1. 1. A nurse is making a follow-up call to a client who has a new prescription for an ACE
f f f f f f f f f f f f f f f f f f
inhibitor to treat hypertension. The client reports lightheadedness upon standing.Which
f f f f f f f f f f f
f of the following statements should the nurse make?
f f f f f f f
A. "Sit back down for a few minutes when this occurs."
f f f f f f f f f
B. "Restrict your daily fluid intake." f f f f
C. "Discontinue this medication if this occurs again." f f f f f f
D. Take a daily potassium supplement."
f f f f
…Answer.. A."Sit back down for a few minutes when this occurs."
ff f f f f f f f f f f
2. 1. A nurse is caring for a client who has dehydration due to diarrhea. Which of the
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1 f/ f56
,f following findings should the nurse report to the provider?
f f f f f f f f
A. BUN 18 mg/dL f f
B. Urine output 12 mi/hr f f f
C. Urine specific gravity 1,020 f f f
D. Serum creatinine 1.0 mg/di f f f
…Answer.. B. Urine output 12 mi/hr f ff f f f f
3. 1. A nurse is collecting data from a client who uses a continuous positive airway
f f f f f f f f f f f f f f
f pressure
(CPAP) machine at night for sleep apnea.The nurse should identify which of the followin
f f f f f f f f f f f f f f
f findings is an indication of proper CPAP use?
f f f f f f f
A. The mask is secured over the client's mouth and the client's nose is uncovered.
f f f f f f f f f f f f f
B. The therapeutic dose of albuterol is being inhaled.
f f f f f f f
C. There is one finger width between the strap on the mask and the client's face.
f f f f f f f f f f f f f f
D. The mask fits loosely so air can escape from underneath.
f f f f f f f f f
…Answer.. B.The therapeutic dose of albuterol is being inhaled.
f ff f f f f f f f f
4. 1. A nurse is reinforcing teaching with a parent of a preschooler about
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f immunizations.Which of the following statements by the parent indicates an f f f f f f f f f f
f understanding of the teaching? f f f
A. "My child will need to start the human papillomavirus series when he enters
f f f f f f f f f f f f
f kindergarten"
B. "I understand that immunizations will be withheld if my child has lactose
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f intolerance"
C. "It is recommended that my child receive his first flu immunization at the age of 6"
f f f f f f f f f f f f f f f
D. "I can make several office visits, so my child does not get so many immu- nizations at
f f f f f f f f f f f f f f f f
2 f/ f56
,f once."
…Answer.. D. "I can make several office visits, so my child does not get so many
f ff f f f f f f f f f f f f f f
f immunizations at once."f f
5. 1. A charge nurse in a long-term care facility is discussing ethical theories with a
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f group off
3 f/ f56
, newly licensed nurses. Which of the following statements should the charge nurse
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f identify as an indication that a newly licensed nurse understands utili- tarianism?
f f f f f f f f f f f
A. "I will withhold a terminal diagnosis from a client who has cancer."
f f f f f f f f f f f
B. "I will respect the decision of a client who has a chronic illness to stop treatment.
f f f f f f f f f f f f f f f
C. "I will place a higher emphasis on human dignity than on the needs of a
f f f f f f f f f f f f f f
D. "I will consider what is going to benefit the most people when making decisions"
f f f f f f f f f f f f f
…Answer.. B. "I will respect the decision of a client who has a chronic illness to stop
f ff f f f f f f f f f f f f f f f
f treatment.
6. 1. A nurse is transcribing a client's prescription for erythromycin 500 mg four times
f f f f f f f f f f f f f
fper day.Which of the following information should the nurse clarify with the provider?
f f f f f f f f f f f f f
A. Medication
B. Dosage
C. Route
D. Time
…Answer.. C. Route f ff f
Rationale:There is no indicated route which is necessary for carrying out order
f f f f f f f f f f f f
7. 1. A nurse is reviewing the medication administration record of a client who takes
f f f f f f f f f f f f f
f atenolol PO and applies a nitroglycerin transdermal patch daily. For which of the
f f f f f f f f f f f f
f following interactions should the nurse monitor this client?
f f f f f f f
A. Dry cough f
B. Hypotension
C. Thrombocytopenia f
D. Hyperglycemia
f
4 f/ f56
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