A client with dyspnea is being admitted to the medical unit. To best prepare for the client's
arrival, the nurse should ensure that the client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers - ANSWER- Fowlers
...
KAPLAN RN EXIT EXAM
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A client with dyspnea is being admitted to the medical unit. To best prepare for the client's
arrival, the nurse should ensure that the client's bed is in which position?
A. Supine
B. supine; feet elevated higher than head
C. supine; head elevated higher than feet
D. Fowlers - ANSWER- Fowlers
The nurse is taking the blood pressure measurement of a client with Parkinson's disease. Which
information in the client's admission assessment is relevant to thenurse's plan for taking the
blood pressure reading? (Select all the apply)
A. Frequent syncope B.
Occasional nocturiaC.
Flat affect
D. Blurred vision
E. Frequent drooling - ANSWER- A. Frequent syncope
While caring for a client's postoperative dressing, the nurse observes purulent drainage at the
wound. Before reporting this finding to the healthcare provider, the nurse should review which
of the client's laboratory values?
A. Serum albumin
B. Culture for sensitive organisms
C. Serum blood glucose level
C. Creatinine level –
ANSWER- B. Culture for sensitive organisms
A preschool-aged boy is admitted to the pediatric unit following successful resuscitationfrom a
near-drowning incident. While providing care to the child, the nurse begins talking with his
preadolescent brother who rescued the child from the swimming pool and initiated resuscitation.
The nurse notices the older boy becomes withdrawn when asked about what happened. Which
action should the nurse take?
A. Develop a water safety teaching plan for the family B.
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Ask the older brother how he felt during the incidentC. Tell
the older brother that he seems depressed
D. Commend the older brother for his heroic actions –
ANSWER- B. Ask the olderbrother how he felt during the incident
A male client with cirrhosis has jaundice and pruritus. He tells the nurse that he has been
soaking in hot baths at night with no relief of his discomfort. Which action shouldthe nurse take?
A. Encourage the client to use cooler water and apply calamine lotion after soaking
B. Obtain a PRN prescription for an analgesic that the client can use for symptom reliefC.
Suggest that the client take brief showers and apply oil-based lotion after showeringD. Explain
that the symptoms are caused by liver damage and cannot be relieved - ANSWER- A.
Encourage the client to use cooler water and apply calamine lotion after soaking
An older client with a long history of coronary artery disease (CAD), hypertension (HTN), and
heart failure (HF) arrives in the Emergency Department (ED) in respiratory
distress. The healthcare provider prescribes furosemide IV. Which therapeutic responseto
furosemide should the nurse expected in the client with acute HF?
A. Increased cardiac contractility
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B. Reduced preload
C. Relaxed vascular tone
D. Decreased afterload - ANSWER- B. Reduced preload
Which intervention should the nurse include in the plan of care for a child with tetanus?A.
Encourage coughing and deep breathing
B. Minimize the amount of stimuli in the roomC.
Reposition from side to side every hour
D. Open window shades to provide natural light - ANSWER- B. Minimize the amount ofstimuli
in the room
An adolescent who was diagnosed with diabetes mellitus Type 1 at the age of 9, is admitted to
the hospital in diabetic ketoacidosis. Which occurrence is the most likelycause of the
ketoacidosis?
A. Ate an extra peanut butter sandwich before gym classB.
incorrectly administered too much insulin
C. Had a cold and ear infection for the past two days
D. Skipped eating lunch - ANSWER- C. Had a cold and ear infection for the past twodays
A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs ofimpending
death. After notifying the family of the client's status, what priority action should the nurse
implement?
A. The impending signs of death should be documentedB. The
client's status should be conveyed to the chaplain
C. The client's need for pain medication should be determined
D. The nurse manager should be updated on the client's status - ANSWER- C. Theclient's
need for pain medication should be determined
A client tells the nurse about working out with a personal trainer and swimming three times a
week in an effort to lose weight and sleep better. The client states that it still istaking hours to
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