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RN Fundamentals 2016 Form A $11.49   Add to cart

Exam (elaborations)

RN Fundamentals 2016 Form A

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RN Fundamentals 2016 Form A

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  • December 8, 2022
  • 25
  • 2022/2023
  • Exam (elaborations)
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RN Fundamentals 2016 Form A

1. A nurse in a clinic is caring for a middle adult client who
states, "The doctor says that, since I am at an average risk
for colon cancer, I should have a routine screening. What
does that involve?" Which of the following responses should
the nurse make?
A. "I'll get a blood sample from you and send it for a screening
test."
B. "Beginning at age 600, you should have a colonoscopy."
C. "You should have a fecal occult blood test every year."
D. "The recommendation is to have a sigmoidoscopy every 10
years.": C. "You should have a fecal occult blood test every year."
Blood tests do not detect colorectal cancer.
Colorectal cancer screening for clients at average risk begins at
age 50. One option for screening is a colonoscopy every 10 years.
Another option for screening is a flexible sigmoidoscopy every 5
years.
2. A nurse is caring for a client who is having difficulty
breathing. The client is lying in bed with a nasal cannula
delivering oxygen. Which of the following interventions
should the nurse take first?
A. Suction the client's airway
B. Administer a bronchodilator
C.Increase the humidity in the client's room
D. Assist the client to an upright position: D. Assist the client to
an upright position
The nurse should use less invasive interventions first.
3. A nurse is preparing to administer 0.5 mL of oral single-dose
liquid medication to a client. Which of the following actions
should the nurse take?
A. Gently shake the container of medication prior to
administration
B. Transfer the medication to a medicine cup

,C. Place the client in a semi-Fowler's position prior to medication
adminis-tration
D. Verify the dosage by measuring the liquid before
administration: A. Gently shake the container of medication prior
to administration
Pt. should be in the high-Fowler's position when administering
medication.
The nurse should NOT transfer prepackaged liquid medications to
reduce the risk of altering the premeasured dose.
4. A nurse is planning care to improve self-feeding for a client
who has vision loss. Which of the following interventions
should the nurse include in the plan of care?
A. Tell the client which food should should eat first.
B. Provide small-handle utensils for the client.
C. Thicken liquids on the client's tray
D. Use a clock pattern to describe food on the client's plate: D.
Use a clock pattern to describe food on the client's plate
Large-handle adaptive utensils are easier for the client to grip.
Clients who have, dysphagia, NOT vision loss, require thickening
of liquid to facilitate swallowing without choking.
5. A nurse is teaching an older adult client who is at risk for
osteoporosis about beginning a program of regular physical
activity. Which of the following types of activity should the
nurse recommend?
A. Walking briskly
B. Riding a bicycle
C. Performing isometric exercises
D. Engaging in high-impact aerobics: A. Walking briskly
Exercise with no weight-bearing advantages, like B and C, do not
help prevent osteoporosis.
High-impact aerobics can injure bones that have lost density.
6. A nurse is assessing a client's readiness to learn about
insulin administration. Which of the following statements

, should the nurse identify as an indication that the client is
ready to learn?
A. "I can concentrate best in the morning."
B. "It is difficult to read the instructions because my glasses are
at home."C. "I'm wondering why I need to learn this."
D. "You will have to talk to my wife about this.": A. "I can
concentrate best in the morning."
7. A nurse is giving discharge instructions to a client who will
require oxygen therapy at home. Which of the following
statements should the nurse identify as an indication that the
client understands how to manage this therapy at home?
A. "I'll make sure that, when my friend comes by, she smokes at
least 6 feet away from my oxygen.
B. "I'll use a woolen blanket if I get chilly while I'm using my
oxygen.
C. "I'll check the wires and cables on my TV to make sure they
are in good working order.
D. "I'll lay my oxygen tank down on the floor when the
grandchildren visit so they don't knock it over.: C. "I'll check
the wires and cables on my TV to make sure they are in good
working order.
Oxygen is a highly flammable gas. The visitors should smoke
outside the house.
Woolen and synthetic materials can create sparks, so the client
should use a cotton blanket during O2 therapy.
8. A nurse is caring for a client who is reporting difficulty
falling asleep. Which of the following measures should the
nurse recommend?
A. Drink a cup of hot cocoa before bedtime
B. Exercise 1 hr before going to bed
C. Use progressive relaxation techniques at bedtime
D. Reflect on the day's activities before going to bed: C. Use
progressive relaxation techniques at bedtime

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