "I will change your IV tubing once every 48 hours." "Abdominal distention is an expected effect of this therapy." "I will need to check your gastric residual before administering feedings." "I will need to measure your weight daily." lOMoAR cPSD|16256196 117. A client is receiving IV units at 150 mL/hr. Which of the following findings indicates that the client is experiencing fluid overload? Oliguria Bradycardia Dyspnea Poor skin turgor 118. A nurse is assessing a client whose partner recently died. The client states, "I don't know what to do without my partner. Life is just not worth living." Which of the following responses should the nurse make? "It's natural for you to feel this way now, but things will get better with time." "You seem to be having a difficult time right now." "Why do you feel like your life isn't worth living?" "You'd be surprised how many people experience these feelings." 119. A nurse must recommend clients for discharge in order to make room for several critically injured clients from a local disaster. Which of the following clients should the nurse recommend for discharge? A client who has cellulitis and is receiving oral antibiotics every 8 hr A client who is postoperative following an upper endoscopy procedure and is alert but does not have a gag reflex A mother and their newborn 12 hr post delivery A client who has lower extremity weakness and is newly admitted for observation 120. A nurse is performing an admission assessment on a client who had a recent positive pregnancy test. The first day of her last menstrual period (LMP) was May 8. According to Nägele's rule, which of the following dates should the nurse document as the client's estimated date of birth (EDB)? February 1 February 8 February 15 February 22 lOMoAR cPSD|16256196 121. A nurse providing teaching about home care to parents of a child who has autism spectrum disorder. Which of the following instructions should the nurse include? Use a reward system to modify the child’s behavior. 122. A nurse in a provider’s office is caring for an 18-month-old toddler who has a blood lead level of 3 mcg/dl. Which of the following actions should the nurse take? Recommend rescreening in 1 year 123. A nurse is caring for a client who has cancer and is deciding between two treatment plans. The client asks the nurse for assistance in making the decision. Which of the following responses should the nurse make? Tell me more about your understanding of the options 124. A nurse is caring for a client who has a new prescription for clonidine. The nurse should inform the client that which of the followings findings is an adverse effect of this medication? Dry mouth 125. A nurse is creating a plan of care for a client who has left-sided weakness following a stroke. Which of the following interventions should the nurse include in the plan? Support the client’s left arm on a pillow while sitting. 126. A nurse is caring for a client who has acute blood loss following a trauma. The client refuses a blood transfusion that might potentially save their life. Which of the following actions should the nurse take first? Explore the client reasons for refusing the treatment. 127. A nurse is performing an abdominal assessment on a client. Identify the sequence of actions the nurse should take. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) Inspection, Auscultation, Percussion, palpation lOMoAR cPSD|16256196 128. A nurse is providing teaching to the guardians of a newborn about measures to prevent sudden infant death syndrome (SIDS). Which of the following guardian statements indicates an understanding of the teaching? I will not allow anyone to smoke near my baby 129. A nurse is preparing a sterile field to perform a sterile dressing change. Which of the following interventions should the nurse use to maintain surgical aseptic technique? Maintain sterile objects within the line of vision 130. A nurse is caring for a client who has a magnesium level of 2.7 mEq/L. Which of the following intervention should the nurse plan to take? a. Initiate continuous cardiac monitoring 131. A nurse is assessing a client who is at 11 weeks of gestation and reports drinking ginger tea. Which of the following findings indicates the client's use of ginger tea is effective? The client reports a decrease in episodes of nausea The client reports a decrease in breast tenderness. The client reports a decrease in headaches. The client reports a decrease in urinary frequency. 132. A nurse is caring for a client who has a deep-vein thrombosis. Which of the following actions should the nurse take? Teach the client to massage the affected extremity. Instruct the client to elevate the affected extremity when sitting Assess pulses proximal to the affected area. Apply a cold compress to the affected extremity. 133. A nurse is preparing to replace a client's transdermal fentanyl patch after 72 hr of use. After the nurse opens the packet containing the new pouch, the client declines to accept it. Which of the following actions should the nurse take? lOMoAR cPSD|16256196 Autonomy Nonmaleficence Justice Fidelity 142. A nurse preceptor is evaluating the performance of a newly licensed nurse. Which of the following actions by the newly licensed nurse requires intervention by the preceptor? Documents client tasks upon completion Starts a task then determines what supplies are needed Completes a client assessment while infusing an IV antibiotic over 30 min Returns to the nurses' station after completing several tasks in the same location 143. A nurse manager is preparing an educational session about advocacy to a group of nurses. The nurse manager should include which of the following information in the teaching? Advocacy is a leadership role that helps others to self-actualize. Subordinates are advocates for the nurse manager. Advocacy encourages clients to rely on health care staff for decision-making. Nurse managers should distrust people who advocate against inappropriate professional practices. 144. A nurse is admitting a client who has pneumonia. The nurse should initiate which of the following isolation precautions for the client? lOMoAR cPSD|16256196 Droplet Airborne Contact Protective environment 145. A nurse has just received change-of-shift report on four clients. Which of the following clients should the nurse assess first? A client who is postoperative with abdominal distention and no bowel sounds A client who has diabetes mellitus and a blood glucose level of 105 mg/dL A client who has heart failure and 2+ pitting edema A client who is receiving maintenance IV fluids and needs a new IV catheter 146. During a change-of-shift report, a night shift nurse informs the day shift nurse that a newly admitted client was disoriented and combative during the night. Which of the following actions should the day shift nurse take? Keep the client's television on with the volume low. Insert an indwelling urinary catheter to minimize interaction with the client. Consult the provider regarding administering a mild sedative on a schedule. Move the client to a room near the nurses' station 147. A nurse is reviewing the laboratory results of a toddler who has hemophilia A. Which of the following aPTT values should the nurse expect? lOMoAR cPSD|16256196 11 seconds 22 seconds 30 seconds 45 seconds 148. A nurse is planning care for a client who has rheumatoid arthritis. Which of the following interventions should the nurse include in the plan? Encourage the client to take a cool sponge bath each morning. Administer opioid analgesia. Increase the client's dietary iron intake. Restrict the client's intake of foods high in purines. 149. A nurse in an outpatient mental health facility is assessing a child who has autism spectrum disorder. Which of the following manifestations should the nurse expect? Strict adherence to routines Difficulty paying attention to tasks Disobedience to authority figures Excessive anxiety when separated from parents 150. A nurse is caring for a client who had a stroke 6 hr ago. Which of the following interventions should the nurse implement to reduce the risk of increased intracranial