Nursing fundamental (PN 200)<\/a><\/strong>(PN 200)<\/p>\n\n\n\n 22 documentsGo to course<\/p>\n\n\n\n <\/p>\n\n\n\n Question 15<\/p>\n\n\n\n A client is recovering from an infected abdominal wound. Which<\/p>\n\n\n\n foods should the nurse encourage the client to eat tosupport wound<\/p>\n\n\n\n healing and recovery from the infection?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 chicken and orange slices<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 chicken and orange slices<\/p>\n\n\n\n Question 16<\/p>\n\n\n\n A nurse suspects that the laboring client may have been physically<\/p>\n\n\n\n abused by her partner. What isthe most appropriate interventionby<\/p>\n\n\n\n the nurse?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Collaborate with the interprofessional team to make a referral<\/p>\n\n\n\n to social services.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Collaborate with the interprofessional team to make a referral<\/p>\n\n\n\n to social services.<\/p>\n\n\n\n Question 17<\/p>\n\n\n\n A client is newly diagnosed with asthma. While learning to use a<\/p>\n\n\n\n metered dose inhaler (MDI) for delivery of a short-term beta<\/p>\n\n\n\n agonist, the client asks if a spacer is appropriate to use with this<\/p>\n\n\n\n device. What is thenurse\u2019s best response?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 \u201cNo, a spacer is not recommended because it can increase the<\/p>\n\n\n\n risk of developing oropharyngeal candidiasis.\u201d<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 \u201cYes, a spacer is recommended because it increases the<\/p>\n\n\n\n <\/p>\n\n\n\n amount ofmedication that isdelivered tothe lungs.\u201d<\/p>\n\n\n\n Question 18<\/p>\n\n\n\n The nurse is planning care for a client who had surgery for<\/p>\n\n\n\n abdominal aortic aneurysm repair 2 days ago. The pain medication<\/p>\n\n\n\n and the use of relaxation and imagery techniques are notrelieving<\/p>\n\n\n\n the client\u2019s pain, and the client refuses to get out of bed to ambulate<\/p>\n\n\n\n as prescribed. The nurse contacts the health care provider (HCP),<\/p>\n\n\n\n explains the situation, and provides information about drug dose,<\/p>\n\n\n\n frequency ofadministration, the client\u2019s vital signs, and the client\u2019s<\/p>\n\n\n\n score on the pain scale. The nurse requests a prescription for a<\/p>\n\n\n\n different, orstronger, pain medication. The HCP tells the nurse that<\/p>\n\n\n\n the current prescription for pain medication is sufficient for this<\/p>\n\n\n\n client and that the client will feel better inseveral days. What should<\/p>\n\n\n\n the nurse do next?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Explain to the HCP that the current pain medication and other<\/p>\n\n\n\n strategies are not helping the client andit is making it difficult<\/p>\n\n\n\n for the client to ambulate as prescribed.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Explain to the HCP that the current pain medication and other<\/p>\n\n\n\n strategies are not helping the client andit is making it difficult<\/p>\n\n\n\n for the client to ambulate as prescribed.<\/p>\n\n\n\n Question 19<\/p>\n\n\n\n The nurse is making a room assignment for a client whose<\/p>\n\n\n\n laboratory test result indicate pancytopenia. Which client should the<\/p>\n\n\n\n nurse put into the same room with the client with pancytopenia?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 a client with digoxin toxicity<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 a client with digoxin toxicity<\/p>\n\n\n\n <\/p>\n\n\n\n Question 20<\/p>\n\n\n\n A community health nurse provides a client with information about<\/p>\n\n\n\n a local support group for those with multiple sclerosis. Providing<\/p>\n\n\n\n this informationisan example of which of the following?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 A referral.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 A referral.<\/p>\n\n\n\n Question 21<\/p>\n\n\n\n A nurse workingona neurologic floor has received reports onfour<\/p>\n\n\n\n clients. After identifying priority assessment data for eachclient,<\/p>\n\n\n\n which client should the nurse investigate first?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 the client admitted after a head injury in a motor vehicle who<\/p>\n\n\n\n reports nausea<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 the client admitted after a head injury in a motor vehicle who<\/p>\n\n\n\n reports nausea<\/p>\n\n\n\n Question 22<\/p>\n\n\n\n The mother of anadolescent client who is diagnosed with<\/p>\n\n\n\n oppositional defiant disorder tells the nurse that she has read<\/p>\n\n\n\n extensively onthis disorder and does not believe the diagnosis is<\/p>\n\n\n\n correct for her daughter. Which response by the nurse is<\/p>\n\n\n\n appropriate?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 \u201cTell me what you\u2019ve found in your reading that\u2019s leading<\/p>\n\n\n\n <\/p>\n\n\n\n you to that conclusion.\u201d<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 \u201cTell me what you\u2019ve found in your reading that\u2019s leading<\/p>\n\n\n\n you to that conclusion.\u201d<\/p>\n\n\n\n Question 23<\/p>\n\n\n\n A nurse prepares a client’s medicationbyreconstituting a multi-dose<\/p>\n\n\n\n vial ofmedication. What other nursing interventions should the<\/p>\n\n\n\n nurse take? Select all that apply.<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Label the vial with the strength of the medication.<\/p>\n\n\n\n \u2022 Store the multi-dose vial in a secure place.<\/p>\n\n\n\n \u2022 Initial the vial as the person reconstituting the medication.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Label the vial with the strength of the medication.<\/p>\n\n\n\n \u2022 Store the multi-dose vial in a secure place.<\/p>\n\n\n\n \u2022 Initial the vial as the person reconstituting the medication.<\/p>\n\n\n\n Question 24<\/p>\n\n\n\n Because of religious beliefs, a client, who is an Orthodox Jew,<\/p>\n\n\n\n refuses to eat hospital food. Hospital policy discourages food from<\/p>\n\n\n\n outside the hospital. The nurse should next:<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 discuss the situation and possible courses of action with the<\/p>\n\n\n\n dietitian and the client.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 discuss the situation and possible courses of action with the<\/p>\n\n\n\n dietitian and the client.<\/p>\n\n\n\n <\/p>\n\n\n\n Question 25<\/p>\n\n\n\n After a plaster cast has been appliedto the armof a child with a<\/p>\n\n\n\n fractured right humerus, the nurse completes discharge teaching.<\/p>\n\n\n\n The nurse should evaluate the teachingas successful when the<\/p>\n\n\n\n mother agrees toseek medical advice if the child experiences which<\/p>\n\n\n\n symptom?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 fussiness and reports that the cast is heavy<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 inability to extend the fingers on the right hand<\/p>\n\n\n\n Question 26<\/p>\n\n\n\n While shopping, a nurse meets a neighbor who asks about a friend<\/p>\n\n\n\n receiving treatment at the nurse’s clinic. What is the<\/p>\n\n\n\n nurse’s most appropriateresponse?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 “I’m sorry, I can’t disclose client information.”<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 “I’m sorry, I can’t disclose client information.”<\/p>\n\n\n\n Question 27<\/p>\n\n\n\n When assessingan 18-year-old primipara who gave birth under<\/p>\n\n\n\n epidural anesthesia 24 hours ago, the nurse determines that the<\/p>\n\n\n\n fundus is firm buttothe right of midline. Based on this finding, the<\/p>\n\n\n\n nurse should further assess for which complication?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 urinary retention<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 urinary retention<\/p>\n\n\n\n <\/p>\n\n\n\n Question 28<\/p>\n\n\n\n Which situation demonstrates correct principles ofconfidentiality?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Two nurses alone in an elevator are discussing a client’s<\/p>\n\n\n\n status.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 An emergency department nurse reports suspected child<\/p>\n\n\n\n abuse.<\/p>\n\n\n\n Question 29<\/p>\n\n\n\n The nurse in a psychiatric unit has formed a therapeutic relationship<\/p>\n\n\n\n with a client with a borderline personality disorder. When the client<\/p>\n\n\n\n is readmitted to the unit for a suicide attempt, the nurse exclaims to<\/p>\n\n\n\n another staff nurse, \u201cWhy? Everything was going well. How could<\/p>\n\n\n\n they do this to me?\u201d What response by the staff nurse reflects an<\/p>\n\n\n\n understanding of the client\u2019s borderline disorder?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 \u201cClients with borderline disorder act out to relieve anxiety,<\/p>\n\n\n\n and something must have provoked a great deal of anxiety.\u201d<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 \u201cClients with borderline disorder act out to relieve anxiety,<\/p>\n\n\n\n and something must have provoked a great deal of anxiety.\u201d<\/p>\n\n\n\n Question 30<\/p>\n\n\n\n A childisreceiving total parenteral nutrition(TPN). During TPN<\/p>\n\n\n\n therapy, the most important nursing action is:<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 monitoring the blood glucose level closely.