NUR 283 Comp Exam 1 & 2 New Latest 2024 Version Best S tudy Guide with All Questions from Actual Exam and 100% Correct Answers A nurse is caring for a client who has a sealed radiation implant. Which of the following precautions should the nurse implement ----------- Correct Answer ------------ D. Wear the lead shield while providing client care A preceptor is working with a newly hired nurse who is preparing to perform a sterile dressing change. Which of the following actions by the newly hired nurse would require INTERVENTION by the preceptor? ----------- Correct Answer ------------ A. Putting on sterile gloves prior to opening the outer packaging The nurse is teaching a class on health promotion and illness prevention. Which of the following actions by the nurse is an example of secondary prevention? ----------- Correct Answer ------------ B. Performing monthly self -breast examinations The nurse has instructed a client who regularly menstruates about performing self -
breast examinations at home. Which of the following client statements indicates correct understanding of the teaching? ----------- Correct Answer ------------ A - I will perform my self breast examination 7 days after my period ends - you do it 7 days post as the hormones have decreased and any natural lumps will disappear, and breasts will not be as tender and sore A nurse is teaching a female client about positive signs of pregnancy. Which of the following client statements would indicate a correct understanding of the teaching? ------
----- Correct Answer ------------ A - Heartbeat Rationale - the only positive signs of pregnancy is heartbeat and lung sounds. Remember there are positive signs of pregnancy and presumptive signs of pregnancy. A nurse is teaching a mother of a five -year-old child about age appropriate toys. Which of the following toys would be appropriate for the nurse to recommend? ----------- Correct Answer ------------ A - doll and coloring book Rationale - Do not pick the 100 piece puzzle The nurse is caring for a pregnant client whose last menstrual period began on October 21st. Using Naegele's rule, which of the following dates would be the due date? ----------
- Correct Answer ------------ A - July 28th Rationale - add 7 days - then subtract 3 months The nurse is planning care for a newly admitted client who has major depressive disorder following the death of her newborn 2 weeks ago. Which of the following goals should the nurse identify as the priority? ----------- Correct Answer ------------ A. signing a no-harm contract Rationale - This question is a safety question!! If the nurse could go in and do 1 thing, what would it be - it would be safety for the client! The nurse is caring for a patient who has paranoid schizophrenia and a history of auditory hallucinations. The client is yelling and pacing in the dayroom "I will do it". What of the following actions will the nurse take? ----------- Correct Answer ------- ----- A. obtaining increased supervision for the client Rationale - you cannot divert someone who has auditory hallucinations The nurse working in the psychiatric inpatient unit is caring for a client who has bi -polar disorder and is in the manic phase. The client states to the nurse, "I am bored." Which of the following activities is appropriate for the nurse to suggest to the c lient? ----------- Correct Answer ------------ A. walking with the nurse in the courtyard Rationale - Don't do anything with the client that is competitive or controversial topics The nurse is working on a crisis hotline, speaking with a client who states, "I just took an entire bottle of amitriptyline." Which of the following responses should the nurse INITIALLY make to the client? ----------- Correct Answer ------------ A - I'm glad you called and I want to send an ambulance to help you The nurse is caring for a client who is currently prescribed bed rest. Which of the following actions should the nurse take to help prevent the development of pulmonary embolism? ----------- Correct Answer ------------ C. instruct the client to perform leg exercises Rationale - ROM will help to prevent a DVT, which if formed could break off and travel to the lungs resulting in a pulmonary embolism. Incentive spirometer are to prevent pneumonia and atelectasis. The nurse has instructed a client who must ambulate with a cane. Which of the following client statements indicates a correct understanding of the teaching? ----------- Correct Answer ------------ A - I will place the cane on the side of the unaffected limb and walk with the weaker leg first. Rationale - the cane goes on the side where the leg is strongest. The nurse has provided dietary teaching to a client who recently had a surgical colostomy placed. Which of the following statement made by the client indicates a correct understanding of the instructions? ----------- Correct Answer ------------ A. Eating yogurt can help decrease the amount of gas that I have Rationale - none of the other answers make sense. Largest meal should not be in the evening, the bag will be filled up by the morning. The nurse has instructed a female client who recently received hearing aids. Which of the following client statements indicates the need for ADDITIONAL teaching? ----------- Correct Answer ------------ A. I will clean the hearing aids with alcohol wipes - This is a false statement!! Rationale - you are looking for the incorrect statement in the answer - you clean your hearing aids with plain soap and water - NOT alcohol wipes The nurse has instructed the client who has a UTI about prescribed drug - ciprofloxacin. Which of the following instructions should the nurse give the client? ----------- Correct Answer ------------ A - You should report the development of tendon pain while taking this medication, since tendon rupture is a potential complication Rationale - Know u DRUGS! A nurse is teaching a client who had a spontaneous abortion about the need to receive a RhoGam shot. Which of the following client statements indicates a need for further teaching? ----------- Correct Answer ------------ C. This medication will allow my body to fully remove the placenta lining - This is a FALSE statement!! Rationale - RhoGam is given for the mom so that she does not develop antibodies toward an A+ baby. RhoGam is given once per pregnancy. The nurse is teaching a group of clients about insulin administration. Which of the following information should the nurse include? ----------- Correct Answer ------------ A - Insulin absorption is fastest when injected into the abdomen The nurse on a telemetry unit is caring for a client who has unstable angina and is reporting chest pain with a severity of 6 out of 10. The nurse administers 1 sublingual nitroglycerin tablet. After 5 minutes, the client states the pain is a severity leve l of 3. Which of the following actions should the nurse be prepared to do next? ----------- Correct Answer ------------ A - administer another nitro sublingual tablet Rationale - The focus of this question is about the drug. This is a medication question! The nurse has provided medication instruction to a patient who has asthma and has been prescribed beclomethasone. Which of the following client statements indicates a correct understanding of this instruction? ----------- Correct Answer ------------ A. I should rinse my mouth out after this medication Rationale - Beclomethasone is a corticosteroid - it is a daily use inhaler to prevent asthma flare ups, it is NOT a rescue inhaler. It can increase the risk of oral thrush, therefore you need to rinse your mouth after each use. The nurse is caring for a client who is receiving a prescribed magnesium sulfate IV. Which of the following client findings would indicate the client is experiencing a side effect of that medication? ----------- Correct Answer ------------ A. A respiratory rate of 10 breaths per minute The primary health care provider has prescribed ampicillin 150 mg PO 3 times a day to a toddler that weighs 22lbs. The drug available is ampicillin suspension that is 250mg/5ml. Which action should the nurse take? ----------- Correct Answer ------------ A - Administer 3ml Rationale - this is a math question - do the math. You have what you need to figure this out - this is not a matter of clarifying the order, do the math
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