PN Comprehensive Online Practice 2020 B Part 3

A nurse is assisting in the plan of care for a female client who is to undergo a 12-lead ECG. Which of the following actions should the nurse include in the plan of care? Instruct the client to remain still while the test is performed A nurse is collecting data from a client who has multiple sclerosis. Which of the following findings should the nurse expect? Ataxia A nurse is reinforcing teaching with a client who is bottle feeding their full-term newborn with formula. Which of the following instructions should the nurse include in the teaching? Feed the newborn at least every 3 to 4 hr A nurse is preparing to administer a rectal suppository to a school-age child. Which of the following actions should the nurse plan to take? Use one finger to insert the suppository past the anal sphincters A nurse is assisting with monitoring a client who is at 40 weeks of gestation and is in active labor. The nurse recognizes late decelerations on the fetal monitor tracing. Which of the following actions should the nurse take? Place the client in a lateral position A nurse is assisting with an in-service about hepatitis A for a group of staff nurses. The nurse should include that hepatitis A is transmitted through which of the following methods? Consumption of contaminated food A nurse is contributing to an in-service for newly-licensed nurses about child maltreatment. The nurse should include that which of the following characteristics increases a child's risk of physical maltreatment? The child was born at 34 weeks of gestation A nurse is reinforcing teaching with a client who has coronary artery disease (CAD) and is taking a low-dose aspirin daily. The nurse should include that this medication has which of the following therapeutic effects? Antiplatelet A nurse at a long-term care facility is transcribing new prescriptions for four clients. Which of the following prescriptions is accurately transcribed by the nurse? Potassium chloride 20 mEq PO every morning A nurse is reinforcing teaching with a male client who in uncircumcised about obtaining a clean-catch midstream urine specimen. Identify the sequence of actions the nurse should instruct the client to take after washing their hands. 1. Expose the glans of the penis 2. Cleanse the penis using an antiseptic swab 3. Begin urination 4. Pass the cup into the urine stream 5. Move the cup out of the urine stream 6. Replace the foreskin A nurse is caring for a client who is being discharged home following a cerebrovascular accident. Which of the following documents should the nurse plan to include with the discharge report? List of potential complications to report A nurse is reinforcing teaching with a client who is scheduled for a barium enema. Which of the following statements should the nurse make? This procedure uses diagnostic imaging to locate an obstruction A nurse is preparing to administer medications to a client who is NPO and is receiving enteral feedings through an NG tube. Which of the following prescriptions should the nurse clarify with the provider? Metoprolol ER 50 mg per NG tube BID A nurse on a medical-surgical unit is delegating tasks to an AP. Which of the following tasks should the nurse delegate to the AP? Obtaining a client's vital signs prior to discharge A nurse in a provider's ofÏce is reinforcing discharge teaching with a client who is postoperative following cataract removal from one eye. Which of the following instructions should the nurse include? Avoid lying on the affected side A nurse is reviewing the procedure for endotracheal suctioning with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? "I should apply sterile saline to lubricate the suction catheter." A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus and reports waking during the night with tremors and anxiety. Which of the following information should the nurse include? Eat a bedtime snack A nurse is caring for a client who requests information about advance directives. Which of the following responses should the nurse make? "Advance directives are written instructions regarding end-of-life care" A nurse is working with an interpreter to assist the provider with explaining a diagnostic procedure to a client who speaks a different language than the nurse. Which of the following actions should the nurse take? Ensure the interpreter is culturally compatible with the client A nurse is collecting data from a newly admitted infant who is 3 months old and has diarrhea. Which of the following findings should the nurse report to the provider? Irritability A nurse is reinforcing teaching with a client who is at 20 weeks gestation and will undergo routine abdominal ultrasonography the following day. Which of the following statements should the nurse include in the teaching? "You will need to have a full bladder for the procedure." A nurse is receiving change-of-shift report for a group of clients. The nurse should plan to implement which of the following time-management strategies? Prepare a priority list of client needs for the shift A nurse is reinforcing teaching with the parent of a preschooler who has lactose intolerance. Which of the following statements by the parent indicates an understanding of the teaching? "I should offer my child yogurt that has a probiotic as a snack" A nurse is observing an AP apply antiembolic stockings for a client. Which of the following actions by the AP demonstrates an understanding of how to perform this skill? Applying the stockings before the client gets out of bed A nurse is collecting data from a school-age child who has sustained a skull fracture. Which of the following is a manifestation of increased intracranial pressure? Confusion about knowing their own name A nurse is reinforcing teaching with a client who has acute diverticulitis. Which of the following statements by the client indicates an understanding of the instructions? "I will