1. A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis.

The nurse should monitor the client for which of the following complications?

a. Vomiting

b. Hypertension

c. Epigastric pain

d. Contractions

2. A nurse is providing teaching to an older adult client about methods to promote nighttime

sleep. Which of the following instructions should the nurse include?

a. Stay in bed at least 1 hr if unable to fall asleep

b. Take a 1 hr nap during the day

c. Perform exercises prior to bedtime

d. Eat a light snack before bedtime

3. A nurse on a telemetry unit is caring for a client who becomes unconscious and whose

monitor displays ventricular tachycardia. Which of the following actions should the nurse

take first after determining the client does not have a palpable pulse?

a. Assess heart sounds

b. Defibrillate

c. Establish IV access

d. Administer epinephrine

4. A nurse is admitting a client who 1 week postpartum and reports excessive vaginal

bleeding. The nurse does not speak the same language as the client. The client’s partner

and 10-year-old child are accompanying her. Which of the following actions should the

nurse take to gather the client’s admission data?

a. Have the client’s child translate

b. Allow the client’s partner to translate

c. Request a female interpreter through the facility

d. Ask a nursing student who speaks the same language as the client to translate

5. A nurse is caring for a client who is febrile (High fever). To reduce the client’s fever, the

nurse applies a cooling blanket. Which of the following findings indicates the client is

having an adverse reaction to the cooling?

a. Flushing

b. Tachycardia

c. Restlessness

d. Shivering (Hypothermic)

6. A nurse is caring for a client who has deep-vein-thrombosis of the left lower extremity.

Which of the following actions should the nurse take? (Exhibit)