NSG 210CAT VERSION 31.At a routine prenatal visit, client 24 week gestation____ Answer: Estrogen
2. UAP take vitals a client HIV------- None
3. Multipara post partum breast feeding- ------ Take analgesic 1 hour prior breastfeeding
4.Child with mielomeningocele ----- The purpose of the dressing t...
2. UAP take vitals a client HIV------- None
3. Multipara post partum breast feeding- ------ Take analgesic 1 hour prior breastfeeding
4.Child with mielomeningocele ----- The purpose of the dressing to protect the incision
5. A client with multaq ------ Palpate radial pulse
6.A middle aged with chest pain ---- Administer aspirin 325mg
7.Fall prevention program ----- clients wear rubber soled shoes
8. 86 year old female , not like eat ------ A loss appetite occur in orders
9.Mono spot test -----clarify symptoms no respond antibiotic therapy
10. A client with permetrin ----- Shower 8-14 hours
11.Pregnant 32 sg DTR 4 ------Determine blood pressure
12. Client reddened area on coccyx of a wheelchair----- Encourage the client to shift weight
13.Client anxiety disorder in hallway -----Obtain vital signs
14.Client with GERD ------ Ask the client usual administration time .
15.Use dopamine ----Experiencing ventricular fibrillation
16.Client 2 defibrillation shocks -----Resume CPR
17.Place a sensor for a pulse oximeter ----- Left lower 3+dorsal pedis pulse
18.Client myocardial infarction ---- vasodilator
19. Client using contraceptives for 1 year ----Take medication with food
, 1. What group teaching is directed to overweight????
2. The nurse gave morphine to a patient that the doctor prescribed, is negligence
?????
3. Child with respiratory syncytial virus --- put in a private room
4. Bioterrorism-----Tularemia
5. Attend first child ---- a bee sting
1. At a routine prenatal visit, a client at 24-weeks gestation complains of nasal stuffiness and occasional
nosebleeds. Which hormone is responsible for these changes?
A. Human chorionic gonadotropin.
B. Progesterone.
C. Relaxin.
D. Estrogen.
Correct: D
2. A multipara postpartum client complain intense cramping while breastfeeding. Whatinstruction
should the nurse provide to the client?
A. Change the infant's position during the next feeding.
B. Void and completely empty bladder before each feeding.
C. Take a prescribed analgesic an hour prior to breastfeeding.
D. Drink two glasses of water 30 minutes prior to breastfeeding.
Correct: C
3. While the nurse is preparing to administer a high volume saline enema to a male client, the client
appears anxious and states that he is not able to turn on his right side without help because of a recent
stroke. What action should the nurse take first?
A. Reassure the client that he can remain in any position of comfort during the enema.
B. Assess the client's ability to independently turn to his left side.
C. Instruct the client that the procedure will only last about ten minutes.
D. Ask a UAP to assist the client to maintain a right lateral position.
Correct: D
,4. A client is receiving an IV infusion of regular insulin, 50 units in 100 ml of normal saline at 4 units/
hour. The nurse should program the infusion pump to deliver how many ml/hour? (Enter numeric value
only.)
Correct: 8
5 A client takes dronedarone (Multaq) 400 mg PO twice daily is admitted with chest pain and shortness
of breath. The nurse should withhold the Multaq if the client manifests which finding?
A. Three premature ventricular beats/minute.
B. QTc interval less than 500 milliseconds.
C. Respiratory rate greater than 30 beats/minute.
D. Palpable radial pulse less than 50 beats/minute.
Correct: D
6. A middle-aged client with complaints of chest pain radiating into his jaw is en route to the hospital via
ambulance. Oxygen was started, threee nitroglycerin sprays of 5 minute intervals were administered,
with no pain relief, and an IV was initiated. The cardiac monitor indicates normal sinus rhythm. On
arrival at the Emergency Department, which intervention should the nurse implement first?
A. Prepare for defibrillation or cardioversion.
B. Inject 5,000 units heparin subcutaneously
C. Obtain a 12 lead EKG.
D. Administer a chewable aspirin 325 mg.
Correct: D
7. The nurse is planning a fall prevention program for the residents at a long-term care facility. Which
intervention is most important in providing a safe environment?
A. Encourage clients to wear rubber-soled shoes.
B. Accompany residents older than 80 years during ambulation.
C. Apply a vest restraint prophylactically to confused residents.
D. Leave the hall lights on during the night.
Correct: A
8. For a client who has been receiving linezolid (Zyvox) for two weeks to treat an MRSA- infected
wounds, what finding requires the most immediate action by the nurse?
, A. Ecchymosis
B. Insomnia
C. Tongue discoloration
D. Vaginal discharge
Correct: A
9. The unlicensed assistive personnel (UAP) caring for a postoperative client reports to the charge nurse
that the client is not using the incentive spirometer effectively. What action should the charge nurse
implement?
A.Schedule time later in the morning to review the use of incentive spirometer with the client.
B. Ask the practical nurse assigned to care for the client to review the use of spirometer with the client.
C. Encourage the UAP to demonstrate the effective use of the incentive spirometer to the client.
D. Advise the UAP that the respiratory therapist is responsible to supervise the client's use of the
spirometer.
Correct: B
10. The RN is in charge of a 20-bed surgical unit and is preparing assignments for the shift. Which
nursing task should be assigned to the LPN?
A. Administer a unit of blood to a client who has decreased hemoglobin and hematocrit.
B. Take the routine vital signs on a client who just returned from surgery.
C. Teach a client who has a new sigmoid colostomy how to irrigate the colostomy.
D. Administer a pain medication to a client who had a bowel resection yesterday.
Correct: D
11. The culture and sensitivity report for a client who has been receiving a broad spectrum antibiotic
indicated that the bacteria is resistant to the currently prescribed medication. What action should the
nurse implement in response to this finding.
A. Notify the lab of the need for drug peak and trough levels
B. Determine if the white blood cell count has increased.
C. Administer the next scheduled dose of the antibiotic.
D. Assess the oral mucosa for signs of superinfection.
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