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n <\/p>\n\n\n\n \u2022 monitoring the blood glucose level closely.<\/p>\n\n\n\n Question 31<\/p>\n\n\n\n A 9-year-old client isbrought tothe emergency department with a<\/p>\n\n\n\n sutured wound with purulent drainage. The area around the wound<\/p>\n\n\n\n is red and warm to the touch, and the child is febrile. The parents<\/p>\n\n\n\n want to knowthe significance ofthe purulentdrainage. What is<\/p>\n\n\n\n the best response by the nurse?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 \u201cThe drainage is an indication that the sutures were not tight<\/p>\n\n\n\n enough.\u201d<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 \u201cIf a wound heals on the surface but infection remains, it will<\/p>\n\n\n\n open and drain.\u201d<\/p>\n\n\n\n Question 32<\/p>\n\n\n\n A 19-year-old primigravid clientat 38 weeks’ gestation is 7 cm<\/p>\n\n\n\n dilated, and the presenting part is at +1 station. The client tells the<\/p>\n\n\n\n nurse, “I need to push!” What should the nurse do next?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Instruct the client to use a pant-blow pattern of breathing.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Instruct the client to use a pant-blow pattern of breathing.<\/p>\n\n\n\n Question 33<\/p>\n\n\n\n A client with cystic fibrosis develops pneumonia. To decrease the<\/p>\n\n\n\n viscosity of respiratory secretions, the physician orders<\/p>\n\n\n\n acetylcysteine. Before administering the first dose, the nurse checks<\/p>\n\n\n\n the client’s history for asthma. Acetylcysteine must be used<\/p>\n\n\n\n <\/p>\n\n\n\n cautiously in a client with asthma becauseit<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 may induce bronchospasm.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 may induce bronchospasm.<\/p>\n\n\n\n Question 34<\/p>\n\n\n\n Bone resorption is a possible complication of Cushing\u2019sdisease. To<\/p>\n\n\n\n help the client prevent this complication, what should the nurse<\/p>\n\n\n\n recommend to the client?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Maintain a regular program of weight-bearing exercise.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Maintain a regular program of weight-bearing exercise.<\/p>\n\n\n\n Question 35<\/p>\n\n\n\n A client rates the pain level of a migraine an 8on a scale of 1-10.<\/p>\n\n\n\n How would the nurse administer the medication to give the client<\/p>\n\n\n\n the quickest relief?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 intravenous (IV)<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 intravenous (IV)<\/p>\n\n\n\n Question 36<\/p>\n\n\n\n A client withParkinson\u2019s disease who is scheduled for<\/p>\n\n\n\n physiotherapy isexperiencing nausea and weakness. What is<\/p>\n\n\n\n the mostappropriate actionby the nurse?<\/p>\n\n\n\n <\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Assess the nausea and weakness and call physiotherapy to<\/p>\n\n\n\n cancel or reschedule the appointment.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Assess the nausea and weakness and call physiotherapy to<\/p>\n\n\n\n cancel or reschedule the appointment.<\/p>\n\n\n\n Question 37<\/p>\n\n\n\n Which intervention should the nurse include in the plan of care to<\/p>\n\n\n\n ensure adequate nutrition for a very active, talkative, and easily<\/p>\n\n\n\n distractible client who is unable to sit through meals?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Offer the client nutritious finger foods.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Offer the client nutritious finger foods.<\/p>\n\n\n\n Question 38<\/p>\n\n\n\n Which activity should the nurse recommend tothe client on an<\/p>\n\n\n\n inpatient unit when thoughts of suicide occur?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 playing a card game with other clients<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 talking with the nurse<\/p>\n\n\n\n Question 39<\/p>\n\n\n\n A nurse is teaching a client with multiple sclerosis (MS). When<\/p>\n\n\n\n teaching the client how toreduce fatigue, the nurse should tell the<\/p>\n\n\n\n client to<\/p>\n\n\n\n <\/p>\n\n\n\n <\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 rest in an air-conditioned room.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 rest in an air-conditioned room.<\/p>\n\n\n\n Question 40<\/p>\n\n\n\n An apartment fire spreads to seven apartment units. Victims suffer<\/p>\n\n\n\n burns, minor injuries, and broken bones from jumping from<\/p>\n\n\n\n windows. Which client should be transportedfirst?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 a 10-year-old with a simple fracture of the humerus who is in<\/p>\n\n\n\n severe pain<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 a middle-aged man with no injuries who has rapid respirations<\/p>\n\n\n\n and coughs<\/p>\n\n\n\n Question 41<\/p>\n\n\n\n A 26-year-old primigravida visiting the prenatal clinic for her<\/p>\n\n\n\n regular visitat 34 weeks\u2019gestation tells the nurse that she takes<\/p>\n\n\n\n mineral oil for occasional constipation. What should the nurse<\/p>\n\n\n\n should instruct the client todo?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Avoid mineral oil because it interferes with the absorption of<\/p>\n\n\n\n fat-soluble vitamins.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Avoid mineral oil because it interferes with the absorption of<\/p>\n\n\n\n fat-soluble vitamins.<\/p>\n\n\n\n Question 42<\/p>\n\n\n\n <\/p>\n\n\n\n A client is receiving chemotherapy that has the potential to cause<\/p>\n\n\n\n pulmonary toxicity. Which signs orsymptoms indicates a toxic<\/p>\n\n\n\n response to the chemotherapy?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 cough and shortness of breath<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 cough and shortness of breath<\/p>\n\n\n\n Question 43<\/p>\n\n\n\n A nurse observes a physician providing care to aninfectious client<\/p>\n\n\n\n without the use of personal protective equipment. What should the<\/p>\n\n\n\n nurse do first?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Notify the unit manager.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Discuss the breach of practice with the physician.<\/p>\n\n\n\n Question 44<\/p>\n\n\n\n The nurse observes a client ina group whoisreminiscing about his<\/p>\n\n\n\n past. Which effect should the nurse expect reminiscingto have on<\/p>\n\n\n\n the client’s functioning in the hospital?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Decrease the client’s feelings of isolation and loneliness.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Decrease the client’s feelings of isolation and loneliness.<\/p>\n\n\n\n Question 45<\/p>\n\n\n\n A nurse, a licensed practical nurse (LPN), and a nursing assistant<\/p>\n\n\n\n are caring for a group ofclients. The nurse asks the nursing assistant<\/p>\n\n\n\n to check the pulse oximetry level of a client who underwent<\/p>\n\n\n\n laminectomy. The nursing assistant reports that the pulse oximetry<\/p>\n\n\n\n reading is89%. The client Kardex contains an order for oxygen<\/p>\n\n\n\n application at 2 L\/min should the pulse oximetry level fall below<\/p>\n\n\n\n 92%. The nurse is currently assessing a postoperative client who<\/p>\n\n\n\n just returned from the postanesthesia care unit. How should the<\/p>\n\n\n\n nurse proceed?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Ask the LPN to obtain vital signs and administer oxygen at 2<\/p>\n\n\n\n L\/min to the client who underwent laminectomy.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Ask the LPN to obtain vital signs and administer oxygen at 2<\/p>\n\n\n\n L\/min to the client who underwent laminectomy.<\/p>\n\n\n\n Question 46<\/p>\n\n\n\n A physician orders a stool culture to help diagnose a client with<\/p>\n\n\n\n prolonged diarrhea. The nurse who obtains the stool specimen<\/p>\n\n\n\n should<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 collect the specimen in a sterile container.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 collect the specimen in a sterile container.<\/p>\n\n\n\n Question 47<\/p>\n\n\n\n A client returns tothe nursing division after a procedure. The client<\/p>\n\n\n\n tells the nurse that the client was awake during the procedure and<\/p>\n\n\n\n recalls certain events. What is the nurse\u2019s priorityintervention?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Ask for additional information from the client.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Ask for additional information from the client.<\/p>\n\n\n\n Question 48<\/p>\n\n\n\n The nurse isobserving an unlicensed assistive personnel (UAP) give<\/p>\n\n\n\n care toa client after gynecologic surgery. The nurse should<\/p>\n\n\n\n intervene if the UAP:<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 ambulates the client.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 massages the client\u2019s legs.<\/p>\n\n\n\n Question 49<\/p>\n\n\n\n For a client with Graves’ disease, which nursing intervention<\/p>\n\n\n\n promotes comfort?