. A nurse is reinforcing teaching with a client who is receiving radiation therapy for cancer of
the larynx. Which of the following statements made by the client indicates understanding of
the teaching?
I will wear a soft scarf around my neck when I am outside
21. A nurse is using the FLACC scale to determine the level of pain for an 11 month old
infant who is postop. Which of the following factors should the nurse consider when using
this pain scale
Level of activity
22. A nurse is reviewing the techniques for transferring a client from bed to chair with a
group of assistive personnel. Which of the following instructions should the nurse include
Use lower body strength
23. A nurse is reinforcing taching with a client who is to self administer epoetin alfa. Which
of the following instructions should the nurse include
Administer the medication subcutaneously
24. A nurse is collecting data from a 5 year old child at a well child visit. The parents reports
that the child is having frequent nightmares. Which of the following statements by the parent
indicates to the nurse that the child is experiencing sleep terrors rather than nightmares
My child goes back to sleep right away
25. A nurse assisting with the care of a school age child immediately following surgery. The
child weighs 21.8kg and has a chest tube applied to suction. Which of the following findings
should the nurse report to the provider
250ml of sanguineous drainage over the last 3hr
26. A nurse is reinforcing teaching about advanced directives with a client. Which of the
following statements by the client indicates an understanding of the teaching
I can change my health care decisions even if I have advanced directives
27. A nurse is assisting with the admission of a client who has rubeola. Which of the
, following transmission-based precautions should the nurse plan to initiate for this client
Airbourne
28. A nurse is administering morning medications to clients on the unit. A client questions
the nurse regarding a medication that she does not recognize. Which of the following actions
should the nurse take first
Verify the prescription in the clients medical record
NCLEX RN COMMUNITY HEALTH,RN COMPREHENSIVE PREDICTOR, RN
COMPREHENSIVE PREDICTOR ,RN FUNDAMENTALS |ALL IN ONE
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