NURSING
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1. A nurse is assisting with the Ensure the client's weights are hanging
care of a client who has a fe- freely from the bed.
mur fracture and is in skeletal
traction. Which of the follow-
ing actions should the nurse
take
2. A nurse in a provider's of- Take this medication between meals
fice is reinforcing teaching
with a client who has anemia
and has been taking ferrous
gluconate for several weeks.
Which of the following in-
structions should the nurse
include?
3. A nurse in a provider's of- Take this medication between meals.
fice is reinforcing teaching
with a client who has anemia
and has been taking ferrous
gluconate for several weeks.
Which of the following in-
structions should the nurse
include?
4. A nurse is reviewing the Wash daily with an antibacterial soap.
plan of care for a client
who has cellulitis of the leg.
Which of the following inter-
ventions should the nurse rec-
ommend?
5. A nurse is reinforcing teach- Avoid medications in capsule or enteric
ing with a client who is form.
postoperative after having an
ileostomy established. Which
of the following instructions
should the nurse include in
the teaching?
, NURSING
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6. A nurse is caring for a client "Large incisions will be made in the burned
with severe burns to both low- tissue to improve circulation."
er extremities. The client is
scheduled for an escharoto-
my and wants to know what
the procedure involves. Which
of the following statements is
appropriate for the nurse to
make?
7. A nurse is collecting data from Decreased color perception
a client who has a possible
cataract. Which of the follow-
ing manifestations should the
nurse expect the client to re-
port?
8. A nurse is contributing to Maintain the client in Fowler's position.
the plan of care for a client
who has an intestinal obstruc-
tion and is receiving contin-
uous gastrointestinal decom-
pression using a nasogas-
tric tube. Which of the follow-
ing interventions should the
nurse include in the plan of
care?
9. A nurse is caring for a client 1) Buffalo hump 2) Purple striations 3)
who has Cushing's syndrome. Moon face
Which of the following clini-
cal manifestations should the
nurse expect to observe? (Se-
lect all that apply.)
10. A nurse is caring for a client Monitor intake and output hourly
who is in the oliguric phase of
acute kidney injury. Which of
, NURSING
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the following actions should
the nurse take?
11. A nurse is reinforcing teach- "You will remain NPO for 8 hours before the
ing about an esophagogastro- procedure."
duodenoscopy with a client
who has upper gastric pain.
Which of the following state-
ments should the nurse in-
clude in the teaching?
12. A nurse is caring for a client Postictal phase
who is difficult to arouse and
very sleepy for several hours
following a generalized ton-
ic-clonic seizure. Which of the
following descriptions should
the nurse use when docu-
menting this finding in the
medical record?
13. A nurse is reinforcing teach- "The pain will dissipate if you ambulate fre-
ing with a client who reports quently."
right shoulder pain following
a laparoscopic cholecystec-
tomy. Which of the following
statements should the nurse
make?
14. A nurse is checking the suc- Verify that the suction regulator is on.
tion control chamber of a
client's chest tube and notes
that there is no bubbling in
the suction control chamber.
Which of the following actions
should the nurse take?
15. A nurse is assisting with the Encourage fluid intake. 2) Monitor the punc-
care of a client immediately ture site for hematoma.
following a lumbar puncture.
, NURSING
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Which of the following actions
should the nurse take? (Select
all that apply.)
16. A nurse is assisting with the Prevent aspiration.
care of a client who is postop-
erative following surgical re-
pair of a fractured mandible.
The client's jaw is wired shut
to repair and stabilize the frac-
ture. The nurse should recog-
nize which of the following is
the priority action?
17. A nurse is collecting data from Hardened skin
a client who has scleroderma.
Which of the following find-
ings should the nurse expect?
18. A nurse is caring for an older Add thickener to fluids.
adult client who has dyspha-
gia and left-sided weakness
following a stroke. Which of
the following actions should
the nurse take?
19. A nurse is caring for a client Airway obstruction
who has partial-thickness and
full-thickness burns of his
head, neck, and chest. The
nurse should recognize which
of the following is the priority
risk to the client?
20. A nurse is reinforcing teach- 1) Take the medication 45 minutes before
ing with a client who is new- eating.
ly diagnosed with myasthe-
nia gravis and is to start tak-
ing neostigmine. Which of the
following instructions should
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