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 maintaining room temperature in the low-normal range<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 maintaining room temperature in the low-normal range<\/p>\n\n\n\n Question 50<\/p>\n\n\n\n A client is admittedto the hospital because of threatening,<\/p>\n\n\n\n aggressive behavior toward his family. In the first group meeting<\/p>\n\n\n\n after the client is admitted, another client sits near the nurse and<\/p>\n\n\n\n says loudly, “I’m sitting here because I’m afraidofTed. He’s sobig,<\/p>\n\n\n\n and I heard him talk about hitting people.” The nurse should say to<\/p>\n\n\n\n the client:<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 “Everyone is here for different problems. You know you don’t<\/p>\n\n\n\n have to worry.”<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 “It’s frightening to have new people on the unit. We’re here to<\/p>\n\n\n\n talk about things like being afraid.”<\/p>\n\n\n\n Question 51<\/p>\n\n\n\n A nurse ispreparingtoadminister anI.V. containing dextrose 10%<\/p>\n\n\n\n in \u00bc normal saline solution to a 6-month-old infant. The nurse<\/p>\n\n\n\n should select which tubing tosafely administer the solution?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 I.V. tubing with a macrodrip chamber<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 I.V. tubing with a volume-control chamber<\/p>\n\n\n\n Question 52<\/p>\n\n\n\n What is the priority nursing intervention in the postictal phase of a<\/p>\n\n\n\n seizure?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Assess the client’s breathing pattern.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Assess the client’s breathing pattern.<\/p>\n\n\n\n Question 53<\/p>\n\n\n\n The fire alarm sounds onthe maternal-neonatal unit at 0200. How<\/p>\n\n\n\n can a nurse best care for the unit’s clients during a fire alarm?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Immediately evacuate the unit.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Close all of the doors on the unit.<\/p>\n\n\n\n Question 54<\/p>\n\n\n\n The nurse issuctioning a client\u2019stracheostomy. For whatreason<\/p>\n\n\n\n during the procedure does the nurse complete the above action?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 to lubricate the outside of the suction catheter<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 to clear secretions from the tubing<\/p>\n\n\n\n Question 55<\/p>\n\n\n\n A primiparous client is on a regular diet 24hours postpartum. The<\/p>\n\n\n\n client\u2019s mother asks the nurse if she can bring her daughter some<\/p>\n\n\n\n \u201cspecial foods from home.\u201d The nurse responds, based on the<\/p>\n\n\n\n understanding about which principle?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 The client\u2019s health care provider (HCP) needs to give<\/p>\n\n\n\n permission for the foods.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 The mother can bring the daughter any foods that she desires.<\/p>\n\n\n\n Question 56<\/p>\n\n\n\n A parent brings a 5-year-old childtoa weekend vaccination clinic to<\/p>\n\n\n\n prepare for school entry. The nurse notes that the child has nothad<\/p>\n\n\n\n any vaccinations since 4 months of age. What isthe best way for the<\/p>\n\n\n\n nurse to determine how to catch-up the child\u2019s vaccinations?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Contact the child\u2019s health care provider (HCP) during office<\/p>\n\n\n\n hours.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Review nationally published immunization guidelines.<\/p>\n\n\n\n Question 57<\/p>\n\n\n\n A client isadmitted to the labor and delivery unitinlabor with<\/p>\n\n\n\n blood flowing down her legs. What would bethe priority nursing<\/p>\n\n\n\n intervention?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Monitor fetal heart tones.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Monitor fetal heart tones.<\/p>\n\n\n\n Question 58<\/p>\n\n\n\n A nurse administers incorrect medication toa client. After assessing<\/p>\n\n\n\n the client, and completing an incident report, which is<\/p>\n\n\n\n the priority actionbythe nurse?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Complete an adverse drug reaction (ADR) report.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Report the incident to risk management.<\/p>\n\n\n\n Question 59<\/p>\n\n\n\n A multipara at 16 weeks\u2019 gestation isdiagnosed as having a fetus<\/p>\n\n\n\n with probable anencephaly. The client isfrom a conservative faith<\/p>\n\n\n\n and has decidedto continue the pregnancy and donate the neonatal<\/p>\n\n\n\n organs after the death ofthe neonate. What should the nurse do?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Explore his or her own feelings about the issues of<\/p>\n\n\n\n anencephaly and organ donation.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Explore his or her own feelings about the issues of<\/p>\n\n\n\n anencephaly and organ donation.<\/p>\n\n\n\n Question 60<\/p>\n\n\n\n A client who is tohave a vaginal radium implant tells the nurse she<\/p>\n\n\n\n is concerned about being radioactive. The nurse should tell the<\/p>\n\n\n\n client:<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 \u201cThe radiation is necessary to treat your tumor.\u201d<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 \u201dThe radioactive material is controlled and stays with the<\/p>\n\n\n\n source; once the material is removed, no radioactivity will<\/p>\n\n\n\n remain.\u201d<\/p>\n\n\n\n Question 61<\/p>\n\n\n\n An agitated, confused client arrives in the emergency department.<\/p>\n\n\n\n The client’s history includes type 1 diabetes, hypertension, and<\/p>\n\n\n\n angina pectoris. Assessment reveals pallor, diaphoresis, headache,<\/p>\n\n\n\n and intense hunger. A stat blood glucose sample measures42mg\/dl,<\/p>\n\n\n\n (2.3 mmol\/L) and the client is treated for anacute hypoglycemic<\/p>\n\n\n\n reaction. After recovery, the nurse teaches the clientto treat<\/p>\n\n\n\n hypoglycemia by ingesting<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 18 to 20 g of a simple carbohydrate.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 15 g of a simple carbohydrate.<\/p>\n\n\n\n Question 62<\/p>\n\n\n\n A competent clientina long-term care facility refuses totake oral<\/p>\n\n\n\n diuretic medication. The nurse informs the client that if the<\/p>\n\n\n\n medication isn\u2019ttaken, restraints will beapplied, and the medication<\/p>\n\n\n\n will be given by injection. Which legal tort best describes this<\/p>\n\n\n\n nurse\u2019s statement?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 negligence<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 assault<\/p>\n\n\n\n Question 63<\/p>\n\n\n\n A client with weakness and tingling in both legs is admitted tothe<\/p>\n\n\n\n medical-surgical unit with a tentative diagnosis of Guillain-Barr\u00e9<\/p>\n\n\n\n syndrome. Onadmission, which assessment is most important for<\/p>\n\n\n\n this client?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 lung auscultation and measurement of vital capacity and tidal<\/p>\n\n\n\n volume<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 lung auscultation and measurement of vital capacity and tidal<\/p>\n\n\n\n volume<\/p>\n\n\n\n Question 64<\/p>\n\n\n\n Which client should the nurse assess first?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 a client with chronic hypertension whose blood pressure today<\/p>\n\n\n\n is 182\/98 mm Hg<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 a client being treated for chronic stable angina who reports a<\/p>\n\n\n\n recent increase in chest pain frequency<\/p>\n\n\n\n Question 65<\/p>\n\n\n\n A nurse iscaring for a client during the first postpartum day. The<\/p>\n\n\n\n client asks the nurse how torelieve pain from her episiotomy. What<\/p>\n\n\n\n should the nurse instruct the woman todo?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Take a sitz bath.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Apply an ice pack to her perineum.<\/p>\n\n\n\n Question 66<\/p>\n\n\n\n The nurse is admitting a hospital client who does notspeak English<\/p>\n\n\n\n and who is accompanied bythe client’s school-aged child. The client<\/p>\n\n\n\n appears to be in pain, but the nurse isunable to assess the character<\/p>\n\n\n\n or history of the client’s pain. How should the<\/p>\n\n\n\n nurse best communicate with the client?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Have a hospital interpreter come to the assessment; defer the<\/p>\n\n\n\n assessment if none is available.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Enlist the help of a hospital interpreter; ask the son to<\/p>\n\n\n\n translate if none is readily available.<\/p>\n\n\n\n Question 67<\/p>\n\n\n\n A client who has just been diagnosed with mixed muscular<\/p>\n\n\n\n dystrophy asks the nurse about the usual course ofthis disease. How<\/p>\n\n\n\n should the nurse respond?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 “You should ask your physician about that.”<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 “You may experience progressive deterioration in all<\/p>\n\n\n\n voluntary muscles.”<\/p>\n\n\n\n Question 68<\/p>\n\n\n\n The nurse is caring for a client with type 2 diabetes who has been<\/p>\n\n\n\n admitted with hyperglycemia. What is the most important<\/p>\n\n\n\n consideration when developing a teaching plan for this client?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Assess what the client already knows, then identify learning<\/p>\n\n\n\n needs.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Assess what the client already knows, then identify learning<\/p>\n\n\n\n needs.