receive the nutrients I need through my IV fluid." A nurse is reinforcing teaching with a client who is scheduled for a colonoscopy. Which of the following client statements indicates an understanding of the teaching? "I will undergo bowel cleansing prior to the procedure" A nurse is reinforcing teaching with a client who has fluid volume deficit about selecting foods that have a high water content. The nurse should include that which of the following raw foods contains the highest amount of water per 1 cup serving? Cherry tomatoes A nurse is assisting with performing a nonstress test for a client who is at 39 weeks of gestation. Which of the following instructions should the nurse reinforce with the client? "You should depress the button on the handheld marker when you feel your baby move" A nurse is assisting with monitoring a client who is in labor and has spontaneous rupture of membranes following a vaginal examination. The provider reports the client's cervix is dilated to 1 cm with an unengaged presenting part. Which of the following actions should the nurse take? Apply the external fetal heart rate monitor A nurse is preparing to administer a medication to a client. The client states, "I'm sick of all these medications, and I'm not taking any more today!" Which of the following actions should the nurse take? Inform the client of the possible consequences of the medication refusal. A nurse is positioning a client who is scheduled for a lumbar puncture. The nurse should assist the client into which of the following positions? Lateral recumbent A nurse manager is providing an in-service on hand hygiene to AP. Which of the following information should the nurse manager include in the in-service? Remove rings when washing hands with soap and water A nurse is collecting data from a client who has a newly applied cast to the right lower extremity. Which of the following findings should the nurse expect? Capillary refill of 5 seconds to the client's toes A nurse is reinforcing teaching with a group of clients about the Heimlich maneuver during a first-aid class. The nurse should include in the teaching that which of the following manifestations indicates the need for the Heimlich maneuver to be performed? DifÏculty breathing Coughing Presence of stridor A nurse is caring for a client who takes prednisone daily for the treatment of chronic asthma. The nurse should plan to monitor the client for which of the following adverse effects? Gastric ulcer formation A nurse is reinforcing teaching about ways to reduce solid fat consumption with a client who has an elevated cholesterol level. Which of the following instructions should the nurse include? Purchase beef that is a loin cut A nurse is contributing to the plan of care for a client who had a vaginal delivery 4 hr ago and has a fourth-degree perineal laceration. Which of the following interventions should the nurse recommend? Instruct the client to use a sitz bath at least twice a day A nurse assisting with a childbirth class is discussing nonpharmacological strategies used during labor. Which of the following statements by a client indicates an understanding of cutaneous stimulation? I should use counterpressure for back pain during labor A nurse is reinforcing discharge teaching with a client who has dependent personality disorder. Which of the following instructions should the nurse include in the discharge teaching? demonstrate assertiveness A nurse is administering lorazepam to a client who is scheduled for surgery within 1 hr. Which of the following actions should the nurse take after administering the medication? Instruct the client not to get out of bed A nurse is collecting data from an older adult client during a routine physical examination. Which of the following client statements should the nurse identify as a possible indication of maltreatment? My son took my wallet so he can keep track of what I'm spending A nurse in a pediatric clinic is collecting data from a school-age child whose injuries are inconsistent with the parent's stated cause. Which of the following actions should the nurse take? Report the suspected abuse to the appropriate agency A nurse is caring for a client who has a prescription for ranitidine 150 mg PO BID. Available is ranitidine syrup 15 mg/mL. How many mL should the nurse administer each day? 20 mL A nurse is reinforcing teaching with a client who has a new prosthesis for an above-the-knee amputation of the right leg. Which of the following instructions should the nurse include? Apply the prosthesis immediately upon waking each day A nurse is speaking with the partner of a client who has Alzheimer's disease. The partner states, "I love him, but caring for him is wearing me out." Which of the following responses should the nurse make? Let's discuss how caring for your partner is affecting your health A nurse on an acute care unit is collecting data from a school-age child who has CF. Which of the following findings is the priority for the nurse to report to the provider? Reports lack of appetite A nurse is reinforcing discharge teaching with a client who is postoperative following an open radical prostatectomy. Perform kegel exercises daily A nurse is reinforcing teaching with a client about how to use an incentive spirometer. Which of the following actions by the client indicates an understanding of the teaching? The client attempts to elevate the cylinder by inhaling deeply A nurse is collecting data from a client who delivered a full-term newborn 16 hr ago. The nurse notes excessive lochia drainage. Which of the following actions should the nurse take first? Perform a fundal massage for the client A nurse manager is preparing to complete a performance analysis for a group of AP. The manager asks a staff nurse for feedback on each AP's abilities. Which of the following actions should the staff nurse take? Discuss how each AP's actions measure against the job description