REVIEW EAQ (100 QUESTIONS)

What would the nurse tell the parents is the acceptable range of heart beats per minute for a preschooler?

80-110

A nursing student is recording the radial pulse rate in a client with dysrhythmias and documented a radial pulse of 80 beats per minute. The registered nurse reassesses the client and notices a pulse deficit of 15. What is the client's apical pulse?

95

The nurse is assessing four clients with ischemic stroke. Which client requires a medium priority of care according to the National Institutes of Health Stroke Scale (NIHSS) score?

A client with facial palsy score of 1

What is the priority nursing intervention for a client with stroke who is transitioned from ED to other settings?

Assess for level of consciousness

A 9-year-old child who has successfully completed the emergency (resuscitative) phase of treatment for a severe burn injury is started on a high-protein, high-calorie diet. Which snacks should the nurse encourage between meals? Select all that apply.

Banana pudding and whipped cream Frozen yogurt and chocolate sprinkles Crackers and cheese

A nurse is caring for an elderly client with dementia who has developed dehydration as a result of vomiting and diarrhea. Which assessment best reflects the fluid balance of this client?

Blood lab results

Which factor can elevate the oxygen saturation during an assessment?

Carbon monoxide

Which complications does the nurse anticipate in the client who has blue-colored nail beds?

Cardiopulmonary disease

A client with chronic renal failure stops responding to the treatment. On examination, the primary healthcare provider determines that the client is terminally ill. What is the best nursing intervention in this situation?

Encourage the family members to provide pallative care to the client

The client reports difficulty in breathing. The nurse auscultates lung sounds and assesses the respiratory rate. What is the purpose of the nurse's action?

Data Collection

The nurse is preparing a blood transfusion for a client with renal failure. Why does anemia often complicate renal failure?

Decrease in erythropoietin

What is considered to be the highest priority for an assault victim who presents to the emergency department?

Ensuring the patients emotional and physical safety

While observing a family with a terminally ill 11-year-old child, the nurse notes that the parents' visits have become less frequent. The child's grandparents, who live nearby and who obviously love the child, visit only once a week. Which nursing intervention should the nurse implement to address the lack of family support?

Facilitate a time to talk with the parents about their feelings.

Which guideline is useful for reducing disparity when caring for transgender clients?

Learning about the treatment options for transgender clients and requirements of follow-up care

A pathology report states that a client's urinary calculus is composed of uric acid. Which food item should the nurse instruct the client to avoid?

Liver

Which part of the female reproductive system produces testosterone in females?

Ovary

The caretaker of a client who sustained a head injury reports to the nurse that the client always says that food tastes unappealingly bland even though the food is good. Which area of the brain may the nurse suspect to be affected in the client?

Parietal Lobe

The client receives dosages of sedative and opioid drugs during the postoperative period following surgical correction of a small bowel obstruction. What is the most critical assessment to be performed as a nursing safety priority?

Respiratory assessment

The nurse is caring for an elderly client with dementia. Which client need should the nurse prioritize while providing care?

Safety

Which electrolyte concentration has the potential to precipitate dysrhythmias and cardiac arrest in a client?

Serum potassium of 7.2 mEq/L (7.2 mmol/L)

The primary healthcare provider instructs the nurse to manage fluid replacement therapy in a client with cancer. What type of care is the client receiving?

Supportive care

What should the nurse include in dietary teaching for a client with a colostomy?

The diet should be adjusted to include foods that result in manageable stools.

How does the nurse identify an illness as chronic? Select all that apply.

The illness persists for longer than six months. The client may develop life threatening relapse. The illness affects the functioning of one or more systems.

Which nursing action is necessary if nerve damage is suspected during an intravenous catheter insertion?

The nurse should immediately stop the insertion if the client reports extreme pain.

A client who is 28 weeks into her second pregnancy is experiencing increased edema in the lower extremities. The nurse advises rest with the legs elevated and provides dietary instructions. What other advice should the nurse provide?

The selected foods do not need to have a low salt content

A child is found to have celiac disease. When providing education to the family, what food will the nurse advise the family to eliminate from the child's diet?