<\/p>\n\n\n\n Question 69<\/p>\n\n\n\n A nurse isteaching a pregnant client how todistinguish false labor<\/p>\n\n\n\n contractions from true labor contractions. Which statement by the<\/p>\n\n\n\n client indicates an understandingof this concept?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 “False labor contractions start in the back and radiate to the<\/p>\n\n\n\n abdomen.”<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 “False labor contractions are usually felt in the abdomen.”<\/p>\n\n\n\n Question 70<\/p>\n\n\n\n A client has been taking fluoxetine, 40 mg dailyat 0900 for 1 week.<\/p>\n\n\n\n The client states he feels nervous and has had diarrhea. What<\/p>\n\n\n\n interpretation does the nurse make about the client\u2019s symptoms?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 important, probably suggesting a decrease in dosage or<\/p>\n\n\n\n change to another medication<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 important, probably suggesting a decrease in dosage or<\/p>\n\n\n\n change to another medication<\/p>\n\n\n\n Question 71<\/p>\n\n\n\n Which instruction should a nurse give toa client with diabetes<\/p>\n\n\n\n mellitus when teaching about “sick day rules”?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 “Test your blood glucose every 4 hours.”<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 “Test your blood glucose every 4 hours.”<\/p>\n\n\n\n Question 72<\/p>\n\n\n\n In which maternal locations would the nurse place the ultrasound<\/p>\n\n\n\n transducer of the external electronic fetal heart rate monitor if a<\/p>\n\n\n\n fetus at 34weeks’ gestation is in the left occipitoanterior (LOA)<\/p>\n\n\n\n position?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 near the symphysis pubis<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 below the umbilicus on the left side<\/p>\n\n\n\n Question 73<\/p>\n\n\n\n The client with a cervical spinal cord injuryis admitted tothe<\/p>\n\n\n\n rehabilitation unit with skeletal traction(Gardner-Wells Traction).<\/p>\n\n\n\n What nursing actions are a priority when caring for the client?<\/p>\n\n\n\n Select all that apply.<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Assess the client\u2019s skin integrity.<\/p>\n\n\n\n \u2022 Maintain active range of motion.<\/p>\n\n\n\n \u2022 Maintain proper body alignment.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Assess the client\u2019s skin integrity.<\/p>\n\n\n\n \u2022 Maintain proper body alignment.<\/p>\n\n\n\n \u2022 Assess client\u2019s neurological function.<\/p>\n\n\n\n Question 74<\/p>\n\n\n\n An older client with diabetes who has been maintained on<\/p>\n\n\n\n metformin has been scheduled for a cardiac catheterization. The<\/p>\n\n\n\n nurse should verify that the health care provider (HCP) has written<\/p>\n\n\n\n which prescription for takingthe metforminbefore the procedure?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Withhold the metformin.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Withhold the metformin.<\/p>\n\n\n\n Question 75<\/p>\n\n\n\n A client tells the nurse that she doesn’t have funds to buy<\/p>\n\n\n\n diapers and formula. The nurse should refer this client to a<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n social worker.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n social worker.<\/p>\n\n\n\n Question 76<\/p>\n\n\n\n A voluntary client inafacilitydecides toleave the unit before<\/p>\n\n\n\n treatment is complete. To detain the client, the nurse refuses<\/p>\n\n\n\n to return the client’s personal effects. This action is an<\/p>\n\n\n\n example of:<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n slander.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n false imprisonment.<\/p>\n\n\n\n Question 77<\/p>\n\n\n\n A postpartum multiparous client diagnosed with endometritis<\/p>\n\n\n\n is to receive intravenous antibiotic therapy with ampicillin.<\/p>\n\n\n\n Before administeringthis drug, the nurse must take which<\/p>\n\n\n\n action?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Ask the client ifshe has any drug allergies.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Ask the client ifshe has any drug allergies.<\/p>\n\n\n\n Question 78<\/p>\n\n\n\n A 2-year-old is being seen in the outpatient department for a<\/p>\n\n\n\n minor injury. The nurse places the child on the examining<\/p>\n\n\n\n table, and the child begins to scream and cry. No attempts to<\/p>\n\n\n\n comfort the toddler are effective. Which is the nurse’s best<\/p>\n\n\n\n action?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Allow the parents to hold the child in their lap for the<\/p>\n\n\n\n assessment.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Allow the parents to hold the child in their lap for the<\/p>\n\n\n\n assessment.<\/p>\n\n\n\n Question 79<\/p>\n\n\n\n The nurse is teaching an adolescent how to self-administer<\/p>\n\n\n\n insulin. Whichof the following is a priority for the nurse to<\/p>\n\n\n\n emphasize about insulin administration?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Insulin injections are administered in subcutaneous<\/p>\n\n\n\n tissue.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Insulin injections are administered in subcutaneous<\/p>\n\n\n\n tissue.<\/p>\n\n\n\n Question 80<\/p>\n\n\n\n A 2 1\/2-year-old child and his 2-month-old sibling are<\/p>\n\n\n\n brought to the clinic by their father, who explains that the<\/p>\n\n\n\n older child says \u201cno\u201d whenever asked to do something. The<\/p>\n\n\n\n nurse should explain that the negativism demonstrated by<\/p>\n\n\n\n toddlers is frequently an expression of which characteristic?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n pursuit of autonomy<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n pursuit of autonomy<\/p>\n\n\n\n Question 81<\/p>\n\n\n\n A client with burns is to have a whirlpool bath and dressing<\/p>\n\n\n\n change. What should the nurse do 30minutes before the<\/p>\n\n\n\n bath?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Administer an analgesic.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Administer an analgesic.<\/p>\n\n\n\n Question 82<\/p>\n\n\n\n The team leader has noticed a sharp increase in medication<\/p>\n\n\n\n errors associated with IV antibiotic administration over the<\/p>\n\n\n\n last 2 months. The group that could offer resources for<\/p>\n\n\n\n tracking medication errors and improving care outcomes is<\/p>\n\n\n\n the:<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Pharmacy and Products O\ufb03ce.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Quality Improvement and Risk Management<\/p>\n\n\n\n Department.<\/p>\n\n\n\n Question 83<\/p>\n\n\n\n A physician orders digoxin elixir for a client with heart failure.<\/p>\n\n\n\n Immediately before administering this drug, the nurse must<\/p>\n\n\n\n check the client’s<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n apical pulse.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n apical pulse.<\/p>\n\n\n\n Question 84<\/p>\n\n\n\n One ofthe myths about sexual abuse ofyoung children is<\/p>\n\n\n\n that it usually involves physically violent acts. Which behavior<\/p>\n\n\n\n is more likely to be used by the abusers?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n tying the child down<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n coercion as a result of the trusting relationship<\/p>\n\n\n\n Question 85<\/p>\n\n\n\n While takingan admission history, a client tells a nurse that<\/p>\n\n\n\n they were a former IV drug abuser. Which test would<\/p>\n\n\n\n be most important for this client to undergo?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n hepatitis C virus test<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n hepatitis C virus test<\/p>\n\n\n\n Question 86<\/p>\n\n\n\n A 44-year-old client has been experiencing spotting, nausea,<\/p>\n\n\n\n vomiting, and fatigue. A positive pregnancy test and an<\/p>\n\n\n\n ultrasound confirm a 13 week gestation. The client had three<\/p>\n\n\n\n prior miscarriages with no term births. What does the nurse<\/p>\n\n\n\n recognize as the greatest risk factor for the client at this<\/p>\n\n\n\n time?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n pregnancy loss<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n pregnancy loss<\/p>\n\n\n\n Question 87<\/p>\n\n\n\n The nurse isconducting a routine risk assessment at a<\/p>\n\n\n\n prenatal visit. Which question would be the best to screen<\/p>\n\n\n\n for intimate partner violence?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n \u201cHow safe do you feel in your home?\u201d<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n \u201cHow safe do you feel in your home?\u201d<\/p>\n\n\n\n Question 88<\/p>\n\n\n\n A child being treated for conduct disorder is the last person<\/p>\n\n\n\n on the unit selected for an activity. The nurse should expect<\/p>\n\n\n\n the client to demonstrate:<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n withdrawal.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n aggression.<\/p>\n\n\n\n Question 89<\/p>\n\n\n\n A client who isparalyzed after a spinal cord injury needs to<\/p>\n\n\n\n be transferred to a stretcher. Which assistive device should<\/p>\n\n\n\n the nurse use to facilitate this transfer?