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2020 EXIT V3 - Hesi
Rn Collaborative Healthcare (Chamberlain University)
Studocu no está patrocinado ni avalado por ningún colegio o universidad.
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1. After placing a 36- week- gestation newborn in an isolette and drying the
infant with several blankets, what should the nurse implement next?
a. Place erythromycin ophthalmic ointment in both eyes
2. A client in the third trimester of pregnancy complains of frequent nasal
stiffness and occasional nosebleeds. Her chest circumference has increased
by 5 cm during the pregnancy, and she uses thoracic breathing. Her
diaphragm is elevated and she has an increased costal angle. Which
intervention should the nurse implement?
a. Examine the client for signs of tissue anoxia, such as pallor
3. A terminally ill male hospice client who is at home is showing decreased
awareness of his surroundings. His appetite is poor and he often refuses oral
intake of solids and liquids. For the past several days he has been unable to
get out of bed. Which action should the hospice nurse implement?
a. Teach the family how to assist the client to a wheelchair
4. A woman was admitted yesterday afternoon with severe abdominal pain. Her
pregnancy test and ultrasound were negative, so an exploratory laparotomy
was completed during the night. When coffee ground materials is observed in
the drainage from the nasogastric tube (NGT), which intervention should the
nurse implement?
a. Verify correct placement of the nasogastric tube
5. The nurse is reviewing the laboratory values for a client with acute
pancreatitis who reports of the abdominal pain is not as severe as it was on
admission. Which laboratory test should the nurse review to evaluate the
clients clinical recovery?
a. Lipase
6. While assessing a client who had a laparotomy the previous day, the nurse
notices that 300 mL of dark red fluid has drained from the nasogastric tube in
the last hour. Which action should the nurse take first?
a. Assess the clients level of pain
7. The nurse is reviewing the recommended preventative care for clients with
asthma, chronic bronchitis, and emphysema. Which health care measure is
most important for the nurse to recommend to these clients?
a. Avoid large crowded areas during the colder months of the year
8. The mother of a one-moth-old infant calls the clinic to report that the back of
her infant’s head is flat. How should the nurse respond?
a. Position the infant on the stomach occasionally when awake and
active
9. A woman is brought to the labor and delivery unti after delivering a term
infant and the placenta in the hospital parking lot 10 minutes ago. Which
action should the nurse perform first?
a. Place the infant to the breast for bonding
10. A client has a new prescription for the maximum recommended dosage of
pipercillin/tazobactam for nosocomial pneumonia. The nurse should report
which laboratory finding to the healthcare provider before administering the
prescribed dose?
a. Presence of gram positive bacteria in the sputum
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11. A client who is admitted with diabetic ketoacidosis (DKA) is demonstrating
Kussmaul breathing and has a severe headache along with nausea. Her
arterial blood gases (ABG) are: pH 7.50; PaCO2 30 mmHg; HCO3 24 mEq/L
(24mmol/L). Which assessment finding warrants immediate intervention by
the nurse?
a. Fruity breath
12. When perfomring postural drainage on a client with Chronic Obstructive
Pulmonary disease (COPD), which approach should the nurse use?
a. Expalin that the client may be placed in five positions
13. A young male client with testicular cancer has a living will that describes his
desire that no extraordinary measures be taken to save his life. The
healthcare provider knows the client has a good prognosis and refuses to
write a “do not resuscitate” (DNR) prescription. Which action should the
nurse take?
a. Place a DNR bracelet on the clients arm
14. In observing a clients face, which assessment finding requires the most
immediate intervention by the nurse?
a. Oral mucosa is cyanotic
15. The nurse is assessing a client with cirrhosis and notes that the client has a
positive Babinski reflex. Which action should the nurse take in response to
the finding?
a. Complete a thorough neurological assessment
16. Which action should the nurse take first after obtaining a urine specimen for
culture and sensitivity from an indwelling urinary catheter?
a. Label the container with the client’s identifiers
17. The home health nurse observes an older client with unilateral weakness
place the walker in front of the chair for support while rising to a standing
position. Which action should the nurse take?
a. Instruct the client to use the arms of the chair for support
18. A client with cancer complains of fever, chills, malaise, and headache
following administration of a colony-stimulating factor. Which nursing
intervention is most beneficial in helping to reduce the flu-like symptoms?
a. Monitor lab values for an increase in WBCs
19. Which laboratory value should the nurse review prior to administering the
initial dose of a statin medication?
a. Serum liver enzymes
20. Following a lumbar puncture, a client voices several concerns. Which concern
indicates to the nurse that the client is experiencing a complication of the
procedure?
a. I have a headache that gets worse when I sit up
21. The nurse is caring for a client withdrawing from a fentanyl citrate addiction.
The client receives a prescription for clonidine 0.2 mg PO taken twice daily.
