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The new graduate nurse provides care for a client with a halo external fixation device

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250 questions, answers, and explanations are offered in this sample exam from the 2013 edition of NCLEX-RN Exam Cram.

  • A 43-year-old African American male is admitted with sickle cell anemia. The nurse plans to assess circulation in the lower extremities every two hours. Which of the following outcome criteria would the nurse use?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Body temperature of 99°F or less

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Toes moved in active range of motion

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Sensation reported when soles of feet are touched

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Capillary refill of < 3 seconds

    Quick Answer: 223

    Detailed Answer: 225

  • A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Side-lying with knees flexed

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Knee-chest

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    High Fowler’s with knees flexed

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Semi-Fowler’s with legs extended on the bed

    Quick Answer: 223

    Detailed Answer: 225

  • A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Taking hourly blood pressures with mechanical cuff

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Encouraging fluid intake of at least 200mL per hour

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Position in high Fowler’s with knee gatch raised

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Administering Tylenol as ordered

    Quick Answer: 223

    Detailed Answer: 225

  • Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Steak

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Cottage cheese

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Popsicle

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Lima beans

    Quick Answer: 223

    Detailed Answer: 225

  • A newly admitted client has sickle cell crisis. He is complaining of pain in his feet and hands. The nurse’s assessment findings include a pulse oximetry of 92. Assuming that all the following interventions are ordered, which should be done first?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Adjust the room temperature

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Give a bolus of IV fluids

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Start O2

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Administer meperidine (Demerol) 75mg IV push

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Roast beef, gelatin salad, green beans, and peach pie

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Chicken salad sandwich, coleslaw, French fries, ice cream

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Pork chop, creamed potatoes, corn, and coconut cake

    Quick Answer: 223

    Detailed Answer: 225

  • Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    A family vacation in the Rocky Mountains

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Chaperoning the local boys club on a snow-skiing trip

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Traveling by airplane for business trips

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    A bus trip to the Museum of Natural History

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Enlarged spleen

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Elevated blood pressure

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Bradycardia

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Beefy tongue

    Quick Answer: 223

    Detailed Answer: 225

  • The body part that would most likely display jaundice in the dark-skinned individual is the:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Conjunctiva of the eye

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Soles of the feet

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Roof of the mouth

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Shins

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting a physical assessment on a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    BP 146/88

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Respirations 28 shallow

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Weight gain of 10 pounds in six months

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Pink complexion

    Quick Answer: 223

    Detailed Answer: 226

  • The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    “I will drink 500mL of fluid or less each day.”

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    “I will wear support hose.”

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    “I will check my blood pressure regularly.”

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    “I will report ankle edema.”

    Quick Answer: 223

    Detailed Answer: 226

  • A 33-year-old male is being evaluated for possible acute leukemia. Which of the following findings is most likely related to the diagnosis of leukemia?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The client collects stamps as a hobby.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The client recently lost his job as a postal worker.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The client had radiation for treatment of Hodgkin’s disease as a teenager.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The client’s brother had leukemia as a child.

    Quick Answer: 223

    Detailed Answer: 226

  • Where is the best site for examining for the presence of petechiae in an African American client?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The abdomen

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The thorax

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The earlobes

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The soles of the feet

    Quick Answer: 223

    Detailed Answer: 226

  • The client is being evaluated for possible acute leukemia. Which inquiry by the nurse is most important?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    “Have you noticed a change in sleeping habits recently?”

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    “Have you had a respiratory infection in the last six months?”

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    “Have you lost weight recently?”

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    “Have you noticed changes in your alertness?”

