Nursing Assessment and Teaching Scenarios, Exams of Nursing

Download Nursing Assessment and Teaching Scenarios and more Exams Nursing in PDF only on Docsity! RN CBC Level 2 Practice Assessment Questions And Answers A community health nurse is teaching a group of older adult clients about interventions to prevent pneumonia. Which of the following instructions should the nurse include in the teaching? - correct answer wash your hands when you return home from running errands A nurse is reviewing the medical record of a client who has a family history of gallstones. Which of the following should the nurse identify as a risk factor or developing cholecystitis? - correct answer Client is taking atorvastatin - cholesterol A nurse is assessing a client who is receiving morphine via a PCA pump to manage postoperative pain. The client has a heart rate of 66/min and a respiratory rate of 9/min. Which of the following medications should the nurse anticipate the provider with prescribe for the client? - correct answer naloxone - flumazenil = benzo - acetylcysteine = acetaminophen - glucagon = hypoglycemia A nurse is teaching a client who has gastroesophageal reflux disease about ways to prevent reflux. Which of the following information should the nurse include in the RN CBC Level 2 Practice Assessment Questions And Answers teaching? - correct answer plan to finish eating at at least 3 hours before bed A nurse is assessing a client who has a calcium level of 6.3 mg/dL/ Which of the following findings should the nurse expect? - correct answer circumoral tingling - hypocalcemia - chvostek's sign A nurse is leading a small group discussion in an acute care mental health facility when one client suddenly begins to experience a panic attack. Which of the following actions should the nurse take? - correct answer remain with the client until manifestations subside A nurse in an emergency department is assessing a client who reports serve constipation. The nurse should identify which of the following findings as an indication that the client might have a small-bowel obstruction? - correct answer visible peristaltic waves in the upper abdomen A nurse is reviewing the urinarlysis results of a client who has completed a 14-days course of ciprofloxacin to treat pyelonephritis. Which of the following values should indicate to the nurse that the client has a continuing infection? - correct answer positive leukocyte esterase RN CBC Level 2 Practice Assessment Questions And Answers following manifestations should the nurse expect? - correct answer facial eruption - slapped face A nurse is teaching about foot care with a group of older adults who has type 1 DM. Which of the following information should the nurse include in the teaching? - correct answer trim toenails straight across to prevent ingrown toenails A nurse is teaching a client who has hypertension and a new prescription for atenolol. Which of the following should the nurse include in the teaching? - correct answer you should contact your provider is your pulse rate drops below 60 per minute A nurse is providing discharge teaching for a client who is postoperative following a transurethral resection of the prostate (TURP) for treatment of BPH. Which of the following instruction should the nurse include in the teaching? - correct answer perform kegel exercises several times throughout the day A nurse is teaching a client who has a new prescription for finasteride to treat BPH. Which of the following instructions should the nurse include in the teaching? - RN CBC Level 2 Practice Assessment Questions And Answers correct answer you might need to take the medication for several months before seeing an relief A nurse on a mental health unit is developing a plan of care for a client who is experiencing a panic level of anxiety. Which of the following actions should the nurse identify as the priority? - correct answer protect the client from harm A nurse is teaching a client who is at moderate risk for osteoporosis about ways to help prevent this chronic disease. Which of the following instructions should the nurse include? - correct answer - increase dairy product intake - engage in weight-bearing exercises regularly - reduce excessive caffeine intake A nurse is caring for a client who has cellulitis of the lower extremity. Which of the following actions should the nurse take? - correct answer - elevate the affected area 15.24 cm (6 in) above the heart - administer cefazolin intermittent IV bolus A nurse is providing discharge teaching to an older adult client who had surgery to treat visual impairment due to cataracts. Which of the following client statements RN CBC Level 2 Practice Assessment Questions And Answers indicates an understanding of the teaching? - correct answer it might take 4 to 6 weeks for my vision to fully improve A nurse is teaching a client who has asthma about using a metered-dose inhaler. Which of the following client statements indicates an understanding of the teaching? - correct answer i'll take a deep breath and blow it out before i inhale the medication A nurse in an ED is assessing a preschooler who has severe dehydration as a result of gastroenteritis and is receiving isotonic IV fluids. Which of the following findings should the nurse identify as an indication that the treatment is effective? - correct answer brisk skin tugor A nurse in a provider's office is completing a preoperative screening for a client who is scheduled for a knee arthroplasty later that week. Which of the following findings requires the nurse's intervention? - correct answer coagulation time A nurse is assessing a client who reports a new onset of joint pain and stiffness. Which of the following findings should the nurse identify as an indication of osteoarthritis? - correct answer joint pain improves with rest RN CBC Level 2 Practice Assessment Questions And Answers level back to the expected reference range? - correct answer the client's hand grasp becomes stronger A nurse is planning care for a client who is postoperative and has developed left lower leg deep-vein thrombosis. Which of the following interventions should the nurse include in the plan of care? - correct answer make sure the client's