Which action should the nurse take?
a. Advise to sit up slowly from a reclining position
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22. A 7-year-old child is admitted to the hospital with a diagnosis of acute
rheumatic fever. In obtaining a health history form the child’s mother, the
recent occurrence of what illness is most significant?
a. Sore throat
23. Following discharge teaching, a client with a duodenal ulcer tells the nurse of
plans to eat plenty of dairy products, such as milk, to help coat and protect
their ulcer. Which is the best follow-up action by the nurse?
a. Review with the client the need to avoid foods that are rich in milk
and cream
24. The nurse assesses a client with cirrhosis and find 4+ pitting edema of the
feet and legs, and massive ascites. Which mechanism contributes to edema
and ascites in clients with cirrhosis?
a. Hypoalbuminemia that results in a decreased colloidal oncotic
pressure
25. The nurse is caring for an adolescent client with an intestinal obstruction
who presents with severe, colicky abdominal pain, nauseas, vomiting, and
abdominal distention. Which pathophysiological mechanism supports the
client’s clinical presentation?
a. A weakened diaphragm with high abdominal pressure
26. An adult who was recently diagnosed with glaucoma tells the nurse, “it feels
like I am driving through a tunnel.” The client expresses great concern about
going blind. Which nursing instruction is most important for the nurse to
provide to this client?
a. Maintain prescribed eye drop regimen
27. The charge nurse is making assignments on a cardiac unit. Which client is
best to assign to a new graduate who is orienting to the unit? A client
a. With atrial fibrillation whose saline lock is infiltrated
28. Penicillin G procaine 240,000 units intramuscularly is prescribed for a 4year-old child who has streptococcal respiratory infection. The medication
vial is labeled 1,200,000 units/2mL. How many mL should the nurse
administer?
a. 0.4
29. A client in labor states, “I think my water just broke!” The nurse notes that
the umbilical cord is on the perineum. What action should the nurse perform
first?
a. Place the client in trendelenburg
30. A client who was recently diagnosed with anorexia nervosa collapses at an
outpatient clinic. While taking the blood pressure, the client begins to
demonstrate cloudy consciousness, stupor, and has slurred speech. The nurse
obtains blood glucose of 50 mg/dL, heart rate of 116 beats/minute, and
blood pressure of 88/50 mmHg. Which intervention is most important for
the nurse to implement?
a. Position client with head flat and feet elevated
31. The nurse is planning care for a 16-year-old, who has juvenile idiopathic
arthritis (JIA)> the nurse includes activities to strengthen and mobilize the
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joints surrounding muscle. Which physical therapy regimen should the nurse
encourage the adolescent to implement?
a. Exercise in the swimming pool
32. The nurse is educating a client with end-stage kidney failure who requires
dialysis three times a week. Which information is important for the nurse to
include about the clients daily diet?
a. The protein intake should be decreased to prevent nitrogenous waste
buildup
33. A client is admitted to the hospital with symptoms consistent with a right
hemispheric stroke. Which neurovascular assessment requires immediate
intervention by the nurse?
a. Unequal bilateral hand grip strengths
34. As part of the treatment plan for a client diagnosed with acute pancreatitis,
the nurse plans to withhold oral fluids on which pathophysiological process?
a. Decreasing the formation and secretion of pancreatic enzymes
35. A male client being treated for testicular cancer with chemotherapy has
decreased alpha fetoprotein radioimmunoassay (AFP). Which nursing
intervention should the nurse implement?
a. Inform the client that his chemotherapy dose will probably be
increased
36. The nurse plans to administer a bolus dose of IV heparin based on the clients
weight. The prescribed bolus dose is 100 units/kg. The client weighs 198
pounds. How many units of Heparin should the nurse administer?
a. 900
37. A successful businessman presents to the community mental health center
complaining of sleeplessness and anxiety over his financial status. What
action should the nurse take to assist this client in diminishing his anxiety?
a. Reinforce the reality of his financial situation
38. The nurse is caring for a child newly diagnosed with attention deficit
hyperactive disorder (ADHD). The child’s mother asks about information of
the treatment options. Which information is most helpful for the nurse to
provide?
