Pass point Practice exam

After extensive cardiac bypass surgery, a client returns to the intensive care unit on dobutamine, 5 mcg/kg/minute I.V. Which classification best describes dobutamine?

Direct-acting beta-active agent

Which signs and symptoms accompany a diagnosis of pericarditis?

Fever, chest discomfort, and elevated erythrocyte sedimentation rate (ESR)

A nurse and newly hired nursing assistant are caring for a group of clients. The nurse is administering medications and needs to know the fingerstick glucose results before administering a medication. The nurse asks the nursing assistant if she has been validated on obtaining fingerstick glucose readings. The nursing assistant says she did not have the skill validated, but she has seen it done many times and knows she can do it. What should the nurse do?

Go with the nursing assistant into the client's room, and validate her ability to perform the procedure.

Three weeks after an infant receives a spica cast, the mother calls the nurse because the infant's toes are swollen and cool to the touch. What should the nurse instruct the mother to do?

Have the child fitted for a larger cast.

A multigravida in active labor is 7 cm dilated. The fetal heart rate baseline is 130 bpm with moderate variability. The client begins to have variable decelerations to 100 to 110 bpm. What should the nurse do next?

Reposition the client and continue to evaluate the tracing.

A client's left leg is in skeletal traction with a Thomas leg splint and Pearson attachment. Which intervention should the nurse include in this client's care plan?

Teach the client how to prevent problems caused by immobility.

Which clinical finding should a nurse look for in a client with chronic renal failure?

Uremia

A nurse should question an order for a heating pad for a client who has:

active bleeding.

A physician orders prednisone to control inflammation in a client with interstitial lung disease. During client teaching, the nurse stresses the importance of taking prednisone exactly as ordered and cautions against discontinuing the drug abruptly. A client who discontinues prednisone abruptly may experience:

acute adrenocortical insufficiency.

The nurse has assisted the health care provider (HCP) at the bedside with insertion of a left subclavian, triple lumen catheter in a client admitted with lung cancer. Suddenly, the client becomes restless and tachypneic. The nurse should:

assess breath sounds.

The plan of care for a client with hypertension taking propranolol hydrochloride should include:

instructing the client to notify the health care provider of irregular or slowed pulse rate

The nurse is planning future care with a middle-aged woman who has undergone surgical resection for lung cancer. Which plan will best promote adaptation and rehabilitation?

planning a progressive activity regimen

The nurse is planning to assist the health care provider (HCP) with a thoracentesis for a client who has a pleural effusion. Which position would be appropriate for the client to assume?

sitting upright and leaning on an overbed table

While in a skilled nursing facility, a client contracts scabies, which is diagnosed the day after discharge. The client is living at her daughter's home with six other people. During her visit to the clinic, the client asks a staff nurse, "What should my family do?" The most accurate response from the nurse is:

"All family members need to be treated."

During chemotherapy, a boy, age 10, loses his appetite. When teaching the parents about his food intake, the nurse should include which instruction?

"Let your child eat any food he wants."

A client has 4000 mL removed via paracentesis. When the nurse weighs the client after the procedure, how many kilograms is an expected weight loss? Record you answer in whole numbers.

4

A client with preeclampsia is prescribed magnesium sulfate to prevent seizure activity. The nurse is reviewing the results of the client's serum magnesium level and determines that the client's level is therapeutic based on which result?

6.8 mEq/L (3.4 mmol/L)

An experienced nurse is precepting a new nurse in a psychiatric emergency room and is discussing criteria for involuntary commitment. Which client would signal to the experienced nurse that the new nurse understands the criteria?

A man who threatens to kill his wife of 38 years

A nurse having difficulty setting up humidified oxygen at 40% per Venturi mask doesn't know how many liters of flow she should use. Which intervention should the nurse perform to ensure that the oxygen is properly administered?

Consult with a respiratory therapist.

A preterm neonate who has been stabilized is placed in a radiant warmer and is receiving oxygen via an oxygen hood. Which action should the nurse take while administering oxygen in this manner?

Humidify the air being delivered.

In the hospital setting, the daughter of a man who is dying tells the nurse, "It is hard to just sit with my father for hours and not say or do anything." As the nurse responds to the daughter's statement, what issue is most important for the nurse to focus on during their discussion?

Know that being present with the person is important.

While ambulating, a client who had an open cholecystectomy complains of feeling dizzy and then falls to the floor. After attending to the client, a nurse completes an incident report. Which action by the nurse should the charge nurse correct?

Making a copy of the incident report for the client

A nurse is providing health teaching to the parents of a 2-year-old child who has been diagnosed with benign febrile seizures. What is the most important information for the nurse to give the parents about this disorder?

A respiratory or ear infection is usually present.