legs are elevated while in bed A nurse is teaching a client who has atherosclerosis about self-care. Which of the following instructions should the nurse include in the teaching? - correct answer increase fiber intake to at least 30 g per day A nurse is teaching an older adult client who has peripheral neuropathy about a new prescription for duloxetine. Which of the following client statements indicates an understanding of the teaching? - correct answer it might take several weeks to notice an improvement in my symptoms A nurse has arrived at the site of an accident where a client has sustained a traumatic amputation of the big toe. Identify the sequence of steps the nurse should take to treat the musculoskeletal trauma. - correct answer - call 911 and examine the amputation site - apply direct pressure with layers of dry cloth RN CBC Level 2 Practice Assessment Questions And Answers - elevate the extremity above the client's heart - find the toe and wrap it in sterile gauze of a clean cloth - place the toe in a bag and place the bag in 1 part ice nad 3 parts water A nurse is caring for a client who has respiratory depression following opioid administration to control cancer-related pain. The client's ABG results are pH 7.28, PaCO2 49 mm Hg, and HCO3- 24 mEq/L. Based on these findings, the nurse should identify that the client has which of the following acid-base imbalances? - correct answer respiratory acidosis A nurse is discussing lactose-free foods with client who is experiencing malabsorption due to lactose intolerance. Which of the following foods should the nurse recommend? - correct answer soy milk A nurse is caring for a client who has Cushing's disease. The nurse should identify that the client is at risk for which of the following acid/base imbalance? - correct answer metabolic alkalosis A nurse is teaching a client who has type 1 DM about actions to take when having manifestations of hypoglycemia with a glucometer reading between 40 and RN CBC Level 2 Practice Assessment Questions And Answers 60 mg/dL. Which of the following instructions should the nurse include? - correct answer drink 120 mL (4 oz) of fruit juice A nurse in an emergency department is assessing a client who has hyperthermia. Which of the following findings should the nurse identify as an indication that the client has heat exhaustion? - correct answer vomiting A nurse in an emergency department is assessing a client who is experiencing mild hypothermia. Which of the following manifestations should the nurse expect? - correct answer slurred speech A nurse is teaching a client who has asthma how to use a peak flow meter. Which of the following statements should the nurse identify as an indication the client understands the teaching? - correct answer I will base my peak flow meter score on the best of three attempts A nurse is planning care for a client who had surgery for osteomyelitis from a past musculoskeletal trauma to the lower leg. Which of the following inventions should the nurse include in the plan of care? - correct answer check for paresthesia of the affected leg RN CBC Level 2 Practice Assessment Questions And Answers A nurse is admitting a client who has a acute bacterial wound infection and a temperature of 39.8 (103.6). Which of the following actions should the nurse take? - correct answer set the temperature of the client's room to 22.2 (72) A nurse is providing dietary teaching for a client who has hyperlipidemia due to nephrotic syndrome. Which of the following instructions should the nurse include in the teaching? - correct answer less than 30% of daily calories should come from fat A nurse is teaching a client who has TB about taking rifampin. Which of the following instructions should the nurse include? - correct answer do not drink alcohol while taking this medicaiton A nurse is assessing a client who has COPD and is receiving nebulized acetylcysteine. Which of the following findings should the nurse expect if the medication has been effective? - correct answer mucus is thin and white in color A nurse in an ED is caring for a client who reports abdominal pain, vomiting, adn appears dehydrated. The client's ABG results are pH 7.28, PaCO2 36 mm Hg, and HCO3- mEq/L. Based on these findings, the nurse should RN CBC Level 2 Practice Assessment Questions And Answers identify that the client has which of the following acid- base imbalances? - correct answer metabolic acidosis A nurse is assessing a client who reports vision impairment and is diagnosed with primary open-angle glaucoma (POAG). Which of the following findings should the nurse expect? - correct answer progress loss of peripheral vision A nurse is teaching the parent of a school-age child who has pediculosis capitis about treating this parasitic infestation. Which of the following instructions should the nurse include? - correct answer wash bedding, clothes, and towels in hot water in a washing machine A nurse on a pediatric unit is admitting a school-age child who has pertussis. Which of the following actions should the nurse take>? - correct answer initiate droplet precautions for the child A nurse is providing teaching to a client who has DM and a new prescription for extended-release metformin. Which of the following client statements indicates an understanding of the teaching? - correct answer i will call the doctor if I have muscle pain in my back RN CBC Level 2 Practice Assessment Questions And Answers A nurse is assessing a 3-month-old infant who has gastroenteritis with severe dehydration. Which of the following findings should the nurse expect? - correct answer absence of tears A nurse is caring for a client who has a fear of open spaces. Which of the following names for this fear should the nurse document in the client's medical record? - correct answer agoraphobia A nurse is planning care for a client who has chemotherapy-induced anemia and is staring epoetin. Which of the following interventions should the nurse include in the plan? - correct answer monitor for hypertension A nurse is caring for a middle adult female client who has a fib and is taking warfarin. The nurse should recognize which of the following as an adverse effect of the medication and notify the