Wheat-based breads and cereals

Cheyne-Stokes respiration

alternating apnea and hyperventilation

A client with acquired immunodeficiency syndrome (AIDS) and Cryptococcal pneumonia frequently is incontinent of feces and urine and produces copious sputum. When giving this client a bath, which protective equipment should the nursemake it a priority to use? Select all that apply.

gown mask gloves

Which part of the respiratory system is referred to as Angle of Louis?

Carina

Which Food and Drug Administration pregnancy risk category do drugs that have not undergone any studies in animal and pregnant women belong to?

Category C

Which dietary changes does the nurse suggest for a client who has diarrhea associated with human immunodeficiency virus (HIV disease)? Select all that apply.

"Drink plenty of fluids between meals." "Eat much less roughage."

What is the concentration of estradiol in the blood during the follicular phase of the menstrual cycle?

130 pg/mL

What other name can the nurse use for vasopressin?

Antidiuretic hormone

The nurse should monitor for which involuntary physiologic response in a client who is experiencing pain?

Perspiring

A 29-weeks pregnant client reports dull backache pain and abdominal cramps. Which condition does the nurse suspect?

Preterm labor

A nurse assesses a client with dry and brittle hair, flaky skin, a beefy-red tongue, and bleeding gums. The nurse recognizes that these clinical manifestations are most likely a result of what?

A nutritional deficiency

The nurse is aware that the Cowper gland is also often referred to by which other term?

Bulbourethral gland

How does the human body conserve heat? Select all that apply

By shunting blood away from the skin surface Through peripheral vasoconstriction in body By decreasing muscle activity in the body

What are the clinical manifestations of myocardial infarction in women? Select all that apply.

Indigestion Unusual fatigue Sleep disturbances

A 55-year-old client reports cessation of menstrual periods. Which term best describes the client's condition?

Menopause

While assessing an older adult during a regular health checkup, a nurse finds signs of elder abuse. Which physical findings would further confirm the nurse's suspicion? Select all that apply.

Presence of burns from cigarettes Presence of bed sores. Presence of unexplained bruises on the wrist(s)

Which electrolyte deficiency triggers the secretion of renin?

Sodium

Which pulse site is used for the Allen's test?

Ulnar

Which type of breathing pattern alteration is manifested with hypercarbia?

hypoventilation

A client shows an increase in rate respirations that are abnormally deep and regular. What condition would the nurse expect?

kussmauls respirations

Which type of drug readily enters the breast milk?

lipid-soluble drugs

Which statement made by the nurse indicates that the client interview is coming to a close?

"I have just one more question for you."

The nurse is teaching a group of students about assessing for respiratory system manifestations of alkalosis as a nursing priority. Which statement made by the student nurse indicates the need for further teaching? Select all that apply.

"I should assess for low blood pressure." "I should assess for increased digitalis toxicity." "I should assess for a decreased rate of ventilation in respiratory alkalosis."

The nurse is choosing the gauge size for a peripheral catheter to administer saline to an infant. What size of gauge would be most appropriate for this nursing priority?

34 gauge

Which hormonal deficiency causes diabetes insipidus in a client?

Antidiuretic hormone (ADH)

A nurse is assessing a client who was admitted with a head injury that occurred 4 days ago and is diagnosed with an injury to the speech center in the cerebral cortex. Upon further assessment, the nurse finds that the client is unable to understand written or verbal speech. Which condition does the nurse suspect?

Aphasia

Which activity by the community nurse can be considered an illness prevention strategy?

Arranging an immunization program for chicken pox

Which nursing action is accurate when terminating exposure for a toddler-age client who presents to the emergency department (ED) after eating a lily?

Emptying the mouth

Which complications does the nurse expect in the client with a renal disorder who has a blood urea nitrogen (BUN)/creatinine ratio of 28? Select all that apply.

Fluid volume deficit Obstructive uropathy

Which respiratory measurement is useful in differentiating between obstructive and restrictive pulmonary dysfunction?

Forced expiratory volume/forced vital capacity ratio

A client who has been diagnosed with human immunodeficiency virus (HIV) tells the nurse, "I have taken this as a challenge, and I will be able to fight this tough battle." This is an example of which concept of spiritual health?

Hope

Which stage of Erikson's theory would the nurse explain describes the development of a preschooler?

