PN Comprehensive Practice A anad B

questions and answers verified 100%

(Keep plugged tube) above stomach level (when ambulating) - A patient four hours post operative
following gastrointestinal surgery has an NG tube in place for gastric decompression. The nurse should
instruct pt to do what

Gain weight (before getting) taller - Talking to a bunch of adolescent girls about puberty the nurse to
teach the students that they will make most likely do what before what

Document findings as a negative verience (there is only one critical pathway for a specific surgical
procedure) - A nurse is reviewing the critical path way of a client who is four days post operative
following a knee at the plasty the clients vital signs are temp of 102 heart rate 116 respiratory rate 24
blood pressure 152/92 which of the following actions should the nurse take

Oral contraceptives (use a secondary method of birth control) - Rifampin for TB interacts with what
med

No (indicates a infection which can lead to meningitis) - If a pt on rifampin for TB develops a headache,
fever or muscle weakness (flu like symptoms) is this a harmless side effect ?

No (because it is a danger to children and small animals) - A school age child with pediculosis Capitol
(Lice); should the parent spray the furniture with insecticides

Muscle pain (myopathy) - An adverse effect of atorvastatin

Daily at bedtime - Montelukast should be taken when ?

Dk green viscous (thick) - A nurse is caring for a newborn who is 12 hours old should instruct the
parents to expect what type of stool in the first 24 hours of birth

Reduced height (potential) - A nurse is teaching a group of male adolescence about adverse affects of
anabolic steroid use which of the following manifestations to the nurse include

Enhances athletic performance (testosterone) - What is anabolic steroids

Low over hips (to reduce the risk of injury) - When it comes to car seat safety a 12-year-old child
should place the shoulder lap seatbelt we're

No (additional padding interferes with even strap support-dangerous) - When it comes to car seat
safety should a parent place a light blanket between the baby in the car seat strap

4'9" - How tall does a child have to be to ride without a booster seat

Infection (or decreased platelets; report immediately) - Generalize petechiae on a newborn's skin
indicates

Hold finger in a dependent position - When testing blood glucose in a type one diabetes patient,what
is the very first step

Chk documentation that DR spoke with pt about DNR - A nurse is talking to a patient who says their
provider agreed to initiate a do not resuscitate prescription DNR after leaving the clients room which of
the following actions should the nurse take first

No (dose not need to be given on an empty stomach) - A nurse is preparing to administer a dose of
digoxin to a patient who is receiving continuous tube feeding should the nurse stop the tube feeding 30
minutes prior to administering the medication

Flush feeding tube (before and after/30mL) - When administering digoxin to a patient who is receiving
continuous tube feedings which of the following should the nurse do

Level of activity (also facial, consolability) - When used in a FLACC scale to determine the level of pain
for a 11 month old infant who is post operative which of the following factors to the nurse considered
when using the pain scale

Hydration status - A nurse in a long-term care facility is documenting care of an older patient which of
the following information should the nurse include in the weekly summary

side lying (the elevate head of bed) - A patient that his postoperative wants to sit on the side of the
bed what is the first step the nurse should take ? Place pt in what position?

Pt gets out of bed - Antiembolic stockings should be applied before when

Increase fluids - When using a PCA pump for morphine for pain what the nurse instructed the patient
to do

Yes (they sit by themselves at 9mo) - Is it normal for seven month old infant to support themselves
leaning forward and using their hands for support

Subcut - Epoetin alfa is administered with what kind of injection?

Ibuprofen ( or any other nonsteroidal anti-inflammatory meds that reduce antihypertensive effects of
captopril) - What over the counter medication should be avoided in
PN comprehensive online practice 2020 B questions and answers

A nurse is assisting with monitoring a client who is in labor and has spontaneous rupture of membranes
following a vaginal examination. The provider reports the client's cervix is dilated to 1 cm with an
unengaged presenting part. Which of the following actions should the nurse take? - Apply the
external fetal heart rate monitor.

