Incorrect Passpoint Questions
A child is being discharged with albuterol nebulizer treatments. The nurse should instruct the parents to watch for: A. tachycardia. B. bradypnea. C. urine retention. D. constipation.
A
A client is scheduled to undergo percutaneous transluminal coronary angioplasty (PTCA). Which statement by the nurse best explains the procedure to the client? A. "PTCA involves opening a blocked artery with an inflatable balloon located on the end of a catheter." B. "PTCA involves cutting away blockages with a special catheter." C. "PTCA involves passing a catheter through the coronary arteries to find blocked arteries." D. "PTCA involves inserting grafts to divert blood from blocked coronary arteries."
A
When discussing spirituality with a mother of an 8-year-old child, the nurse instructs the mother that children of this age A. Enjoy lore and legends of religious groups. B. Are influenced by their peer groups. C. Are moved deeply by spirituality. D. May question religious authority.
A
When educating the client with type 1 diabetes, the nurse knows that the client needs more education when he or she says: A. "I will be able to switch to insulin pills when my sugar is under control." B. "I will need to eliminate sugar from my diet." C. "I will need to give myself insulin every day." D. "I will need to go to the podiatrist to get my toenails cut so I don't get an infection."
A
Which finding is the best indication that fluid replacement for the client in hypovolemic shock is adequate? A. urine output greater than 30 ml/hour B. systolic blood pressure greater than 110 mm Hg C. diastolic blood pressure greater than 90 mm Hg D. respiratory rate of 20 breaths/minute
A
Which instruction about insulin administration should a nurse give to a client? A. "Always follow the same order when drawing the different insulins into the syringe." B. "Shake the vials before withdrawing the insulin." C. "Store unopened vials of insulin in the freezer at temperatures well below freezing." D. "Discard the intermediate-acting insulin if it appears cloudy."
A
A nurse is caring for a client whose cultural background is different from her own. Which actions are appropriate? Select all that apply. A. Consider that nonverbal cues, such as eye contact, may have different meanings in different cultures B. Respect the client's cultural beliefs C. Ask the client if he has cultural or religious requirements that should be considered in his care D. Explain your beliefs so that the client will understand the differences E. Understand that all cultures experience pain in the same way
A, B, C and E
A nurse is caring for a client who has just been immunized. When teaching the client's caregivers about potential adverse effects, the nurse should instruct the caregivers to immediately report A. pain at the injection site. B. generalized urticaria. C. mild temperature elevation. D. local swelling at the injection site.
B
When planning home care for a 3-year-old child with eczema, what should the nurse teach the mother to remove from the child's environment at home? A. metal toy trucks B. plastic figures C. stuffed animals D. wooden blocks
C
A client is brought to the health clinic for a routine checkup. To assess the client's vision, the nurse should ask A. "Do you have any problems seeing different colors?" B. "Do you have trouble seeing at night?" C. "Do you have problems with glare?" D. "How are you doing in school?"
D
A client with diabetes is explaining to the nurse how to care for the feet at home. Which statement indicates that the client understands proper foot care? A. "When I injure my toe, I will plan to put iodine on it." B. "I should inspect my feet at least once a week." C. "It is okay to go barefoot in the house." D. "It is important to dry my feet carefully after my bath."
D
A client with quadriplegia is experiencing severe muscle spasms. To relieve them, a physician orders baclofen, 5 mg P.O. three times daily. What is the principal indication for baclofen? A. Acute, painful musculoskeletal conditions B. Skeletal muscle hyperactivity secondary to cerebral palsy C. Spasticity related to stroke D. Muscle spasms with paraplegia or quadriplegia from spinal cord lesions
D
The nurse is planning care for a client with acute myeloid leukemia (AML). What is an appropriate goal for this client? A. Prevent cardiac arrhythmias B. Prevent liver failure C. Prevent renal failure D. Prevent hemorrhage
D
A client who has been experiencing angina has a new prescription for nitroglycerin. The nurse should instruct the client to report having which potential side effect of nitroglycerin? A. headache B. shortness of breath C. bradycardia D. hypertension
A
A client who is receiving acetaminophen for osteoarthritis reports continuing pain. The health care provider prescribes celecoxib. What important information regarding this medication, should the nurse share with this client? A. Report black and tarry stools to the health care provider B. Use a stool softener or fiber laxative daily to prevent constipation C. If you miss a dose, take a double dose the next day D. Don't take the medication with dairy products
A
A client with a tentative diagnosis of myasthenia gravis is admitted for a diagnostic workup. Myasthenia gravis is confirmed by: A. a positive edrophonium test. B. Kernig's sign. C. a positive sweat chloride test. D. Brudzinski's sign.