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n transfer board<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n transfer board<\/p>\n\n\n\n Question 90<\/p>\n\n\n\n A client with diabetes is taking insulin lispro injections. At<\/p>\n\n\n\n what timeshould the nurse advise the client to eat?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n within 10 to 15minutes after the injection.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n within 10 to 15minutes after the injection.<\/p>\n\n\n\n Question 91<\/p>\n\n\n\n Which ofthe following clients should the nurse assess first?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n the client who is a child with stridor and nasal flaring<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n the client who is a child with stridor and nasal flaring<\/p>\n\n\n\n Question 92<\/p>\n\n\n\n Which mediation can the nurse administer through a<\/p>\n\n\n\n nasogastric(NG) tube?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n acetaminophen<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n acetaminophen<\/p>\n\n\n\n Question 93<\/p>\n\n\n\n A client has been prescribed corticosteroids. The nurse<\/p>\n\n\n\n would also anticipate an order for<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n blood glucosechecksevery6hours.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n blood glucosechecksevery6hours.<\/p>\n\n\n\n Question 94<\/p>\n\n\n\n When preparing for a spiritual counselor to visit a<\/p>\n\n\n\n hospitalized client, the nurse should<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n take measures to ensure privacy during the counselor’s<\/p>\n\n\n\n visit.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n take measures to ensure privacy during the counselor’s<\/p>\n\n\n\n visit.<\/p>\n\n\n\n Question 95<\/p>\n\n\n\n A client with pernicious anemia asks why she must take<\/p>\n\n\n\n vitamin B12 injections forever. Whichis the<\/p>\n\n\n\n nurse’s<\/p>\n\n\n\n best<\/p>\n\n\n\n response?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n “The reason for your vitamin deficiency is an increased<\/p>\n\n\n\n requirement for the vitamin because of rapid red blood<\/p>\n\n\n\n cell production.”<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n \u201cThe reason for your vitamin deficiency is an inability to<\/p>\n\n\n\n absorb the vitamin because the stomach is not<\/p>\n\n\n\n producing su\ufb03cient amounts of a factor that allows the<\/p>\n\n\n\n vitamin tobe absorbed.\u201d<\/p>\n\n\n\n Question 96<\/p>\n\n\n\n A client is admitted to the emergency department with a<\/p>\n\n\n\n ruptured abdominal aortic aneurysm. No family members are<\/p>\n\n\n\n present, and the surgeon instructs the nurse to take the client<\/p>\n\n\n\n to the operating room immediately. Which action should the<\/p>\n\n\n\n nurse take regarding informed consent?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Take the client to the operating room for surgery<\/p>\n\n\n\n without informed consent.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Take the client to the operating room for surgery<\/p>\n\n\n\n without informed consent.<\/p>\n\n\n\n Question 97<\/p>\n\n\n\n A nurse comingonto the night shift assesses aclientwho<\/p>\n\n\n\n gave birth vaginally that morning. The nurse finds that the<\/p>\n\n\n\n client’s vaginal bleeding has saturated two perineal pads<\/p>\n\n\n\n within 30minutes. What is the first action the nurse should<\/p>\n\n\n\n take?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Assessthe fundus and massage it if it’s boggy.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Assessthe fundus and massage it if it’s boggy.<\/p>\n\n\n\n Question 98<\/p>\n\n\n\n The nurse is caring for a client recently diagnosed with<\/p>\n\n\n\n hepatitis C. Inreviewing the client\u2019shistory, what information<\/p>\n\n\n\n will be most helpful as the nurse develops a teaching plan?<\/p>\n\n\n\n The client:<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n traveled to Central America recently and ate uncooked<\/p>\n\n\n\n vegetables.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n has a known history of sexually transmitted disease.<\/p>\n\n\n\n Question 99<\/p>\n\n\n\n A child with meningococcal meningitis is being admitted to<\/p>\n\n\n\n the pediatric unit. In preparation for the child\u2019s arrival, what<\/p>\n\n\n\n shouldthe nurse do<\/p>\n\n\n\n first<\/p>\n\n\n\n ?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Institute droplet precautions.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Institute droplet precautions.<\/p>\n\n\n\n Question 100<\/p>\n\n\n\n The selectionofa nursing care delivery system (NCDS) is<\/p>\n\n\n\n critical to the success of client care in a nursing area. Which<\/p>\n\n\n\n factoris essential to the evaluation of an NCDS?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n identifying who will be responsible for making client<\/p>\n\n\n\n care decisions<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n identifying who will be responsible for making client<\/p>\n\n\n\n care decisions<\/p>\n\n\n\n Question 101<\/p>\n\n\n\n Which of the following observations by the nurse would<\/p>\n\n\n\n indicate that a client isunable totolerate a continuation ofa<\/p>\n\n\n\n tube feeding?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n formula in the client\u2019s mouth during the feeding, and<\/p>\n\n\n\n increased cough<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n formula in the client\u2019s mouth during the feeding, and<\/p>\n\n\n\n increased cough<\/p>\n\n\n\n Question 102<\/p>\n\n\n\n A client undergoes a biopsy ofa suspicious lesion. The<\/p>\n\n\n\n biopsy report classifies the lesion according tothe TNM<\/p>\n\n\n\n staging system asfollows: TIS, N0, M0. What does this<\/p>\n\n\n\n classification mean?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n no evidence of primary tumor, no abnormal regional<\/p>\n\n\n\n lymph nodes, and noevidence ofdistant metastasis<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n carcinoma in situ, no abnormal regional lymph nodes,<\/p>\n\n\n\n and noevidence of distant metastasis<\/p>\n\n\n\n Question 103<\/p>\n\n\n\n A physician has ordered a heating pad for an elderly client’s<\/p>\n\n\n\n lower back pain. Which item would be most important for a<\/p>\n\n\n\n nurse to assess before applying the heating pad?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Client’s levelof consciousness<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Client’s levelof consciousness<\/p>\n\n\n\n Question 104<\/p>\n\n\n\n Which nifedipine-related side effect should the nurse<\/p>\n\n\n\n be most concerned with when caring for a new stroke<\/p>\n\n\n\n admission?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n hypotension<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n hypotension<\/p>\n\n\n\n Question 105<\/p>\n\n\n\n A client at 27 weeks gestation experiences uterine cramping<\/p>\n\n\n\n and also secretes a small amount of bright red bleeding and<\/p>\n\n\n\n mucus. The client calls her prenatal clinic nurse. Whichof the<\/p>\n\n\n\n following recommendations is most appropriate from the<\/p>\n\n\n\n nurse?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Instruct the client to go to an emergency room for an<\/p>\n\n\n\n urgent assessment.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Instruct the client to go to an emergency room for an<\/p>\n\n\n\n urgent assessment.<\/p>\n\n\n\n Question 106<\/p>\n\n\n\n A 16-year-old primiparous client has decided to place her<\/p>\n\n\n\n baby for adoption. The adoptive parents are on their way to<\/p>\n\n\n\n the hospital when the mother says, \u201cI want to see the baby<\/p>\n\n\n\n one last time.\u201d What should the nurse do?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Allow the client to see and hold the baby for as long as<\/p>\n\n\n\n she desires.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Allow the client to see and hold the baby for as long as<\/p>\n\n\n\n she desires.<\/p>\n\n\n\n Question 107<\/p>\n\n\n\n A 37-week gestation client is on bed rest for gestational<\/p>\n\n\n\n hypertension. The nursing student and nurse are visiting the<\/p>\n\n\n\n client in her home and need to perform external fetal<\/p>\n\n\n\n monitoring (EFM). The student nurse asks the nurse if the<\/p>\n\n\n\n student nurse is allowed to perform this skill. What is the<\/p>\n\n\n\n nurse\u2019s most appropriate response?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n “Yes, but only after you read about the procedure in the<\/p>\n\n\n\n regional policy and procedure manual.”<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n “Yes, but I will demonstrate it once and then supervise<\/p>\n\n\n\n you while you perform the procedure.”<\/p>\n\n\n\n Question 108<\/p>\n\n\n\n Parents tell a nurse that they have not met their goalof home<\/p>\n\n\n\n management of their child with schizoaffective disorder. They<\/p>\n\n\n\n report that the client poses a threat to their safety. Based on<\/p>\n\n\n\n this information, what recommendation should the nurse<\/p>\n\n\n\n make?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Evaluate the client for voluntary admission to a mental<\/p>\n\n\n\n health facility.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Evaluate the client for voluntary admission to a mental<\/p>\n\n\n\n health facility.<\/p>\n\n\n\n Question 109<\/p>\n\n\n\n A client has been diagnosed with metabolic alkalosis. The<\/p>\n\n\n\n nurse should anticipate what finding from the client’s arterial<\/p>\n\n\n\n blood gases?