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)