1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of the

following actions should the nurse take?

A. (Unable to read)

B. Tell the child they will feel discomfort during the catheter insertion.

C. Use a mummy restraint to hold the child during the catheter insertion.

D. Require the parents to leave the room during the procedure.

2. A nurse is caring for a client who has arteriovenous fistula Which of the following findings

should the nurse report?

A. Thrill upon palpation.

B. Absence of a bruit.

C. Distended blood vessels

D. Swishing sound upon auscultation.

3. A nurse is providing discharge teaching for a client who has an implantable cardioverter

defibrillator which of the following statements demonstrates understanding of the teaching?

A. “I will soak in the tub rather and showering”

B. “I will wear loose clothing around my ICD”

C. “I will stop using my microwave oven at home because of my ICD”

D. “I can hold my cellphone on the same side of my body as the ICD”

4. A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalence

about being pregnant. Which of the following responses should the nurse make?

A. “Describe your feelings to me about being pregnant”

B. “You should discuss your feelings about being pregnant with your provider”

C. “Have you discussed these feelings with your partner?”

D. “When did you start having these feelings?”

5. A nurse is planning care for a client who has a prescription for a bowel- training program

following a spinal cord injury. Which of the following actions should the nurse include in the

plan of care?

A. Encourage a maximum fluid intake of 1,500 ml per day.

B. Increase the amount of refined grains in the client’s diet.

C. Provide the client with a cold drink prior to defecation.

D. Administer a rectal suppository 30 minutes prior to scheduled defecation times.