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NURS Comprehensive Online Practice 2019 B Questions with
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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/mm c. Potassium 4.8 me/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 foot queen seta paradox de fronted y solo se van pies queen stand separates
Uno del outro acai aura. 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 quiz let (as la image con el patient fronted a used con la pier drachma levantada).
c. The child has bruises on the upper back. d. The child is wearing a stained shirt.
11.A nurse is preparing to teach about dietary management to a client who has Crohn’s disease and an entero-enteric fistula. Which of the following nutrients should the nurse instruct the client to decrease in their diet? a. Calories b. Protein c. Potassiu m d. Fiber. 12.A nurse is caring for a client who has a prescription for a continuous passive motion (CPM) machine following a total knee arthroplasty. Which of the following actions should the nurse take? a. Turn off the CPM machine during mealtime. b. Maintain the client’s affected hip in an externally rotated position. c. Instruct the client how to adjust the CPM setting for comfort. d. Store the CPM machine under the client’s bed when not in use. 13.A nurse is preparing to initiate IV access for an older adult client. Which of the following sites should the nurse select when initiating the IV for this client? a. Radial vein of the inner arm. b. Great saphenous vein of the leg. c. Dorsal plexus vein of the foot. d. Basilic vein of the hand. 14.A nurse is developing a client education program about osteoporosis for older adult clients. The nurse should include which of the following variables as a risk factor for osteoporosis? a. Obesity b. Acromegaly c. Estrogen replacement therapy. d. Sedentary lifestyle. 15.A nurse in an emergency department is caring for a child who has a fever and fluid- filled vesicles on the trunk and extremities. Which of the following interventions should the nurse identify as the priority?
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/mm 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.
teaching? a. Diarrhea. b. Urinary retention. c. Purulent discharge. d. Abdominal bloating
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. "I am only 40 years old, so I don't need to worry about this yet." c. "I will need a lawyer's help to draw up the documents." D. "I understand that my family can alter my advance directives if I become incapacitated." 32.A nurse is assessing a client following a vaginal delivery and notes heavy lochia and a boggy fundus. Which of the following medications should the nurse expect to administer? a. Nalbuphine b. Terbutali ne c. Oxytocin d. Magnesium sulfate 33.A nurse manager is planning to use a democratic leadership style with the nurses on the unit. Which of the following actions by the nurse manager demonstrates a democratic leadership style? a. Avoids initiating change b. Seeks input from the other nurses c. Makes decisions quickly d. Limits the amount of feedback to the sta_ 34.A nurse is assigning task roles for a group of clients in a community mental health clinic. Which of the following tasks should the nurse assign to the member of the group functioning as the orienteer? a. Measuring the group's work against the assigned objectives b. Noting the progress of the group toward assigned goals c. Sharing experiences as an authority d. Offering new and fresh ideas on an issue 35.A nurse is creating a plan of care for a newly admitted child. Which of the following actions should the nurse include in the plan? (Click on the"Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.) a. Initiate droplet isolation precautions. b. Keep the child on NPO status for 12 c. Maintain the child on bed rest for 24 hr. d. Administer high-dose antibiotic therapy.
36.A nurse is caring for a newborn immediately after delivery. Which of the following interventions should the nurse implement to prevent heat loss by conduction? a. Dry the newborn immediately after birth. b. Maintain an ambient room temperature of 24° C (75.2° F). c. Use a protective cover on the scale when weighing the infant. d. Place the newborn's bassinet away from outside windows.
home oxygen therapy. Which of the following instructions should the nurse include in the teaching? Check the functioning of oxygen equipment once each week. Wear clothing made with cotton fabrics while oxygen is in use Apply petroleum-based lubricant to the nares as needed. Store full oxygen tanks on their side.
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. 45. A nurse is caring for a client who has a prescription for
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.