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n serum bicarbonate of 28 mEq\/L<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n serum bicarbonate of 28 mEq\/L<\/p>\n\n\n\n Question 110<\/p>\n\n\n\n A client on the adolescent psychiatric unit was admitted with<\/p>\n\n\n\n a diagnosis ofbody dysmorphic disorder. The clienthas not<\/p>\n\n\n\n been able to attend school or their part-time work over the<\/p>\n\n\n\n past year as a result of certain body obsessions. Recently,<\/p>\n\n\n\n the client shaved the hair all over their body, claiming, \u201cIt is<\/p>\n\n\n\n all growing weird.\u201d What component of therapy would<\/p>\n\n\n\n be most important for the nurse to apply to this client?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n The client is at high risk for suicide.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n The client\u2019s body image is real to the client.<\/p>\n\n\n\n Question 111<\/p>\n\n\n\n A client comes to the emergency department complaining of<\/p>\n\n\n\n chest pain. An electrocardiogram (ECG) reveals myocardial<\/p>\n\n\n\n ischemia and an anterior-wall myocardial infarction (MI).<\/p>\n\n\n\n WhichECG characteristicdoes the nurse expect to see?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n prolonged PR interval<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n elevated STsegment<\/p>\n\n\n\n Question 112<\/p>\n\n\n\n A nurse notices that a large number of clients who receive<\/p>\n\n\n\n oxytocin to induce labor vomit as the infusion is started. The<\/p>\n\n\n\n nurse assesses the situation further and discovers thatthese<\/p>\n\n\n\n clients received no instruction before arriving on the unit and<\/p>\n\n\n\n haven’t fasted for 8 hours before induction. How should the<\/p>\n\n\n\n nurse intervene?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Initiate a unit policy involving staff nurses, certified<\/p>\n\n\n\n nurse-midwives, and physicians in teaching clients<\/p>\n\n\n\n before labor induction.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Initiate a unit policy involving staff nurses, certified<\/p>\n\n\n\n nurse-midwives, and physicians in teaching clients<\/p>\n\n\n\n before labor induction.<\/p>\n\n\n\n Question 113<\/p>\n\n\n\n A client comes to the clinic for evaluation. The client tells the<\/p>\n\n\n\n nurse, \u201cIhave been having headaches and dizziness. I looked<\/p>\n\n\n\n it up on the Internet, and I think I might have a brain tumor.\u201d<\/p>\n\n\n\n The client hands the nurse a printout of what the client found.<\/p>\n\n\n\n Which response bythe nurse would be mostappropriate?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n \u201cTell me more about where you found this information<\/p>\n\n\n\n that you gave me.\u201d<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n \u201cTell me more about where you found this information<\/p>\n\n\n\n that you gave me.\u201d<\/p>\n\n\n\n Question 114<\/p>\n\n\n\n During a home visit on the fourth postpartum day, a<\/p>\n\n\n\n primiparous client tells the nurse that she has been<\/p>\n\n\n\n experiencing breast engorgement. To relieve engorgement,<\/p>\n\n\n\n the nurse teachesthe client to use which intervention before<\/p>\n\n\n\n nursing her baby?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Apply anice cube to the nipples.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Express a small amount of breast milk.<\/p>\n\n\n\n Question 115<\/p>\n\n\n\n The nurse instructs the client on health maintenance<\/p>\n\n\n\n activities to help control symptoms from a hiatal hernia.<\/p>\n\n\n\n Which statement would indicate that the client has<\/p>\n\n\n\n understood the instructions?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n “I will avoid lying down after a meal.”<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n “I will avoid lying down after a meal.”<\/p>\n\n\n\n Question 116<\/p>\n\n\n\n The parent asks the nurse about a 9-year-old child\u2019s<\/p>\n\n\n\n apparent need for between-meal snacks, especially after<\/p>\n\n\n\n school. What information should the nurse include in the<\/p>\n\n\n\n teaching plan?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n The child should eat the snacks the mother thinks are<\/p>\n\n\n\n appropriate.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n The child should help with preparing the snacks.<\/p>\n\n\n\n Question 117<\/p>\n\n\n\n A client with rheumatoid arthritis tells the nurse, \u201cIknow it\u2019s<\/p>\n\n\n\n important to exercise my joints so that I won\u2019t lose mobility,<\/p>\n\n\n\n but my joints are so stiff and painful that exercising is<\/p>\n\n\n\n di\ufb03cult.\u201d Which response by the nurse would<\/p>\n\n\n\n be most appropriate?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n “Stiffness and pain are part of the disease. Learn to<\/p>\n\n\n\n cope by focusing on activities you enjoy.”<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n “Take a warm tub bath or shower before exercising.<\/p>\n\n\n\n This may help with your discomfort.”<\/p>\n\n\n\n Question 118<\/p>\n\n\n\n The nurse assesses a child after heart surgery to correct<\/p>\n\n\n\n tetralogy of Fallot. Which finding would the nurse report to<\/p>\n\n\n\n the healthcare provider as an indication that the client has<\/p>\n\n\n\n low cardiac output?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n altered level ofconsciousness and thready pulse<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n altered level ofconsciousness and thready pulse<\/p>\n\n\n\n Question 119<\/p>\n\n\n\n A client who is positive for human immunodeficiency virus<\/p>\n\n\n\n (HIV) tells the nurse thatthe client’s significant other is the<\/p>\n\n\n\n only family member who knows the client’s health status.<\/p>\n\n\n\n What should the nurse do to keep the client’s health status<\/p>\n\n\n\n confidential? Select all that apply.<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Ask all family members, except the client’s significant<\/p>\n\n\n\n other, to wait outside when she’s educating the client.<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Use the hospital code for HIV when documentingcare.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Use the hospital code for HIV when documentingcare.<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Ask all familymembers, except the client’s significant<\/p>\n\n\n\n other, to wait outside when she’s educating the client.<\/p>\n\n\n\n Question 120<\/p>\n\n\n\n What should the nurse do when the client with a diagnosis of<\/p>\n\n\n\n schizophrenia walks into group naked?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Lead the client to his room and help him dress if he<\/p>\n\n\n\n needs assistance.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Lead the client to his room and help him dress if he<\/p>\n\n\n\n needs assistance.<\/p>\n\n\n\n Question 121<\/p>\n\n\n\n Oxygen at the rate of 2 liters per minute through nasal<\/p>\n\n\n\n cannula is prescribed for a client with chronic obstructive<\/p>\n\n\n\n pulmonary disease (COPD). Which of the following<\/p>\n\n\n\n statements best describes why the oxygen therapyis<\/p>\n\n\n\n maintained at a relatively low concentration?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n The cells in the alveoli are so damaged by the client\u2019s<\/p>\n\n\n\n long history of respiratory problems that increased<\/p>\n\n\n\n oxygen levels and reduced carbon dioxide levels likely<\/p>\n\n\n\n will cause the cells to burst.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n The client\u2019s respiratory center is so used to high carbon<\/p>\n\n\n\n dioxide and low oxygen levels that changing these<\/p>\n\n\n\n levels mayeliminate hisstimulus for breathing.<\/p>\n\n\n\n Question 122<\/p>\n\n\n\n A client begins clozapine therapy after several other<\/p>\n\n\n\n antipsychotic agents failtorelieve psychotic symptoms. The<\/p>\n\n\n\n nurse instructs the client toreturn for weekly white blood cell<\/p>\n\n\n\n (WBC) counts toassess for which adverse reaction?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n infection<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n granulocytopenia<\/p>\n\n\n\n Question 123<\/p>\n\n\n\n A client states, “Ihave abdominal pain.” Which assessment<\/p>\n\n\n\n question would best determine the client’s need for pain<\/p>\n\n\n\n medication?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n “What does the pain feel like?”<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n “What does the pain feel like?”<\/p>\n\n\n\n Question 124<\/p>\n\n\n\n When developing the preoperative teaching plan for a 14-<\/p>\n\n\n\n month-old child with an undescended testis who is<\/p>\n\n\n\n scheduled tohave surgery, which method<\/p>\n\n\n\n is most appropriate?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Explain to the parents how the defect will be corrected.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Explain to the parents how the defect will be corrected.<\/p>\n\n\n\n Question 125<\/p>\n\n\n\n The nurse plans toplace graduated compression stockings<\/p>\n\n\n\n on a client in the preoperative setting. List in order the steps<\/p>\n\n\n\n the nurse will follow. All options must be used.<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Review medical record and medical orders for<\/p>\n\n\n\n graduated compression stockings.