A
A client with chronic obstructive pulmonary disease has a new prescription for theophylline. Which of the following information obtained from the client would prompt the nurse to consult with the healthcare provider? A. The client takes cimetidine 150 mg daily. B. The client is not experiencing any shortness of breath at present. C. The client's heart rate increases from 72 to 81 beats per minute while walking in the hall. D. The client is coughing up thick mucus.
A
A woman with chronic acquired immunodeficiency disorder (AIDS) tells the nurse at the women's health center that she is sexually active but has not had a gynecological exam for over three years. What important information is essential to include in providing health education for the client? A. Safe sex education to prevent the risk of infection B. Effective partner communication to promote a healthy relationship C. Important health screenings to reduce future bodily injuries D. Ethical decision making to maintain appropriate moral integrity
A
At which time should the nurse anticipate assisting a client to breastfeed her neonate? A. during the neonate's first period of reactivity B. in about 2 hours, after the baby has been evaluated C. in about 4 hours, after the baby has had some sleep D. after the neonate's first period of reactivity
A
The client with acute renal failure asks the nurse, "Will my kidneys ever function normally again?" What should the nurse tell the client? A "You will continue to improve over a period of weeks." B "You will likely need dialysis." C "You will improve when you have a kidney transplant." D "You will have more kidney damage in several years."
A
The nurse is caring for a client with Clostridium difficile infection. Upon entering the room, which of the following steps should the nurse take? A. Put on an isolation gown and gloves. B. Wear a face mask and goggles. C. Take antiseptic wipes into the room. D. Use sterile gloves and foot protection.
A
The nurse is caring for an adolescent client who sustained a head injury in a motor vehicle crash. The client begins to experience extreme thirst and excretes 4 L of urine in a 24-hour period with a specific gravity of 1.002. What pharmacological intervention does the nurse anticipate performing? A. Administration of desmopressin. B. Administration of recombinant human growth hormone. C. Administration of demeclocycline. D. Administration of levothyroxine.
A
The nurse is justified in assessing for sexual dysfunction among male clients who are taking: A. Anti-hypertensives. B. Antibiotics. C. Bronchodilators. D. Nonsteroidal anti-inflammatory drugs (NSAIDs).
A
The nurse observes a new parent give an oral medication to their 4-month-old infant. The parent instills the medication directly in the back of the infant's throat. Which of the following is the nurse's best action? A. Instruct the parent to instill a small amount of the medication inside the baby's cheek B. Praise the parent's technique of giving the medication C. Have the parent lay the infant flat, restraining the arms, while giving the medication D. Demonstrate to the parent ways to prop the infant in a sitting position for medication administration
A
The nurse should explain that the most common cause for the unhappiness some children experience when first entering school is due to which factor? A. feelings of insecurity B. social isolation C. emotional maladjustment D. poor language development
A
The client refuses to wear a name band on the arm during the hospital stay. The client is scheduled for surgery. What actions will the nurse take to ensure safe client identification? Select all that apply. A. Explain the need to have an identification name band. B. Alert the operative suite about the client's refusal to wear a name band. C. Attach the name band to the client's gown with tape. D. Apply the name band to the client's leg. E. Send the name band to the operative suite with the medical record.
