Kaplan Predictor B Questions With Complete Solutions
. A client is discharged from the hospital after coronary bypass
(CABG) surgery 3 days ago. During discharge teaching, the
client asks the nurse "When can I resume sexual intercourse
with my wife?" it is best for the nurse to make which of the
following statements? Correct Answer You can resume sexual
activity when you are able to walk one block without chest pain
or discomfort
. A patient is observed to receive a soapsuds enema before
surgery. The nurse delegates the procedure to a nursing assistant
who was transferred from another unit. While the nursing
assistant performs the procedure, the nurse should take which of
the following actions? Correct Answer Supervise the nursing
assistant while the enema is being given and help as necessary
. A woman first noticed labor contractions at 4 A.M. The
patient's membranes ruptured at 9:35 A.M., and the cervix was
10 cm dilated at 10:35 A.M. A healthy 7-lb, 6-oz infant boy was
delivered at 11:15 A.M., and the placenta was expelled at 11:25
A.M. The nurse should record which of the following times as
the length of the third stage of labor? Correct Answer 10
minutes
. A woman who is HIV-positive just delivered a 6 lb, 13 oz
baby. The woman expresses concern to the nurse that her
newborn baby will be HIV-positive. The nurse's response should
be based on which of the following? Correct Answer Testing is
inconclusive until 12 to 15 months of age because antibodies are
present in the newborns system
,. The nurse cares for a client diagnosed with type 1 diabetes. The
client has experienced problems related to gastrointestinal
neuropathies for some time, with an increase in severity over the
past 12 months. Which test, if ordered by the physician, should
the nurse question? Correct Answer Upper GI
. The nurse cares for the client after a fall from a ladder. While
the client is waiting to be seen by the physician, the nurse
observes the client's spouse using a cloth to wipe clear fluid
draining from the left ear. Which statement, if made by the nurse
to the spouse, is BEST? Correct Answer "It is not a good idea
to wipe the ear, but let me know if you see it draining again.
.The nurse cares for a client with a Levin tube connected to
intermittent low suction. At 0630 the night nurse empties the
suction container. At 1000 the nurse charts there is 65 mL of
greenish drainage in the suction container. At 1500 the nurse
notes there is 210 mL of greenish drainage in the suction
container. Twice during the shift, the nurseirrigates the Levin
tube with 30 mL of normal saline. Which is the amount of
drainage from the Levin tube for the 7 to 3 shift? Correct
Answer 270 mL
A 31-year-old female undergoes a tubal ligation. When the
patient regains consciousness, the nurse elevates the head of the
bed 60 degrees. The patient says to the nurse, "I feel dizzy." The
nurse should take which of the following actions? Correct
Answer Lower the head of the bed slowly
,A 36 hour old newborn is receiving phototherapy. The infant's
mother asks why this is being done. Which response by the
nurse is BEST? Correct Answer This treatment converts
bilirubin to a form that can be removed from the body
A 7 lb, 6 oz newborn is to receive vitamin K 9
(AquaMEPHYTON). It is MOST important for the nurse to take
which of the following actions? Correct Answer Administer the
medication IM into the infant's vastus lateralis muscle using a
25- gauge needle.
A 79-year-old woman asks the clinic nurse which immunization
she should have. It is BEST for the nurse to make which of the
following responses? Correct Answer Influenza
A 9-month-old infant receives intramuscular injections every 12
hours. It is MOST important for the nurse to take which of the
following actions? Correct Answer Administer one injection
into the right vastus lateralis and the next injection into the left
vastus lateralis muscle
A child who had abdominal surgery is scheduled to have the
fourth postoperative dressing changed during the day shift. The
patient says to the nurse during morning care, "I hate these
dressing changes. I wish I didn't have to have them." Which
response by the nurse is BEST? Correct Answer "You sound
upset. What is it that you dislike about the dressing changes?
A client attends a support group for incest survivors at the
community mental health center. The client tells the nurse, "I
don't get it. People keep telling me I talk just like my father. He's
, the last person I'd want to act like!" which response by the nurse
is BEST? Correct Answer Some people unconsciously take on
the characteristics of people who exert power over them
A client comes to the emergency department with complaints of
a sore throat, chills, and abdominal pain. The spouse says the
client became sick the day before but is worst today. The client
has a temperature of 102F (38.8C).The client's throat is red, and
there is drainage from the oropharynx. Initially, the nurse would
expect the physician to order which of the following? Correct
Answer A throat culture
A client comes to the ER complaining of shortness of breath,
fatigue, insomnia, and weight loss. The client states that the
client's company forced the client into early retirement. The
client says that the client has been sick ever since the client
stopped working. The nurse should take which of the following
actions first? Correct Answer Help the client see a connection
between his symptoms and emotions, while investigating each
symptom.
A client comes to the outpatient clinic for allergy shots. After
administering the injection, the nurse should take which of the
following actions? Correct Answer Instruct the client stay in
the clinic waiting room for at least 30 minutes
A client diagnosed with malnutrition secondary to AIDS
prepares for total parenteral nutrition (TPN). The client says to
the nurse "I know glucose is sugar. I can't see how giving me
sugar is going to help me." Which is the BEST response by the
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