1. A nurse in a pediatric unit B. Tell the child they will feel discomfort during the
is preparing to insert an IV catheter insertion.
catheter for 7-year-
old. Which of the following
actions should the nurse
take?
A. (Unable to read)
B. Tell the child they will feel
discomfort during the
catheter insertion.
C. Use a mummy restraint to
hold the child during the
catheter insertion.
D. Require the parents to
leave the room during the
procedure.
2. A nurse is caring for a B. Absence of a bruit.
client who has
arteriovenous fistula Which
of the
following findings should
the nurse report?
A. Thrill upon palpation.
B. Absence of a bruit.
C. Distended blood vessels
D. Swishing sound upon
auscultation.
,3. A nurse is providing B. "I will wear loose clothing around my ICD"
discharge teaching for a
client who has an
implantable cardioverter
defibrillator which of the
following statements
demonstrates
understanding of the
teaching?
A. "I will soak in the tub
rather and showering"
B. "I will wear loose clothing
around my ICD"
C. "I will stop using my
microwave oven at home
because of my ICD"
D. "I can hold my cellphone
on the same side of my
body as the ICD"
,4. A nurse is caring for a A. "Describe your feelings to me about being pregnant"
client who is at 14 weeks
gestation and reports
feelings of ambivalence
about being pregnant.
Which of the following
responses should the nurse
make?
A. "Describe your feelings
to me about being
pregnant"
B. "You should discuss your
feelings about being
pregnant with your
provider"
C. "Have you discussed
these feelings with your
partner?"
D. "When did you start
having these feelings?"
, 5. A nurse is planning care D. Administer a rectal suppository 30 minutes prior to
for a client who has a scheduled
prescription for a bowel- defecation times.
training program following
a spinal cord injury. Which
of the following actions
should the nurse include in
the plan of care?
A. Encourage a maximum
fluid intake of 1,500 ml per
day.
B. Increase the amount of
refined grains in the client's
diet.
C. Provide the client with a
cold drink prior to
defecation.
D. Administer a rectal
suppository 30 minutes
prior to scheduled
defecation times.
6. A nurse is caring for a B. Place the client in a warm shower.
client who is in active labor
and requests pain
management. Which of the
following actions should the
nurse take?
A. Administer ondansetron.
B. Place the client in a warm
shower.
C. Apply fundal pressure
during contractions.
D. Assist the client to a
supine position.
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