Remediation Questions

A nurse is assigned to care for four clients. In planning client rounds, which client would the nurse assess first?

A client receiving oxygen via nasal cannula who had difficulty breathing during the previous shift

A 6-year-old child with diabetes mellitus and the child's mother come into the clinic for a routine examination. The nurse is determining whether the child was euglycemic since the last visit. Which information is the most significant indicator of this?

A glycosylated hemoglobin

A client is being discharged after having a cesarean section to deliver her newborn infant, and the nurse provides discharge instructions to the client. The nurse determines that the client needs additional instructions about postdischarge complications if the client states that she will report:

A temperature that increases above 102F

A nurse is planning care for a client who presents in active labor with a history of a previous cesarean delivery. The client complains of a "tearing" sensation in the lower abdomen, is upset, and expresses concern for the safety of her baby. The nurse makes which response to the client?

I can understand you are fearful. We are doing everything we can for your baby.

An adolescent is seen in the clinic and is diagnosed with Epstein-Barr virus (infectious mononucleosis). The adolescent asks the nurse how this virus is transmitted. The nurse informs the adolescent that this virus is transmitted by which of the following routes?

Saliva

"A nurse is assisting with transferring a client from the operating room table to a stretcher. To provide safety to the client, the nurse:"

Secures the client with safety belts after transferring to the stretcher

"In the health care clinic, an adolescent is seen with complaints of chronic fatigue. On physical exam, the nurse notes that the adolescent has swollen lymph nodes. A laboratory test is performed, and the results indicate the presence of Epstein-Barr virus (infectious mononucleosis). The clinic nurse calls the mother of the adolescent to inform her of the test results and provides her instructions regarding the care of the adolescent. Which statement by the mother indicates an understanding of the care measures?"

"I need to call the physician if my child complains of abdominal pain or left should pain"

A teenager returns to the gynecological (GYN) clinic for a follow-up visit for a sexually transmitted disease (STD). Which statement by the teenager indicates the need for further teaching?

"My boyfriend doesn't have to come in for treatment, does he?"

A client with a diagnosis of schizophrenia tells the nurse that there are voices outside of the window telling him what to do all the time. The client asks the nurse, "Can you hear them, and what do you think I should tell them?" The most appropriate initial response by the nurse to the client is:

"What are the voices telling you?"

A prenatal client has been diagnosed with a vaginal infection from the organism Candida albicans. Which finding(s) would the nurse expect to note on assessment of the client?

"pain, itching, and vaginal discharge"

A client with chronic renal failure is scheduled to begin hemodialysis therapy. As part of general teaching about hemodialysis, the nurse tells the client to expect the typical dialysis schedule to be:

3 to 4 hours of treatment 3 days a week

A teenage girl is seen for the third time in six months for the treatment of vaginal candidal infections. The nurse is aware that additional tests may be necessary to identify an undiagnosed underlying chronic disease. Which test is most likely to be prescribed?

Blood glucose level

A registered nurse is discussing treatment for a client who is hospitalized with acute systemic lupus erythematosus (SLE) with a nursing student assigned to care for the client. The registered nurse determines that the nursing student needs to research information about the disease if the student states that which of the following is a clinical manifestation of SLE?

Bradycardia

A community health nurse is providing an educational session to adolescents regarding the Epstein-Barr virus (infectious mononucleosis). The nurse informs the adolescents that the disease is transmitted by:

Close intimate contact

A client undergoing hemodialysis becomes hypotensive. The nurse avoids taking which of the following contraindicated actions?

Increasing the blood flow from the client into the dialyzer

A nurse is caring for a client who is hospitalized with acute systemic lupus erythematosus (SLE). The nurse checks the client for which clinical manifestation associated with this disease?

Muscular aches and pains

"A nurse is preparing to transfer an average-sized client with right-sided hemiplegia from the bed to the wheelchair. The client is able to support weight on the unaffected side. The nurse plans to use the hemiplegic transfer technique. The client is dangling on the side of the bed. For the safest transfer, the wheelchair should be positioned:"

Near the client's left leg

A nurse is preparing to assist the client from the bed to a chair using a hydraulic lift. The nurse would do which of the following to move the client safely with this device?

Position the client in the center of the sling

A client is admitted to the hospital for an emergency cesarean delivery. Contractions are occurring every 15 minutes. The client has a temperature of 100° F, ate 2 hours ago, and indicates she has had no preparation for the cesarean delivery. Which of the following actions should the nurse plan to take first?

Report the time of the last food intake to the physician

A nurse is preparing to get a quadriplegic client out of bed into a chair. The nurse places which of the following items on the seat of the chair as the best device for pressure relief?

Water pad

A client undergoing peritoneal dialysis has experienced peritonitis. The nurse determines that the client is recovering most adequately from the infection if which of the following outcomes was noted?

White Blood Cell (WBC) is 8,000 per mm3

A nurse is assigned to care for four clients. In planning client rounds, which client would the nurse assess first?

a client attached to a ventilator

A client undergoing hemodialysis becomes hypotensive. The nurse immediately prepares to take which action?

administer a 250mL normal saline bolus

A nurse manager of a hemodialysis unit is observing a new nurse preparing to begin hemodialysis on a client with renal failure. The nurse manager intervenes if the new nurse planned to:

covers the connection site with a bath blanket to enhance extremity warmth

A nurse is reviewing the medical record of a young female client who is suspected of having systemic lupus erythematosus (SLE). Which of the following would the nurse expect to note documented in the record that is related to this diagnosis?

Butterfly rash on cheeks and bridge of nose

A nurse admitting a client to the mental health unit notes that the psychiatrist has documented that the client is experiencing bradykinesia. Which of the following clinical manifestations would the nurse expect to observe on assessment of the client?

Difficulty getting out of a char without arms and appears slowed down

A nurse is developing a plan of care for a child with hemophilia. Which of the following evaluative statements developed by the nurse indicates a positive outcome for this child?

The child experiences no long-term complications from injury or bleeding

A nurse is asked to go to a local high school to talk to students about sexually transmitted diseases (STDs). The nurse plans to tell the students that:

The use of condoms and avoiding casual sex with multiple partners prevent STDs