    Quick Answer: 223

    Detailed Answer: 226

  • Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Oral mucous membrane, altered related to chemo-therapy

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Risk for injury related to thrombocytopenia

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Fatigue related to the disease process

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Interrupted family processes related to life-threatening illness of a family member

    Quick Answer: 223

    Detailed Answer: 226

  • A 21-year-old male with Hodgkin’s lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Sexual dysfunction related to radiation therapy

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Anticipatory grieving related to terminal illness

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Tissue integrity related to prolonged bed rest

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Fatigue related to chemotherapy

    Quick Answer: 223

    Detailed Answer: 226

  • A client has autoimmune thrombocytopenic purpura. To determine the client’s response to treatment, the nurse would monitor:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Platelet count

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    White blood cell count

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Potassium levels

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Partial prothrombin time (PTT)

    Quick Answer: 223

    Detailed Answer: 226

  • The home health nurse is visiting a client with autoimmune thrombocytopenic purpura (ATP). The client’s platelet count currently is 80,000. It will be most important to teach the client and family about:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Bleeding precautions

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Prevention of falls

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Oxygen therapy

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Conservation of energy

    Quick Answer: 223

    Detailed Answer: 226

  • The client has surgery for removal of a Prolactinoma. Which of the following interventions would be appropriate for this client?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Place the client in Trendelenburg position for postural drainage.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Encourage coughing and deep breathing every two hours.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Elevate the head of the bed 30°.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Encourage the Valsalva maneuver for bowel movements.

    Quick Answer: 223

    Detailed Answer: 226

  • The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Measure the urinary output.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Check the vital signs.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Encourage increased fluid intake.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Weigh the client.

    Quick Answer: 223

    Detailed Answer: 227

  • A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Place the client in a sitting position.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Administer acetaminophen (Tylenol).

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Pinch the soft lower part of the nose.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Apply ice packs to the forehead.

    Quick Answer: 223

    Detailed Answer: 227

  • A client has had a unilateral adrenalectomy to remove a tumor. The most important measurement in the immediate post-operative period for the nurse to take is:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The blood pressure

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The temperature

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The urinary output

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The specific gravity of the urine

    Quick Answer: 223

    Detailed Answer: 227

  • A client with Addison’s disease has been admitted with a history of nausea and vomiting for the past three days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Glucometer readings as ordered

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Intake/output measurements

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Evaluating the sodium and potassium levels

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Daily weights

    Quick Answer: 223

    Detailed Answer: 227

  • A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurses’ next action be?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Obtain a crash cart.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Check the calcium level.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Assess the dressing for drainage.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Assess the blood pressure for hypertension.

    Quick Answer: 223

    Detailed Answer: 227

  • A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in four months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Impaired physical mobility related to decreased endurance

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Hypothermia r/t decreased metabolic rate

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Disturbed thought processes r/t interstitial edema

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Decreased cardiac output r/t bradycardia

    Quick Answer: 223

    Detailed Answer: 227

  • The client presents to the clinic with a serum cholesterol of 275mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client taking rosuvastatin (Crestor)?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Report muscle weakness to the physician.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Allow six months for the drug to take effect.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Take the medication with fruit juice.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Report difficulty sleeping.

    Quick Answer: 223

    Detailed Answer: 227

  • The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Utilize an infusion pump.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Check the blood glucose level.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Place the client in Trendelenburg position.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Cover the solution with foil.

    Quick Answer: 223

    Detailed Answer: 227

  • The six-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Blood pressure of 126/80

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Blood glucose of 110mg/dL

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Heart rate of 60bpm

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Respiratory rate of 30 per minute

    Quick Answer: 223

    Detailed Answer: 227

  • The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Replenish his supply every three months.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Take one every 15 minutes if pain occurs.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Leave the medication in the brown bottle.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Crush the medication and take with water.

    Quick Answer: 223

    Detailed Answer: 228

  • The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Macaroni and cheese

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Shrimp with rice

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Turkey breast

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Spaghetti with meat sauce

    Quick Answer: 223

    Detailed Answer: 228

  • The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Feet

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Neck

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Hands

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Sacrum

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is checking the client’s central venous pressure. The nurse should place the zero of the manometer at the:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Phlebostatic axis

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    PMI

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Erb’s point

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Tail of Spence

    Quick Answer: 223

    Detailed Answer: 228

  • The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Question the order.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Administer the medications.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Administer separately.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Contact the pharmacy.