a. Offer effective time management strategies
39. A client is receiving a continuous infusion of normal saline at 125 mL/hour
post abdominal surgery. The client is drowsy and complaining of constant
abdominal pain and a headache. Urine output is 800 mL …
a. Administer PRN dose of acetaminophen
40. The nurse is evaluating teaching about drug therapy to treat gout. Which
statement by the client demonstrates an understanding of the use of
allopurinol to treat gout?
a. The pain and swelling can be controlled by taking this drug every day
41. The nurse documents that a male client with schizophrenia is delusional.
Which statement by the client confirms this assessment?
a. The nurse at night is trying to poison me with pills
42. A postoperative client has a large amount of serosanguineous drainage on the
surgical dressing and the nurse notes that the operative report indicates that
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the client has a Penrose drain near the incision. What intervention should the
nurse implement when changing the client’s dressing?
a. Place sterile gauze dressing under the Penrose drain
43. The nurse plans to administer a low dose prescription for dopamine to a
client who is in septic shock. Which physiological parameter should the nurse
use to evaluate a therapeutic response to dopamine?
a. Urinary output
44. An older client with cirrhosis of the liver and hepatic failure is places on a low
sodium diet and is receiving periodic albumin infusions. Which assessment
finding indicates progress toward the desired effect of this treatment plan?
a. Prothrombin time within normal limits
45. Which assessment finding places a client at risk for problems associated with
impaired skin integrity?
a. Capillary refill of 5 seconds
46. A client is discussing feelings related to a recent loss with the nurse. The
nurse remains silent when the client says, “I don’t know how I will go on.”
What is the reason for the nurse’s behavior?
a. The nurse is stating disapproval of the statement
47. The nurse is assessing the mood of a depressed male client. When asked how
he feels, the client looks down and states, “I don’t know! I just can’t think.”
Which activity should the nurse suggest that this client perform?
a. Set daily goals in the community meeting
48. A female client is admitted to the hospital with a diagnosis of right lower
quadrant (RLQ) abdominal pain and a possible ectopic pregnancy…
a. Normal Saline (NS) at 20 mL/hr
49. While admitting a client to the surgical unit who had a pneumonectomy 4
hours ago, the call system alarm is initiated by a client in another room.
Which action should the nurse implement?
a. Ask a coworker to respond to the client whose call bell is alarming
50. A client with rheumatoid arthritis has an elevated serum rheumatoid factor.
Which interpretation of this finding should the nurse take?
a. Confirmation of the autoimmune disease process
51. Which dietary instruction should the nurse include when teaching a client
how to reduce episodes of Raynaud’s Syndrome?
a. Eliminate caffeine intake
52. A middle-aged client is returned from the intensive care unit to the surgical
unit following a right pneumonectomy for cancer of the lung…
a. A high pitched course sound over the trachea
53. When is the best time for the nurse to assess a client for residual urine?
a. When the clients bladder is distended
54. The nurse is reviewing a clients urinalysis results and identifies a specific
gravity of 1.035. Which action should the nurse implement based on this
finding?
a. Explain that the urine finding is normal
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55. A client with heart failure reports increased shortness of breath. The nurse
administered furosemide 20 mg intravenously 60 minutes ago. Which action
is most important for the nurse to implement?
a. Measure urine output
56. An adult client newly diagnosed with left ventricular dysfunction is admitted
to the hospital with fine rales and wheezing. When assessing this client,
which additional finding is the nurse likely to obtain?
a. Fatigue
57. Which client is the most likely candidate for total parenteral nutrition?
a. A client experiencing an acute exacerbation of Chrons disease
58. A mother brings her 3-year-old son to the emergency room and tells the
nurse that he has had an upper respiratory infection for the past two days.
