PN Fundamentals Online Practice 2020 A

A nurse is assisting with the plan of care for a client who has a bacterial infection and a persistent oral temperature of 38.9° C (102° F). Which of the following interventions should the nurse include in the plan of care to treat the fever?

Administer acetaminophen

A nurse is caring for a client who is postoperative and is experiencing nausea and vomiting. The nurse should identify which of the following findings as indications that the client has fluid volume deficit? (Select all that apply.)

Cool extremities Orthostatic hypotension Flat neck veins

A nurse has delegated various client care tasks to the assistive personnel (AP) on the care team. Which of the following actions by the AP should the nurse identify as correct?

Donning a mask to measure the vital signs of a client who has pertussis

A nurse is planning care for a client who is disoriented and at risk for falls. Which of the following interventions should the nurse include? (Select all that apply.)

Ensure that the client is wearing nonskid slippers. Place the client in a room near the nurses' station. Reinforce teaching about how to use the call bell.

A nurse is contributing to the plan of care for a client who has a positive throat culture for streptococci. Which of the following interventions should the nurse recommend to be included in the plan of care?

Ensure that the client wears a surgical mask during transportation throughout the facility.

A nurse is reinforcing teaching with a client about smoking cessation. Which of the following should the nurse identify as the first stage of health behavior change?

Precontemplation

A nurse is taking notes of client information on a piece of paper while receiving report. Which of the following actions should the nurse take to dispose of the paper?

Shred the paper in a secure container.

A nurse is reinforcing teaching about health promotion with a group of young adult clients. Which of the following information should the nurse include?

Young adults should receive a dental assessment every 6 months.

A nurse is assisting with a presentation to a group of older adults at a community center about hypothermia and hyperthermia. Which of the following information should the nurse include about age-related changes?

Circulation becomes less efficient with age.

A client who has advanced cancer tells the nurse that they have a difficult time talking to anyone about the illness. Which of the following actions should the nurse take to encourage therapeutic communication?

Let the client know that, as their nurse, they are available and willing to listen.

A nurse is reinforcing teaching with a client about the use of crutches. Which of the following actions by the client indicates an understanding of the teaching?

The client advances the unaffected leg first while climbing stairs.

A nurse is collecting data on four clients. Which of the following findings should the nurse report to the provider?

Urine output of 200 mL over 8 hr