    Quick Answer: 223

    Detailed Answer: 228

  • The best method of evaluating the amount of peripheral edema is:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Weighing the client daily

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Measuring the extremity

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Measuring the intake and output

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Checking for pitting

    Quick Answer: 223

    Detailed Answer: 228

  • A client with vaginal cancer is being treated with a radioactive vaginal implant. The client’s husband asks the nurse if he can spend the night with his wife. The nurse should explain that:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Overnight stays by family members is against hospital policy.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    There is no need for him to stay because staffing is adequate.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    His wife will rest much better knowing that he is at home.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Visitation is limited to 30 minutes when the implant is in place.

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Roast beef sandwich, potato chips, pickle spear, iced tea

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Split pea soup, mashed potatoes, pudding, milk

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Tomato soup, cheese toast, Jello, coffee

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Hamburger, baked beans, fruit cup, iced tea

    Quick Answer: 223

    Detailed Answer: 228

  • The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    “I will make sure I eat breakfast within 10 minutes of taking my insulin.”

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    “I will eat a snack around three o’clock each afternoon.”

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 223

    Detailed Answer: 229

  • The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first two weeks of life because:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    New parents need time to learn how to hold the baby.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The umbilical cord needs time to separate.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Newborn skin is easily traumatized by washing.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The chance of chilling the baby outweighs the benefits of bathing.

    Quick Answer: 223

    Detailed Answer: 229

  • A client with leukemia is receiving Trimetrexate. After reviewing the client’s chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Treat iron-deficiency anemia caused by chemotherapeutic agents

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Create a synergistic effect that shortens treatment time

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Increase the number of circulating neutrophils

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Reverse drug toxicity and prevent tissue damage

    Quick Answer: 223

    Detailed Answer: 229

  • A four-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines, the baby should receive:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Hib titer

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Mumps vaccine

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Hepatitis B vaccine

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    MMR

    Quick Answer: 223

    Detailed Answer: 229

  • The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    30 minutes before a meal

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    With each meal

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    In a single dose at bedtime

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    30 minutes after meals

    Quick Answer: 223

    Detailed Answer: 229

  • A client on the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. What is the most appropriate action for the nurse to take?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Call security for assistance and prepare to sedate the client.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Tell the client to calm down and ask him if he would like to play cards.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Tell the client that if he continues his behavior he will be punished.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Leave the client alone until he calms down.

    Quick Answer: 223

    Detailed Answer: 229

  • When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Check the client for bladder distention.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Assess the blood pressure for hypotension.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Determine whether an oxytocic drug was given.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Check for the expulsion of small clots.

    Quick Answer: 223

    Detailed Answer: 229

  • A client is admitted to the hospital with a temperature of 99.8°F, complaints of blood-tinged hemoptysis, fatigue, and night sweats. The client’s symptoms are consistent with a diagnosis of:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Pneumonia

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Reaction to antiviral medication

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Tuberculosis

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Superinfection due to low CD4 count

    Quick Answer: 223

    Detailed Answer: 229

  • The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client’s history should be reported to the doctor?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Diabetes

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Prinzmetal’s angina

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Cancer

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Cluster headaches

    Quick Answer: 223

    Detailed Answer: 229

  • The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment to determine meningeal irritation and spinal nerve root inflammation. A positive Kernig’s sign is charted if the nurse notes:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Pain on flexion of the hip and knee

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Nuchal rigidity on flexion of the neck

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Pain when the head is turned to the left side

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Dizziness when changing positions

    Quick Answer: 223

    Detailed Answer: 229

  • The client with Alzheimer’s disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Agnosia

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Apraxia

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Anomia

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Aphasia

    Quick Answer: 223

    Detailed Answer: 229

  • The client with dementia is experiencing confusion late in the afternoon and before bedtime. The nurse is aware that the client is experiencing what is known as:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Chronic fatigue syndrome

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Normal aging

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Sundowning

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Delusions

    Quick Answer: 223

    Detailed Answer: 230

  • The client with confusion says to the nurse, “I haven’t had anything to eat all day long. When are they going to bring breakfast?” The nurse saw the client in the day room eating breakfast with other clients 30 minutes before this conversation. Which response would be best for the nurse to make?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    “You know you had breakfast 30 minutes ago.”

