1. a male client admitted the morning of his scheduled surgery tells the PN that he drank
water last night. What intervention will the PN implement first?
Determine the amount of water and exact time it was taken
2. A
...
1. a male client admitted the morning of his scheduled surgery tells the PN that he drank
water last night. What intervention will the PN implement first?
Determine the amount of water and exact time it was taken
2. A client receives ondansetron prior to chemotherapy treatment. How should the PN
evaluate this medication?
Monitor the client for nausea or vomiting following the treatment
3. The PN is caring for an older adult client who is confused and spends...factor contributes
to an increased risk for impaired skin integrity for this client?
Has increasing episodes of urinary incontinence
4. The pn determines that a client with cirrhosis is experiencing peripheral....take?
Protect the clients feet from injury
5. A client is admitted to the postoperative surgical unit after a left lobectomy with two
chest tubes......observes the water-sealed chambers, set and prescribed suction of 20cm
water...what action should the PN implement?
Maintain system integrity and to promote lung re-expansion
6. Photo of chest and locating apical HR
Just below the left nipple
7. At the end of a 12-hour shift the PN observes the urine in a client’s drainage. What action
should the PN take next?
Note the most recent white blood count
8. Thirty minutes after receiving IV morphine, a postoperative male client continue to rate
his pain...what action should the PN implement first?
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Implement complementary pain relief methods
9. A male client has been diagnosed with schizophrenia is withdrawn, isolates himself
in....with one or two word responses. The morning the PN observes that he...Which
intervention is most important for the PN to implement?
Measure appropriate vital signs
10. The PN is assisting a female client to obtain a voided specimen for uri...meatus. Which
intervention is performed next?
Initiate the urine stream?
11. An 8-year old is placed in 90-90 traction for a fractured femur that resulted from...further
action by the PN?
Weights are touching the foot of the bed
12. The PN is reviewing diet instructions with a female client who has hyper...she has
increased her intakes of protein and calories. What action should the PN take?
Encourage the client to continue the dietary changes she has made
13. A mother brings her 5-year old child to the clinic for school physical examinations.
Which assessment... PN that intergenerational violence may be occurring in the home?-
The 6-year old son hits his younger sister during the interview
-the 10-year old daughter has circular burns on her trunk and legs
-the 3-year old has multiple bruises on the chest and both legs
14. A client has a prescription to discontinue intravenous therapy when the liter that is
infusing at 150 mL per hour is...1200 the PN notes that there are 750 ml of solution
remaining. At what time should the nurse expect to discontinue the intravenous therapy?
1700
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15. The PN is caring for a client who had a total laryngectomy, left radical neck dissection...
client is receiving nasogastric tube feedings via an internal pump. today the rate of the
feeding was increased...ml/hr. What parameter should the PN use to evaluate the clients
tolerate to the rate of the feeding?
Gastric residual volumes
16. A new mother is breastfeeding her newborn for the first time after delivery and complains
of nipple pain...Based on the client complaint, what action should the PN take?
Ensure that all the areolar tissue of the nipple is in the infants’ mouth.
17. Which site should the PN use when administering an injection of Rho (D) Immune
negative postpartum client?
Deltoid
18. Before inserting medication into a client’s vagina, what instructions should the pn...
urinate until bladder is empty
19. An 18-year old female client with pelvic inflammatory disease (PID0 asks the pn..Which
information is best for the PN to provide?
A history of untreated gonorrhea can lead to PID
20. A new mother is bottle feeding instead of breastfeeding her newborn, The PN...most
effectively deal with breast engorgement and discomfort?
Wear a supportive bra at all times
21. A young adult male tells the PN he has declared to change his hours at work so that he
can...his community. Which stage of Maslow's development is this young adult
attempting to achieve?
Self-actualization
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22. A female client arrives to the clinic for an annal physical examination. when
reviewing...the PN that she takes herbs for high blood pressure instead of the
prescribed..important for the PN to reinforce with the client? Explain risks
associated with using herbs instead of the prescribed antihypertensives.
23. A female Native American client who is receiving chemotherapy places a native
artifact...the health care provider removes the medicine wheel and tells the client "this
type..hospital" what intervention should the PN implement ? Act as the clients
advocate when discussing the issue with the HCP
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