Review
Comprehensive Review
1. A nurse is reviewing the laboratory results of a client who is taking cyclosporine following a
kidney transplant. Which of the following findings should the nurse report?
a. Urine speci
...
Review
Comprehensive Review
1. A nurse is reviewing the laboratory results of a client who is taking cyclosporine following a
kidney transplant. Which of the following findings should the nurse report?
a. Urine specific gravity 1.023
b. Serium creatinine 1.6 mg/dL
c. Urine pH 6.2
d. BUN 18 mg/dL
2. A nurse is providing discharge instructions about a newborn safety to a client who is 2 days
postpartum. Which of the following instructions should the nurse include?
a. Use a car seat when traveling by airplane.
b. Lay the baby on his stomach to nap during the daytime.
c. Change smoke detector batteries every other year
d. Place a plastic waterproof sheet over the crib bedding
3. Math question
4. A nurse is caring for a client who has major depressive disorder. The client tells the nurse,
“No one cares about me. I’m completely alone”. Which of the following responses should
the nurse make?
a. “What makes you think that”?
b. “Can you give me an example of how others are making you feel this way?”
c. “You should join a community support group.”
d. “Don’t worry. You should be feeling better in a couple weeks.”
5. A nurse on a medical-surgical unit is caring for a client who states that she plans to leave the
facility against medical advice. For which of the following actions by the nurse should the
charge nurse intervene?
a. Asks the client to sign a form releasing the hospital from legal responsibility
b. Asks security to detain the client until the provider is notified
c. Show the client for abnormal laboratory results
d. Asks the client what her plans are for follow-up care
6. A nurse is a prenatal teaching to a client who is at 12 weeks of gestation. The nurse should
tell the client she will undergo which of the following screening tests at 16 weeks of
gestation?
a. Maternal serum alpha-fetoprotein
b. Nonstress test
c. Cervical cultures for chlamydia
d. Chorionic villus sampling
7. A nurse is admitting a client who has schizophrenia and experiences occasional auditory
hallucinations. The client states, “It’s hard not to listen to the voices.” Which of the following
questions should the nurse ask the client?
a. “Have you tried going to a private place when this occurs?”
b. “What helps you ignore what are you hearing?”
c. “Do you understand that the voices are not real?”
d. “Why do you think the voices are talking to you?”
8. A nurse is planning care for a client who sustained a major burn over 20% of the body. Which
of the following interventions should the nurse include to support the client’s nutritional
requirements?
a. Keep a calorie count for foods and beverages
b. Maintain calorie intake at 1,500 per day
c. Schedule meals at 6-hr intervals
d. Provide a low-protein, high-carbohydrate diet
9. A charge nurse is preparing to lead negotiations among nursing staff due to a conflict about
overtime requirements. Which of the following strategies should the charge nurse use to
promote effective negotiation?
a. Identify solutions prior to negotiation
b. Personalize the conflict
c. Attempt to understand both sides of the issue
d. Focus on how the conflict occurred
10. A nurse is preparing to administer a NG tube feeding to a school-age child. Which of the
following actions should the nurse plan to take?
a. Position the child at a 10 to 20 degree angle after feeding
b. Warm the formula in the microwave
c. Complete the feeding in 5 min
d. Measure the tubing from the nose to the distal port
11. A nurse is developing a plan of care for a client who has preeclampsia and is to receive
magnesium sulfate via continuous IV infusion. Which of the following actions should the
nurse include in the plan?
a. Monitor the FHR via Doppler every 30 min
b. Measure the clients urine output every hour
c. Restrict the clients total fluid intake to 250mL/hr
d. Give the client protamine if signs of magnesium sulfate toxicity occur
12. A nurse realizes that the wrong medication has been administered to a client. Which of the
following actions should the nurse take first?
a. Notify the provider
b. Measure the clients vital signs
c. Report the incident to the nurse manager
d. Fill out an incident report
13. A nurse realizes that the wrong medication has been administered to a client. Which of the
following actions should the nurse take first?
a. Notify the provider
b. Measure the clients vital signs
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