<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Identify the client and explain procedure.<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Place the client in supine position.<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Apply powder orlotion tolegs.<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Smoothly pull the stocking overthe ankle and calf.<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Turn the stocking inside out and ease the stocking over<\/p>\n\n\n\n the foot and heel.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Review medical record and medical orders for<\/p>\n\n\n\n graduated compression stockings.<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Identify the client and explain procedure.<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Place the client in supine position.<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Apply powder orlotion tolegs.<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Turn the stocking inside out and ease the stocking over<\/p>\n\n\n\n the foot and heel.<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Smoothly pull the stocking overthe ankle and calf.<\/p>\n\n\n\n Question 126<\/p>\n\n\n\n A client with depression states, \u201cI\u2019m still feeling nauseous<\/p>\n\n\n\n after I take venlafaxine. Maybe I need something else.\u201d What<\/p>\n\n\n\n should the nurse should tell the client todo?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Take venlafaxine only in the morning.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Take the medication atmealtime.<\/p>\n\n\n\n Question 127<\/p>\n\n\n\n Which information should the nurse include in the teaching<\/p>\n\n\n\n plan for a primiparous client who asks about weaning her<\/p>\n\n\n\n neonate?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n \u201cEliminate the baby\u2019s favorite feeding times first.\u201d<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n \u201cGradually eliminate one feeding at a time.\u201d<\/p>\n\n\n\n Question 128<\/p>\n\n\n\n A grandson calls the crisis center expressing concern about<\/p>\n\n\n\n his grandmother, who lost her husband a month ago. He<\/p>\n\n\n\n states, \u201cShe\u2019s been in bed for a week and is not eating or<\/p>\n\n\n\n showering. She told me that she didn\u2019t want to kill herself,<\/p>\n\n\n\n but it\u2019s not like her to do nothing for herself. She won\u2019t even<\/p>\n\n\n\n talk to me when I visit her.\u201d The nurse encourages the<\/p>\n\n\n\n grandson to bring his grandmother to the center for<\/p>\n\n\n\n evaluation based on which reason?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n The behaviors may reflect passive suicidal thoughts.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n The behaviors may reflect passive suicidal thoughts.<\/p>\n\n\n\n Question 129<\/p>\n\n\n\n When caring for a client receiving haloperidol, the nurse<\/p>\n\n\n\n should assess for which problem?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n extrapyramidal symptoms<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n extrapyramidal symptoms<\/p>\n\n\n\n Question 130<\/p>\n\n\n\n A nurse is administering daunorubicin through a peripheral<\/p>\n\n\n\n I.V.<\/p>\n\n\n\n line whenthe client complainsof burning at the insertion<\/p>\n\n\n\n site. The nurse notes no blood return from the catheter and<\/p>\n\n\n\n redness at the I.V. site. The client is most likely experiencing<\/p>\n\n\n\n which complication?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n thrombosis<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n extravasation<\/p>\n\n\n\n Question 131<\/p>\n\n\n\n Which nursing intervention is essential in caring for a client<\/p>\n\n\n\n with compartment syndrome?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n wrapping the affected extremity with a compression<\/p>\n\n\n\n dressing tohelp decrease the swelling<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n removing all external sources of pressure, such as<\/p>\n\n\n\n clothing and jewelry<\/p>\n\n\n\n Question 132<\/p>\n\n\n\n A primigravid client visits the clinicfor a routine examination<\/p>\n\n\n\n at 35 weeks\u2019 gestation. The client\u2019s blood pressure is near<\/p>\n\n\n\n the baseline of 120\/74 mm Hg with no proteinuria or<\/p>\n\n\n\n evidence of facial edema. The client asks the nurse, \u201cWhat<\/p>\n\n\n\n should I take if I get an occasional headache after looking at<\/p>\n\n\n\n my computer at work all day?\u201d Which over-the-counter<\/p>\n\n\n\n medicine does the nurse consider to be safest for occasional<\/p>\n\n\n\n use bya pregnant client with no known risks?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n acetaminophen<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n acetaminophen<\/p>\n\n\n\n Question 133<\/p>\n\n\n\n A depressed client in the psychiatric unit hasn’t been getting<\/p>\n\n\n\n adequate rest and sleep. To encourage restful sleep at night,<\/p>\n\n\n\n the nurse should:<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n encourage environmental stimulation during the<\/p>\n\n\n\n evening.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n gently but firmly set limits on how much time the client<\/p>\n\n\n\n spends in bed during the day.<\/p>\n\n\n\n Question 134<\/p>\n\n\n\n A client has several patches of vesicles over both arms.<\/p>\n\n\n\n Which care should the nurse provide tothis client?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Instruct on the application of an antiparasitic agent.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Cover the draining areas with sterile gauze.<\/p>\n\n\n\n Question 135<\/p>\n\n\n\n A client is frustrated and embarrassed by urinary<\/p>\n\n\n\n incontinence. Which measure should the nurse include in a<\/p>\n\n\n\n bladder retraining program?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n assessing present voiding patterns<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n assessing present voiding patterns<\/p>\n\n\n\n Question 136<\/p>\n\n\n\n A client with a cerebellar brain tumor is admitted to an acute<\/p>\n\n\n\n care facility. The nurse formulates a nursing diagnosis of Risk<\/p>\n\n\n\n for injury. Which “related-to” phrase should the nurse add to<\/p>\n\n\n\n complete the nursing diagnosis statement?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Related tovisual field deficits<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Related toimpaired balance<\/p>\n\n\n\n Question 137<\/p>\n\n\n\n A nurse suspects that a child, age 4, is being neglected.<\/p>\n\n\n\n Which question should the nurse ask the parents tobest<\/p>\n\n\n\n assess the child’s nutritional status?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n “What did your child eat for breakfast?”<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n “What did your child eat for breakfast?”<\/p>\n\n\n\n Question 138<\/p>\n\n\n\n A medication nurse is preparing to administer 0900<\/p>\n\n\n\n medications to a client with liver cancer. Which consideration<\/p>\n\n\n\n is the nurse\u2019s highest priority?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n purpose of the medication<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n metabolism of the medication<\/p>\n\n\n\n Question 139<\/p>\n\n\n\n After an intravenous pyelogram (IVP), the nurse should<\/p>\n\n\n\n include which measure in the client’s plan of care?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Encourage adequate fluid intake.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Encourage adequate fluid intake.<\/p>\n\n\n\n Question 140<\/p>\n\n\n\n The nurse receives the preoperative blood work report for a<\/p>\n\n\n\n client who is scheduled toundergo surgery. Which laboratory<\/p>\n\n\n\n finding should the nurse report to the surgeon and<\/p>\n\n\n\n anesthesiologist?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n blood urea nitrogen, 15 mg\/dL (5.4 mmol\/L)<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n creatinine, 2.6 mg\/dL (230 \u00b5mol\/L)<\/p>\n\n\n\n Question 141<\/p>\n\n\n\n For the child experiencingexcessive vomiting secondary to<\/p>\n\n\n\n pyloric stenosis, the nurse should assess the child for which<\/p>\n\n\n\n acid-base imbalance?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n metabolic alkalosis<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n metabolic alkalosis<\/p>\n\n\n\n Question 142<\/p>\n\n\n\n Which indicator is the best for determining whether a client<\/p>\n\n\n\n with Addison’s disease isreceiving the correct amount of<\/p>\n\n\n\n glucocorticoid replacement?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n daily weight<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n daily weight<\/p>\n\n\n\n Question 143<\/p>\n\n\n\n The client withrecurring depression will be discharged from<\/p>\n\n\n\n the psychiatric unit. Which suggestion to the family<\/p>\n\n\n\n is most important to include in the plan of care?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Provide for a schedule of activities outside the home.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Involve the client inusual at-home activities.<\/p>\n\n\n\n Question 144<\/p>\n\n\n\n During the initial assessment, the nurse notes that the<\/p>\n\n\n\n neonate\u2019s hands and feet appear blue while the neonate\u2019s<\/p>\n\n\n\n torso appears pale pink. Whatshould the nurse do next?