Kaplan QBank Test #1

Kaplan QBank Test #1 Leave the first rating Students also studied Terms in this set (74) Cuny Lehman College NUR 302 Save Kaplan Integrated Test D- Remediati...30 terms Lakiah_Manning Preview Health Promotion and Maintenance ...Teacher 32 terms SoLucky19Preview Qbank test 11 Teacher 75 terms my3lilasPreview Kaplan 85 terms futu The nurse instructs a primigravida woman during the third trimester about the signs and symptoms of impending labor. Which statement by the client indicates to the nurse that the teaching was effective?

• "I will call the healthcare provider when I see pink-

tinged secretions from my vagina."

• "I will call the healthcare provider when my

contractions occur every 5 minutes for an hour."

• "I will call the healthcare provider when I pass my

mucus plug."

• "I will call the healthcare provider when I feel

increased pelvic pressure." "I will call the healthcare provider when my contractions occur every 5 minutes for an hour." The nurse provides care for a client admitted for the surgical repair of a detached retina in the left eye. Which intervention does the nurse include in the client's postop plan of care?

• Limit the movement of both eyes
• Limit the amount of talking
• Wear patches over both eyes
• Perform self-care activities

Limit the movement of both eyes The nurse provides care for a child diagnosed with a fever. The client weighs 66 pounds. The healthcare provider prescribes a total acetaminophen dose of 15mg/kg. The child's parent administered 2.5 mL (concentration 160mg/5mL) prior to arrival. How many milligrams does the nurse administer?370 mg

The nurse manager on the unit is fiscally responsible for meeting goals related to personnel and supply expenses.To meet budget expectations, it is important for the nurse manager to take which action?

• Share budget expectations with the personnel on the

unit

• Designate a staff nurse to assist with budget planning
• Post the budget on the bulletin board
• Ensure that provider needs are met

Share budget expectations with the personnel on the unit The client reports, "I can't get warm. I'm cold all the time" to the nurse. The client's spouse reports recent behavior changes and forgetfulness. The client is unsure when daily medications were taken last. The nurse notes the client has periorbital edema and a flat affect. Vital signs reveal T: 95.6, BP: 100/60, P: 58 bpm, RR: 26. Laboratory data reveal serum pH 7.25, PaCO2 50 mm Hg, HCO3 23 mEq/L, Serum T4 is 4.2 mcg/dL, Serum TSH is 6.3 mcg/dL.Which action does the nurse take when providing client care?

• Reorient client every 15 minutes
• Administer oral levothyroxine sodium
• Administer IV hydrocortison
• Obtain a stat 12-lead ECG
• Place client on continuous cardiopulmonary

monitoring Administer oral levothyroxine sodium & place client on continuous cardiopulmonary monitoring The nurse receives a report on clients in the psychiatric unit. Which actions, if performed by the off-going nurse, require follow-up by the nurse? (select all that apply)

• The nurse assessed a suicidal client every 15 minutes
• The nurse administered ziprasidone to a violent client
• The nurse placed a client in a dimly lit room after the

client did not eat all of the provided meal

• The nurse allowed a suicidal client to remain in street

clothes

• The nurse initiated a signed PRN prescription for

physical restraints The nurse assessed a suicidal client every 15 minutes, The nurse placed a client in a dimly lit room after the client did not eat all of the provided meal, The nurse allowed a suicidal client to remain in street clothes, & The nurse initiated a signed PRN prescription for physical restraints

The nurse provides discharge teaching to a client diagnosed with chronic kidney disease. Which client statements indicate the teaching is effective? (select all that apply)

• "If I follow this diet, I should lose 1 to 2 pounds per

week."

• "I will notify my healthcare provider if my legs start

feeling numb or weak."

• "I should take acetaminophen instead of ibuprofen if I

have a headache."

• "I will need to take an iron supplement to prevent

being anemic due to bleeding."

• "I will keep hard candy with me for when my mouth

gets dry."

• "If I quit smoking, I'll have a better chance of getting a

kidney transplant."

2, 5, 6

A client reports stabbing facial pain and twitching facial muscles a week after having a toothache. Which actions are appropriate for the nurse to implement when providing care to this client? (select all that apply)

• Teach isometric exercises for facial muscles
• Administer oral carbamazepine as prescribed
• Administer IV hydrocortisone as prescribed
• Teach to chew on opposite side of mouth
• Perform facial massage twice daily

Administer oral carbamazepine as prescribed & Teach to chew on opposite side of mouth The nurse provides care for a pregnant client. The client reports heartburn. Which client statement would cause the nurse to IMMEDIATELY intervene?

• "I sit upright for 2 hours after eating."
• "I sleep with an extra pillow."
• "I will stop smoking."
• "I eat every 6 hours."

"I eat every 6 hours." The nurse assesses clients for their risk for injury. Which client should the nurse determine is at risk for injury?

• The client who flushes the percutaneous endoscopic

gastrostomy (PEG) tube with 20 mL of water after medications.

• The client who injects prescribed subcutaneous insulin

into the abdomen at a 90 degree angle

• The client with a spinal cord injury who washes the

urinary catheter with soap and water between uses

• The infant client who is receiving prescribed

intramuscular injections in the dorsogluteal site The infant client who is receiving prescribed intramuscular injections in the dorsogluteal site

The nurse returns to the desk in the prenatal clinic and finds four phone messages. Which message does the nurse return FIRST?

• A multigravida at 12 weeks' gestation experiencing

heavy white vaginal discharge

• A primigravida at 17 weeks' gestation stating that she

has not felt the baby move

• A primigravida at 22 weeks' gestation reporting feeling

dizzy and clammy when lying on her back

• A multigravida at 32 weeks gestation experiencing

malaise and bilateral dependent and facial edema A multigravida at 32 weeks gestation experiencing malaise and bilateral dependent and facial edema The nurse prepares to each a client recovering from a spinal fusion on how to move from a supine to standing position at the left side of the bed with a walker. Which direction by the nurse is appropriate?

• Raise the HOB to sit straight up, bend the knees, and

swing the legs to the side and then to the floor

• Rock the body from side to side, going further each

time until enough momentum is built up to be lying on the right side, and then raise the trunk towards the toes

• Reach over to the left side rail with the right hand, pull

the body onto the left side, bend the upper leg so the foot is on the bed, and push down to elevate the trunk

• With the left elbow as a pivot, grasp the mattress edge

with the left hand and push on the mattress with the right hand above the left elbow, and then slide the legs over the side of the mattress With the left elbow as a pivot, grasp the mattress edge with the left hand and push on the mattress with the right hand above the left elbow, and then slide the legs over the side of the mattress The nurse provides care to a client with hypermagnesemia. What will the nurse identify as a risk factor for this electrolyte imbalance?

• Diarrhea
• Alcoholism
• Renal failure
• Intestinal fistula

Renal failure The nurse monitors a client who is recovering from coronary artery bypass graft (CABG) surgery. Which finding MOST concerns the nurse?

• The jugular veins are distended, but the lung sounds are

clear

• The client reports sharp stabbing pain over the sternum
• Lab values of potassium 4.6 mEq/L, calcium 9.4 mg/dL,

and magnesium 1.6 mg/dL

• The core body temperature is 97.2

The jugular veins are distended, but the lung sounds are clear