A and D
A client has received an overdose of sympathomimetic agents. The nurse should assess the client for which late signs of an overdose? Select all that apply. A. hypotension B. bradycardia C. seizures D. profound pyrexia E. hypertension
A, C, D
The nurse takes the blood pressure of a preschool child. To determine if the blood pressure is normal, the nurse compares the results to percentiles for systolic and diastolic blood pressure. What other information does the nurse need to interpret the blood pressure? Select all that apply. A. age B. body mass index (BMI) C. gender D. height E. occipital frontal circumference (OFC) F. weight
A, C, D
A 25-year-old primiparous client who gave birth 2 hours ago has decided to breastfeed her neonate. Which instruction should the nurse address as the highest priority in the teaching plan about preventing nipple soreness? A. keeping plastic liners in the brassiere to keep the nipple drier B. placing as much of the areola as possible into the baby's mouth C. smoothly pulling the nipple out of the mouth after 10 minutes D. removing any remaining milk left on the nipple with a soft washcloth
B
A child, age 8, complains of leg pain shortly after being admitted with a fractured tibia sustained in a fall. When the nurse assesses his pain, the child states, "My pain is a 7 out of 10." What action by the nurse would be most appropriate? A. Ask the child what makes the pain better. B. Administer pain medication as ordered. C. Provide diversional activities to distract him. D. The nurse doesn't need to do anything for this pain level.
B
A client at 12 weeks gestation experiences vaginal bleeding and cramping. She is diagnosed with a threatened abortion. The nurse teaches the client about her activity restrictions. Which of the following responses indicates to the nurse that the teaching has been successful? A. "I can carry on with the activity that I had before this happened." B. "I should restrict my physical activity with moderate bed rest." C. "I need to go on strict bed rest to avoid jeopardizing this pregnancy." D. "There is very little evidence about what can keep my pregnancy intact, so I will be cautious and stay on bed rest."
B
A client comes to the clinic for a routine checkup. To assess the client's gag reflex, the nurse should use which method? A. Place a tongue blade on the front of the tongue and ask the client to say "ah." B. Place a tongue blade lightly on the posterior aspect of the pharynx. C. Place a tongue blade on the middle of the tongue and ask the client to cough. D. Place a tongue blade on the uvula.
B
A middle-aged male client comes to the clinic for an evaluation of difficulty urinating and nocturia. His father died from prostate cancer. He asks the nurse what he can do to ensure early detection of this disease. Which of the following questions should the nurse ask next? A. "Do you perform monthly testicular self-examinations?" B. "Do you have a digital rectal examination and prostate-specific antigen (PSA) tests yearly?" C. "Have you had a transrectal ultrasound within the last 10 years?" C. "What were the results of your last complete blood count (CBC), blood urea nitrogen (BUN), and creatinine levels."
B
A nurse brings a new mother her neonate for the first time approximately 1 hour after the neonate's birth. After checking the identification, the nurse hands the neonate to the mother. Within a few minutes, the mother begins to undress her baby. What should the nurse do? A. Call the pediatrician and report the behavior. B. Anticipate and support the behavior as a normal part of bonding. C. Encourage the mother to rewrap the baby because the room is cold. D. Take the baby back to the nursery and recheck the baby's temperature.
B
A nurse is teaching parents about accident prevention for a toddler. Which guideline is most appropriate? A. Always make the toddler wear a seat belt when riding in a car. B. Make sure all medications are kept in containers with childproof safety caps. C. Never leave a toddler unattended on a bed. D. Teach rules of the road for bicycle safety.
B
A nurse suspects that a client has digoxin toxicity. The nurse should assess for: A. hearing loss. B. vision changes. C. decreased urine output. D. gait instability.
B
A pregnant client asks the nurse whether she can take castor oil for her constipation. How should the nurse respond? A. "Yes, it produces no adverse effects." B. "No, it can initiate premature uterine contractions." C. "No, it can promote sodium retention." D. "No, it can lead to increased absorption of fat-soluble vitamins."
