Bat b

1. A nurse is caring for a client who has compartment syndrome following the application of a

tast to the leg. Which of the following.. nurse take?

Check the client's pedal pulses

Administer a dose of antlemetic medication

Position the client's leg above the level of the heart

.Apply ice to the extremity

2. A nurse is preparing to administer levothyroxine 50 micrograms to a client .Aavailable

levothyroxine 0.025 mg/tablet .How many table to the nurse administer per dose?

3. A nurse is providing teaching about home safety to the adult child of an older adult client

who is postoperative following knee replacement surgery.Which of the following instructions

should the nurse include

Place a throw rug over electrical cords

Encourag the client to avoid wearing shoes at home

Mark the edges of the doorway to the house with tape

Ensure that area rugs have rubber backs

4. A nurse manager is reviewing the steps of the progressive discipline process prior to

counseling a staff member who exhibits unprofessional behavior. Identify the sequence of

steps the nurse manager should plan to take in response to the staff member's conduct.

(Move the steps into the box on the right, placing them in order of performance. Use all the

steps.)

2- Give the staff member a written earning about the behavior.

1- Verbally remind the staff member of the expected behavior changes.

4- Suspend the staff member from employment at the facility

5- Dismiss the staff member from employment at the facility.

3- Set up a meeting to speak with the staff member about the behavior.

5. A nurse is providing teaching to a client who has a multiple sclerosis . Which of the

following statement should the nurse include

Limit your daily intake of high fiber foods

Establish a voiding schedule by urinating exercises every 4 hours

Avoid exercises that increase your body temperature

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Wear an eye patch over one eye for an entire day before switching

6. A nurse in an emergency department is caring for a toddler who has burns following a

house fire. Which of the following actions should the nurse take first?

Calculate the fluid replacement based on vital signs and urinary output

Determine the location and depth of burns

Administer antibiotics to prevent sepsis.

Check the mouth for smooth and smoky breath

7. A nurse is caring for a client who has a pressure injury on the coccyx .Which of the

following should indicateto the nurse that… a stage III pressure injury ?

Bone is exposed within the wound

Shough and eschar is present

Subcutaneous fat is visible

The skin is reddened and intact

8. (OJO) A newly licensed nurse is unsure if an assigned task is within their scope of practice.

which of the following resources should the nurse consult?

Written prescription from the provider

Institutional policies and procedures

Verbal direction from the nurse manager

State Nurse Practice Act

9. A nurse is caring for a client who has a prescription for 1 unit of packed RBCS. Flve minutes

after beginning the transfusion… with chills. After stopping the transfusion, which of the

following actions should the nurse taket?

Infuse 500 mL lactated Ringer's Iv.

 Adininister epinephrine subcutaneously.

Document the reaction in the medical record.

Place the blood bag in a biohazard bag before discarding

10. A Nurse is teaching participants at a community center about advance directives. Which of

the following information should the nurse include in the teaching?

Assigning a health care surrogate requires legal consultation

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A client must create a do not resuscitate order when completing advances directives.

Advance directives cannot be changed once implemented.

A health care surrogate makes health care decisions when the client is no longer able.

11. A nurse is teaching a client who plans to begin following vegan dietary guidelines. Which of

the following Information should the nurse

Limit Intake of nuts and legumes.

Choose foods high in vitamin B12

Choose high-fat cheese as a meal substitute.

 Limit Intake of foods high in vitamin C

12. OJO A nurse in an emergency department is assesing a client with major depressive

disorder. Which of t nurse take first? Exhibit

Obtain the clients weight

Administer ondansetron to the client for ma

Obtain a blood glucose level

Implement seizure precaution for the client

13. A nurse is assessing the grief response of a client whose child died 6 mONTHS age Which of

the following client statement should.. the provider as an Indication of major depressive

disorder?

I am unable to feel any joy since my child died.

I feel guilty because my child died

 I now that will be reunited with my child someday

I am angry that my child died.

14. A newly licensed nurse is reviewing the role of a nurse in disaster planning. Which of the

following is an activity a nurse should engage in to assist in disaster preparedness?

Participate in community drills and mock events.

Vaccinate susceptible children and adults against smallpox

Assess types, levels and scopes of disasters.

Make quarantine preparations for those exposed to anthrax

Rationale: Assess First

15. A nurse is caring for a client who is experiencing acute mania. Which of the following

foods should the nurse provide for this client?

Peanut butter sandwich

Oatmeal with butter

Chicken noodle soup

Celery sticks

16. A nurse is admitting a client who has dementia to a long-term care facility. The client tells

the nurse that she lived in this facility years ago and took care of all the residents by

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herself. The nurse should document this as which of the following findings?

Agnosia

Projection

Perseveration

Confabulation

17. A nurse is providing dietary teaching to a client who had an exacerbation of COPD. which of

the following information should the nurse including in the teaching?

You should eat hot foods to reduce your sense of fulness during a meal.

While eating, you should drink liquids frequently.

 Lunch should be your largest meal of the day

During meals, you should eat foods with a high-calorie content first

18. A nurse is caring for four clients on a medical-surgical unit For which of the following clients

should the nurse complete a medication conciciliation ?

A client who has a prescription for a gallbladder sonogram

A client who transfers from a private room Into a semi-private room

A client who received twice the prescribed dose of a medication

A client who returns to the unit from the PACU following surgery

19. A nurse is Initiating bladder retraining for a client who has urge urinary incontinence. Which

of the following instruction should the nurse…the client ?

 Take your diuretic medication with your evening meal

Decrease your intake of cranberry juice

Pan to urinate every 3 hours while you are awake

Limit your fluid Intake to 500 milliters per day. "

20. A nurse realizes that the wrong medication has been administered to a client. Which of

the following actions should the nurse take first?

A. Notify the provider.

B. Report the incident to the nurse manager.

C. Measure the client vital signs.

D. Fill out an incident report.

21. A nurse is teaching a client who had a left below-the-knee amputation 3 days ago. The

nurse should identity that which of the following statement by the client Indicates an

understanding of the teaching?

I will change the wrapping on my left leg once a day at home

I Should avoid moving the joints in my left leg

I might still experience the feeling of numbness and brigling in my left

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