What are two interven - Study guides, Class notes & Summaries

INTRODUCTION TO TESTING AND THE NCLEX-RN® EXAM 1 Three cheers for you! You have made the wise decision to prepare, in a structured way, for the NCLEX-RN. A. You have already successfully completed a basic nurs- ing program and are well acquainted with your ability to take and pass tests and to perform successfully in the clinical area. B. You have the basic knowledge required to pass the licensing exam. However, it is wise to: 1. Organize your knowledge. 2. Review content learned durin...

ENPC HOME EXAM 2023 QUESTIONS AND ANSWERS WITH 100% CORRECT SOLUTIONS

Chart/Exhibit Practice Item While performing a physical assessment on a client with a long- term history of tobacco use, a nurse notes changes in the client’s fingers (see illustration). Angle > 180 The nurse should best document this assessment finding as: 1. vitiligo. 2. clubbing. 3. keratinized. 4. poor capillary refill. ANSWER: 2 In this question, the nurse should document the finding as clubbing. The picture shows swelling at the distal end of the finger and loss of the normal ...

1. An individual with a history of depression and low self-esteem has just begun to participate in a home management group. This individual had previous- ly identified cooking as a leisure interest that he is good at. Which of the following approaches will MOST effectively promote individual growth and self-confidence? (#90) 2. An individual diagnosed with borderline personality disorder tells a COTA that she is the only one she can trust. The next day she accuses the COTA of lying to her. The...

  1. What can be delegated to Assistive person- nel (AP)? 2. A nurse on a med surge unit has recieved change of shift report and will care for 4 clients. Which of the following clients needs will the nurse assign to an AP? A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia B. Reinforcing teaching with a client who is learning to walk with a quad cane C. Reapplying a condom catheter for a client who has urinary incontinence D. Applying a sterile dressing ...

HESI A2 CRICTICAL THINKING (HESI A2 MULTI-VERSIONS) EXAMS WITH BEST SOLUTIONS 1. The 8-year-old client diagnosed with a vaso-occlusive sickle cell crisis is complaining of a severe headache. Which intervention should the nurse implement first? 1. Administer 6 L of oxygen via nasal cannula. 2. Assess the client's neurological status. 3. Administer a narcotic analgesic by intravenous push (IVP). 4. Increase the client's intravenous (IV) rate. - Correct Answer-Rationale Correct - 2-Becau...

While completing a nursing assessment, the client states he is 70 years old, has a history of staphylococcus infections, increased intraocular pressure, and blurry vision. The nurse concludes that which item reported by the client is a risk factor for the development of cataracts? 1. History of staphylococcus infections 2. Increased intraocular pressure 3. Stated age of client 4. Long complaint of blurry vision Answer: 3 Rationale: Age above 65 is a risk factor for cataracts. Double visio...

1. What is the proper procedure for testing visual acu- ity? 2. A 22-year-old man with sickle cell disease is brought into the ED by Campus Police from his local uni- versity. He is complaining of increasing pain to his bilateral lower extremities, consistent with his past sickle cell pain crisis. Which intervention would you expect the provider to order? 3. TPA would be contraindicated for which of the fol- lowing patients? 4. A 24 year old female, who has recently received methotrexate fo...

Chapter 2: Management Principles and Legal Issues 5. Monitor progress in client care through feed- back, evaluate outcomes, and follow-up on identified problems. B. Determining appropriate delegation to an unlicensed healthcare worker—ask these questions: 1. CantheUAPlegallydothisprocedureaccord- ing to the Nurse Practice Act in that state? 2. Has the UAP been trained to perform this procedure? 3. Can the UAP demonstrate this procedure safely and consistently? 4. Is the client status ...

HESI A2 CRICTICAL THINKING (HESI A2 MULTI-VERSIONS) EXAMS WITH BEST SOLUTIONS 1. The 8-year-old client diagnosed with a vaso-occlusive sickle cell crisis is complaining of a severe headache. Which intervention should the nurse implement first? 1. Administer 6 L of oxygen via nasal cannula. 2. Assess the client's neurological status. 3. Administer a narcotic analgesic by intravenous push (IVP). 4. Increase the client's intravenous (IV) rate. - Correct Answer-Rationale Correct - 2-Becau...