B
An adolescent client is having surgery to repair a fractured left femur. As a part of the preoperative safety checklist, what should the nurse do? A. Ask the teen to point to the surgery site. B. Verify that the site, side, and level are marked. C. Ask the parents if they have signed the operative permit. D. Restate the surgery risks to the parents.
B
During a home visit to a breastfeeding primiparous client at 1 week postpartum, the client tells the nurse that her nipples have become sore and cracked from the feedings. Which instructions should the nurse give the client? A. Wipe off any lanolin creams from the nipple before each feeding. B. Position the baby with the entire areola in the baby's mouth. C. Feed the baby less often for the next several days. D. Use a mild soap while in the shower to prevent an infection.
B
On the second postpartum day, the nurse enters the room and notices that the client is holding her crying baby and lightly rubbing the infant's back. The client states, "I don't know why she won't stop crying all the time." Which of the following is the most appropriate nursing intervention? A. Refer the client to a social worker to discuss her coping skills. B. Demonstrate ways that the client can comfort her baby. C. Ask the client if she has any friends or family that can come in and help her. D. Tell the client that her baby is hungry and that she needs to breastfeed.
B
The nurse is developing an educational program about prostate cancer. The nurse should provide information about which topic? A. The Prostate-Specific Antigen (PSA) test is reliable for detecting the presence of prostate cancer. B. For all men, age 50 and older, the American and Canadian Cancer Societies recommend an annual rectal examination. C. Men over 50 should have a colonoscopy. D. Regular sexual activity promotes health of the prostate gland to prevent cancer.
B
The nurse is preparing a 45-year-old female for a vaginal examination. The nurse should place the client in which postion? A. Sims position B. lithotomy position C. genupectoral position D. dorsal recumbent position
B
The nurse should suspect that the client taking disulfiram has ingested alcohol when the client exhibits which symptom? A. sore throat and muscle aches B. nausea and flushing of the face and neck C. fever and muscle soreness D. bradycardia and vertigo
B
The wife of a client admitted for treatment of newly diagnosed paranoid schizophrenia visits 2 days after her husband's admission and states to the nurse, "Why is he not eating? He is still talking about his food being poisoned." Which appraisal by the nurse is most accurate? A. The wife's inquiry is reasonable. B. Education about her husband's medications is needed. C. Her expectations of her husband are realistic. D. An increase in the client's medication is indicated.
B
When working the mother-baby unit which client would the nurse anticipate giving Rho(D) immune globulin (human) to: A. the Rh positive mother with an Rh negative baby. B. the Rh negative mother with an Rh positive baby. C. the Rh positive baby with an Rh negative mother. D. the Rh negative baby with an Rh positive mother.
B
Which intervention would be most appropriate to institute when a school-age child with burns becomes angry and combative when it is time to change the dressings and apply mafenide acetate? A. Ensure parental support during the dressing changes. B. Allow the child to assist in removing the dressings and applying the cream. C. Give the child permission to cry during the procedure. D. Allow the child to schedule the time for dressing changes.
B
Which of the following information should the nurse include when providing discharge instructions to a client with psoriasis? A. Avoid applying creams after bathing. B. Trim fingernails regularly. C. Scrub vigorously when bathing to remove scales on skin. D. Use a washcloth when bathing.
B
Which strategy is the most effective for a nurse to use to reduce the number of children involved in automobile accidents who were not wearing seat belts? A. Contact the local government representative to discuss new legislation about child seat belts. B. Attend a school board meeting to advocate for classes teaching children seat belt safety. C. Call the town mayor's office with this information so that the mayor can discuss it with the media. D. Start a letter-writing campaign to the school superintendent about seat belt importance.
B
A client has been on long-term prednisone therapy. What should the nurse instruct the client to include in the diet? Select all that apply. A. carbohydrate B. protein C. saturated fat D. potassium E. calcium F. vitamin D
B, D, E, F
Which information should the nurse include in the teaching plan for a primiparous client who asks about weaning her neonate? A. "Wait until you have breastfed for at least 4 months." B. "Eliminate the baby's favorite feeding times first." C. "Plan to omit the daytime feedings last." D. "Gradually eliminate one feeding at a time."
