SOPHIA MILESTONE AMERICAN 1000% RATED Q & A, Exams of Nursing

Download SOPHIA MILESTONE AMERICAN 1000% RATED Q & A and more Exams Nursing in PDF only on Docsity! RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 1. A nurse is caring for an adult client who has prescriptions for multiple medications. Which of the following (Unable to read) as an age-related change that increases the risk for adverse effects from this medication? A. Rapid gastric emptying. B. Prolonged medication half-life. C. Increased medication elimination. D. Decreased medication sensitivity. RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 2. A nurse manager is planning to promote client advocacy among staff in a medical unit. Which of the following actions should the nurse take? A. Encourage staff to implement the principle of paternalism when a client is having difficulty making a choice. B. Tell staff explain procedures to clients before obtaining informed consent. C. Instruct unit staff to share personal experiences to help clients make decisions. D. Develop a system for staff members to report safety concerns in the client care environment. 3. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nurse expect? A. Loose stools B. Jitteriness C. Hypertonia D. Abdominal distention 4. A nurse is assessing a client who is immediately post-operative following hip arthroplasty, which of the following considerations should the nurse take when positioning the client? A. Place the client’s heels directly against the bed mattress B. Ensure that the client’s hips remain in an abducted position. C. Maintain the client in a supine position for the first 24 hr. after surgery. D. Flex the client’s hip up to 120° when sitting in a chair. 5. A nurse is assessing a client who is immediately postoperative following a subtotal thyroidectomy. Which of the following should the nurse expect to administer? A. Calcium gluconate. B. Sodium bicarbonate. C. Potassium chloride. RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% C. Use a cold irrigation solution. D. Instruct the client to lie on his right side. RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 13. A nurse is providing care for a client who is in the advance stage of amyotrophic lateral sclerosis. (ALS). Which of the following referrals is the nurse’s priority? A. Psychologist. B. Social worker. C. Occupational therapist. D. Speech-language pathologist. 14.A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider? A. WBC count 8,000/mm3. B. Platelets 150,000/mm3. C. Aspartate aminotransferase 10 units/L. D. Erythrocyte sedimentation rate 75 mm/hr 15. A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a prescription for which of the following laboratory tests? A. Platelet count. B. Potassium level. C. Creatine clearance. D. Prealbumin. 16. D RN COMPREHENSIVE PREDICTOR TEST Q&A RATED 100% A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge? . . . . . . . . . . . . Aclient whe has COPD and a respiratory rate of 44/min A.client who hes cancer with a sealed implant for radiation therapy A client whe Is receiving heparin for deep-vein thrombosis. A.client whe is 1 day postoperative following @ vertebroplasty RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 21. The nurse is reviewing the medical record of a client who is requesting combination oral contraceptives. Which of the following conditions in the client’s history is a contradiction to the use of oral contraceptives? A. Hyperthyroidism. B. Thrombophlebitis. C. Diverticulosis. D. Hypocalcemia. 22. A nurse is caring for a client who request the creation of a living will. Which of the following actions should the nurse take? A. Schedule a meeting between the hospital ethics committee and the client. B. Evaluate the client’s understanding of life-sustaining measures. C. Determine the client’s preferences about post mortem care. D. Request a conference with the client’s family. 23. C 24. A nurse is caring for a client following application of a cast. Which of the following actions should the nurse take first? A. Place an ice pack over the cast. B. Palpate the pulse distal to the cast. RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% C. Teach the client to keep the cast clean and dry. D. Position the casted extremity on a pillow. RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 25. A nurse is caring for a client who has vision loss. Which of the following actions should the nurse take? (Select all that apply) A. Keep objects in the client’s room in the same place. B. Ensure there is high-wattage lighting in the client’s room. C. Approach the client from the side. D. Allow extra time for the client to perform tasks. E. Touch the client gently to announce presence. 26. A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions about the disease. To research the nurse should identify that which of the following electronic database has the most comprehensive collection of nursing (Unable to read) articles? A. MEDLINE B. CINAHL. C. ProQuest. D. Health Source. 27. A nurse in an emergency department is assessing newly admitted client who is experiencing drooling and hoarseness following a burn injury. Which of the following should actions should the nurse take first? A. Obtain a baseline ECG. B. Obtain a blood specimen for ABG analysis. C. Insert an 18-gauge IV catheter. D. Administer 100% humidified oxygen. 28. A nurse is planning care for a client who has unilateral paralysis and dysphagia following a right hemispheric stroke. Which of the following interventions should the nurse include in the plan? RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% D. Chorioamnionitis. RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 33. B 34. A nurse is assessing a client who has left-sided heart failure. Which of the following should the nurse identify as a manifestation of pulmonary congestion? A. Frothy, pink sputum. B. Jugular vein distention. C. Weight gain. D. Bradypnea. 