Predictive exam IX RN

A client at 24 weeks’ gestation has been scheduled for an amniocentesis. Which actions should the nurse plan to take in the care of this client? Select all that apply.

The nurse caring for a high-risk client in labor observes the presence of variability of the fetal heart rate (FHR) of 10–12 beats per minute as recorded by the internal fetal monitor. What interpretation should the nurse make about the fetal condition or state?

The nurse is preparing a client for a barium study of the stomach and esophagus. Which nursing interventions should the nurse perform? Select all that apply.

Which assessment finding would indicate to the nurse the need for intramuscular
administration of vitamin K to a client with cirrhosis?

Which action should the nurse take first when performing tracheostomy care?

When planning home care for a child with juvenile rheumatoid arthritis (JRA), which recommendation should the nurse provide to the child’s parents?

When infusing a large number of banked packed red blood cells (PRBCs) over a short period of time, why should the nurse plan to administer a calcium replacement?

When giving a presentation on nursing at a college career day, which content should the speaker include as the best description of nursing as a profession?

When entering the room of a 78-year-old female client, the nurse finds the client slumped in her chair with no visible signs of life. What is the first action the nurse should take?

When developing an initial plan of care for a hospitalized client with bipolar disorder who is in the manic phase, what nursing intervention has the highest priority?

When developing a teaching plan on tuberculosis, which information would be accurate for the nurse to include?

When conducting a postpartum assessment, the nurse notes that the client has a positive Homan’s sign. Based on this finding, what action should the nurse take?

When conducting a nursing assessment of a client with a nasal fracture, which finding is most significant?

When bathing an elderly client, the nurse notes that the client’s skin is very dry, flaky, and rough. Which nursing intervention should be added to this client’s plan of care?

A 10-month-old infant is admitted to the emergency department with a 1.2 ° F 1.2°F ( 38.9 ° C 38.9°C) rectal temperature and a history of vomiting and diarrhea for 48 hours. For which signs should the nurse assess?

Which finding should the nurse expect a client to exhibit who is newly diagnosed with fibromyalgia?

Does the nurse conclude which sign reliably indicates that ascites fluid is being effectively mobilized in response to therapy?

Select all that apply.

A client is admitted to the hospital after vomiting for 3 days. What arterial blood gas (ABG) results should the nurse expect?

The registered nurse (RN) has finished reviewing the 0700 shift report on a telemetry unit. Which client would be best for the RN to assign to the licensed practical/vocational nurse (LPN/LVN)?

Which assessment finding in a 35-year-old client with an intracranial hematoma should concern the nurse?

The nurse should prevent corneal abrasion in a client with myasthenia gravis by performing which nursing intervention? Select all that apply

The client is post-transsphenoidal hypophysectomy. The client demonstrates an understanding of methods for preventing increases in intracranial pressure by stating to perform which activity?

After conducting client teaching with the mother of a 4-year-old child exposed to chickenpox, the nurse determines additional instruction is needed when the mother makes which statement?

A client diagnosed with a terminal illness states, “What’s left for me? I feel hopeless.” Does the nurse determine which of the following would be the best response?

What is the priority reason why the nurse teaches a patient who is prescribed sulfamethoxazole to take this medication with a full water glass?

Which finding in an elderly female client who was started on digoxin (Lanoxin) 0.25 mg indicates that the medication is producing a therapeutic effect?

Which dietary change should the nurse recommend to a client who has recently been diagnosed with a goiter?

Which client situation requires the most immediate intervention by the nurse?

Which client should the nurse assess first immediately after receiving
morning report?

The nurse is working with a health care provider who prescribes opioid doses based on a specific pain intensity rating (dosing to the numbers). Which client circumstance is cause for greatest concern?

The nurse recognizes that there are ethical considerations in helping clients to achieve relief from pain. Which nursing action is the best example of the principle of nonmaleficence?

The patient is experiencing nausea due to Ménière disease. For which drug is the nurse most likely to plan patient teaching?

The patient is experiencing nausea and vomiting for which the health care provider has prescribed promethazine 12.5 mg orally four times a day as needed. Which patient care task would the nurse appropriately delegate to the unlicensed assistive personnel (UAP) before giving this drug?

Electrocardiographic (ECG) monitoring is recommended with haloperidol administration because neuroleptic agents such as haloperidol can cause which dysrhythmias?

Which statement is true regarding alcohol withdrawal syndrome (AWS)?

The nurse and the patient’s daughter are aware that the patient has a do-not-resuscitate (DNR) order, but when he stops breathing, the daughter screams, “Save my daddy!” This is an example of a conflict between which two ethical principles?

A nurse is making assignments for the oncoming shift. Which assignment would be appropriate for the patient who is actively dying?

A patient with end-stage chronic airflow limitation is receiving palliative care. The nurse notes increase in respiratory rate, use of accessory muscles to breathe, and distress on the patient’s face. What interventions should the nurse implement? (Select all that apply.)

Which patient should have the best prognosis after a coma?

A patient was admitted complaining of an abrupt onset of weakness that started in both legs and is now causing flaccidity of the arms after an episode of the flu. Which intervention does the nurse anticipate when the patient complains of difficulty breathing?

Which intervention(s) does the nurse anticipate on arrival for a patient suspected of having an ischemic stroke? (Select all that apply.)

The nurse is preparing to administer intravenous Phenytoin to a patient with a seizure disorder. Which action is necessary during administration? (Select all that apply.)

The nurse is educating the patient on starting oral furosemide. Which of the following statements signifies that the teaching was successful?

The patient in renal failure has experienced a severe hypotensive event, and the ratio of blood urea nitrogen (BUN) to creatinine is 15:1. The nurse is aware that this is an example of what type of kidney injury?

The patient has a serum sodium level of 145 and potassium of 3.7. What is the approximate serum osmolality?

The patient has a blood sugar level of 350 and an anion gap of 17. The nurse is aware that this is indicative of which disorder?

Which of the following patient statements needs to be explored further regarding kidney function? (Select all that apply.)

Which statement by a patient with chronic kidney disease (CKD) indicates an understanding of the purpose of sevelamer (Renagel) with meals?

Which meal is the best choice for a patient with chronic kidney disease (CKD) to eat for lunch?

A nurse is assessing a patient with end-stage kidney disease (ESKD) and notices that the patient’s left cheek is twitching, the patient’s gums are bleeding, and the patient is irritable. Which electrolyte disturbance should the nurse suspect the patient is experiencing?

A patient is having an abdominal computed tomography (CT) scan with intravenous (IV) contrast in the morning. Which instructions should be included in the teaching for this procedure? (Select all that apply.)

Which nursing actions are important in the management of a patient with an arteriovenous (AV) fistula? (Select all that apply.)

Which statement by a patient with chronic kidney disease (CKD) indicates an understanding of the purpose of sevelamer with meals?

Which meal is the best choice for a patient with chronic kidney disease (CKD) to eat for lunch?