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Evolve Practice Test – Fundamentals ANSWERS. Download, 1 During the initial morning assessment, a male client denies dysuria but reports that his urine appears dark amber. Which intervention should the nurse implement? A) Provide additional coffee on the client's breakfast tray. B) Exchange the client's grape juice for cranberry juice. C) Bring the client additional fruit at mid-morning. D) Encourage additional oral intake of juices and water. Correct answer(s): D 2 The nurse is caring for a client who is receiving 24-hour total parenteral nutrition (TPN) via a central line at 54 ml/hr. When initially assessing the client, the nurse notes that the TPN solution has run out and the next TPN solution is not available. What immediate action should the nurse take? E) Infuse normal saline at a keep vein open rate. F) Discontinue the IV and flush the port with heparin.
G) Infuse 10 percent dextrose and water at 54 ml/hr. H) Obtain a stat blood glucose level and notify the healthcare provider. Correct answer(s): C 3 The nurse is completing a mental assessment for a client who is demonstrating slow thought processes, personality changes, and emotional lability. Which area of the brain controls these neuro-cognitive functions?
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The nurse prepares a 1,000 ml IV of 5% dextrose and water to be infused over 8 hours. The infusion set delivers 10 drops per milliliter. The nurse should regulate the IV to administer approximately how many drops per minute? A) 80 B) 8 C) 21 D) 25 Correct answer(s): C
A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline over 4 hours. At what rate should the nurse set the client's intravenous infusion pump? A) 13 ml/hour. B) 63 ml/hour.
NURS3260 Evolve Fundamentals Practice
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C) 80 ml/hour. D) 125 ml/hour. Correct answer(s): B
When conducting an admission assessment, the nurse should ask the client about the use of complimentary healing practices. Which statement is accurate regarding the use of these practices? A) Complimentary healing practices interfere with the efficacy of the medical model of treatment. B) Conventional medications are likely to interact with folk remedies and cause adverse effects. C) Many complimentary healing practices can be used in conjunction with conventional
NURS3260 Evolve Fundamentals Practice
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A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives from the pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the IVPB dose over 20 minutes. For how many ml/hr should the infusion pump be set to deliver the secondary infusion? Correct answer(s): 150
The nurse is performing nasotracheal suctioning. After suctioning the client's trachea for fifteen seconds, large amounts of thick yellow secretions return. What action should the nurse implement next? A) Encourage the client to cough to help loosen secretions. B) Advise the client to increase the intake of oral fluids. C) Rotate the suction catheter to obtain any remaining secretions. D) Re-oxygenate the client before attempting to suction again. Correct answer(s): D
NURS3260 Evolve Fundamentals Practice
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Which intervention is most important for the nurse to implement for a male client who is experiencing urinary retention? A) Apply a condom catheter. B) Apply a skin protectant. C) Encourage increased fluid intake. D) Assess for bladder distention. Correct answer(s): D
A young mother of three children complains of increased anxiety during her annual physical exam. What information should the nurse obtain first? A) Sexual activity patterns. B) Nutritional history.
NURS3260 Evolve Fundamentals Practice
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C) Leisure activities. D) Financial stressors. Correct answer(s): B .
The healthcare provider prescribes the diuretic metolazone (Zaroxolyn) 7.5 mg PO. Zaroxolyn is available in 5 mg tablets. How much should the nurse plan to administer? A) ½ tablet. B) 1 tablet. C) 1½ tablets. D) 2 tablets.
NURS3260 Evolve Fundamentals Practice
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Correct answer(s): C
During a visit to the outpatient clinic, the nurse assesses a client with severe osteoarthritis using a goniometer. Which finding should the nurse expect to measure? A) Adequate venous blood flow to the lower extremities. B) Estimated amount of body fat by an underarm skinfold. C) Degree of flexion and extension of the client's knee joint. D) Change in the circumference of the joint in centimeters. Correct answer(s): C
NURS3260 Evolve Fundamentals Practice
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A) Record the coughing incident. No further action is required at this time. B) Stop the feeding, explain to the family why it is being stopped, and notify the healthcare provider. C) After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube. D) Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling. Correct answer(s): C
An elderly resident of a long-term care facility is no longer able to perform self-care and is becoming progressively weaker. The resident previously requested that no resuscitative efforts be performed, and the family requests hospice care. What action should the nurse implement first? A) Reaffirm the client's desire for no resuscitative efforts. B) Transfer the client to a hospice inpatient facility. C) Prepare the family for the client's impending death.
NURS3260 Evolve Fundamentals Practice
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D) Notify the healthcare provider of the family's request. Correct answer(s): D
Which nutritional assessment data should the nurse collect to best reflect total muscle mass in an adolescent? A) Height in inches or centimeters. B) Weight in kilograms or pounds. C) Triceps skin fold thickness. D) Upper arm circumference. Correct answer(s): D
The nurse notices that the mother a 9-year-old Vietnamese child always looks at the floor when she talks to the nurse. What action should the nurse take? A) Talk directly to the child instead of the mother. B) Continue asking the mother questions about the child.
NURS3260 Evolve Fundamentals Practice
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Exam 2 QUESTIONS &ANSWERS LATEST
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C) Ask another nurse to interview the mother now. D) Tell the mother politely to look at you when answering. Correct answer(s): B
What is the most important reason for starting intravenous infusions in the upper extremities rather than the lower extremities of adults? A) It is more difficult to find a superficial vein in the feet and ankles. B) A decreased flow rate could result in the formation of a thrombosis. C) A cannulated extremity is more difficult to move when the leg or foot is used. D) Veins are located deep in the feet and ankles, resulting in a more painful
NURS3260 Evolve Fundamentals Practice
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procedure. Correct answer(s): B
Which snack food is best for the nurse to provide a client with myasthenia gravis who is at risk for altered nutritional status? A) Chocolate pudding. B) Graham crackers. C) Sugar free gelatin. D) Apple slices. Correct answer(s): A
An adult male client with a history of hypertension tells the nurse that he is tired of taking antihypertensive medications and is going to try spiritual meditation instead. What should be the nurse's first response? A) It is important that you continue your medication while learning to meditate.
NURS3260 Evolve Fundamentals Practice
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C) Obtain your healthcare provider's permission before starting meditation. D) Complementary therapy and western medicine can be effective for you. Correct answer(s): A
Seconal 0.1 gram PRN at bedtime is prescribed to a client for rest. The scored tablets are labeled grain 1.5 per tablet. How many tablets should the nurse plan to administer? A) 0.5 tablet. B) 1 tablet. C) 1.5 tablets. D) 2 tablets. Correct answer(s): B
NURS3260 Evolve Fundamentals Practice
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An African-American grandmother tells the nurse that her 4-year-old grandson is suffering with "miseries." Based on this statement, which focused assessment should the nurse conduct? A) Inquire about the source and type of pain. B) Examine the nose for congestion and discharge. C) Take vital signs for temperature elevation. D) Explore the abdominal area for distension. Correct answer(s): A
While instructing a male client's wife in the performance of passive range-of- motion exercises to his contracted shoulder, the nurse observes that she is holding his arm above and below the elbow. What nursing action should the
NURS3260 Evolve Fundamentals Practice
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