Question 1

A nurse in a local Clinic is caring for a female client who is 35 years old. Which of the following screening should the nurse recommend to the client

Accepted Answer

Dermatologist evaluation every three years to detect skin cancer

Question 2

A nurse is caring for a client who has cancer. The client has decided to stop treatment and request a referral to hospice. They making the referral as requested the nurses illustrating which type of ethical principle

Accepted Answer

Autonomy

Question 3

A nurse is reviewing the documentation of a newly licensed nurse. Which of the following actions by the newly licensed nurse while documenting requires a nurse perceptor to intervene

Accepted Answer

Including in a client notes that an incident report was completed after a medication error

Question 4

A nurse is caring for a client who has been admitted to the medical unit with vomiting and possible dehydration which of the following findings requires immediate intervention

Accepted Answer

Potassium 2.5 meq / l This is too low

Question 5

Hunter\'s is caring for a client who is diagnosed with active pulmonary tuberculosis is taking isoniazid (INH) and ethambutol (Myambutol). Which of the following manifestations reported by the client acetate the discontinuation of ethambutol

Accepted Answer

Loss of color discrimination

Question 6

A nurse is caring for a client who has nausea and prescription for promethazine (Phenergan) 25 mg IM. Which of the following is appropriate when preparing a medication for administration from an ampule

Accepted Answer

Set ampule on a flat surface to withdraw the promethazine

Question 7

A nurse is reinforcing teaching about HIV with a group of high school students. Which of the following information is appropriate for the nurse to include

Accepted Answer

Initial HIV symptoms are often similar to the flu

Question 8

A nurse on the coronary care unit is caring for a client who was transferred from the medical for from experience of myocardial infraction. After the client is stabilized she asked why she had been transferred where her family is unable to visit. What is the appropriate response

Accepted Answer

talk for a minute about your concerns

Question 9

A nurse is reinforcing teaching about performing suctioning to a client who is being discharged following a tracheostomy. Which of the following behaviors of the client indicates that teaching has been effective

Accepted Answer

Demonstrating independent performance of the procedure

Question 10

A nurse is working with the information technology department of the the facility to establish protocol regarding security mechanisms that will protect the electronic health records of clients period which of the following could result in a violation

Accepted Answer

Ability of staff to access electronic health records of clients throughout the facility

Question 11

A nurse is caring for a client following a Bronchoscopy . Which of the following findings requires immediate intervention

Accepted Answer

Difficulty breathing

Question 12

A nurse is reinforcing teaching by demonstrating deep breathing and coughing exercises to a client who is scheduled for abdominal surgery. Which of the following responses by the client should the nurse postpone the teaching

Accepted Answer

States that pain is an 8 on a scale of 0 to 10

Question 13

A nurse is caring for an older adult client who was admitted 3 days ago with fractured ribs bilaterally and is suspected of being abused by his caregiver. Which of the following should be the nurse the Prairie

Accepted Answer

Protect the client from further abuse

Question 14

A nurse is caring for an older adult who has an allergy to sulfa, is taking valproic acid (Depakote) for a seizure disorder, and has been newly diagnosed with osteoarthritis. The client states that keep seeing commercials on TV for Celebrex and want to try it period upon review of scientific evidence the nurse should inform the client which of the following

Accepted Answer

Celecoxib is contraindicated in clients with allergy to sulfonamides online

Question 15

A nurse is caring for a client who has a cerebrovascular accident and is having difficulty swallowing. Which of the following health care professional should attend the clients next interdisciplinary team needed to address the complications

Accepted Answer

Speech pathologist

Question 16

A nurse is caring for a client who has osteoarthritis and is considering treatment with acupuncture. Which of the following is acceptable for the nurse to include in discussion with the client

Accepted Answer

Acupuncture has been proven to reduce pain and increase function

Question 17

A nurse discovers that a client who is diagnosed with dementia received the wrong medication. Which of the following should the nurse his first action be

Accepted Answer

Determine the clients

Question 18

A nurse is reinforcing teaching to a client who has aphasia. Which of the following actions by the nurse is appropriate when communicating with the client

Accepted Answer

Having the client use eye blinks to indicate yes or no

Question 19

A nurse in a provider\'s office is orientating a newly licensed nurse on how to position a client in a vaginal examination. The nurse include in the teaching to place a client in which following position

Accepted Answer

Lithotomy

Question 20

A nurse is reinforcing teaching about transdermal nitroglycerin (nitro-dur) to a client who is stable amgina. Which of the following indicates teaching has been effective

Accepted Answer

The patch should be effective within one hour of being applied

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