35. A 36. A nurse is caring for a 5-month-old infant who has manifestations of severe dehydration and a prescription for paternal fluid therapy. The guardian asks. “What are the indications that my baby needs an IV?” Which of the following responses should the nurse make? RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% A. “Your baby needs an IV because she is not producing any tears” B. “Your baby needs an IV because her fontanels are budging” C. “Your baby needs an IV because she is breathing slower than normal” D. “Your baby needs an IV because her heart rate is decreasing” RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 41. A nurse is calculating a client’s expected date of delivery. The client’s last menstrual period began on April 12. Using Nagele’s rule, what date should the nurse determine to be the client’s expected delivery date? (Use mmdd format.) 0119 date 42. A nurse is discussing group treatment and therapy with a client. The nurse should include which of the following as being a characteristic of a therapeutic group? A. The group is organized in an autocratic structure. B. The group encourages members to focus on a particular issue. (Mental Health Chapter 8 Page 42) C. The group must be led by a licensed psychiatrist. D. The group encourages clients to form dependent relationships. 43. A nurse manger is reviewing documentation with a newly licensed nurse. Which of the following notations by the newly licensed nurse indicates an understanding of the teaching. UNSURE IF ON THE REPORT A. “OOB with assistance for breakfast” B. “Given 2 mg MSO4 IM for report of pain” C. “Dressing changed qd” D. “Administered 8 u regular insulin sq.” 44. A nurse is preparing to administer eye drops to a school-age child. Identify the actions the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) 1. Apply pressure to the lacrimal punctum. 2. Ask the child to look upward. RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 3. Pull the lower eyelid downward. 4. Instill the drops of medication. 5. Place the child in a sitting position. 5 2 3 4 1 RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 45. A nurse is caring for a client who speaks a language different from the nurse. Which of the following should the nurse take? A. Request an interpreter of a different sex from the client. B. Request a family member or friend to interpret information for the client. C. Direct attention toward the interpreter when speaking to the client. D. Review the facility policy about the use of an interpreter. 46. A nurse is caring for a client who is in labor and is receiving oxytocin. Which of the following findings indicates that the nurse should increase the rate of infusion? ON THE REPORT needs double checking A. Urine output 20 ml/hr. B. Montevideo units constantly 300 mm Hg. C. FHR pattern with absent variability. D. Contractions every 5 min that last 30 seconds. 47. C 48. A public health nurse is managing several projects for the community. Which of the following interventions should the nurse identify as a primary prevention strategy? RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% B. Confirm the provider’s prescription matches the number on the blood component. C. Ask the client to state the blood type and the date of their last blood donation. D. Ensure that the client’s identification band matches the number on the blood unit. RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 53. A nurse is performing physical therapy for a client who has Parkinson’s disease. Which of the following statements by the client indicates the need for a referral to physical therapy? A. “I have been experiencing more tremors in my left arm than before” B. “I noticed that I am having a harder time holding on to my toothbrush” C. “Lately, I feel like my feet are freezing up, as they are stuck to the ground” D. “Sometimes, I feel I am making a chewing motion when I’m not eating” 54. A nurse is reviewing laboratory data for a client who has chronic kidney disease. Which of the following findings should the nurse expect? A. Increased creatine. B. Increased hemoglobin. C. Increased bicarbonate. D. Increased calcium. 55. A nurse is administering a scheduled medication to a client. The client reports that the medication appears different than what they take at home. Which of the following responses should the nurse take? A. “Did the doctor discuss with you that there was a change in this medication?” B. “I recommend that you take this medication as prescribed” C. “Do you know why this medication is being prescribed to you?” D. “I will call the pharmacist now to check on this medication” 56. A nurse is teaching at a community health fair about electrical fire prevention. Which of the following information should the nurse include in the teaching? A. Use three pronged grounded plugs. B. Cover extension cords with a rug. RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% C. Check the tingling sensations around the cord to ensure the electricity is working. D. Remove the plug from the socket by pulling the cord. RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 61. A nurse in a pediatric clinic is teaching a newly hired nurse about the varicella rooster. Which of the following information should the nurse include? A. Children who have varicella are contagious until vesicles are crusted. B. Children who have varicella should receive the herpes zoster vaccination. C. Children who have varicella should be placed in droplet precaution. D. Children who have varicella are contagious 4 days before the first vesicle eruption. 62.A nurse is reviewing the laboratory report of a client who has been having lithium carbonate for the past 12 months. The nurse notes a lithium level of 0.8 mEq/L. Which of the following orders from the provider should the nurse expect? A. Withhold the next dose. B. Increase the dosage. C. Discontinue the medication. D. Administer the medication. 