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    “I am so sorry that they didn’t get you breakfast. I’ll report it to the charge nurse.”

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    “I’ll get you some juice and toast. Would you like something else?”

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    “You will have to wait a while; lunch will be here in a little while.”

    Quick Answer: 223

    Detailed Answer: 230

  • The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer’s disease. Which side effect is most often associated with this drug?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Urinary incontinence

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Headaches

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Confusion

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Nausea

    Quick Answer: 223

    Detailed Answer: 230

  • A client is admitted to the labor and delivery unit in active labor. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Document the finding.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Report the finding to the doctor.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Prepare the client for a C-section.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Continue primary care as prescribed.

    Quick Answer: 223

    Detailed Answer: 230

  • A client with a diagnosis of HPV is at risk for which of the following?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Hodgkin’s lymphoma

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Cervical cancer

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Multiple myeloma

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Ovarian cancer

    Quick Answer: 223

    Detailed Answer: 230

  • During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Syphilis

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Herpes

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Gonorrhea

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Condylomata

    Quick Answer: 223

    Detailed Answer: 230

  • A client visiting a family planning clinic is suspected of having an STI. The best diagnostic test for treponema pallidum is:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Venereal Disease Research Lab (VDRL)

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Rapid plasma reagin (RPR)

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Fluorescent treponemal antibody (FTA)

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Thayer-Martin culture (TMC)

    Quick Answer: 223

    Detailed Answer: 230

  • A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which laboratory finding is associated with HELLP syndrome?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Elevated blood glucose

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Elevated platelet count

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Elevated creatinine clearance

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Elevated hepatic enzymes

    Quick Answer: 223

    Detailed Answer: 230

  • The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The nurse loosely suspends the client’s arm in an open hand while tapping the back of the client’s elbow.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The nurse instructs the client to dangle her legs as the nurse strikes the area below the patella with the blunt side of the reflex hammer.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The nurse instructs the client to place her arms loosely at her side as the nurse strikes the muscle insert just above the wrist.

    Quick Answer: 223

    Detailed Answer: 230

  • A primigravida with diabetes is admitted to the labor and delivery unit at 34 weeks gestation. Which doctor’s order should the nurse question?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Magnesium sulfate 4gm (25%) IV

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Brethine 10mcg IV

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Stadol 1mg IV push every 4 hours as needed prn for pain

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Ancef 2gm IVPB every 6 hours

    Quick Answer: 223

    Detailed Answer: 230

  • A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse’s assessment of this data is:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The infant is at low risk for congenital anomalies.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The infant is at high risk for intrauterine growth retardation.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The infant is at high risk for respiratory distress syndrome.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The infant is at high risk for birth trauma.

    Quick Answer: 223

    Detailed Answer: 231

  • Which observation in the newborn of a diabetic mother would require immediate nursing intervention?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Crying

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Wakefulness

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Jitteriness

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Yawning

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse caring for a client receiving intravenous magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Decreased urinary output

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Hypersomnolence

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Absence of knee jerk reflex

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Decreased respiratory rate

    Quick Answer: 223

    Detailed Answer: 231

  • The client has elected to have epidural anesthesia to relieve labor pain. If the client experiences hypotension, the nurse would:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Place her in Trendelenburg position.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Decrease the rate of IV infusion.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Administer oxygen per nasal cannula.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Increase the rate of the IV infusion.

