1. A nurse is caring for a client who is having a seizure. Which of the following interventions in the nurse’s

priority?

Turn the client to the side

2. A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of

the following clients?

A client who is receiving preoperative teaching for a right knew arthroplasty

3. A nurse is reviewing the health record of a client who is scheduled for allergy skin testing. The nurse should

postpone the testing and report to the provider which of the following findings?

Current medications

4. A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after

experiencing a right- hemispheric stroke. Which of the following neurologic deficits should the nurse expect to find

when assessing the client? (SATA)

Visual spatial deficits

Left

hemianop

sia Onesided

neglect

5. A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. Which of the following

actions should the nurse take?

Place a pillow between the client’s legs

6. A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following

items at the client’s bedside table?

Suction machine

7. A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion

procedure to establish a ureterostomy. Which of the following statements should the nurse include in the teaching?

You should cut the opening of the skin barrier one-eighth inch wider than the stoma

8. A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days.

Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit?

Heart rate 110

9. A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to treat

endometrial cancer. Which of the following actions should the nurse include in the client’s plan of care?

Wear a lead apron while providing care to the client

10. A nurse is planning to provide discharge teaching for the family of an older adult client who has hemianopsia

and is at risk for falls. Which of the following instructions should the nurse include?