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1. A nurse is preparing to administer a blood transfusion to a client who has anemia.

Which of the following actions should the nurse take first?

check for the type and number of units of blood to administer

2. a nurse is providing teaching to an older adult female client who has stress incontinence

and a BMI of 32. Which of the following statements by the client indicates an

understanding of the teaching?

I am dieting to lose weight

3. A nurse is providing instructions to a client who has type 2 diabetes and a new

prescription of metformin. Which of the following statements by the client indicates an

understanding of the teaching?

I should take this medication with a meal

4. a nurse is providing teaching to a client who has chronic kidney disease and a new

prescription for erythropoietin. Which of the following statements by the client indicates

an understanding if the teaching?

i am taking this medication to increase my energy level

5. a nurse is caring for a client who has a prescription for enalapril. The nurse should

identify which of the following findings as an adverse effect of the medication?

orthostatic hypotension

6. a nurse is caring for a client who has hypothyroidism. which of the following

manifestations should the nurse expect?

constipation

7. a charge nurse is instructing a newly licensed nurse about caring for a client who has

MRSA. which of the following statements by the new nurse indicates an understanding of

the teaching?

i will leave assessment equipment in the room to use on this patient

8. a nurse is providing teaching to a client who has irritable bowel syndrome (IBS). which

of the following instructions should the nurse include in the teaching?

increase fiber intake to at least 30 g/day

9. a nurse is caring for a client who has a positive culture for c. diff. which of the following

actions should the nurse take?

implement contact precautions for the client

10. a nurse is caring for a client who has a new diagnosis of hyperthyroidism. which of the

following is the priority assessment finding that the nurse should report to the provider?

BP 170/80

11. a nurse is planning care for a client who is scheduled for a throacentesis. which of the

following interventions should the nurse include in the plan?

encourage the client to take deep breaths after the procedure

12. a nurse is assessing a client who has had a suspected cerebrovascular accident. the nurse

should place the priority on which of the following findings?

dysphagia

13. a nurse is reviewing the ABG results of a client who has advanced COPD. which of the

following results should the nurse expect?

PaCO2 56

14. a nurse is providing discharge instructions to a client who has laryngeal cancer and is

receiving radiation treatment. which of the following statements by the client indicates an

understanding of the teaching?

i will avoid direct exposure to the sun

15. a nurse is assessing for compartment syndrome in a client who has a short leg cast. which

of the following findings should the nurse identify as a manifestation of this condition?

pain that increases with passive movement

16. a nurse is providing teaching to a client who has a gastric ulcer a d a new prescription for

omeprazole. the nurse should instruct the client that the medication provides relief by

which of the following actions.

suppressing gastric acid production

17. a nurse is assessing a client who has peripheral arterial disease. which of the following

findings should the nurse expect?

hair loss on the lower legs

18. a nurse is assessing a client following the completion of hemodialysis. which of the

following findings is the nurse's priority to report to the provider?

restlessness

19. a nurse is reviewing the medical record of a client who has osteomyelitis and a

prescription of gentamicin. which of the following findings from the client's medical

record should indicate to the nurse the need to withhold the med?

serum creatinine

20. a nurse is reviewing the medical record of a client who has SLE. which of the following

findings should the nurse expect?

facial butterfly rash

21. a nurse is providing teaching to a client who has a new prescription for psyllium. which

of the following information should the nurse include in the teaching?

drink 240 mL of water after administration

22. a nurse in a provider's office is assessing a client who has migraine headaches and is

taking feverfew to prevent her headaches. the nurse should identify that which of the

following client meds interacts with feverfew?

naproxen

23. a nurse in a provider's office is caring for a client who requests sildenafil to treat erectile

dysfunction. which of the following statements should the nurse make?

you will not be able to use sildenfil if you are taking nitroglycerin

24. a nurse is caring for a client who is receiving TPN. a new bag is not available when the

current infusion is nearly completed. which of the following actions should the nurse

take?

administer dextrose 10% in water until the new bag arrives

25. a nurse is providing discharge teaching to a client who has HF and a new prescription for

a potassium-sparing diuretic. which of the following information should the nurse include

in the teaching?

try to walk at least 3 times per week for exercise

26. a nurse is planning care for a client who is postop following a laparotomy and has a

closed-suction drain. which of the following actions should the nurse take to manage the

drain?

compress the drain reservoir after emptying

27. a nurse in an emergency department is admitting a client who reports dyspnea and SOB.

which of the following actions is the priority for the nurse to perform prior to

administering oxygen?

determine if the client has a history of COPD

28. a nurse is obtaining a med history from a client who is scheduled to undergo cataract

surgery. the nurse should recognize that which of the following client meds is a

contraindication for the surgery and notify the provider?

warfarin

29. a nurse is caring for a client following extubation of her endotracheal tube 10 min ago.

which of the following findings should the nurse report to the provider immediately

stridor

30. a nurse is providing dietary teaching to a client who is postop following a thyroidectomy

with removal of the parathyroid glands. the nurse should instruct the client to include

which of the following foods to increase calcium in the diet?

12 almonds

31. a nurse is preparing to assist with the insertion of a nontunneled percutaneous central

venous catheter into a subclavian vein. the nurse should plan to place the client in which

of the following positions?

trendelenburg

32. teaching to client with HTN and new med verapamil. what juice should client

avoid? grapefruit

33. client experiencing anaphylactic reaction, after patent airway, which is priority nursing

intervention?

apply oxygen vi face mask

34. client had nephrostomy tube inserted 12hrs ago. what should the nurse report to the

provider?

client reports back pain

35. teaching to perimenopausal and has hormone replacement therapy. adverse effects to

notify provider?

calf pain, numbness in arms, and intense headache

36. older adult with cancer and a new prescription of opioid analgesic. which info should the

nurse include in teaching?

you should increase your fiber intake to prevent constipation

37. a nurse is providing med teaching to a group with seizure disorders. instruction about

phenytoin?

phenytoin decreases the effectiveness of oral contraceptives

38. a nurse is caring for client with supraventricular tachycardia. which action should nurse

take next?

perform synchronized cardioversion

39. change of shift report with four clients. client with greatest risk of developing

infection? COPD and receiving steroid therapy

40. teach with self administration of heparin?

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