    Quick Answer: 223

    Detailed Answer: 231

  • A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Alteration in nutrition

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Alteration in bowel elimination

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Alteration in skin integrity

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Ineffective individual coping

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for a client with uremic frost. The nurse is aware that uremic frost is often seen in clients with:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Severe anemia

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Arteriosclerosis

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Liver failure

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Parathyroid disorder

    Quick Answer: 223

    Detailed Answer: 231

  • The client arrives in the emergency department after a motor vehicle accident. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. Which is the client’s most appropriate priority nursing diagnosis?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Alteration in cerebral tissue perfusion

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Fluid volume deficit

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Ineffective airway clearance

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Alteration in sensory perception

    Quick Answer: 223

    Detailed Answer: 231

  • The home health nurse is visiting an 18-year-old with osteogenesis imperfecta. Which information obtained on the visit would cause the most concern? The client:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Likes to play football

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Drinks carbonated drinks

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Has two sisters

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Is taking acetaminophen for pain

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse working the organ transplant unit is caring for a client with a white blood cell count of 450. During evening visitation, a visitor brings a basket of fruit. What action should the nurse take?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Allow the client to keep the fruit.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Place the fruit next to the bed for easy access by the client.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Offer to wash the fruit for the client.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Ask the family members to take the fruit home.

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for the client following a laryngectomy when suddenly the client becomes nonresponsive and pale, with a BP of 90/40. The initial nurse’s action should be to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Place the client in Trendelenburg position.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Increase the infusion of normal saline.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Administer atropine intravenously.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Move the emergency cart to the bedside.

    Quick Answer: 223

    Detailed Answer: 231

  • The client admitted two days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Order a chest x-ray.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Reinsert the tube.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Cover the insertion site with a Vaseline gauze.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Call the doctor.

    Quick Answer: 223

    Detailed Answer: 231

  • A client being treated with sodium warfarin (Coumadin) has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Assess for signs of abnormal bleeding.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Anticipate an increase in the Coumadin dosage.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Instruct the client regarding the drug therapy.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Increase the frequency of neurological assessments.

    Quick Answer: 223

    Detailed Answer: 231

  • Which selection would provide the most calcium for the client who is four months pregnant?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    A granola bar

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    A bran muffin

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    A cup of yogurt

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    A glass of fruit juice

    Quick Answer: 223

    Detailed Answer: 232

  • The client with preeclampsia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates the understanding of magnesium toxicity?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The nurse performs a vaginal exam every 30 minutes.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The nurse places a padded tongue blade at the bedside.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The nurse inserts a Foley catheter.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The nurse darkens the room.

    Quick Answer: 223

    Detailed Answer: 232

  • The best size cathlon for administration of a blood transfusion to a six-year-old is:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    18 gauge

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    19 gauge

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    22 gauge

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    20 gauge

    Quick Answer: 223

    Detailed Answer: 232

  • A client is admitted to the unit two hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Hypovolemia

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Laryngeal edema

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Hypernatremia

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Hyperkalemia

    Quick Answer: 223

    Detailed Answer: 232

  • The client has recently been diagnosed with diabetes. Which of the following indicates understanding of the management of diabetes?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The client selects a balanced diet from the menu.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The client can tell the nurse the normal blood glucose level.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The client asks for brochures on the subject of diabetes.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The client demonstrates correct insulin injection technique.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is admitted following cast application for a fractured ulna. Which finding should be reported to the doctor?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Pain at the site

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Warm fingers

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Pulses rapid

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Paresthesia of the fingers

    Quick Answer: 223

    Detailed Answer: 232

  • The client with AIDS should be taught to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Avoid warm climates.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Refrain from taking herbals.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Avoid exercising.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Report any changes in skin color.

    Quick Answer: 223

    Detailed Answer: 232

  • Which action by the healthcare worker indicates a need for further teaching?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The nursing assistant ambulates the elderly client using a gait belt.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The nurse wears goggles while performing a veno-puncture.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The nurse washes his hands after changing a dressing.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The nurse wears gloves to monitor the IV infusion rate.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is having electroconvulsive therapy for treatment of severe depression. Prior to the ECT, the nurse should:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Apply a tourniquet to the client’s arm.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Administer an anticonvulsant medication.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Ask the client if he is allergic to shellfish.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Apply a blood pressure cuff to the arm.