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Keep the neonate in an isolation incubator for at least 2<\/p>\n\n\n\n hours.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n Place the infant skin to skin with the mother.<\/p>\n\n\n\n Question 145<\/p>\n\n\n\n Which findingis normal for a client during the icteric phase of<\/p>\n\n\n\n hepatitis A?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n yellowed sclera<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n yellowed sclera<\/p>\n\n\n\n Question 146<\/p>\n\n\n\n A nurse is working on a surgical floor. The nurse must logroll<\/p>\n\n\n\n a client following a<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n cystectomy.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n laminectomy.<\/p>\n\n\n\n Question 147<\/p>\n\n\n\n After receiving a report, the nurse is making out assignments.<\/p>\n\n\n\n Which client would be appropriate to assign to unlicensed<\/p>\n\n\n\n assistive personnel?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n an 8-month-old with pneumonia who will be discharged<\/p>\n\n\n\n today<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n an 8-month-old with pneumonia who will be discharged<\/p>\n\n\n\n today<\/p>\n\n\n\n Question 148<\/p>\n\n\n\n A client, with heart failure, isreceivingfurosemide,40 mgIV.<\/p>\n\n\n\n The provider orders 40 mEq ofpotassium chloride in100 ml<\/p>\n\n\n\n of dextrose<\/p>\n\n\n\n 5%<\/p>\n\n\n\n in water, to infuse over four hours. The<\/p>\n\n\n\n client\u2019s most recent serum potassium level is 3.0 mEq\/L. At<\/p>\n\n\n\n which infusion rate should the nurse set the IV pump?<\/p>\n\n\n\n Record your answer using a whole number.<\/p>\n\n\n\n Your Response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n 67<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n 25<\/p>\n\n\n\n Question 149<\/p>\n\n\n\n A client has expressed her desire to give birth with minimal<\/p>\n\n\n\n intervention. She is now moving into the active phase of<\/p>\n\n\n\n labor. What intervention by the nurse would be the priority of<\/p>\n\n\n\n care?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n watchingfor rupture of the membranes<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022<\/p>\n\n\n\n offering support by reviewing the short-pant form of<\/p>\n\n\n\n breathing<\/p>\n\n\n\n Question 150<\/p>\n\n\n\n A 35-year-old client who is 28weeks pregnant isadmitted for<\/p>\n\n\n\n testing. After reading the nursing notes, which<\/p>\n\n\n\n rationale best explains why a pregnant client would lie on her left<\/p>\n\n\n\n side when resting or sleepinginthe later stages of pregnancy?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 to prevent compression of the vena cava<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 to prevent compression of the vena cava<\/p>\n\n\n\n Question 151<\/p>\n\n\n\n The laboratory comes todraw anHgb AIc. The client asks the nurse<\/p>\n\n\n\n what this test represents. Which statement would be correct?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 \u201cThis test reflects the average blood glucose over a period of<\/p>\n\n\n\n approximately 2-3 months.\u201d<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 \u201cThis test reflects the average blood glucose over a period of<\/p>\n\n\n\n approximately 2-3 months.\u201d<\/p>\n\n\n\n Question 152<\/p>\n\n\n\n A client who recently had a stroke requires a cane to ambulate.<\/p>\n\n\n\n When teaching about cane use, the nurse should explain that the<\/p>\n\n\n\n reason for holding a cane onthe uninvolved side is to<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 distribute weight away from the involved side.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 distribute weight away from the involved side.<\/p>\n\n\n\n Question 153<\/p>\n\n\n\n A 7-year-old has had anappendectomy on November 12. He has<\/p>\n\n\n\n had pain for the last 24hours. There isa prescription toadminister<\/p>\n\n\n\n acetaminophen with codeine every 3 to 4 hours asneeded. The<\/p>\n\n\n\n nurse is beginning the shift, and the child isrequesting pain<\/p>\n\n\n\n medication. The nurse reviews the chart below for pain history.<\/p>\n\n\n\n Based onthe information inthe medical record, what should the<\/p>\n\n\n\n nurse do next?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Instruct the child to take deep breaths and blow his pain away.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Administer the acetaminophen with codeine.<\/p>\n\n\n\n Question 154<\/p>\n\n\n\n A nurse is conducting aneducational program about advanced<\/p>\n\n\n\n directives for a group of adults at a local community center. The<\/p>\n\n\n\n nurse explains what the directives entail and how they are used.<\/p>\n\n\n\n After explaining this topic, the nurse determines that the teaching<\/p>\n\n\n\n was successful based onwhich statement bythe group?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 \u201cThe document allows us to choose what we want to have<\/p>\n\n\n\n happen.\u201d<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 \u201cThe document allows us to choose what we want to have<\/p>\n\n\n\n happen.\u201d<\/p>\n\n\n\n Question 155<\/p>\n\n\n\n A nurse is caring for a full-term pregnant client in active labor. The<\/p>\n\n\n\n electronic fetal monitor reveals afetalheart rate (FHR)of less than<\/p>\n\n\n\n 70 beats for 1 minute. What is the nurse\u2019s priority intervention?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Place the client on her left side and apply oxygen.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Place the client on her left side and apply oxygen.<\/p>\n\n\n\n Question 156<\/p>\n\n\n\n The nurse is assessing a client with thigh high antiembolism<\/p>\n\n\n\n stockings. Assessment findings include redness, swelling, and pain<\/p>\n\n\n\n in the left calf. What is the priority action by the nurse?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 Notify the healthcare provider.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 Notify the healthcare provider.<\/p>\n\n\n\n Question 157<\/p>\n\n\n\n Which client statement indicates anunderstanding of the risk of<\/p>\n\n\n\n alcohol relapse?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 “I know I can stay dry if my wife keeps alcohol out of the<\/p>\n\n\n\n house.”<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 \u201cStopping support groups and not expressing feelings can lead<\/p>\n\n\n\n to relapse.\u201d<\/p>\n\n\n\n Question 158<\/p>\n\n\n\n A nurse iscaring for a client who has end-stage chronic obstructive<\/p>\n\n\n\n pulmonary disease receiving I.V. push morphine for pain<\/p>\n\n\n\n management. Duringrounds, the nurse discusses with the physician<\/p>\n\n\n\n the need to start the client ona continuous morphine infusion. The<\/p>\n\n\n\n nurse bases this request on the fact that:<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 serving as a client advocate is an important role.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 serving as a client advocate is an important role.<\/p>\n\n\n\n Question 159<\/p>\n\n\n\n A client with posttraumatic stress disorder states, \u201cYou don\u2019tknow<\/p>\n\n\n\n what I\u2019ve been through. What can you do?\u201dThe nurse should<\/p>\n\n\n\n respond:<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 \u201cI haven\u2019t been through what you have, but I\u2019ll be better able<\/p>\n\n\n\n to understandif you tell me more about it.\u201d<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 \u201cI haven\u2019t been through what you have, but I\u2019ll be better able<\/p>\n\n\n\n to understandif you tell me more about it.\u201d<\/p>\n\n\n\n Question 160<\/p>\n\n\n\n A client was hospitalized for 1 week with major depression with<\/p>\n\n\n\n suicidal ideation. He istaking venlafaxine 75 mgthree times a day<\/p>\n\n\n\n and is planning to return to work. The nurse asks the clientif he is<\/p>\n\n\n\n experiencing thoughts ofself-harm. The client responds, \u201cIhardly<\/p>\n\n\n\n think about itanymore and wouldn\u2019t doanything tohurt myself.\u201d<\/p>\n\n\n\n The nurse should make which judgment about the client?<\/p>\n\n\n\n You Selected:<\/p>\n\n\n\n \u2022 The depression is improving, and the suicidal ideation is<\/p>\n\n\n\n lessening.<\/p>\n\n\n\n Correct response:<\/p>\n\n\n\n \u2022 The depression is improving, and the suicidal ideation is<\/p>\n\n\n\n lessening.<\/p>\n","protected":false},"excerpt":{"rendered":" hesi pn exit v1pn hesi exit exam quizlethesi pn exit exam 2023hesi pn exit exam practice questionshesi pn exit exam study guidehesi pn exit exam practice questions freeelsevier hesi pn exit examhesi pn exit exam evolve PN Hesi Exit V1 Question 1 A school-age client with diabetes isplaced on anintermediate- acting insulin and regular insulin […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[],"tags":[],"class_list":["post-111004","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111004","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=111004"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111004\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=111004"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=111004"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=111004"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}\n
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