Initiative versus guilt

According to the nurse describing Erikson's theory, in which stage does a preschooler start to pretend?

Initiative versus guilt stage

Arrange the hierarchy of needs in ascending order beginning with the highest priority needs as defined by Maslow.

Physiological needs Safety and security Correct Love and belonging needs Self-esteem Self-actualization

What is the immediate nursing intervention for a client experiencing autonomic dysreflexia?

Placing the client in a sitting position

Why is the Glasgow Coma Scale used by the nurse while performing an assessment in a traumatized client?

To assess level of consciousness

Which assessment finding is considered the earliest sign of decreased tissue oxygenation?

Unexplained restlessness

Which topics related to dietary intake should the nurse include in the plan of care for the parents of a toddler?

Variety of foods increases with age

The nurse is advising a client to carry a prescription of epinephrine autoinjector. Which insect bite or sting is responsible for the nurse providing this advice?

Wasp

A pregnant client is diagnosed with gestational hypertension. The client tells the nurse that she has been following the recommended pregnancy diet. What should the nurse teach her about her diet at this time?

change nothing

A pregnant client states to the nurse, "I have been advised to take an over-the-counter medication for the flu. The drug label says it is a category B drug." How should the nurse respond to these statements?

"This drug does not show risks to an animal fetus so you can safely take it while pregnant."

The nurse is conducting a brief neurologic examination to test the level of consciousness in a client who sustained injuries in a bus accident. Which order should the nurse follow to assess the client's condition?

Asses if the client is alert. Assess if the client is responsive to voice. Assess if the client is responsive to pain. Assess if the client is unresponsive. Assess if the client has proper shape, size, equality, and reactivity in pupil

The client is receiving high-flow intravenous (IV) fluid replacement therapy. Which nursing assessment findings are consistent with fluid volume overload? Select all that apply.

Bounding pulse Presence of dependent edema Neck vein distention in the upright position

Which points will be part of a nurse preceptor's lecture on caring for the lesbian, gay, bisexual, transgender, and questioning (LGBTQ) older adult population? Select all that apply.

LGBTQ older adults may have sexual organs that conflict with their gender identity. LGBTQ older adults are at an elevated risk for disability from chronic disease and mental distress. LGBTQ older adults may hide their gender identities and sexual orientations from the nurse and other health care providers.

Which parts of the nephron are the sites of action for furosemide? Select all that apply.

Loop of Henle Distal tubule Proximal tubule

The nurse is caring for an African American client with renal failure. The client states that the illness is a punishment for sins. Which cultural health belief does the client communicate?

Magicoreligious belief

Which drug can be prescribed for the elective termination of a pregnancy?

Mifeprex

A nurse explains preterm labor to a group of nursing students. Which description of preterm labor indicates effective teaching?

Preterm labor is defined as contractions between 20 and 36 weeks of gestation

The healthcare provider prescribes a low-fat, 2-gram sodium diet for a client with hypertension. The nurse should explain that the purpose of restricting sodium is to do what?

Prevent reabsorption of water in the distal tubules

A nurse is teaching about the function of the loop of Henle. Which function should the nurse include?

Reabsorption of sodium in the ascending limb

The student nurse is performing a rapid baseline assessment using a disability mnemonic (AVPU) in a client with drug abuse. Which parameters should the student nurse consider for proper assessment? Select all that apply.

Reaction to pain Response to voice

A female client has severe cramping, pain, backache, and a migraine headache that presents with anxiety and mood swings. Which medication does the nurse think will be prescribed first to reduce the symptoms?

Sertraline

The nurse is assessing a client after surgery. Which assessment finding does the nurse obtain from the primary source?

Severity of pain

While caring for a client receiving blood transfusion care, the nurse notices that the client is having an acute hemolytic reaction. What is the priority nursing intervention in this situation?

Stop the blood transfusion immediately

While preforming nasotracheal suctioning, the nurse notices that the client has blood pressure of 90/70 and a heart rate of 50 beats per minute. What is the priority nursing intervention in this situation?

Stopping the suctioning procedure immediately

Which nursing intervention is employed to encourage the client to fully reveal the nature of their health problem?

The nurse leans forward attentively during the discussion