provider? - correct answer increased menstrual flow A nurse in a provider's office is assessing a preschooler who has developed contact dermatitis following exposure to poison ivy. Which of the following statements should the nurse make to the client's parent regarding disease RN CBC Level 2 Practice Assessment Questions And Answers practice. Which of the following instructions should the nurse include? - correct answer consume an extra snack before practice A nurse is planning care for a client who has renal calculi. Which of the following interventions should the nurse include to promote elimination of the calculi? - correct answer encourage intake of at least 3 L of fluid each day A nurse is caring for a client who has prolonged vomiting, has an NG tube for gastric decompression, and is receiving total parenteral nutrition. The client's ABG results are pH 7.48, PaCO2 50 mm Hg, and HCO3- 30 mEq/L. Based on these findings, the nurse should identify that the client has which of the following acid-base imbalances? - correct answer metabolic alkalosis A nurse is providing teaching to a client who is experiencing malabsorption related to lactose intolerance. Which of the following food should the nurse recommend to the client as the best non-dairy source of calcium? - correct answer collard greens A nurse is planning care to prevent hospital-acquired methicillin-resistant staphylococcus aureus (MRSA) infection for a client who is immunocompromised. Which of the following interventions should the nurse include to RN CBC Level 2 Practice Assessment Questions And Answers prevent this antibiotic-resistant infection? - correct answer bathe the client with chlorhexidine wipes A nurse is developing an in-service for a group of coworkers about adolescents' reactions to death. Which of the following information should the nurse include when discussing and adolescent's response to death? - correct answer adolescents often alienate themselves from their peers when grieving A nurse is assessing a client who is 1 day postoperative following open ileostomy placement to treat IBD. Which of the following findings is the priority for the nurse to report to the provider? - correct answer the stoma is purple in color A nurse is an ED was caring for an adolescent who died following a motor vehicle crash. Which of the following reactions should the nurse expect the client's 10-year-old sibling to exhibit? - correct answer the sibling is curious about what will heppen to the client's body A nurse is assessing the eyes and ears of a 2-year-old toddler at a well-child visit. Which of the following findings should the nurse report to the provider? - correct answer presence of strabismus RN CBC Level 2 Practice Assessment Questions And Answers A nurse in an ED is assessing a child who has type 1 DM. Which of the following findings should the nurse identify as an indication that the client has diabetic ketoacidosi? - correct answer blood glucose 396 mg/dL A nurse is teaching a client ways to prevent osteoporotic fractures due to osteoporosis. Which of the following information should the nurse include in the teaching? - correct answer maintain bone health by eating fruits, vegetables, and protein A nurse is assessing a client who has pernicious anemia. Which of the following findings should the nurse expect? - correct answer numbness of hands A nurse is teaching a client who has asthma about medications to treat an acute asthma attack. Which of the following medications should the nurse include in the teaching? - correct answer albuterol A nurse is assessing a client who reports gastrointestinal distress. Which of the following findings should indicate to the nurse that the client has cholecystitis? - correct answer abdominal pain that radiates to the right shoulder RN CBC Level 2 Practice Assessment Questions And Answers A nurse is teaching disease management techniques to a client who has COPD. Which of the following instructions should the nurse include in the teaching? - correct answer use pursed-lip breathing when feeling short of breath A nurse is teaching a client who has deep-vein thrombosis about a new prescription for warfarin. Which of the following client statements indicates an understanding of the teaching? - correct answer i should contact my provider if i notice pink-tingle color to my urine A nurse is teaching a male client who has hypertension about dietary guidelines to help manage his disorder. Which of the following instructions should the nurse include? - correct answer reduce sodium intake to 1,500 mg/day or less A nurse is providing teaching for a client who has a new diagnosis of BPH. Which of the following instructions should the nurse include to promote elimination? - correct answer void as soon as you feel the urge A nurse is teaching a client who has scabies about a new prescription for lindane lotion. Which of the following client statements indicates an understanding of the RN CBC Level 2 Practice Assessment Questions And Answers treatment for this parasitic infection? - correct answer i will wash the lotion off 12 hours after i apply it A nurse in an ED is caring for a client who has heat stroke. Which of the following actions should the nurse take to treat this form of hyperthermia? - correct answer apply ice packs to the client's axillae, neck, groin, and chest Respiratory Compensation - correct answer H2O + CO2 Metabolic Compensation - correct answer H+ + HCO3- Respiratory acidosis - correct answer increased CO2 and H+ respiratory alkalosis - correct answer decreased CO2 and H+ Metabolic acidosis - correct answer decreased HCO3- and H+ Metabolic alkalosis - correct answer Increased HCO3- and decreased H+ RN CBC Level 2 Practice Assessment Questions And Answers pH homeostasis - correct answer 7.35-7.45 PACO2 homeostasis - correct answer 35-45 HCO3- homeostasis - correct answer 22-26 pH acidosis - correct answer less than 7.35 PACO2 respiratory acidosis - correct answer greater than 45 PACO2 respiratory alkalosis - correct answer less than 35 PACO2 metabolic - correct answer 35-45 HCO3- respiratory - correct answer 22-26 HCO3- metabolic acidosis - correct answer less than 22 HCO3- metabolic alkalosis - correct answer greater than 26