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Assessment: RN Fundamentals Online Practice 2016 A and B

a nurse in a clinical is caring for a middle age adult who states, "the doctor

says that since I am at an average risk for colon cancer, I should have a

routine screening. what does that involve?" which of the following responses

should the nurse make?

A. "I'll get a blood sample from you and send it for a screening test."

B. "beginning at age 60, you should have a colonoscopy."

C. "you should have a decal occult blood test every year."

D. "the recommendation is to have a sigmoidoscopy every 10 years."

"You should have a fecal occult blood test every year."

Colorectal cancer screening for clients at average risk begins at age 50. One

option for screening is a fecal occult blood test annually.

a nurse is caring for a client who is having difficulty breathing. the client is

laying in bed with a nasal cannula delivering oxygen. which of the following

intervention should the nurse take first?

A. suction the client's airway

B. administer a bronchodilator

C. increase the humidity in the client's room

D. assist the client to an upright position

assist the client to an upright position

When providing client care, the nurse should first use the least invasive

intervention. Therefore, the nurse should elevate the head of the client's bed to

the semi-Fowler's or high Fowler's position to facilitate maximal chest

expansion. Sitting upright improves gas exchange and prevents pressure on the

diaphragm from abdominal organs.

a nurse is preparing to administer 0.5 mL of oral single-dose liquid

medication to a client. which of the following actions should the nurse take?

A. gently shake the container of medication prior to administration

B. transfer the medication to a medicine cup

C. place the client in a semi-fowlers position to medication administration

D. verify the dosage by measuring the liquid before administering it

Gently shake the container of medication prior to administration.

The nurse should gently shake the liquid medication to ensure the medication is

mixed.

a nurse is planning care to improve self-feeding for a client who has vision

loss. which of the following interventions should the nurse include in the

plan of care?

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A. tell the client which food she should eat first

B. provide small-handle utensils for the client

C. thicken liquids on the client's tray

D. use a clock pattern to describe food on the client's plate

Use a clock pattern to describe food on the client's plate.

Use a clock pattern to describe food on the client's plate.MY

ANSWERDescribing the location of the food on the plate by using a clock pattern

allows the client to have greater independence during meals.

a nurse is teaching an older adult client who is at risk for osteoporosis about

beginning a program of regular physical activity. which of the following

types of activity should the nurse recommend?

A. walking briskly

B. riding a bicycle

C. performing isometric exercises

D. engaging in high-impact aerobics

walking briskly

Weight-bearing exercises are essential for maintaining bone mass, which helps to

prevent osteoporosis. Walking engages older adult clients in this preventive and

therapeutic strategy.

a nurse is assessing a client's readiness to learn about insulin administration.

which of the following statements should the nurse identify as an indication

that the client is ready to learn?

A. "I can concentrate best in the morning."

B. "it is difficult to read the instructions because my glasses are at home."

C. "I'm wondering why I need to learn this."

D. "you will have to talk to my wife about this."

"I can concentrate best in the morning."

The client's statement indicates a readiness to learn because he is verbalizing the

best time for him to learn.

a nurse is giving discharge instructions to a client who will require oxygen

therapy at home. which of the following statements should the nurse identify

as an indication that the client understands how to manage this therapy at

home?

A. "I'll make sure that, when my friend comes by, she smokes at least 6 feet

away from my oxygen tank."

B. "I'll use a woolen blanket if I get chilly while I'm using my oxygen."

C. "I'll check the wires and cables on my TV to make sure they are in good

working order."

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D. "I'll lay my oxygen tank down on the floor when the grandchildren visit

so they don't knock it over."

"I'll check the wires and cables on my TV to make sure they are in good working

order."

Oxygen is a highly flammable gas. The client should make sure any electrical

equipment in the room where she is using supplemental oxygen is functioning

properly so it does not create any electrical sparks.

a nurse is caring for a client who is reporting difficulty falling asleep. which

of the following measures should the nurse recommend?

A. drink a cup of hot cocoa before bedtime

B. exercise 1 hr before going to bed

C. use progressive relaxation techniques at bedtime

D. reflect on the day's activities before going to bed

Use progressive relaxation techniques at bedtime.

Progressive relaxation promotes sleep by decreasing stress and reducing muscle

tension.

a nurse is assisting a client who is postoperative with the use of an incentive

spirometer. into which of the following positions should the nurse place the

client?

A. side-lying

B. supine

C. semi-fowlers

D. trendelenburg

Semi-Fowler's

Positioning the client in semi-Fowler's or high-Fowler's position allows for

maximum expansion of the lungs.

a nurse is assessing an adult client who has been immobile for the past 3

week. the nurse should identify that which of the following findings requires

further intervention?

A. erythema on pressure points

B. lower-extremity pulse strength on 2+

C. fluid intake of 3,000 mL per day

D. a bowel movement every other day

Erythema on pressure points

Erythema on pressure points requires prompt relief of pressure and additional

measures to protect the skin from further breakdown.

a nurse is caring for a client who requires a 24-hour urine collection. which

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of the following statement by the client indicates an understanding of the

teaching?

A. "I had a bowel movement, but I was able to save the urine."

B. "I have a specimen in the bathroom from about 30 minutes ago."

C. "I flushes what I urinated at 7 am and have saved all urine since."

D. "I drink a lot, so I will fill up the bottle and complete the txt quickly."

"I flushed what I urinated at 7:00 a.m. and have saved all urine since."

For a 24-hr urine collection, the client should discard the first voiding and save

all subsequent voidings.

a nurse is caring for a client who has herpes zoster and asks the runs about

the use of complementary and alternative therapies for pain control. the

nurse should inform inform the client that his condition is a

contraindication for which of the following therapies?

A. biofeedback

B. aloe

C. feverfew

D. acupuncture

Acupuncture

The nurse should inform the client that the use of acupuncture is contraindicated

for a client who has herpes zoster, or any skin infection, to prevent an open

portal on the skin's surface, which could increase the risk of further infection.

a nurse is preparing to transfer a client who has right-sided weakness from

the bed to a chair. in what order should the nurse take the following actions

to assist the client?

1. ask the client is he can bear weight

2. use the stand-pivot technique to move the client to the chair

3. position the chair on the left side of the bed

4. have the client sit and dangle his feet at the bedside

1. ask the client is he can bear weight

3. position the chair on the left side of the bed

4. have the client sit and dangle his feet at the bedside

2. use the stand-pivot technique to move the client to the chair

a nurse is preparing to administer an injection of an opioid medication to a

client. the nurse draws out 1 mL of the medication from a 2 mL vial. which

of the following actions should the nurse take?

A. ask another nurse to observe the medication wastage

B. notify the pharmacy when eating the medication

C. lock the remaining medication in the controlled substance cabinet

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