A Nurse is collecting data from a client who has bipolar disorder and is experiencing acute mania. Which
of the following findings is the nurse's priority? - lack of sleep

A nurse is reinforcing teaching with a client who has a type 2 diabetes mellitus and reports waking
during the night with tremors and anxiety. which of the following information should the nurse provide
to help the client manage his symptoms? - Eat a bedtime snack

a Nurse is reinforcing teaching for a client who has a coronary artery disease and is taking low-dose
aspirin daily. The nurse should include that this medication has which of the following therapeutic
effects for CAD? - Antiplatelet

A nurse is collecting data from a client who has an unprepared femur fracture and rates his pain as 8 on
a scale of 0 to 10. The client is talking and caught with a visitor. Which of the following of the prescribed
medication should the nurse administer? - Hydromorphone 5 mg orally.

A nurse is reinforcing preoperative teaching with a client scheduled for a bowel retention with
ileostomy. which of the following descriptions should the nurse give of the expected output from a
mature ileostomy? - liquid with little odor

A nurse is caring for a client who is 16 hr postoperative following a total hip arthroplasty. the client
reports numbness, pain, and tingling in the affected leg. Which of the following actions should the nurse
take first? - compare capillary refill in toes bilateraly

A nurse is reinforcing teaching with a client who has acute diverticulitis. Which of the following
statements by the client indicates an understanding of the teaching about the acute phase of
diverticulitis? - "I will receive the nutrient I need through my IV Fluid"

A nurse in reinforcing teaching with a client about cancer prevention. The nurse should include that
frequent consumption of which of the following foods increases the risk of cancer? - Lamb

A nurse is assisting in teaching a group of staff nurses about hepatitis A. Which of the following modes
should the nurse include as a method of transmitting hepatitis A? - Consumption of contaminated
food.

A nurse is reinforcing teaching with a client who is bottle feeding he full-term newborn with formula.
Which of the following instructions should the nurse include in the teaching? - Although is is
unnecessary to be rigid about feeding times, six to eight feedings every 24 hrs should support a full-term
newborn's nutrition adequately. Fewer feedings in the initial weeks could delay the estabilment of an
adequate weight-gain pattern.

A nurse is assisting with the plan of care for a client following a transurethral resection of the prostate.
Which of the following interventions should the nurse include in the plan of care? - The nurse should
irrigate the bladder using strict sterile technique and maintain closed catheter drainage system to
minimize the rick of infection.

A nurse is reviewing a client's electronic medical record and finds that an assistive personnel recorder
the client's temperature as 35.3 degrees Celsius (95.5 degrees F) 2 hrs earlier. Which of the following
actions should the nurse take firsT? - Check the client's temperature.

A nurse is receiving change-of-shift report for four clients. Which of the following clients should the
nurse see first? - A client whose urinary output was 100mL for the past 12 hrs

A nurse in reinforcing teaching about weight loss with a female older adult client who is overweight.
Which of the following statements should the nurse include in teaching? - keep fat intake to no
more that 30% of daily caloric intake.

A nurse is collecting data from a client who has iron deficiency anemia. Which of the following findings
should the nurse expect? - Difficulty concentrating.

A Nurse is collecting data from an older adult client who is 48 hr postoperative following abdominal
surgery. The provider writes a prescription to advance the client to a regular Diet. For which of the
following findings should the nurse notify the provider? - The client has absent bowel sounds.

A nurse is reinforcing discharge teaching with a client who is postoperative following transurethral
resection fo the prostate. Which of the following instructions should the nurse include in the teaching? -
perform Kegel exercises daily.

A nurse is reinforcing teaching about ways to reduce solid fat consumption with a client who has an
elevate cholesterol level. which of the following strategies should the nurse include in the teaching? -
purchase beef that is a loin cut.

A nurse is reinforcing teaching with a client who has a new prescription for prednisone for the treatment
of Addison's disease. which of the following instructions should the nurse include in the teaching? -
You will need to schedule a bone density test.

