RN Comprehensive Online Practice 2019 B (6/10)

the client should bathe the newborn every ___ and cleanse the face and diaper area daily

2-3 days

the nurse should change the client's TPN IV tubing at least once every ___ to prevent bacterial growth in the tubing, which can lead to infection

24 hours

newborns eat around ___ in a 24-hr period

8-12 times

the client should respond to the newborn's cues for feeding at least ___ in a 24-hr period

8-12 times

the client taking ___ can develop a cough due to the buildup of bradykinin in the lungs

ACE inhibitors

a child who exhibits difficulty paying attention to tasks might have:

ADHD

because it is associated with the development of ___, the nurse should teach the parent to avoid administration of aspirin to children

Reye syndrome

___ is used to promote venous circulation

Trendelenburg position

A nurse in a mental health clinic is assessing a client who has a history of seeking counseling for relationship problems. The client shows the nurse multiple superficial self-inflicted lacerations on their forearms. The nurse should identify these behaviors as characteristics of which of the following personality disorders? a. Borderline b. Antisocial c. Histrionic d. Paranoid

a. Borderline

A nurse is providing teaching to the guardians of a newborn about measures to prevent sudden infant death syndrome (SIDS). Which of the following guardian statements indicates an understanding of the teaching? a. I will not allow anyone to smoke near by baby b. I will place bumper pads in my baby's crib c. My baby's head should be placed on a pillow for sleeping d. My baby should sleep in a side-lying position

a. I will not allow anyone to smoke near by baby

A charge nurse notices that one of the nurses on the shift frequently violates unit policies by taking an extended amount of time for break. Which of the following statements should the charge nurse make to address this conflict? a. I would like to talk to you about the unit policies regarding break time b. If you continue to take a long lunch break, I will have to report this to the nurse manager c. Have you thought about how your extended lunch breaks affect the other members of our team? d. Did you inform the other members of your team about when you left and returned from break?

a. I would like to talk to you about the unit policies regarding break time

A nurse in an outpatient mental health facility is assessing a child who has autism spectrum disorder. Which of the following manifestations should the nurse expect? a. Strict adherence to routines b. Difficulty paying attention to tasks c. Disobedience to authority figures d. Excessive anxiety when separated from parents

a. Strict adherence to routines

___, along with (2), are potential complications of overfeeding when a client is receiving feedings through a gastrointestinal tube

abdominal distention, nausea, vomiting

moving a body part away from the midline of the body

abduction

acetylcysteine is the antidote for ___

acetaminophen

___ is the antidote for acetaminophen

acetylcysteine

moving a body part toward the midline of the body

adduction

clients who have ___ tend to be manipulative, deceitful, and antagonistic

antisocial personality disorder

criminal behavior and substance use are associated with what personality disorder?

antisocial personality disorder

because it is associated with the development of Reye syndrome, the nurse should teach the parent to avoid administration of ___ to children

aspirin

children who have asthma are sensitive to ___

aspirin

children who have ___ are sensitive to aspirin

asthma

the nurse should identify that a child who has ___ can exhibit strict adherence to routines or rituals, a fixation on specific objects, and resistance to change

autism spectrum disorder

A nurse is teaching about adverse effects with a client who is starting to take captopril. Which of the following findings should the nurse identify as an adverse effect of the medication to report to the provider? a. Tinnitus b. Cough c. Polyuria d. Blurred vision

b. Cough

A nurse is assessing an infant who has hydrocephalus and is 6 hr postoperative following placement of a ventriculoperitoneal (VP) shunt. Which of the following findings should the nurse report to the provider? a. Heart rate 122/min b. Irritability when being held c. Hypoactive bowel sounds d. Urine specific gravity 1.018

b. Irritability when being held

A nurse is assessing a client who is taking propranolol. Which of the following findings should indicate to the nurse that this client is experiencing an adverse reaction to propranolol? a. Weight loss b. Wheezing c. Blood pressure 146/92 mmHg d. Heart rate 110/min

b. Wheezing

infants should sleep on their ___ to prevent SIDS

back

the client should place the newborn on their (back/stomach) when sleeping

back

the client should place the newborn on their ___ when sleeping to decrease the risk of suffocation or sudden infant death syndrome

back

fecal impaction is a contraindication for administering:

bisacodyl

the nurse should identify that clients who have ___ tend to be emotionally unstable, have troubled interpersonal relationships, and often engage in harmful behaviors such as cutting, substance use, and suicidal ideation

borderline personality disorder

A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the following actions is the nurse's priority? a. Assess fluid intake every 24 hr b. Ambulate three times a day c. Assist with deep breathing and coughing d. Monitor the incision site for findings of infection

c. Assist with deep breathing and coughing

the nurse should attempt to de-escalate a potentially violent situation by speaking to the client in a (2) voice using:

calm, low, short sentences

eliciting a vagal response by performing rectal stimulation is unsafe because it can cause:

cardiac dysrhythmias

___ is an offending environmental irritant to a child who has asthma, which can trigger an attack

carpet

the client taking an ACE inhibitor can develop ___ due to the buildup of ___ in the lungs

cough, bradykinin

A nurse is caring for a client who is postoperative after receiving moderate (conscious) sedation. The client suddenly becomes restless and reports feeling lightheaded. Which of the following actions should the nurse take? a. Check the client's temperature b. Prepare to administer acetylcysteine to the client c. Place the client in the Trendelenburg position d. Check the client's oxygen saturation level

d. Check the client's oxygen saturation level

A nurse is providing discharge instructions about newborn care to a client who is postpartum. Which of the following statements indicates to the nurse that the client understands the teaching? a. I will breastfeed my baby on a schedule of every 4 hours b. I will bathe my baby daily c. I will place my baby on her stomach for sleeping d. I will cover my baby's body when I wash her hair e. I will use the bulb syringe first in her mouth and then in her nose

d. I will cover my baby's body when I wash her hair e. I will use the bulb syringe first in her mouth and then in her nose

