Predictive exam V RN

When caring for a postpartum client, which intervention is best for the nurse to implement to promote increased peripheral vascular activity?

At a follow-up home-care visit after repair of a fractured radial bone, an older adult client states, “I am not sleeping at all during the night.” The client’s partner reports that the client is sleeping all day. Which intervention does the nurse suggest?

Which assessment is most important for the nurse to implement when seeing a client with multiple myeloma?

The nurse is assisting a father in changing the diaper of his 2-day-old infant. The father notices several bluish-black pigmented areas on the infant’s buttocks and asks the nurse, “What did you do to my baby?” Which response is best for the nurse to provide?

The nurse is planning a community teaching program regarding the use of folic acid to prevent neural tube congenital disabilities. Which community group is likely to benefit most from this program?

The nurse performs an assessment on a client with heart failure. Which finding(s) is(are) consistent with the diagnosis of left-sided heart failure? (Select all that apply.)

A client with end-stage lung cancer and metastasis to the brain has been admitted to the medical-surgical unit. After trying all options to provide a safe environment, the nursing staff is required to apply restraints. Which nursing intervention is required for this client?

Case study

Maria is a 15-year-old girl who has been hospitalized for treatment of bone pain due to osteogenic sarcoma. She is scheduled for another biopsy and received fentanyl for the procedure.

Which of the following statements is most accurate about fentanyl administration?

Case study

Maria is a 15-year-old girl who has been hospitalized for treatment of bone pain due to osteogenic sarcoma. She is scheduled for another biopsy and received fentanyl for the procedure.

Which of the following activities should the play therapist suggest to help Maria process these feelings related to ineffective pain management?

Which assessment finding for a client with peritoneal dialysis requires immediate intervention by the nurse?

When assisting a client who has undergone a right above-knee amputation with the positioning in bed, which action should the nurse include?

A client tells the nurse that he has insomnia. Which information is most important for the nurse to obtain?

A jam-packed hospital unit has had several discharges, and the census is unusually low. What is the best way for the charge nurse to use the time of the nursing staff?

What instruction(s) related to foot care is(are) appropriate for the client with type 1 diabetes mellitus? (Select all that apply.)

Until the obstetrics (OB) unit increases, unlicensed assistive personnel (UAP) who usually work in labor and delivery and the newborn nursery are assigned to work on the postoperative unit. Which client would be best for the charge nurse to assign to this UAP?

Which findings would suggest to the nurse that the diagnosis of glomerulonephritis is correct?

A client has been receiving levofloxacin, 500 mg IV piggyback q24h for 7 days. The UAP reports to the nurse that the client has had three loose foul-smelling stools this morning. Which intervention is most important for the nurse to implement?

A 44-year-old client with diabetes asks how often a visit to the eye care practitioner is recommended. What is the appropriate nursing response?

A client’s opioid therapy is being tapered off, and the nurse is watchful for signs of withdrawal. What is one of the first signs of withdrawal?

In the care of clients with pain and discomfort, which task is most appropriate to delegate to unlicensed assistive personnel (UAP)?

The health care provider (HCP) has ordered a placebo for a client with chronic pain. The newly hired nurse feels very uncomfortable administering the medication. What is the first action that the new nurse should take?

For a cognitively impaired client who cannot accurately report pain, what is the first action that the nurse should take?

On the first day after surgery, a client receiving an analgesic via patient-controlled analgesia pump reports that the pain control is inadequate. What is the first action that the nurse should take?

A patient with hypertension is prescribed atenolol 25 mg orally once a day. Which change would be most important for the nurse report to the health care provider (HCP) after the patient begins taking this drug?

The unlicensed assistive personnel reports to the nurse that a patient with hypertension is experiencing a drop in blood pressure when sitting up after receiving his morning medications. The patient received furosemide 20 mg, a multivitamin, and quinapril 10 mg orally. What side effect does the nurse recognize?

Adult learners are sensitive about making mistakes, so it is important for the nurse to include which of the following in the teaching plan for a patient with diabetes who is learning to give insulin self-injections? (Select all that apply.)

The nurse is providing education to the patient concerning a new medication. Which situation will have to be dealt with before the patient can effectively learn? (Select all that apply.)

The patient is a visual learner and will be discharged with a new colostomy pouch. List the appropriate educational strategies that can be used for teaching the care of the new appliance. (Select all that apply.)

The nurse has determined that music therapy may be appropriate for use with a client. Which strategies should the nurse consider when choosing the music? Select all that apply.

The nurse is using meditation with a client to help him decrease his pain. Which factor is important to consider when using this type of therapy?

The client asks the nurse how humor therapy affects the client physiologically. Which effects should the nurse explain are attributed to laughter? Select all that apply.

The nurse decides to teach a client with hypertension the progressive relaxation technique. Which instructions should the nurse give to the client when using this relaxation method?

The nurse teaches the client about massage therapy. Which statement by the client demonstrates a correct understanding of the benefits of massage? Select all that apply.