1. A nurse is planning medication teaching for a client who has ED. Which of the following
medications should the nurse plan to include in the teaching?
o Sildenafil
2. A nurse is caring for a client who has gestational hypertention and is experiencing PP
hemorrhage. Which of the following medi...
1 a nurse is planning medication teaching for a client who has ed which of the following medications should the nurse plan to include in the teaching o sildenafil 2 a nurse is caring for a client
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1. A nurse is planning medication teaching for a client who has ED. Which of the following
medications should the nurse plan to include in the teaching?
o Sildenafil
2. A nurse is caring for a client who has gestational hypertention and is experiencing PP
hemorrhage. Which of the following medications should the nurse aniticipate
administering?
o Misoprostol
3. A nurse is assessing a 7-month-old infant who is experiencing developmental delays.
Which of the following findings should the nurse expect?
o Restricts attention to large objects
4. A nurse is caring for a client who is being seen for infertility and has a new prescription
for clomiphene citrate. Which of the following manifestations should the nurse include in
the teaching as a common adverse effect of the medication?
o You might have breast tenderness while taking the medication
5. A nurse is discussing palliative care with the family of a client who is terminally ill.
Which of the following information should the nurse include?
o Palliative care includes a variety of therapies
6. A nurse is caring for a client who is experiencing hypovolemic shock due to postpartum
hemorrhage. After notifying the provider, which of the following actions should the nurse
take next?
o Massage the clients fundus
7. A nurse in a provider’s office is performing a skin assessment on a client who reports
concern about a lesion on her back. Which of the following images should the nurse
identify as having the characteristics of melanoma?
o The black one with irregular boarders
8. A nurse is assessing a client who is at 24 weeks of gestation. Which of the following
findings should the nurse identify as an indication of gestational hypertension?
o Diastolic BP of 98mmHg
▪ Gestational hypertension is anything over 140/90
9. A nurse in a mental health facility is caring for a client who has anorexia nervosa. Which
of the following actions should the nurse take to help the client manage this eating
disorder?
o Limit the client’s intake of caffeine
o Suggest high-fiber food choices
o Use increments of 100 calories when advancing the client’s diestary intake
10. A school nurse is observing a preschooler who has autism spectrum disorder (ASD).
Which of the following behavioral characteristics should the nurse expect the child to
exhibit?
o Ritualistic
11. A nurse is caring for a newborn who has a congenital heart deect and is postoperative
following a cardiac catheterization. Which of the following actions should the nurse take?
o Monitor the color of the affected extremity
12. A nurse is discussing family planning with a client who wants to use a diaphragm for
contraception. Which of the following statement should the nurse include in the teaching?
o You should be refitted for your diaphragm after a 20 percent weight fluctuation
, 13. A nurse is assessing a client who is at 34 weeks of gestation and is experiencing seere
uterine pain. Which of the following findings should the nurse report to the provider?
o Increased fundal height since admission
14. A nurse is providing teaching to a client who has epilepsy and is starting to take
carbamazepine. The nurse should instruct the client to monitor for which of the following
manifestations as an adverse effect of this medication?
o Blurred vision
15. A nurse in an acute care mental health unit is caring for a newly admitted client who has
obsessive-compulsive disorder. The client is repeatedly washing her hands. Which of the
following actions should the nurse take?
o Teach the client to use thought-stopping techniques
16. A nurse is assessing a client who has acute pyelonephritis. The nurse should identify
which of the following findings as an indication of inflammation?
o Redness on the right flank
17. A nurse is assessing a 12-month-old infant who has Down Syndrome. Which of the
following manifestations should the nurse expect?
o Decreased muscle tone
18. A nurse is caring for a newly-admitted client who is at 37 weeks of gestation and is
experiencing moderate placental abruption. Which of the following actions should the
nurse take?
o Insert a large-bore IV catheter
19. A nurse is caring for a client who has schizophrenia. Which of the following statements
made by the client indicates delusions of reference?
o Someone is trying to get a message to me through this newspaper
20. A nurse is assessing a client who has inflammatory bowel disease and is 1 day
postoperative following a permanent ileostomy placement. Which of the following
findings should the nurse report to the provider?
o The stoma is retracted into the abdominal wall
21. A staff nurse tells the nurse manager that he consistently receives work assignments with
a heavier work load than the other nurses on the shift. Which of the following actions
should the nurse manager take to address the staff nurse’s report of bullying?
o Check work assignments to validate the staff nurse’s claim.
22. A nurse is assessing a group of clients who have personality disorders. Which of the
following clients should the nurse identify as having characteristics of schizoid
personality disorder?
o A client who dislikes having close relationships with other people
23. A nurse is providing teaching to the family member of a client who has delirium. Which
of the following information should the nurse include?
o Delirium can be brought on by the stress of an illness
24. A nurse is caring for a client who is receiving chemotherapy for non-Hodgkin’s
lymphoma. Which of the following actions should the nurse take?
o Instruct the client to wash drinking glasses after each use
25. A nurse is assessing a client who has rheumatoid arthritis (RA) and has been taking
methotrexate for 4 months. Which statement by the client indicates to the nurse that the
medication is effective?
o “I have been able to go outside for walks lately”
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