Custom NUR 2989 Module 2 Practice Quiz

A nurse is teaching a client about the side effects of chemotherapy medication. Which of the following nursing statements should the nurse include in the teaching?

"Hair loss is common and includes eyebrows and eyelashes."

A nurse is performing an ECG on a client who is experiencing chest pain. Which of the following statements should the nurse make?

"I will need to apply electrodes to your chest and extremities."

A nurse is teaching a client who reports insomnia about promoting rest and sleep. Which of the following statements should the nurse identify as an indication that the client understands instructions?

"I will no longer have a glass of wine before bedtime."

A nurse is teaching a client who has new diagnosis of Type 2 diabetes mellitus about self-administration of insulin. Which of the following instructions should the nurse include?

"Store the current bottle of insulin at room temperature."

A nurse is teaching a client who has angina pectoris about starting therapy with SL nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication?

"Take one tablet at the first indication of chest pain."

A nurse is providing discharge teaching to a client following an abdominal hysterectomy. Which of the following information should the nurse include in the teaching?

"You should refrain from sexual intercourse for at least 4 weeks."

A nurse is caring for a client and identifies an infiltration at the IV catheter site. Identify the order the nurse should perform the following actions.

1. Stop the infusion. 2. Remove the IV catheter. 3. Apply sterile dressing. 4. Elevate the extremity. 5. Apply warm or cold compresses. (last two are according to agency policy)

A nurse is preparing to administer lithium 300mg PO every 8 hr. Available is lithium carbonate 150mg capsules. How many capsules should the nurse administer per dose?

2

A nurse is preparing to administer benztropine 2mg IM every 12 hr to a client who is experiencing an extrapyramidal reaction. Available is benztropine 1 mg/mL for injection. How many mL should the nurse administer per dose?

2 mL

A nurse is reviewing the laboratory results of a client who is dehydrated. Which of the following BUN lab values should the nurse report to the provider?

25 mg/dL

A nurse should teach which of the following clients requiring crutches about how to use a three-point gait?

A client who has a right femur fracture with no weight bearing on the affected leg.

A nurse is providing discharge teaching to a client who will be performing intermittent self-catheterization. Which of the following instructions should the nurse include?

Advance the catheter 2.5 to 5 cm after urine begins to flow.

A nurse is assessing an older adult client who is receiving digoxin. The nurse should recognize that which of the following findings is a manifestation of digoxin toxicity?

Anorexia

A nurse is caring for a client who is postoperative and has a prescription for antiembolic stockings. Which of the following actions should the nurse take?

Check the stockings for wrinkles.

A nurse is planning to perform a blood transfusion for a client. Which of the following actions should the nurse plan to take? SATA

Check vital signs before transfusion. Insert an IV with a 19-gauge needle. Check the expiration date of the blood product with a second nurse.

A nurse is preparing to initiate a continuous enteral feeding through an open system to a client. Which of the following actions should the nurse take?

Discard unused formula after 8 hr.

A nurse is caring for a client who reports severe headache following a lumbar puncture. Which of the following actions should the nurse take?

Encourage oral fluids

A nurse is caring for a client who has a prescription for a clear liquid diet. Which of the following foods should the nurse allow the client to have?

Grape juice.

A nurse is teaching a group of clients about tick-borne illnesses. Which of the following information should the nurse include in the teaching regarding ticks?

Grasp the tick as close to the skin as possible.

A nurse is teaching a client who has left hemiparesis how to use a cane. Which of the following instructions should the nurse include?

Hold the cane on the right side to provide support for the weaker leg.

A nurse is assessing an older adult client who has experienced some loss of bone density. The nurse observes a "hunchback" curvature of the clients spine. The nurse should expect the provider to document which of the following disorders?

Kyphosis

A nurse is preparing to obtain a blood specimen from a client by venipuncture. The client is receiving IV fluids through an IV catheter inserted in the basilic vein of the right forearm. Which of the following sites should the nurse plan to use to obtain the blood specimen?

Left forearm.

A nurse is caring for a client who had a left hip arthroplasty. Which of the following interventions should the nurse use to prevent dislocation?

Maintain foam wedge between legs.

A nurse is assessing a client who has a hip fracture. Which of the following findings should the nurse expect?

Muscle spasms.

A nurse is planning care for a client who has dehydration and is receiving a continuous IV infusion of 0.9% sodium chloride. Which of the following interventions should the nurse include in the plan of care?

Offer the client 240 mL (8 oz) of oral fluids every 4 hr.

A nurse is providing dietary teaching for a client who has a burn injury and adheres to a vegan diet. The nurse should recommend which of the following foods as the best source of protein to promote wound healing?

One cup of lentils.

A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings should indicate to the nurse the medication is effective?

Reduced dyspepsia.

A nurse is preparing to administer a unit of packed red blood cells to a client. Which of the following actions should the nurse plan to take?

Remain with the client for the first 15 minutes of the transfusion.

A nurse finds an open vial of morphine lying on top of the cabinet in a clients room. Which of the following actions should the nurse take?

Report the discrepancy immediately.

A nurse is preparing to administer an IM injection of meperidine to a client. Which of the following is the priority assessment the nurse should complete?

Respiratory Rate

A nurse is caring for a client who is postoperative following abdominal surgery and reports incisional pain. The surgeon has prescribed morphine 4mg IV bolus every 6hr as needed. Before administering this medication the nurse should complete which priority assessment?

Respiratory rate

A nurse is assessing a client 15min after administering morphine sulfate 2 mg via IV push. The nurse should identify which of the following finding as an adverse effect of the medication?

Respiratory rate 8/min

A nurse is providing teaching to a parent of a child who has celiac disease. The nurse should include which of the following food choices for this child?

Rice

A nurse is reviewing the laboratory findings for four clients. Which of the following clients has manifestations of acute kidney injury?

Serum creatinine 6 mg/dL.

A nurse is assessing a client following a head injury and a brief loss of consciousness. Which of the following findings should the nurse report to the provider?

Small drops of clear fluid in left ear.

A nurse is assessing a client who is receiving a unit of packed RBCs. The client appears flushed and reports low-back pain. Which of the following actions is the nurses priority?

Stop the transfusion.

A nurse is caring for a client who has atrial fibrillation and is receiving heparin. Which of the following findings is the nurse's priority?

The client experiences sudden weakness of one arm and leg.

A nurse is setting goals for a client who has AIDS and is at the end of life. Which of the following are realistic goals?

The client will receive medications to minimize episodes of breakthrough pain.

A nurse is caring for a client who had total thyroidectomy and a serum calcium level of 7.6 mg/dL. Which of the following findings should the nurse expect?

Tingling of the extremities.

A nurse is teaching a client about the adverse effects of cisplatin. Which of the following adverse effects should the nurse include in the teaching?

Tinnitus

A nurse at a provider's office is providing teaching to a client who is taking chemotherapy and losing weight. Which of the following should the nurse recommend to increase calorie and protein intake? SATA

Top fruits with yogurt. Add cream to soups. Use milk instead of water in recipes. Dip meats in eggs and bread crumbs before cooking.

A nurse is teaching a client about foods that are included on a clear liquid diet. Which of the following food choices made by the client indicates the need for further teaching?

Yogurt