Reference no: EM133918643

Questions

1. A nurse in an acute mental health care facility prioritizing care for multiple clients. Which of the following clients should the nurse see first?

a. A client who has depressive disorder and vies his favorite guitar to his sibling.

b. A client who has obsessive compulsive disorder and is upset about a change in a daily routine.

c. A client who has Alzheimer's disease and requires assistance with ADLs

d. A client who has narcissistic, personality disorder and mocking others during group therapy

2. A nurse is creating a plan for a client who has antisocial personality disorder. Which of the following information should the nurse include in the plan?

a. Establish consequences for inappropriate behaviors

b. Bargain with the client about established behavioral expectations.

c. Avoid discussing uncertain behavior with the client

d. Provide teaching to the client about electroconvulsive therapy

3. A nurse is planning care for a client who wants to quit smoking. Which of the following actions should the nurse plan to take first?

a. Offer a lot of smoking cessation support groups

b. Implement activities what promote the client's self-esteem.

c. Provide education about the changes of smoking

d. Determine the client's coping methods

4. A nurse is teaching a client about ways to prevent carpal tunnel syndrome. Which of the following interventions should the nurse include?

a. Take coenzyme Q -10 to strengths your wrist...

b. Apply an elastic bandage to keep your wrist from moving

c. Flex your fingers and wrists before and after working on the computer

d. Set your chair at a height that allows your wrist to maintain a ... neutral position.

5. A nurse is caring for a client who has benign prostatic hyperplasia (BPH). The client asks the nurse about using saw palmetto to relieve the symptoms of BPH. The nurse should instruct the client that which of the following medications interacts adversely with saw palmetto?

a. Metoprolol

b. Clopidogrel - saw palmetto interacts with antiplatelet/anticoagulant medications

c. Ipratropium d. Zolpidem

6. A nurse is caring for a client who has urticaria following administration of an antibiotic. Which of the following should the nurse prepare to administer.

a. Naloxone

b. Hydrazye

c. Diphenhydramine

d. protamine

7. a nurse is caring for a female client who requests a contraceptives diaphragm. Which of the following action should the nurse take first?

a. Determine the client's knowledge about diaphragm use

b. Supervise return demonstration of diaphragm use

c. Teach the client how to insert the diaphragm

d. Document the client's level of understanding about potential adverse effects

8. A nurse is providing teaching to a client who has a new prescription for warfarin. The nurse should include that which of the following medications can increase the effects of warfarin?

a. Aspirin

b. Nafcillin

c. Oral contraceptives

d. Vitamin K

9. A nurse is administering a continuous enteral feeding to a client. Which of the following actions should the nurse take?

a. Check gastric residual every 4 hr

b. Flush the tubing with 1o ml of 0.9 sodium chloride

c. Return aspirate residuals of 300 ml or less

d. Change the bag and tubing every 72 hr.

10. A charge nurse is evaluating a newly licensed nurse's understanding of advance directives. Which of the following statements by the newly licensed nurse indicates as understanding of advance directives?

a. I have to document whether or not a client has prepared his advance directives

b. Ill encourage clients to follow their provider's wishes For end of life care

c. Ill refer clients who do not have advance directive for legal assistance

d. I have to witness client's signatures on his advance directives.

11. A nurse is assessing a client who has left- sided health failure and elevated pulmonary artery wedge pressure. Which of the following findings should the nurse expect?

a. Peripheral edema- wrong

b. Juglar vein distention

c. Pink tinged sputum

d. Enlarged liver

12. A nurse is performing postpartum for a recently deceased client prior to the client's family visit. Which of the following actions should the nurse plan to take?

a. Cross the client's arms across the chest

b. Remove the client's dentures from the mouth

c. Place the client in a high flower's position

d. Hold the client's eyes shut for a few seconds

13. A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes mellitus about administering NPH and regular insulin together in one injection. Which of the following instructions should the nurse include?

A. Use a 15° angle for the injection

B. Draw up regular insulin prior to NPH.

C. Roll the syringe gently to ensure mixture of the insulins.

D. Inject into the vastus lateralis.

14. A nurse manager is reviewing the steps of the progressive discipline process prior to counseling a staff member who exhibits unprofessional behavior. Identify the sequence of steps the nurse manager should plan to take in response to the staff member's conduct. (Move the steps into the box on the right, placing them in order of performance. Use all steps)

1. Set up a meeting to speak with the staff member about the behavior

2. Suspend the staff from work for several days

3. Dismiss the staff member from the employment at the facility

4. Verbally remind the staff member of the expected behavior changes

5. Give the staff member a written warning about the behavior

15. A nurse is caring for a client who takes levodopa/carbidopa for Parkinson's disease which of the following findings should the nurse identify as an adverse effect of the medication?

Constriction of pupils
Constipation
Excess salvation
Urinary frequency

16. A nurse is teaching a newly licensed nurse about ergonomic principles. Which of the following actions by a newly licensed nurse indicates an understanding of the teaching?

a. Stands with feet together when lifting a client up in bed.

b. Raises the client's head of bed before pulling the cline up.

c. Uses a mechanical lift to move client from bed to chair.

d. Places a gait belt around the client's upper chest before assisting a client to stand.

17. A nurse is assessing an older adult client. Which of the following finding should the nurse expect? (Select all that apply)?

a. increased cough reflex

b. increased skin dryness

c. decreased muscle strength

d. increased peripheral circulation

e. decreased visual acuity

18. A nurse is assessing a client who received a tuberculin skin test intradermal 3 days ago which of the following findings at the injection site indicates potential exposure to tuberculosis?

a. ecchymosis

b. tenderness

c. subcutaneous emphysema

d. a 15- mm induration

19. The nurse manager is preparing to meet with a group of Staff nurses who are experiencing conflict. which of the following mediation strategies should the nurse manger plan to implement to resolve the conflict?

a. Establish demand from each party that allow for negotiations

b. Determine who is at fault in the situation

c. Direct anyone who becomes angry to leave the room

d. Facilitate discussion until all parties agree

20. A nurse is working with a local group that is in the process of reducing the use of pesticides in community gardens. the nurse should identify that the group is in which of the following stages of change?

a. Action

b. Preparation

c. Maintenance

d. Contemplation