Nurse Logic Testing and Remediation Advanced UPDATED Exam Questions and CORRECT Answers
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Nurse Logic Testing and Remediation
Institution
Nurse Logic Testing And Remediation
Nurse Logic Testing and Remediation
Advanced UPDATED Exam Questions and
CORRECT Answers
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 batter...
Nurse Logic Testing and Remediation
Advanced UPDATED Exam Questions and
CORRECT Answers
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? - Correct Answer- 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? -
Correct Answer- "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? - Correct Answer- 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? - Correct
Answer- 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? - Correct Answer- 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? - Correct Answer- *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? - Correct Answer- "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? - Correct Answer- Soybeans
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