D
A client is about to be discharged with a prescription for the antipsychotic agent haloperidol, 10 mg by mouth twice per day. During a discharge teaching session, a nurse should provide which instruction to the client? A. Take the medication 1 hour before a meal. B. Decrease the dosage if signs of illness decrease. C. Apply a sunscreen before exposure to the sun. D. Increase the dosage up to 50 mg twice per day if signs of illness don't decrease.
C
A client who's 4 months pregnant asks the nurse how much and what type of exercise she should get during pregnancy. How should the nurse counsel her? A. "Try high-intensity aerobics, but limit sessions to 15 minutes daily." B. "Perform gentle back-lying exercises for 30 minutes daily." C. "Walk briskly for 10 to 15 minutes daily, and gradually increase this time." D. "Exercise to raise the heart rate above 140 beats/minute for 20 minutes daily."
C
A few minutes after beginning a blood transfusion, a nurse notes that a client has chills, dyspnea, and urticaria. The nurse reports this to the physician immediately because the client probably is experiencing which problem? A. A hemolytic reaction to mismatched blood B. A hemolytic reaction to Rh-incompatible blood C. A hemolytic allergic reaction caused by an antigen reaction D. A hemolytic reaction caused by bacterial contamination of donor blood
C
A mother and grandmother bring a 2-month-old infant to the clinic for a routine checkup. As the nurse weighs the infant, the grandmother asks, "Shouldn't the baby start eating solid food? My kids started on cereal when they were 2 weeks old." Which response by the nurse would be appropriate? A. "The baby is gaining weight and doing well. There is no need for solid food yet." B. "Things have changed a lot since your children were born." C. "Babies can't digest solid food properly until they're 3 or 4 months old." D. "Introducing solid food early leads to eating disorders later in life."
C
A nurse is conducting an initial assessment on a client with possible tuberculosis. Which assessment finding indicates a risk factor for tuberculosis? A. The client sees his physician for a check-up yearly. B. The client has never traveled outside of the country. C. The client had a liver transplant 2 years ago. D. The client works in a health care insurance office.
C
A nurse is evaluating a family in which chronic child abuse has occurred, and the parents have experienced chronic alcohol and drug abuse. Significant social supports have been established by social services and the parents have both received drug and alcohol treatment and parenting classes. Which of the following indicates that the parents have progressed in their treatment?? A. The parents report continued use of spanking as discipline. B. The parents report high expectations for the young children to manage the household tasks. C. The parents report an understanding of normal growth and development. D. The parents say they hope to attend parenting classes.
C
A nurse is teaching the parent of an infant. The nurse should instruct the parent to introduce the infant to solid foods at what age? A. 2 months B. 4 months C. 6 months D. 8 months
C
A parent brings a 4-month-old to the clinic for a regular well visit and expresses concern that the infant is not developing appropriately. Which finding in the infant would indicate the need for further developmental screening? A. has no interest in peek-a-boo games B. does not turn front to back C. does not babble D. requires support to sit
C
The client with acute mania has been admitted to the inpatient unit voluntarily. The nurse approaches the client with medication to be taken orally as prescribed by the health care provider (HCP). The client states, "I do not need that stuff." Which response by the nurse is best? A. "You cannot refuse to take this medication." B. "If you do not take it orally, I will give you a shot." C. "The medication will help you feel calmer." D. "I will get you some written information about the medication."
C
The health care provider's (HCP's) prescription for an intravenous infusion is 3% normal saline to infuse at 125 mL/h. The client's most recent sodium level is 132 mEq/L (132 mmol/L). The nurse should: A. hang 0.9% Normal Saline at 125 mL/h. B. start the IV solution as prescribed. C. consult the prescriber about the prescription. D. hang the IV solution prescribed at 62 mL/h.
