Nurse Logic Testing and Remediation Advanced All Possible Questions and Answers 2023 with complete solution
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Nurse Logic Testing And Remediation Advanced
Nurse Logic Testing and Remediation Advanced All Possible Questions and Answers 2023 with complete solution
A nurse is caring for a client who has been off the unit for physical therapy for the past hour notes that the infusion pump for the clients TPN is turned off. The client tells the nurse t...
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Nurse Logic Testing and Remediation Advanced All
Possible Questions and Answers 2023 with complete
solution
A nurse is caring for a client who has been off the unit for physical therapy for the
past hour notes that the infusion pump for the clients TPN is turned off. The client
tells the nurse that the battery went dead while she was in physical therapy. The
nurse should monitor the client for which of the following manifestations?
Shakiness and diaphoresis
These are manifestations of hypoglycemia, which can occur if there is a sudden
interruption in the delivery of TPN, resulting in the client receiving below the prescribed
amount.
A nurse is reinforcing teaching to parents of a child who is admitted with
rheumatic fever. Which of the following statements by the parent indicates a need
for further teaching?
"This illness will not recur because my child has now had it"
It is possible for rheumatic fever to recur, so prophylactic treatment with monthly IM
injections of benzathine penicillin G, or daily oral doses of penicillin or sulfadiazine, will
be needed.
A nurse is assisting with the care of a client who is in labor. Following
spontaneous rupture of membranes, the nurse visualizes the umbilical cord
protruding from the vagina and the fetal heart rate is 50/min. After calling for
assistance and notifying the provider, which of the following is the priority action
by the nurse?
Place the client in a knee-chest position
Placing the client in a knee-chest position will aid in keeping the pressure of the
presenting part of the fetus off the cord. Using the ABC priority setting framework, the
greatest risk is the cessation of circulation to the fetus; therefore, this is the priority
action the nurse should take. BUT wrapping the umbilical cord in the 0.9% sodium
chloride solution is also CORRECT but not priority i guess..
A nurse is reinforcing teaching to a client who is newly diagnosed with
hypertension and has been prescribed captopril (Capoten). The nurse should
reinforce that which of the following medications has the potential to reduce the
antihypertensive effect of captopril?
Aspirin (Bayer)
Aspirin and other NSAIDS can reduce the antihypertensive effects of captopril, which is
an ACE inhibitor. The nurse should reinforce to the client that aspirin has the potential to
reduce the antihypertensive effect of captopril and should be avoided.
A nurse is caring for a client who is prescribed lithium (Eskalith). Which of the
following clinical findings should be immediately reported to the provider?
Slurred speech
, lurred speech is an early clinical finding associated with lithium toxicity and can
precipitate the onset of seizures or coma. Using the safety and risk reduction priority
setting framework, this finding jeopardizes the immediate physiological safety of the
client and should be reported to the provider immediately.
A nurse is reviewing the electronic fetal heart rate tracing of a client who is in
labor. Which of the following images exhibits variable decelerations?
*Variable decelerations are caused from cord compression.
Late decelerations are caused from uteroplacental insufficiency.
Prolonged decelerations are a decrease in the fetal heart rate of 15/min below baseline.
Prolonged decelerations last more than 2 min but less than 10 min. This can result from
maternal hypotension, umbilical cord prolapsed, placental rupture, placental
hemorrhage, and tetanic contraction.
Early decelerations are caused from head compression.
A nurse is reinforcing teaching about methods to decrease nausea to a client who
is receiving chemotherapy. Which of the following statements by the client
indicates a need for further teaching?
"I should eat low carbohydrate foods" is correct. Clients who are experiencing nausea
should eat foods high in carbohydrates, such as crackers, yogurt, toast, bananas, and
sherbet. This is not an appropriate statement by the client and indicates a need for
further teaching
A nurse is reinforcing teaching regarding foods containing complete protein to a
client. Which of the following should be included in the teaching?
Soybeans
Food sources of complete proteins contain sufficient quantities of all nine essential
amino acids to support body growth and maintenance. Soybeans are a source of
complete protein and should be included in the teaching.
A nurse in a long-term care facility is assisting with an educational program
regarding common sites of health care associated infections for a group of newly
hired assistive personnel. Which of the following sites should be included in the
teaching? (Select all that apply.)
Urinary Tract, Surgical Wounds, Respiratory Tract, an Blood Stream are all correct
Urinary tract is correct. Health care associated infections are caused from health care
delivery in a health care facility. These result from prescribed antibiotic administration,
presence of multi-medication resistant organisms, breeches in infection control
practices, and invasive procedures. The urinary tract is a common site for health care
associated infections. ***(UTIs and CAUTIs from caths)
Surgical wound is correct. ***(any open wound can contract bacteria if not properly
cleaned/maintained)
Musculoskeletal system is INCORRECT. While injuries can occur in the health care
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