Assessment of the child reveals a rectal temperature of 102..
a. Notify the healthcare provider and obtain a tracheostomy tray
59. An adolescent female with an eating disorder is admitted to the in-patient
psychiatric unit. Which intervention should the nurse implement?
a. Encourage the client to weight herself daily at bedtime
60. An older woman who lives alone talks with the clinic nurse about her fears of
falling at home. Which interventions should the nurse suggest?
a. Recommend installing gran bars by toilets, bathtub, and shower
b. Have the home health nurse assess the home for fall risk
c. Wear an emergency response pendant at home
61. A client arrives in the emergency department (ED) with deep, full-thickness
burns over the anterior surface of both upper legs. Which priority
intervention should the nurse implement?
a. Give IV bolus of normal saline
62. After three days of persistent epigastric pain, a female client presents to the
clinic. She has been taking oral antacids without relief. Her vital signs are…
a. ST elevation in three leads
63. The charge nurse is making client assignments in the intensive care
department. The healthcare team consists of one nurse with 10 years
experience, one nurse with 5 years experience, and a new graduate nurse
who just completed a 12- week internship…
a. A client with chest tubes secondary to a stab wound to the chest
64. The mother of a 14-month-old tells the nurse that she feeds her child nothing
but prepared toddler foods and feels they provide the best nutrition…
a. Teach the mother how to develop a budget to allow her to continue to
provide the needed prepared toddler foods
65. During an evening shift on a medical unit, the only nurse on the unit is busy
with unstable client. The unit clerk, who is also both a certified medication
aide and an unlicensed assistive personal (UAP), reports to the nurse that a
healthcare provider is on the telephone…
a. Tell the healthcare provider the nurse will return the phone call as
soon as possible
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66. Four hours following surgical repair of a compound fracture of the right ulna,
the nurse is unable to palpate the client’s right radial pulse. Which action
should the nurse take first?
a. Elevate the client’s right hand on one or two pillows
67. A client with chronic kidney disease on peritoneal dialysis exhibits redness,
tenderness, and drainage around the catheter site on the abdominal wall.
While planning care…
a. Peritonitis
68. A client who suspects she is pregnant tells the nurse she has a peptic ulcer
that is being treated with misoprostol…
a. This mediation will have no effect on your unborn child
69. The nurse is teaching a husband how to care for his wife who recently had a
stroke and has residual weakness on her right side…
a. Rubber soled slippers
70. A client with a C-7 spinal cord injury is experiencing autonomic dysreflexia.
The nurse should first assess the client for which precipitating factor?
a. An acutely distended bladder
71. During the admission assessment of a terminally ill client, the client
expresses being an agnostic…
a. Document the statement in the clients spiritual assessment
72. An older client has been diagnosed with chronic venous insufficiency. To
promote venous return, which action should the nurse encourage the client
to take?
a. Wear cotton socks and enclosed toe shoes whenever outside
73. A nurse seeks to alter a provision of a state’s Nurse Practice Act regarding
nurse-client rations, which the nurse believes to be unsafe. What action is
most likely to impact a ruling by the states board of nursing?
a. Notify the state’s board about the matter anonymously
74. Following a traumatic delivery, an infant receives an initial Apgar score of 3.
Which is most important for the nurse to implement?
a. Continue resuscitative efforts
75. A client tells the nurse that he is “very nervous” about the surgery he is
scheduled to have in the morning. Which actions should the nurse
implement?
a. Notify the healthcare provider about the clients expressed fears and
anxiety
76. The nurse notes that a client’s legs become dusky-red whenever the client is
sitting with both feet dangling…
a. Ankle brachial index
77. The nurse who is working on a post surgical intensive care unit receives
report regarding the assigned clients for the upcoming shift. Which client
should the nurse assess first?
a. An adult who has a collapsed lung relatd to a fall from a ladder 8 hours
ago..
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78. A 4-year-old girl returns to the pediatrician’s office for a postoperative visit
following hospitalization for minor surgery. When observing the child in the
waiting area, which behavior…
a. Ignores other children in the play area
79. A client who in an avid hiker expresses concern about losing too much
potassium while hiking…
a. Dried apricots
b. Seedless raisins
c. Dried bananas
80. The nurse notes that the influenza immunization rates are much lower for
certain demographic groups than for others. Which intervention is likely to
be most useful in increasing the rates of immunization in these under-served
immunization groups?
a. Designation of clinics conveniently located in target neighborhoods
81. While inserting an indwelling urinary catheter into a client, the nurse
observes urine flow in the tubing…
a. Inflate the balloon with 5 mL of sterile water
82. A client who takes nonsteriodal anti-inflammatory drugs (NSAIDs) every day
for rheumatoid arthritis is being treated for anemia…
a. Observe for gastrointestinal bleeding
83. Which long-term outcome is most important for the nurse include in the plan
of care for an older adult client with chronic pyelonephritis?