A nurse is collecting data from a client who has type 2 diabetes mellitus and is concerned about weight
gain during pregnancy. Which of the following responses should the nurse make? - You weight gain
should be the same as for someone without diabetes.

A nurse is reinforcing teaching with the parent of a preschooler who has lactose intolerance. Which of
the following statements by the parent indicates an understanding of the teaching? - I should offer
my child yogurt that has a probiotic as a snack.
A parent brings her adolescent son to an urgent care center and states. "He is high on something and
needs help" The client is exhibiting agitation and paranoia and reports visual hallucinations. The nurse
should suspect intoxication with which of the following substances? - Methamphetamines

A nurse notices an assistive personnel taking a nap in the break room during he meal time. The AP
appears drowsy while performing routine tasks. Which of the following actions should the nurse take? -
Report the observations about the ap to the unit's nurse manager.

A nurse is reinforcing teaching with a client who has a fluid volume deficit about selecting foods that
have a high water content. The nurse should include that which of the following raw foods contains the
highest amount of water per 1 cup serving? - Cherry tomatoes

The nurse is position a client who is scheduled for a lumbar puncture. The nurse should assist the client
into which of the following positions? - Lateral Recumbent.

A nurse is talking with a client whose son died in a motor-vehicle crash 2 weeks ago. The client states "I
really thought I;d be back to my usual routines by now, but I can't think of anything else except my son is
gone" Which of the following responses should the nurse make? - Grieving for your son is hard work.
It will take as much time as you need to come to terms with your loss.

A nurse is instructing an assistive personnel on the use of proper body mechanics when moving a client.
which of the following statements by the assistive personnel should the nurse identify as an
understanding of the teaching? - I will use a pull sheet to help slide the client toward me.

a Nurse in maintaining droplet precautions for a client who has meningitis. Which of the following
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actions should the nurse take? - W

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anad-b-questions-and-answers-verified-100ear a surgical mask within 3 feet of the
client.

A nurse is collecting data from a female client who has a new diagnosis of genital herpes. Which of the
following findings should the nurse expect? - Painful erythematous vesicles.

a school nurse is having a conversation with the parents of an adolescent. The nurse should identify
which of the following situations as an ethical dilemma for the parents? - "We can't decide whether
to try to homeschool our child or move her to a private school."

A nurse is preparing to administer prednisone 1mg/kg PO to a preschooler who weights 20kg (44lb).
Available is prednisone oral solution 5mg/1mL. How many mL should the nurse administer? Round -
4 mL
A nurse is preparing to administer a rectal suppository to a school-age child. Which of the following
action should the nurse plan to take? - Use one finger to insert the suppository past the anal
sphincters.

A nurse is assisting with monitoring a client who is at 40 weeks of gestation and is in active labor. The
nurse recognizes late deceleration on the fetal monitor tracing. Which of the following actions should
the nurse take? - Place the client in the lateral position.

A nurse manager is providing an in-service on hand hygiene to assistive personnel. which of the
following information should the nurse manager include in the in-service? - Remove reigns when
washing hand with soap and water.

A nurse is reinforcing home safety instructions with the parent of a newborn. Which of the following
statements should the nurse include in the instructions? - Place your baby's crib away from heat
vents.

A nurse is preparing to administer a client's morning medications. Which of the following actions should
the nurse take to verify the client's identity? - Scan the facility identification board.

A nurse is caring for a client following a bronchoscopy procedure. Which of the following actions should
the nurse perform first? - Check for a gag reflex.

While administering a medication to a client, a nurse notices a frayed electrical cord connecting the
client's continuous passive motion machine to the electrical outlet. Which of the following actions
should the nurse take? - Remove the device from the client's room.

A nurse is caring for a client who requests information bout advance directives. Which of the following
responses should the nurse make? - "Advance directives are written instructions regarding end-of-
life care."

A nurse is contributing to the plan of care for a client who is at risk of developing pressure ulcers. Which
of the following actions should the nurse include in the plan of care? - Place the client in a 30° lateral
position.