    Quick Answer: 223

    Detailed Answer: 232

  • The five-year-old is being tested for enterobiasis (pinworms). Which symptom is associated with enterobiasis?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Rectal itching

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Nausea

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Oral ulcerations

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Scalp itching

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is teaching the mother regarding treatment for pedicalosis capitis. Which instruction should be given regarding the medication?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Treatment is not recommended for children less than 10 years of age.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Bed linens should be washed in hot water.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Medication therapy will continue for one year.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Intravenous antibiotic therapy will be ordered.

    Quick Answer: 223

    Detailed Answer: 232

  • The registered nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The client with HIV

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The client with a radium implant for cervical cancer

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The client with RSV (respiratory synctial virus)

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The client with cytomegalovirus

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The client with methicillin resistant-staphylococcus aureas (MRSA)

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The client with diabetes

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The client with pancreatitis

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The client with Addison’s disease

    Quick Answer: 223

    Detailed Answer: 232

  • The doctor accidentally cuts the bowel during surgery. As a result of this action, the client develops an infection and suffers brain damage. The doctor can be charged with:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Negligence

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Tort

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Assault

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Malpractice

    Quick Answer: 223

    Detailed Answer: 233

  • Which assignment should not be performed by the nursing assistant?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Feeding the client

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Bathing the client

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Obtaining a stool

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Administering a fleet enema

    Quick Answer: 223

    Detailed Answer: 233

  • The mother calls the clinic to report that her newborn has a rash on his forehead and face. Which action is most appropriate?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Tell the mother to wash the face with soap and apply powder.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Tell her that 30% of newborns have a rash that will go away by one month of life.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Report the rash to the doctor immediately.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Ask the mother if anyone else in the family has had a rash in the last six months.

    Quick Answer: 223

    Detailed Answer: 233

  • Which nurse should not be assigned to care for the client with a radium implant for vaginal cancer?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The LPN who is six months postpartum

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The RN who is pregnant

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The RN who is allergic to iodine

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The RN with a three-year-old at home

    Quick Answer: 223

    Detailed Answer: 233

  • Which information should be reported to the state Board of Nursing?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The facility fails to provide literature in both Spanish and English.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The narcotic count has been incorrect on the unit for the past three days.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The client fails to receive an itemized account of his bills and services received during his hospital stay.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The nursing assistant assigned to the client with hepatitis fails to feed the client and give the bath.

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Call the Board of Nursing.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    File a formal reprimand.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Terminate the nurse.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Charge the nurse with a tort.

    Quick Answer: 223

    Detailed Answer: 233

  • The home health nurse is planning for the day’s visits. Which client should be seen first?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The 78-year-old who had a gastrectomy three weeks ago and has a PEG tube

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The five-month-old discharged one week ago with pneumonia who is being treated with amoxicillin liquid suspension

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The 50-year-old with MRSA being treated with Vancomycin via a PICC line

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter

    Quick Answer: 223

    Detailed Answer: 233

  • The emergency room is flooded with clients injured in a tornado. Which clients can be assigned to share a room in the emergency department during the disaster?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    A client having auditory hallucinations and the client with ulcerative colitis

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The client who is pregnant and the client with a broken arm

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    A child who is cyanotic with severe dypsnea and a client with a frontal head injury

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The client who arrives with a large puncture wound to the abdomen and the client with chest pain

    Quick Answer: 223

    Detailed Answer: 233

  • Before administering eardrops to a toddler, the nurse should recognize that it is essential to consider which of the following?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The age of the child

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The child’s weight

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The developmental level of the child

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The IQ of the child

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is discussing meal planning with the mother of a two-year-old. Which of the following statements, if made by the mother, would require a need for further instruction?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    “It is okay to give my child white grape juice for breakfast.”