C
The nurse is aware that antihypertensives should be used cautiously in clients already taking: A. ibuprofen. B. diphenhydramine. C. thioridazine. D. vitamins.
C
The nurse is caring for a client 1 day after having a colectomy. The client is lethargic and difficult to arouse; the temperature is 101.5°F (38.6°C), blood pressure is 92/36 mm Hg (MAP 55 mm Hg), and heart rate is 114 bpm with SpO2 of 88% on oxygen at 2 L/min per nasal cannula (previously 94%). A saline lock has been established and is patent. Which prescription should the nurse implement first? A. Obtain stat portable chest X-ray. B. Administer vancomycin intravenously. C. Draw blood cultures. D. Insert an indwelling urinary catheter.
C
The nurse is working in a psychiatric facility on an anxiety disorder unit. The unit is locked and clients have scheduled group and family therapy sessions. Which other standard is maintained on this unit for a client diagnosed with panic disorder? A. Clients may come and go as they desire. B. Clients may eat anything that is facility prepared. C. Suicide precautions are instituted. D. A security guard is present at the door.
C
The nurse meets with a client in the outpatient clinic who is suicidal and refuses to sign a "no suicide" contract. What should the nurse do next? A. Arrange for the client to be sent back to the group home. B. Refer the client to a partial program until the client is no longer suicidal. C. Arrange for immediate hospitalization on a locked unit. D. Arrange for admission to a subacute unit for 2 weeks.
C
The nurse notices that a 1-month-old infant has esotropia. What should the nurse advise the parents to do? A. Call the baby's health care provider immediately. B. Mention this finding at the baby's 6-month checkup. C. Do nothing because this condition is normal for the infant's age. D. Call the clinic for a referral to an optometrist.
C
When assessing a client's I.V. insertion site, a nurse notes normal color and temperature at the site and no swelling. However, the I.V. solutions haven't infused at the ordered rate; the flow rate is slow even with the roller clamp wide open. When the nurse lowers the I.V. fluid bag, no blood returns to the tubing. What should the nurse do first? A. Discontinue the I.V. infusion at that site and restart it in the other arm. B. Irrigate the I.V. tubing with 1 ml of normal saline solution. C. Check the tubing for kinks and reposition the client's wrist and elbow. D. Elevate the I.V. fluid bag.
C
When developing a plan of care with a mother who expresses concern that her 10-year-old son is overweight, the nurse should expect to include which intervention? A. eliminating the child's between-meal snacks B. eliminating the intake of fat from the diet C. including the child in meal planning and preparation D. encouraging slow weight loss
C
The client is in the postanesthesia care unit (PACU) recovering from surgery. The nurse administers the prescribed hydromorphone IV push (IVP). Five minutes later the nurse notes a respiratory rate of 9 breaths per minute on the same client. Which interventions should the nurse implement? Select all that apply. A. Start CPR. B. Ask the anesthesiologist to assess the client. C. Re-assess the client's respiratory rate in 5 minutes. D. Start ventilations. E. Administer naloxone.
C, E
Which laboratory test should the nurse monitor when the client is receiving warfarin sodium therapy? A. partial thromboplastin time (PTT) B. serum potassium C. arterial blood gas (ABG) values D. prothrombin time (PT)
D
A female client is admitted to a mental health unit with a diagnosis of depression and is participating in group sessions. She asks a male nurse if he is married or has a girlfriend. What is the best response by the nurse to maintain a therapeutic relationship? A. "Group therapy is not the appropriate time to discuss my relationships." B. "It sounds as though you are interested in developing a relationship with me." C. "Tell me how you knew that I was not married or had a girlfriend." D. "I'm curious about your question, but I want to know how you are feeling today."
D
A nurse completes the initial assessment of a newborn. According to the due date on the antenatal record, the baby is 12 days postmature. Which of the following physical findings contradicts the estimated gestational age of the newborn? A. Meconium aspiration B. Absence of lanugo C. Hypoglycemia D. Increased amounts of vernix
D
A nurse has an order to administer an I.M. injection of iron dextran to a client. How should the nurse inject the ordered medication? A. Insert the needle at a 45-degree angle. B. Massage the injection site immediately after injection. C. Pull the skin laterally toward the injection site. D. Withdraw the needle and release the skin.