A nurse is providing education to the parent of a school-age child who has asthma. Which of the following statements by the parent indicates an understanding of the teaching? a. I will administer aspirin to my child to treat pain or fever b. I will record an average of three readings from my child's peak expiratory flow meter c. I will place carpet in my child's bedroom to control allergens d. I will make sure my child receives a yearly influenza immunization

d. I will make sure my child receives a yearly influenza immunization

A nurse is teaching a client who has a new prescription for total parenteral nutrition through a central line. Which of the following information should the nurse include in the teaching? a. I will change your IV tubing once every 48 hours b. Abdominal distention is an expected effect of this therapy c. I will need to check your gastric residual before administering feedings d. I will need to measure your weight daily

d. I will need to measure your weight daily

A nurse is caring for a client who has a fecal impaction. Which of the following actions should the nurse take when digitally evacuating the stool? a. Place the client in the lithotomy position b. Elicit a vagal response by performing gentle rectal stimulation c. Administer oral bisacodyl 30 min prior to the procedure d. Insert a lubricated gloved finger and advance along the rectal wall

d. Insert a lubricated gloved finger and advance along the rectal wall

A nurse on an inpatient mental health unit is monitoring a visit between a client who has a history of aggressive behavior and the client's partner. Which of the following observations should the nurse identify as an indication for potential violence? a. The client is taking numerous deep, measured breaths b. The client is calmly telling their partner that "the staff here is so controlling" c. The client is sitting with their head in their hands and appears to be crying d. The client is pacing around the chair in which their partner is sitting

d. The client is pacing around the chair in which their partner is sitting

the client should bathe the newborn every 2-3 days and cleanse the face and diaper area ___

daily

___ can disrupt the integrity of the newborn's skin

daily bathing

the nurse should instruct the client receiving TPN that ___ is a necessary part of administering nutrition through a enteral line to avoid fluid overload and monitor for adequate weight gain

daily weight measurement

the nurse should check the gastric residual for a client who is receiving ___ to avoid overfeeding

enteral feeding

hypoactive bowel sounds following the insertion of a ventriculoperitoneal (VP) shunt (expected/unexpected) finding

expected

___ is a contraindication for administering bisacodyl

fecal impaction

moving a body part forward and upward

flexion

the client might (gain/lose) weight as a result of taking a beta blocker and should be monitored for:

gain, heart failure

the nurse should check the ___ for a client who is receiving enteral nutrition to avoid:

gastric residual, overfeeding

malignant hyperthermia is a complication of:

general anesthesia

a client who has hypoxia should be placed with:

head of the bed elevated

the parent of the child with asthma should record the (average/highest) of the three readings when recording their child's results from the peak expiratory flow meter

highest

clients who have ___ tend to be self-focused, melodramatic, attention-seeking, and impulsive

histrionic personality disorder

clients who have ___ typically do not believe they need mental health counseling

histrionic personality disorder

(2) indicate the a client is at risk for violent behavior

hyperactivity, pacing

moving a body part, such as the leg, behind the body

hyperextension

lightheadedness and restlessness are indications of ___

hypoxia

the nurse should recognize that ___ is a manifestation of increased intracranial pressure and should be reported to the provider immediately

irritability

the client is pacing around the chair in which their partner is sitting (is/is not) a risk for potential violence

is

the client is calmly telling their partner that "the staff here is so controlling" (is/is not) a risk for potential violence

is not

the client is sitting with their head in their hands and appears to be crying (is/is not) a risk for potential violence

is not

the client is taking numerous deep, measured breaths (is/is not) a risk for potential violence

is not

(2) are indications of hypoxia

lightheadedness, restlessness

the nurse should insert a ___ and advance it slightly along the ___ when digitally evacuating stool

lubricated gloved finger, rectal wall

the client should suction the newborn's (mouth/nose) first

mouth

the client should suction the newborn's ___ first, followed by the ___ with the bulb syringe

mouth, nose

the nurse should plan to administer ___ prior to digitally evacuating stool

oil retention enema

a child who exhibits disobedience to authority figures might have:

oppositional defiant disorder

clients who have ___ display jealousy and expected hostility from others

paranoid personality disorder

clients who have ___ tend to be suspicious and distrustful of others

paranoid personality disorder

assist the postoperative client with deep breathing and coughing, which reduces the risk for:

postoperative pneumonia

the nurse should educate the parent of the child with asthma about (installing/removing) carpeting from the child's bedroom

removing

a child who exhibits excessive anxiety when separated from parents might have:

separation anxiety disorder

the guardians (should/should not) place bumper pads in the infant's crib

should not

the guardians (should/should not) place the infant's head on a pillow for sleeping

should not

the nurse should place the client in a ___ position with ___ when digitally evacuating stool

side-lying, knees flexed

Trendelenburg position is used to promote:

venous circulation

the nurse should recognize that a client taking propranolol who experiences ___ can indicate the client is experiencing an adverse reaction to the medication

wheezing

the client should ___ when washing the hair to minimize heat loss

wrap the newborn in a towel