A nurse is assisting with performing a non stress test for a client who is at 39 weeks of gestation which
of the following instructions should the nurse reinforce with the client? - "You should depress the
Hey mate, if in need of any studies assistance
button on the handheld marker w

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anad-b-questions-and-answers-verified-100hen you feel your baby move."
A nurse is reinforcing discharge teaching with a client following cataract surgery. Which of the following
instructions should the nurse include in the teaching? - Sleep on the nonoperative side for 2 weeks.
A nurse manager is preparing to complete a performance analysis for a group of assistive personnel. The
manager asks a staff nurse for feedback on each assistants abilities. Which of the following actions
should the staff nurse take? - Discuss how each AP's actions measure against the job description.

A nurse is preparing to administer a medication to a client when the client states " I'm sick of all there
medication. I'm not taking any more today!" Which of the following actions should the nurse take? -
Inform the client of the possible consequences of the medication refusal.

a nurse is contributing to the plan of care for a client who is on suicide precautions. Which of the
following interventions should the recommend? - Encourage the client to sign a no-harm contract.

A nurse is reinforcing reaching for a preoperative client on how to use an incentive spirometer. Which of
the following actions by the client indicates an understanding of the teaching? - The client attempts
to elevate the cylinder by inhaling deeply.

A nurse at a long term care facility is part of a team preparing a report on the quality of care at the
facility. Which of the following information should the nurse recommend including in the report to
demonstrate improvement in care quality? - The facility had 12% fewer urinary tract infections over
the past 6 months.

A nurse is reviewing laboratory reports for a client who has an Escherichia Coli infection and is receiving
gentamicin. Which of the following results should the nurse report to the provider before administering
the next dose? - Creatinine 2.5 mg/dL

A nurse working in a community clinic is caring for an adolescent who has infectious mononucleosis. The
client asks the nurse to explain how the disease was acquired. The nurse should explain that an
individual acquires this disease by which of the following. - Sharing eating utensils with an infected
person

A nurse is reinforcing teaching with a client who has hypothyroidism and a prescription for
levothyroxine. Which of the following instructions should the nurse include in the teaching? - "You
will need to take the medication for the rest of your life."

A nurse is collecting data from a postpartum client who had a vaginal birth 2 days ago. Which of the
following findings is the nurse's priority to report to the provider? - Client reports during with
urination.

A nurse is reinforcing reaching with a client about a planned thoracentesis. Which of the following
information should the nurse include in the teaching? - You will need to be monitored for 1 hour
after the procedure."

A nurse is contributing to the plan of care for an older adult client who has difficulty sleeping. Which of
the following interventions should the nurse include in the plan? - Establish a regular exercise
routine 2 hr or more before bedtime.
A nurse in a provider's office is reinforcing teaching with a client who has a new prescription for ferrous
sulfate elixir. Which of the following statements by the client should indicate to the nurse an
understanding of the teaching? - I will rinse my mouth after taking this medication.

A licensed practical nurse on a medical surgical unit is working with an RN and an Assistive personnel.
Which of the following assignments should the LPN expect to receive? - Administering an NG tube
feeding to a client who had a stroke

A nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations. Which of
the following actions should the nurse take? - Offer the client headphones to listen to music.

A nurse is reinforcing teaching with a client about taking warfarin to treat atrial fibrillation. Which of the
following statements by the client indicates an understanding of the teaching? - If I forget to take a
dose, I can take it later on the same day."

A nurse is working with an interpreter to explain a diagnostic procedure to a client who doesn't speak
the same language as the nurse. Which of the following actions should the nurse take? - Ensure the
interpreter is culturally compatible with the client.

A nurse is reinforcing discharge teaching with a client who has dependent personality disorder. Which of
the following instructions should the nurse include in the discharge teaching? - Demonstrate
assertiveness.

A nurse is contributing to the discharge plan for a client who had a knee arthroplasty. Which of the
following actions should the nurse identify as the priority? - Check the client's mobility

A nurse in a long-te

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anad-b-questions-and-answers-verified-100