content?
A nurse is collecting data from a. 1 cup yogurt
a parent of a preschooler at a well- b. 1 cup raw broccoli
child visit. Which of the following c. 1 large baked potato
findings is a contraindication to a d. 1 cup boiled carrots
measles, mumps and rubella
(MMR) immunization?
a. Family history of allergies to
penicillin
b. Erythema at injection site
with previous immunization.
c. Long-term use of
immunosuppressants
d. Current use of antimicrobial therapy.
A nurse is reinforcing teaching
with a client who has a vitamin C
deficiency. Which of the following
foods should the nurse include as
having the highest vitamin C
A nurse is checking the home is not available.
environment of a client for safety b. Delay the procedure if the provider
hazards. Which of the following items cannot contact the parents.
require intervention by the nurse? c. Witness the signature of the client’s
a. The television set is turned to a loud parents when he arrives.
volume d. Obtain verbal consent from the client
b. The dining room table has low while waiting for the parents to arrive.
chairs with no armrests
c. The bedroom extension cord is A nurse is reinforcing teaching with a parent
placed under a heavy nightstand about appropriate snacks for a toddler. Which
d. The living room contains wall of the following food should the nurse include?
to wall carpeting. a. Marshmallows
b. Graham crackers
A nurse is caring for a 17-yr. old client c. Almonds
who is admitted for an emergency d. Carrot sticks
appendectomy. Which of the following is
an appropriate action by the nurse in A nurse is preparing to catheterize a
obtaining informed consent? client’s bladder to check for residual urine.
a. Have the client’s older The nurse should schedule this procedure at
sibling give consent if parent which of the following times?
a. Right after the client void A nurse is collecting data from a client
b. When the client feels an urge to void who has diabetes mellitus. Which of the
c. While voiding on a bedpan following indicates the client might be
d. Before obtaining a bladder scan. experiencing diabetic ketoacidosis?
a. Negative urine ketones
A nurse is caring for a client who has b. Kussmaul respirations
viral pneumonia. Which of the following c. Hypoglycemia
actions should the nurse take? d. Anuria
a. Place the client in a private room
b. Administer azithromycin A nurse receives a verbal order for a
c. Recommend a pneumococcal client to receive a stat dose of meperidine
immunization. 100 mg PO. She administers the
d. Limit fluid intake to 1L per day. medication, charts the administration and
then realizes she has administered
phenytoin 100 mg. which of the following
actions should the nurse take first?
a. Check client’s vital signs.
b. Complete an incident report.
c. Notify the provider
d. Administer the meperidine.
about self- administration of nasal drops
A nurse is caring for a client and with a client. Which of the following
begins to suspect he is experiencing position should the nurse recommend for
transference. Which of the following installation of the drops?
client statements should the nurse a. Sims’
identify as an indicator of b. Prone
transference? c. Supine
a. I’m going to inform my d. Orthopneic
provider that I’m going to quit
taking my medication
b. I don’t want to talk to you
about how I’m feeling right
now
c. I feel really close to you
because you remind me of
my ex-boyfriend.
d. I feel happy about the progress
I have been making in my life.
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