a. Manages activities of daily living independently
84. A primigravida client being treated for preeclampsia with magnesium sulfate
delivered a 7-pound infant four hours ago by cesarean delivery. Which
nursing problem has the highest priority?
a. Acute pain related to abdominal incision
85. A client is hospitalized with inflammatory bowel disease (IBD) exacerbation
and is being treated with a corticosteroid…
a. Monitor for bloody diarrheal stools
86. When is it most important for the nurse to assess a pregnancy clients deep
tendon reflexes (DTRs)?
a. If the client has an elevated blood pressure
87. When preparing a client who is to undergo a resection of a lelomyosarcoma
of the uterus, the nurse notices that aplxaban is listed on the medication
reconciliation list. Which assessment finding requires immediate nursing
intervention?
a. Bleeding gums
88. In conducting a pain assessment of a client with osteoarthritis, which action
should the nurse include?
a. Ask if pain lessens with elevation of the extremity
89. When teaching a client with Parkinson’s disease, which rationale for the
prescription of carbidopa-levodopa should the nurse include?
a. Increases the amount of dopamine available for muscles to function
correctly
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90. A middle-aged male client, admitted to a critical care unit several weeks ago
because of serious injuries sustained in a motor vehicle accident, is currently
in stable condition…
a. Encourage the client to reflect on personal goals and priorities
91. The nurse provides dietary instructions about iron rich foods to a client with
iron deficiency anemia. Which food selection made by the client indicates a
need for additional instructions?
a. Oranges
92. The healthcare provider prescribes oral vancomycin for a female client who
has Clostridium difficle in the stool. Which action should the nurse take
before administering the first dose?
a. Assess body temperature
93. An older client with a history of Type 1 diabetes has not felt well the past few
days and arrives at the clinic with abdominal cramping and vomiting. The
client is lethargic, moderately confused…
a. Start intravenous of normal saline
94. While interviewing an elderly client, the nurse observes that the clients
hands tremble uncontrollably while reaching for a glass of water. How should
the nurse document this finding?
a. Muscle flaccidity
95. A client diagnosed with dementia is disoriented, wandering, has a decreased
appetite, and is having trouble sleeping. Which is the priority nursing
problem for this client?
a. Risk for injury
96. The charge nurse is making assignments on an in-patient psychiatric unit.
The staff consists of two psychiatric technicians and one practical nurse (PN).
Which team assignments is the best to assign to the PN?
a. Administration of routine medications
97. A client who has small cell carcinoma of the lung is admitted with symptoms
of syndrome of inappropriate antidiuretic hormone (SIADH). As the client
responds to treatment, the client’s serum sodium level increases from 120 to
125…
a. Maintain prescribed fluid restriction
98. Prior to obtaining an axillary temperature, the nurse should perform which
action?
a. Place a protective sheath over the thermometer
99. A 17-year-old client gave birth 12 hours ago. She states that she doesn’t know
how to care for her baby. The promote parent-infant attachment behaviors…
a. Encourage rooming-in while in the hospital
100.
A client with uremia is experiencing uremic frost. Which action should
the nurse implement?
a. Explain that hemodialysis is needed
101.
A client with a history of heart failure and type 1 diabetes mellitus is
admitted with unstable angina. Which problem requires the most immediate
intervention by the nurse?
a. Acute anginal pain
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102.
The parent of an adolescent tells the clinic nurse, “My child has
athlete’s feet. I have been …
a. Stop using the ointment and encourage complete drying of feet and
wearing clean socks
103.
While teaching a client how to perform a skill, the nurse determines
that the client is experiencing sensory overload and is unable to learn
effectively. Which action should the nurse implement?
a. Reduce the stimuli in the area before continuing the teaching
104.
In assessing a 70-year-old client with Alzheimer’s disease, the nurse
notes that the client has deep inflamed cracks at the corners of the mouth…
a. Ensure that the client gets adequate B vitamins in foods and
supplements
105.
A client recently diagnosed with Hodgkin’s disease undergoes biopsy
of cervical lymph nodes under local anesthesia. Which intervention is most
important to include in this client’s plan of care?
a. Monitor for tracheal deviation and swelling at biopsy site
106.
A client with human immunodeficiency virus (HIV) begins active labor
at 38 weeks gestation and receives a prescription for zidovudine 2 mg…
a. 168
107.
The practical nurse reports that a client with a deep vein thrombosis
(DVT) was mistakenly given heparin in addition to the prescribed warfarin.
