1. A nurse is reviewing the laboratory results of a client who is taking cyclosporine following a kidney transplant. Which of the following findings should the nurse report? a. Urine specific gravity 1.023 b. Serium creatinine 1.6 mg/dL c. Urine pH 6.2 d. BUN 18 mg/dL 2. A nurse is providing discha...
Comprehensive Review Comprehensive Review 1.A nurse is reviewing the laboratory results of a client who is taking cyclosporine following a kidney transplant. Which of the following findings should the nurse report?
a.Urine specific gravity 1.023
b.Serium creatinine 1.6 mg/dL
c.Urine pH 6.2
d.BUN 18 mg/dL
2.A nurse is providing discharge instructions about a newborn safety to a client who is 2 days postpartum. Which of the following instructions should the nurse include?
a.Use a car seat when traveling by airplane. b.Lay the baby on his stomach to nap during the daytime.
c.Change smoke detector batteries every other year d.Place a plastic waterproof sheet over the crib bedding 3.Math question 4.A nurse is caring for a client who has major depressive disorder. The client tells the nurse, “No one cares about me. I’m completely alone”. Which of the following responses should the nurse make? a.“What makes you think that”?
b.“Can you give me an example of how others are making you feel this way?”
c.“You should join a community support group.”
d.“Don’t worry. You should be feeling better in a couple weeks.”
5.A nurse on a medical-surgical unit is caring for a client who states that she plans to leave the facility against medical advice. For which of the following actions by the nurse should the charge nurse intervene?
a.Asks the client to sign a form releasing the hospital from legal responsibility b.Asks security to detain the client until the provider is notified c.Show the client for abnormal laboratory results d.Asks the client what her plans are for follow-up care 6.A nurse is a prenatal teaching to a client who is at 12 weeks of gestation. The nurse should tell the client she will undergo which of the following screening tests at 16 weeks of gestation? a.Maternal serum alpha-fetoprotein b.Nonstress test c.Cervical cultures for chlamydia d.Chorionic villus sampling 7.A nurse is admitting a client who has schizophrenia and experiences occasional auditory hallucinations. The client states, “It’s hard not to listen to the voices.” Which of the following questions should the nurse ask the client?
a.“Have you tried going to a private place when this occurs?” b.“What helps you ignore what are you hearing?”
c.“Do you understand that the voices are not real?”
d.“Why do you think the voices are talking to you?”
8.A nurse is planning care for a client who sustained a major burn over 20% of the body. Which
of the following interventions should the nurse include to support the client’s nutritional requirements? a.Keep a calorie count for foods and beverages b.Maintain calorie intake at 1,500 per day
c.Schedule meals at 6-hr intervals d.Provide a low-protein, high-carbohydrate diet 9.A charge nurse is preparing to lead negotiations among nursing staff due to a conflict about overtime requirements. Which of the following strategies should the charge nurse use to promote effective negotiation?
a.Identify solutions prior to negotiation b.Personalize the conflict c.Attempt to understand both sides of the issue d.Focus on how the conflict occurred
10.A nurse is preparing to administer a NG tube feeding to a school-age child. Which of the following actions should the nurse plan to take? a.Position the child at a 10 to 20 degree angle after feeding
b.Warm the formula in the microwave c.Complete the feeding in 5 min
d.Measure the tubing from the nose to the distal port
11.A nurse is developing a plan of care for a client who has preeclampsia and is to receive magnesium sulfate via continuous IV infusion. Which of the following actions should the nurse include in the plan?
a.Monitor the FHR via Doppler every 30 min b.Measure the clients urine output every hour c.Restrict the clients total fluid intake to 250mL/hr
d.Give the client protamine if signs of magnesium sulfate toxicity occur
12.A nurse realizes that the wrong medication has been administered to a client. Which of the following actions should the nurse take first?
a.Notify the provider
b.Measure the clients vital signs c.Report the incident to the nurse manager d.Fill out an incident report 13.A nurse realizes that the wrong medication has been administered to a client. Which of the following actions should the nurse take first?
a.Notify the provider b.Measure the clients vital signs c.Report the incident to the nurse manager d.Fill out an incident report 14.A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include?
a.Increased urinary frequency b.Dry cough c.Excessive sweating d.Metallic taste in the mouth 15.A nurse is caring for a client who is postoperative and has a chest tube drainage system. For which of the following findings should the nurse notify the provider?
a.Tidaling occurs when the client is breathing b.Continuous bubbling in the water seal chamber
c.Oxygen saturation of 92% on room air
d.Presence of 50 mL/hr in the drainage chamber
16.A nurse is preparing to administer vancomycin IV to an adult. The client asks the nurse if the medication can be given 2 hr earlier. Which of the following statements should the nurse make?
a.“I can infuse the medication at a faster rate.”
b.“I have up to 2 hours after the usual schedule time to give you this medication.”
c.“I can adjust the time and schedule for when it’s convenient for you.”
d.“I can start the medication 30 min earlier.”
17.A nurse in the emergency department is interviewing a client immediately following a sexual
assault. Which of the following actions should the nurse take first?
a.Determine a clients current anxiety level b.Initiate a referral for client counseling c.Request the clients permission to contact a family member d.Report the clients assault to the authorities 18.A nurse is caring for a client who gestational hypertension and is experiencing toxic effects due to magnesium sulfate therapy. The nurse should anticipate administering which of the following medications? a.Sodium bicarbonate b.Potassium chloride c.Calcium gluconate d.Magnesium sulfate 19.A nurse is caring for a client who has end-stage kidney disease. The client’s adult child asks the nurse about becoming a living kidney donor for their parent. Which of the following conditions in the child’s medical history should the nurse identify as a contraindication to the
procedure? a.Hypertension b.Osteoarthritis c.Primary glaucoma d.Amputation
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