PRACTICE TEST 1
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THE NURSE IS CARING FOR A CLIENT FOLLOWING AN APPENDECTOMY. THE CLIENTS REPORTS NAUSEA AND COMPLAINS OF SURGICAL SITE PAIN AT A 6 ON A PAIN SCALE. THE CLIENTS EMPLOYER IS PRESENT IN THE ROOM AND WANTS TO KNOW WHAT PAIN MEDICATION IS GOING TO PRESCRIBED...WHAT IS THE NURSES RESPONSE
EXPLAIN TO THE EMPLOYER THAT YOU CANNOT RELEASE PRIVATE INFORMATION AND ASK THE EMPLOYER TO STEP OUT WHILE YOU CONDUCT YOUR ASSESSMENT OF THE CLIENT.
THE NURSE IS CARING FOR A CLIENT WITH A HISTORY OF ADVANCED CHRONIC OBSTRUCTIVE PULMONARY DISEASE. THE CLIENT HAD CONVENTIONAL GALL BLADDER SURGERY 2 DAYS PREVIOUSLY. WHICH INTERVENTION HAS PRIORITY FOR PREVENTING RESPIRATOR COMPLICATIONS
GETTING THE CLIENT OUT OF BED 4 TIMES DAILY AS ORDERED BY THE PHYSICAN
A NURSE IS DEVELOPING A CARE PLAN FOR A CLIENT WITH ACUTE MANIA. PLACE THE FOLLOWING BEHAVIORS IN THE ORDER IN WHICH THEY OCCUR AS THE CLIENT DEVELOPS ACUTE MANIA.
RELEVANT,CALM SPEECH PATTERNS, HIGHLY PRODUCTIVE AND COMPETITIVE IN WORK AND LEISURE ACTIVITIES EASILY IRRITATED DELUSIONS OF GRADEUR, AND POOR JUDGEMENT AND IMPULSES CONTROL
WHEN EDUCATING A PREGNANT CLIENT ABOUT HOME SAFETY, WHICH OF THE FOLLOWING INFORMATION IS APPROPRIATE FOR THE NURSE TO INCLUDE IN THE TEACHING PLAN
WHEN TAKING A SHOWER, PLACE A NON SKID MAT ON THE FLOOR OF THE TUB OR SHOWER, AVOID WEARING HIGH HEELS, AND USE NON SLIP RUGS ON THE FLOORS
A CLIENT HAD A C5 SPINAL CORD CONTUSION THAT RESULTED IN QUADRIPLEGIA. TWO DAYS AFTER THE INJURY OCCURED, THE NURSE SEES THE MOTHER CRYING IN THE WAITING ROOM. THE MOTHER ASKS THE NURSE WHETHER HER SON WILL EVER PLAY FOOTBALL AGAIN. WHICH OF THE FOLLOWING IS THE BEST INITIAL RESPONSE
ASK THE MOM EXACTLY WHAT DOES SHE KNOW ABOUT HER SONS INJURY
THE NURSE IS CARING FOR A CLIENT WHO WILL UNDERGO SURGICAL REPAIR OF A DETACHED RETINA. WHICH OF THE FOLLOWING IS THE MOST LIKELY PREOPERATIVE NURSING DIAGNOSIS FOR THIS CLIENT
ANXIETY RELATED TO LOSS OF VISION AND POTENTIAL FAILURE TO REGAIN VISION
WHEN ASSESSING A CLIENT WITH GLAUCOMA, A NURSE EXPECTS WHICH OF THE FOLLOWING FINDINGS
COMPLAINTS OF HALOS AROUND LIGHTS
A CLIENT HAD A C SECTION DELIVERY AND IS POSTPARTUM DAY 1. SHE ASKS FOR PAIN MEDICATION WHEN THE NURSE ENTERS THE ROOM TO DO HER SHIFT ASSESSMENT. THE CLIENT STATES THAT HER PAIN LEVEL IS AN 8 ON A PAIN SCALE. WHAT SHOULD BE THE NURSES PRIORITY OF CARE
GIVE THE PAIN MEDICATION FIRST, DO A QUICK ASSESSMENT WHILE ADMINISTERING THE MEDICATION TO ENSURE THE PAIN IS NOT CAUSED BY A COMPLICATION AND RETURN FOR THE FULL ASSESSMENT AFTER THE CLIENTS PAIN HAS SUBSIDED
THE NURSE IS PREPARING TO TEACH A CLIENT ABOUT THE EFFECTS OF ISONIAZID. WHICH INFORMATION IS IMPORTANT FOR THE CLIENT TO UNDERSTAND
DRINKING ALCOHOL DAILY CAN INCREASE THE INCIDENCE OF DRUG INDUCED HEPATITIS
A one-month old infant in the neonatal intensive care unit is dying. The parents request that the nurse administer an opioid analgesic to their infant, who is crying weakly. The infant's heart rate is 68 beats per minute and the respiratory rate is 18 breaths per minute. The infant
is on room air and the oxygen saturation is 92%. The nurse's response is based on which of the following principles?
Providing analgesia during the last days and hours is an ethically-appropriate nursing action.
While undergoing hemodialysis, the client becomes restless and tells the nurse he has a headache and feels nauseous. Which of the following complications does the nurse suspect?
An elderly couple is speaking to the nurse about their ambivalence related to sending the client, their adult, dual-diagnosed (bipolar and drug addict) son, into residential placement. They tell the nurse that
neither keeping their son at home nor sending him to a facility is a satisfactory solution for them. What information should the nurse keep in mind when discussing this dilemma with the family
- Look for all potential options for care.
- Review the client's treatment history.
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