Kaplan Diagnostic A Practice
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C ANS✔✔ 1. The nurse cares for the client diagnosed as being in the manic
phase of bipolar disorder. Which behavior indicates to the nurse the client
condition is improving?
a. The client offers suggestions to other clients on the unit
b. The client begins to write a book about life
c. The client sits and eats with other clients on unit
d. The client talks with other clients a group meeting
C ANS✔✔ 2. The health care provider orders a continuous intravenous
aminophylline infusion for a two year old client. It is most important for the
nurse to intervene for which situation?
a. The client heart rate is 100 bpm
b. The clients blood pressure is 100/60 mmHg
c. The clients serum theophylline level is 25 mcg/mL
d. The client is sleepy
B ANS✔✔ 3. The nurse teaches the client about the schedule cardiac
catheterization. Which statement, if made by the client to the nurse, indicates
that the teaching was effective?
,a. "I understand that there is little or no risk associated with this procedure."
b. "I may experience a little pounding sensation in my chest during the
procedure."
c. "I will be in and out of the procedure room in about 30 minutes."
d. "I will be able to walk in the hall soon after the procedure is completed."
B ANS✔✔ 4. During the second stage of labor, the client's partner asks the
nurse, "Can I go get a cup of coffee from the cafeteria?" Which response by the
nurse is best?
a. "I will get you a cup of coffee."
b. "It would be best if you stayed here at this time."
c. "Ask your partner if it is acceptable to leave."
d. "Why do you want to leave the room?"
B ANS✔✔ 5. The nurse discovers that client lying face down on the floor.
Which action does the nurse take first?
a. Assess the patency of the client's airway
b. Determine whether the client is responsive
c. Check the client's carotid pulse
d. Reposition the client onto the back
,B ANS✔✔ 6. A nurse works 3 weeks at a 100-bed suburban hospital after
working several months at a 40-bed rural hospital. The nurse prefers the total
client care delivery system that was used at the rural hospital, rather then the
team leading system of client care that is used at the suburban hospital. Which
action does the nurse take?
a. Works with in the system at the hospital to change the type of client care
delivery
b. Discuss his thoughts about the type of client care delivery system with the
nurses supervisor
c. Asks the nurses peers why this type of client care delivery system is used
d. Suggests a change in the type of client care delivery system to the director of
nursing
D ANS✔✔ 7. The nurse cares for the client diagnosed with a left traumatic
below knee amputation (BKA) with a tourniquet in place. The client also has a
tear from the perineum to the rectum. Which action is the nurse take first?
a. Apply anti-shock trousers
b. Assesses the clients level of consciousness
c. Remove the tourniquet
d. Check the client's blood pressure and pulse
c ANS✔✔ 8. During morning rounds, the client diagnosed with
schizophrenia tells the nurse, "I know you are conspiring with my spouse to
keep me locked away." Which statement by the nurse is the most appropriate?
, a. "What makes you think your spouse is trying to hide your existence?"
b. "Are you saying that you think your spouse doesn't love you?"
c. "I can see that you are frightened about being here but I am a nurse in a
hospital."
d. "I'm not conspiring with your spouse. I first met your spouse when you are
admitted to the hospital."
C ANS✔✔ 9. During a routine prenatal visit, the nurse auscultates the fetal
heart rate (FHR). If the fetal position is left sacrum posterior (LSP), at which
site does the nurse expect to find the fetal heart (FHT)?
a. Below umbilicus, on the mothers right
b. Below umbilicus, on the mothers left
c. Above umbilicus, on the mothers left
d. Above umbilicus, on the mothers right
C ANS✔✔ 10. The nurse makes environmental rounds on the client care
unit. Which problem does the nurse addressed first?
a. A wheel of the medication cart is broken
b. The needle disposal unit in unoccupied room is full
c. The call light and occupied isolation room is broken
d. The ice machine and the visitors lounge is leaking water on the floor
D ANS✔✔ 11. The nurse observes a nursing assistive personnel (NAP) enter
the room of the client diagnosed with tuberculosis (TB) to provide morning
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