63. A nurse is caring for a client who has fibromyalgia and requests pain medication. Which of the following medications should the nurse administer? A. Pregabalin B. Lorazepam C. Colchicine D. Codeine. 64. A nurse is caring for a client who is to receive a transfusion of packed RBCs. Which of the following actions should the nurse take? A. Prime IV tubing with 0.9% sodium chloride. RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% B. Use a 24-gauge IV catheter C. Obtain filter less IV tubing. D. Place blood in the warmer for 1 hr. RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 65. A nurse is caring for a toddler who has acute lymphocytic leukemia. In which of the following should the toddler participate? A. Looking at alphabet flashcards. B. Playing with a large plastic truck. C. Use scissors cut out paper shapes. D. Watching a cartoon in the dayroom. 66. A nurse is caring for a client who has chronic pancreatitis. Which of the following dietary recommendations should the nurse make? A. Coffee with creamer. B. Lettuce with sliced avocados. C. Broiled skinless chicken breast with brown rice. D. Warm toast with margarine. 67. A nurse is preparing to assess a 2-week-old newborn. Which of the following actions should the nurse plan to take? A. Obtain the newborn’s body temperature using a tympanic thermometer. B. (Unable to read) FACES pain scale. C. Auscultate the newborn’s apical pulse for 60 seconds. D. Measure the newborn’s head circumference over the eyebrows and below the occipital prominence. (NOT) 68. A nurse is caring for a client who is at 38 weeks gestation, is in active labor, and has ruptured membrane. Which of the following actions should the nurse take? A. Insert an indwelling urinary RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% C. Wipe stool from the skin using store bought baby wipes. D. Apply talcum powder to the irritated area. RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 73. A nurse is reviewing the facility’s safety protocols considering newborn abduction with the parent of a newborn. Which of the following statements indicates an understanding of the teaching? A. “Staff will apply identification band after first bath” B. “I will not publish public announcement about my baby’s birth” C. “I can remove my baby’s identification band as long as she is in my room” D. “I can leave my baby in my room while I walk in the hallway” 74. A nurse is receiving a telephone prescription from a provider for a client who requires additional medication for pain control. Which of the following entries should the nurse make in the medical record? A. “Morphine 3 mg SQ every 4 hr. PRN for pain.” B. “Morphine 3 mg Subcutaneous (Unable to read) C. “Morphine 3.0 mg sub q every 4 hr. PRN for pain.” D. “Morphine 3 mg SC q 4 hr. PRN for pain.” 75. 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. Monitor vital signs. D. Fill out an incident report. 76. A nurse is providing teaching to a client who is experiencing preterm contractions and dehydration. Which of the following statements should the nurse make? A. “Dehydration is treated with calcium supplements” B. “Dehydration can increase the risk of preterm labor” RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% C. “Dehydration associated gastroesophageal reflux” D. “Dehydration is caused by a decreased hemoglobin and hematocrit” RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 82. C 83. B 84. C RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 85. D 86. A RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 92. A 93. C 94. D 95. C RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 96. A RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 97. A 98. A 99. A 100. C RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 106. A 107. B 108. B 109. D RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 110. A RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 111. A 112. D 113. B 114. C RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 120. A RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 121. D 122. B 123. D 124. D RN COMPREHENSIVE PREDICTOR TEST Q&A RATED 100% A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include? Metallic taste in mouth Dry cough Increased urinary frequency Excessive sweating RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 129. C 130. D 131. D 132. Intradermal Injection areas A. Buttocks. B. Upper back. C. Hamstring area. RN COMPREHENSIVE PREDICTOR TEST Q&A RATED 100% Sites Of Intradermal Injections RN COMPREHENSIVE PREDICTOR TEST Q & A RATED 100% 133. Bariatric Surgery  Instruct the client on limitations regarding liquids or pureed foods for the first 6 weeks, as well as the volume that can be consumed (often not to exceed 1 cup).  Instruct the client to walk daily for at least 30 min.  Remind the client that overeating can dilate the surgically created pouch causing weight to be regained.  Instruct the client to take vitamin and mineral supplements. Cancer Treatment Options: Adverse Effects of Radiation Therapy (Active Learning Template - Therapeutic Procedure, RM AMS RN 10.0 Chp 91)  Adverse effects on tissues within the radiation path include  Skin changes  Hair loss  Debilitating fatigue Cancer and Immunosuppression Disorders: Teaching a Client Who Is Undergoing Radiation Therapy (RN QSEN - Patient-centered Care, Active Learning Template - Basic Concept, RM Nutrition 6.0 Chp. 16)  Nausea, vomiting o Eat cold or room-temperature foods. o Try high-carbohydrate, low-fat foods. o Avoid fried foods. o Do not eat prior to chemotherapy or radiation. o Take prescribed antiemetic medication. o Sit up for 1 hr after a meal. Nursing Care of Newborns: Preventing Heat Loss Through Conduction (RN QSEN - Safety, Active Learning Template - Basic Concept, RM MN RN 10.0 Chp 24)  Conduction: Loss of body heat resulting from direct contact with a cooler surface.