D
A nurse is helping a client move up in the bed. Which action maintains good body mechanics? A. Always keeping the bed in a low position B. Having the client fold his arms across his chest C. Raising the head of the bed D. Having the client help himself as much as possible
D
A physician has ordered a heating pad for an elderly client's lower back pain. Which item would be most important for a nurse to assess before applying the heating pad? A. Client's risk for falls B. Client's vital signs and breath sounds C. Client's nutritional status D. Client's level of consciousness
D
A visitor to the hospital has a cardiac arrest. When determining to use an automated external defibrillator (AED), the nurse should consider that AEDs are used in cardiac arrest in which circumstances? A. early defibrillation in cases of atrial fibrillation B. cardioversion in cases of atrial fibrillation C. pacemaker placement D. early defibrillation in cases of ventricular fibrillation
D
After a bronchoscopy with biopsy, the nurse assesses the client. The nurse should report which finding to the health care provider (HCP)? A. green sputum B. dry cough C. hemoptysis D. laryngeal stridor
D
After teaching the mother of a 7-month-old diagnosed with bronchiolitis, the nurse determines that the teaching has been effective when the mother states she will immediately report which sign or symptom? A. seven wet diapers a day B. temperature of 100° F (37.8° C) for 2 days C. clear nasal discharge for longer than 2 days D. longer periods of sleep than usual
D
The client who is being prepared for kidney surgery asks the nurse, "Why didn't the surgeon remove my old kidney to make room for the new kidney?" What is the nurse's best response to this question? A. "The kidney is inserted into the abdomen and there is space for it among the body's other organs." B. "The removal of the old kidneys is a joint decision made by both the client and the transplant team." C. "Since the old kidneys are not functioning, they shrink in size and this allow space for the new kidney." D. "It is not necessary to remove the old kidneys as the new kidney will be transplanted into the abdomen."
D
The mother of a two-year-old with epiglottitis states that she needs to pick up her older child from school. The two-year-old child begins to cry and appears more stridorous. What is the nurse's priority action? A. Ask the mother how long she may be gone B. Tell the two-year-old child everything will be all right C. Tell the two-year-old child the nurse will stay with him D. Ask the mother if there's anyone else who can meet the older child
D
The nurse discusses with the parents how best to raise the IQ of their child with Down syndrome. Which intervention would be most appropriate? A. Serve hearty, nutritious meals. B. Give vasodilator medications as prescribed. C. Let the child play with more able children. D. Provide stimulating, nonthreatening life experiences.
D
The nurse has provided health teaching about physiologic changes that can be expected during the postpartum period to a postpartum client who is bottle-feeding her neonate. Which client statement indicates that this teaching has been effective? A. "I can expect to have heart palpitations for several weeks." B. "It's normal for me to have reddish lochia until my 6-week checkup." C. "Any varicosities I had during pregnancy will disappear within 2 weeks." D. "My menstrual flow should resume in approximately 6 to 10 weeks."
D
The nurse is caring for a client who is scheduled for an adrenalectomy. Which drug may be included in the preoperative prescriptions to prevent Addison's crisis following surgery? A. prednisone orally B. fludrocortisone subcutaneously C. spironolactone intramuscularly D. methylprednisolone sodium succinate intravenously
D
The nurse is preparing a teaching plan about increased exercise for a female client who is receiving long-term corticosteroid therapy. What type of exercise is most appropriate for this client? A. floor exercises B. stretching C. running D. walking
D
The nurse is teaching a client about preventing toxic shock syndrome (TSS). Which action is a risk factor for toxic shock syndrome? A. changing tampons every 3 hours B. avoiding use of deodorized tampons C. alternating tampons with sanitary pads D. using only tampons at night
D