Keiser University, Port Saint Lucie

NUR 3525

1)A nurse is providing discharge instructions about a newborn safety to a client who is 2 days postpartum. Which of the following instructions should the nurse include?

1. 1. A nurse is caring for a client who has major depressive disorder. The client tells the nurse, “No one cares about me. I’m completely alone”. Which of the following responses should the nurse make?
   2. A nurse on a medical-surgical unit is caring for a client who states that she plans to leave the facility against medical advice. For which of the following actions by the nurse should the charge nurse intervene?
   3. A nurse is a prenatal teaching to a client who is at 12 weeks of gestation. The nurse should tell the client she will undergo which of the following screening tests at 16 weeks of gestation?
   4. A nurse is admitting a client who has schizophrenia and experiences occasional auditory hallucinations. The client states, “It’s hard not to listen to the voices.” Which of the following questions should the nurse ask the client?

1. 5. A nurse is planning care for a client who sustained a major burn over 20% of the body. Which of the following interventions should the nurse include to support the client’s nutritional requirements?
   6. A charge nurse is preparing to lead negotiations among nursing staff due to a conflict about overtime requirements. Which of the following strategies should the charge nurse use to promote effective negotiation?
   7. A nurse is preparing to administer a NG tube feeding to a school-age child. Which of the following actions should the nurse plan to take?
   8. A nurse is developing a plan of care for a client who has preeclampsia and is to receive magnesium sulfate via continuous IV infusion. Which of the following actions should the nurse include in the plan?
   9. A nurse realizes that the wrong medication has been administered to a client. Which of the following actions should the nurse take first?
   10. A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include?
   11. A nurse is caring for a client who is postoperative and has a chest tube drainage system. For which of the following findings should the nurse notify the provider?
   12. A nurse is preparing to administer vancomycin IV to an adult. The client asks the nurse if the medication can be given 2 hr earlier. Which of the following statements should the nurse make?
   13. A nurse in the emergency department is interviewing a client immediately following a sexual assault. Which of the following actions should the nurse take first?
   14. A nurse is caring for a client who gestational hypertension and is experiencing toxic effects due to magnesium sulfate therapy. The nurse should anticipate administering which of the following medications?
   15. A nurse is caring for a client who has end-stage kidney disease. The client’s adult child asks the nurse about becoming a living kidney donor for their parent. Which of the following conditions in the child’s medical history should the nurse identify as a contraindication to the procedure?
   16. A nurse has identified tasks to delegate to a group of assistive personnel (AP) after receiving change-of-shift report. Identify the sequence of steps the nurse should follow when delegating tasks to the Aps.
   17. A nurse is preparing to perform sterile wound irrigation and dressing change for a client. Which of the following actions by the nurse indicates a break in surgical aseptic technique?
   18. A nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase?
   19. A nurse is caring for a client who is receiving intermittent enteral tube feeding. Which of the following factors places the client at risk for aspiration?
   20. A nurse is caring for a client who is 4 hr postpartum. The client reports an urge to void but is unable to void. Which of the following actions should the nurse take?
   21. A nurse is caring for a client who has preeclampsia and is experiencing a postpartum hemorrhage. The nurse should expect the provider to prescribe which of the following medications?
   22. A nurse is providing teaching to the parents of a newborn about newborn genetic screening. Which of the following statements should the nurse include in the teaching?
   23. A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing. Which of the following examples should the nurse include in the teaching?
   24. A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse assess first?
   25. A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse plan to take?
   26. A nurse is planning care for a group of clients. Which of the following methods should the nurse use to manage time effectively?
   27. A nurse is preparing to assist the provider with a paracentesis for a client who has ascites. Which of the following actions should the nurse plan to take?

1. 28. A nurse is teaching a prenatal class about infection prevention at a community center. Which of the following statements by a client indicates an understanding of the teaching?
   29. A nurse is caring for a school-age child who has sickle cell anemia and is in vaso- occlusive crisis. Which of the following actions should the nurse take?
   30. A nurse is assessing a client who is 2 hr postpartum for uterine atony. Which of the following actions should the nurse take?
   31. A nurse manager is reviewing documentation with a newly licensed nurse. Which of the following notations by the newly licensed nurse indicate an understanding of the teaching?
   32. A charge nurse is teaching new staff members about factors that increase a client’s risk to become violent. Which of the following risk factors should the nurse include as the best predictor of future violence?
   33. A nurse is teaching a wellness class about depression for a group of older adult client. Which of the following information should the nurse include in the teaching?
   34. A nurse is assessing a client who is receiving morphine IV for pain. Which of the following findings should the nurse report the provider first?
   35. A nurse is providing discharge teaching to a client who is postoperative following surgery for carpal tunnel syndrome. Which of the following statements by the client indicated an understanding of the teaching?
   36. A nurse is using an IV pump for a newly admitted client. Which of the following actions should the nurse take?
   37. A nurse is planning care for a client who has unilateral paralysis and dysphagia following a right hemispheric stroke. Which of the following interventions should the nurse include in the plan?
   38. A nurse on a pediatric unit is preparing to insert an IV catheter for a 7-year-old child who is dehydrated. Which of the following actions should the nurse take?
   39. A nurse is caring for a client who has acute glomerulonephritis. The nurse should identify that which of the following findings is the priority?