Which priority action should the nurse take?
a. Monitor for signs of bleeding
108.
The nurse notes that a client has been receiving hydromorphone every
six hours for four days. Which assessment is most important for the nurse to
complete?
a. Auscultate the client’s bowel sounds
109.
The nurse determines that an older female client has kyphosis, has
lost two inches of height in the last three years, and has a recent history of
spinal vertebral fractures…
a. Progressive weakening of the muscle fibers of the lower back
110.
The nurse-manager observes that the staff nurse has used wrist
restraints to help secure an elderly female in her wheelchair. The client is
pleading…
a. Advise the staff nurse to remove the restrains from the client’s wrists
111.
The nurse is performing intake interviews at a psychiatric clinic. A
female client with a known history of drug abuse reports that she had a heart
attack four years ago. Use of which substance places the client at highest risk
for myocardial infarction
a. Methamphetamine
112.
The nurse is teaching a client about the initiation of a prescribed
abstinence therapy using disulifram. What information should the client
acknowledge understanding?
a. Remain alcohol free for 12 hours prior to the first dose
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113.
A client is hospitalized for treatment of a myasthenic crisis and is
concerned about what may have caused this illness. The client states, “I just
had a little case of the sniffles and a bit of a sore throat…
a. The crisis may have been triggered by your cold. I bet it can feel pretty
scary
114.
After falling down the basement steps, a client is brought to the
emergency room. X-rays confirm that the client’s right leg is fractured…
a. Right foot pale with sluggish capillary refill
115.
A client who is admitted to the emergency room following a
motorcycle accident is having difficulty breathing. While assessing the client’s
chest and lungs, the nurse notes that there are no breath sounds over the left
fields…
a. Elevate the head of the bed 45 degrees
b. Apply a high-glow oxygen by face mask
c. Obtain a chest tube insertion kit
116.
Arterial blood gas (ABG) results indicate that a client with respiratory
failure who is being mechanically ventilated has respiratory acidosis. The
ventilator rate is set ay 6 breaths/minute…
a. Increase the ventilator rate
117.
A client is taken to the urgent care clinic after fainting while exercising
at the gym. The client is weak, pale, and diaphoretic..
a. Check blood glucose level
118.
The nurse is developing a plan of care for a client who reports
intermittent claudation and who is newly diagnosed with type 2 diabetes…
a. The clients skin on the lower legs will be intact at the next clinic visit
119.
Which breakfast selection indicates that the client understand the
nurses instructions about the dietary management of osteoporosis?
a. Bagel with jelly and skim milk
120.
The healthcare provider prescribes digoxin elixir 125 mcg PO daily.
The drug is available in a 60 ml bottle labeled, “Digoxin elixir 0.05 mg/mL…
a. 2.5
121.
The nurse assesses a client who recently began experiencing violent
nightmares. Which factor in the clients history …
a. Alcohol abuse
122.
A 60-yea-old female client asks the nurse about hormone replacement
therapy (HRT) as a means of preventing osteoporosis. Which factor …
a. Her mother and sister have a history of breast cancer
123.
A client is ambulating with a two-wheeled walker by rolling the
walker forward and then moving each foot forward…
a. Offer to adjust the height of the walker
124.
The nurse is communicating with a 12-year old who is hearing
impaired. Which action is best for the nurse to use when attempting to
communicate with this client?
a. Use a picture board to communicate needs
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125.
Following admission for a cardiac catheterization, the nurse is
providing discharge teaching to the parents of a 2-year-old toddler with
tetralogy of fallot…
a. Contact their healthcare provider immediately
126.
The nurse uses the Glasgow coma scale (GCS) to assess a client who
has had a stroke. When the nurse calls out the client’s name, the client does
not open eyes, does not respond to painful stimulus…
a. Score of 3 on the GCS
127.
A client is scheduled for a spiral computed tomography (CT) scan with
contrast to evaluate for pulmonary embolism. Which information in the
client’s history requires follow-up by the nurse?
a. Takes metformin hydrochloride for type 2 diabetes mellitus
128.
The nurse working in a disaster area assess an adult client who has
partial-thickness burns on the lower legs, or approximately 10% of the lower
body…
a. Yellow
129.
During a 24-hour chart review of a client in acute renal failure, the
nurse notices that a prescription, written 12 hours ago for every 6 hours
serum potassium levels, was not transcribed…
a. Order the lab work as prescribed and follow procedures for
completing an incident report
130.
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