Funds final practice questions

The nurse is reviewing dental care with a client who is edentulous and wears dentures. Which client statement indicates an understanding of proper dental care?

"I will remove my dentures before bed and keep them in my labeled denture cup covered with water"

Pediatric nurse is educating parents on how to administer an albuterol metered-dose inhaler with a label reading "give 2 puffs by mouth every 4 hours pRN wheezing." Which statement made by the parents indicates further teaching is needed?

"Put both puffs in the spacer then inhale"

The nurse is preparing to suction a client via a tracheostomy tube. The nurse would plan to limit the suctioning time to a maximum which time period?

10 seconds

The nurse is caring for a postoperative client who is receiving demand-dose hydromorphone IV. The nurse enters the room and finds the client drowsy and records the following vital signs: temperature: 97.2 F orally, Pulse: 53, BP: 101/58, RR: 11, O2: 88%. What action would the nurse do first?

Attempt to arouse the client

The nurse is giving a presentation on group nutrition to a group of teenage parents. Which nutritional requirement support adolescence metabolism?

B-complex vitamins

The nurse identifies that the client has stress incontinence. Which factor contributes to this clinical manifestation?

Coughing

The nurse manager has noticed an increase in the use of restraints on the medical surgical unit during the night shift so an educational session on restraint use is being planned for all units that which should the manager include in the education related to restraint documentation?

Date of order/renewal Type of device Skin assessment Client/family teaching

The nurse is performing passive range of motion exercises for a client who is in the supine position. Which motion occurs When the nurse bends the clients ankle so that the toes are pointed toward the ceiling?

Dorsal flexion

A client with a history of anxiety and panic attacks presents to the emergency department with rapid breathing a low level of dissolved CO2. Which term best describes what the client is experiencing?

Hypocapnia

The nurse is preparing to administer medication to a client via a percutaneous endoscopic gastrostomy (PEG) tube. Which medication prescription would the nurse question?

Isosorbide mononitrate ER 30mg via PEG tube daily

The nurse is preparing to administer a tuberculin skin test to a client via the intradermal route. Which action would the nurse perform when administering this test to the client?

Make a circular mark around the injection site after administration of the tuberculin test

A 69 year old Client is admitted to the hospital for multiple health problems. upon assessment. The nurse discovers that the client has no teeth and is having difficulty eating which of the following diets Should the nurse encourage the primary healthcare provider to prescribe for this client?

Mechanical soft

The nurse manager is reviewing the causes of accidental injuries and traumas for hospitalized clients, which should the nurse conclude as a priority intervention to prevent accidental injuries and trauma related to falls?

Move confused client closer to nurses station

A client is scheduled for surgery and the nurse is teaching the client about the importance of vitamin c in wound healing. Which source of vitamin c should the nurse include int he teaching plan?

Potatoes Papayas Oranges

Which condition places a client at the highest risk for developing an infection?

Presence of an indwelling catheter

A clients hemoglobin saturation via pulse oximetry indicates inadequate oxygenation. Which should the nurse do first?

Raise the head of the bed

The nurse determines that a client with a tracheostomy tube needs suctioning if which finding is noted?

Rhonchi are auscultated

The nurse is performing colostomy irrigation on a client. During the irrigation the client begins to complain of abdominal cramps. What is the appropriate nursing action?

Stop the irrigation

The nurse is changing the tracheostomy securement device on a client with a tracheostomy and is assessing the security of the ties. Which method is used to ensure that the ties are not too tightly placed?

The nurse places 1 finger loosely between the tie and the neck

The nurse in a long term care facility is observing a nursing student provide foot care to a client with diabetes mellitus, which action by the nursing student would indicate a need for further teaching?

The nursing student applies lotion to the dorsal and plantar surfaces of the feet and in between the toes.

The nursing instructor is observing a student nurse donning a pair of sterile gloves and preparing a sterile field. Which observation made by the instructor indicates the need for further teaching?

The student dons the sterile gloves without washing the hands

A primary healthcare provider prescribes a urine specimen for culture and sensitivity via a straight catheter for a client which of the nurse do when collecting this year specimen?

Use a sterile technique.

The nurse prepares to administer an intramuscular injection to a 4 month old infant. The nurse selects which best site to administer the injection?

Vastus lateralis

The nurse has a prescription to obtain a 24 hour urine collection in a client with a Renal infection. Which actions would the nurse take when collecting this specimen?

Explain the procedure to the client Save all subsequent voidings after the first voiding during the 24 hour period During the collection period place the main container on ice or in the refrigerator Have the client void at the end time and place this specimen in the main container

The nurse is obtaining a pulse oximetry reading from a postoperative client who appears short of breath. The client has dark fingernail polish on top of artificial nails. What is the most appropriate action?

Obtain a pulse oximetry reading from another appropriate area such as an earlobe

The nurse is caring for five Clients in a surgical nursing unit, which of the following clients most likely require airborne precautions?

The client experiencing symptoms of measles

The nurse is teaching a client with right sided weakness related to a stroke about how to properly ambulate with a cane. Which client action would indicate a need for further teaching?

The client holds the cane on the right side of the body