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    “My child can have a grilled cheese sandwich for lunch.”

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    “We are going on a camping trip this weekend, and I have bought hot dogs to grill for his lunch.”

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    “For a snack, my child can have ice cream.”

    Quick Answer: 223

    Detailed Answer: 233

  • A client with AIDS has a viral load of 200 copies per ml. The nurse should interpret this finding as:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The client is at risk for opportunistic diseases.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The client is no longer communicable.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The client’s viral load is extremely low so he is relatively free of circulating virus.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The client’s T-cell count is extremely low.

    Quick Answer: 223

    Detailed Answer: 233

  • The client has an order for sliding scale insulin at 1900 hours and Lantus insulin at the same hour. The nurse should:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Administer the two medications together.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Administer the medications in two injections.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Draw up the Lantus insulin and then the regular insulin and administer them together.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Contact the doctor because these medications should not be given to the same client.

    Quick Answer: 223

    Detailed Answer: 234

  • A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Altered nutrition

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Impaired communication

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Risk for injury/aspiration

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Altered urinary elimination

    Quick Answer: 223

    Detailed Answer: 234

  • What would the nurse expect the admitting assessment to reveal in a client with glomerulonephritis?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Hypertension

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Lassitude

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Fatigue

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Vomiting and diarrhea

    Quick Answer: 223

    Detailed Answer: 234

  • Which action is contraindicated in the client with epiglottis?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Ambulation

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Oral airway assessment using a tongue blade

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Placing a blood pressure cuff on the arm

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Checking the deep tendon reflexes.

    Quick Answer: 223

    Detailed Answer: 234

  • A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Slow pulse

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Anorexia

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Bulging eyes

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Weight gain

    Quick Answer: 223

    Detailed Answer: 234

  • Which of the following foods, if selected by the mother with a child with celiac, would indicate her understanding of the dietary instructions?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Whole-wheat toast

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Angel hair pasta

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Reuben on rye

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Rice cereal

    Quick Answer: 223

    Detailed Answer: 234

  • The first action that the nurse should take if she finds the client has an O2 saturation of 68% is:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Elevate the head.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Recheck the O2 saturation in 30 minutes.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Apply oxygen by mask.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Assess the heart rate.

    Quick Answer: 223

    Detailed Answer: 234

  • Which observation would the nurse expect to make after an amniotomy?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Dark yellow amniotic fluid

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Clear amniotic fluid

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Greenish amniotic fluid

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Red amniotic fluid

    Quick Answer: 223

    Detailed Answer: 234

  • The client taking Glyburide (Diabeta) should be cautioned to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Avoid eating sweets.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Report changes in urinary pattern.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Allow three hours for onset.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Check the glucose daily.

    Quick Answer: 223

    Detailed Answer: 234

  • The obstetric client’s fetal heart rate is 80–90 during the contractions. The first action the nurse should take is:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Reposition the monitor.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Turn the client to her left side.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Ask the client to ambulate.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Prepare the client for delivery.

    Quick Answer: 223

    Detailed Answer: 234

  • Arterial ulcers are best described as ulcers that:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Are smooth in texture

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Have irregular borders

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Are cool to touch

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Are painful to touch

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Anticipate the need for a Caesarean section.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Apply an internal fetal monitor.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Place the client in Genu Pectoral position.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Perform an ultrasound.

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals that the cervix is 4cm dilated, with intact membranes and a fetal heart tone rate of 160–170bpm. The nurse decides to apply an external fetal monitor. The rationale for this implementation is:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The cervix is closed.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The membranes are still intact.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The fetal heart tones are within normal limits.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The contractions are intense enough for insertion of an internal monitor.

    Quick Answer: 223

    Detailed Answer: 234

  • The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primagravida as she completes the early phase of labor?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Impaired gas exchange related to hyperventilation

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Alteration in placental perfusion related to maternal position

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Impaired physical mobility related to fetal-monitoring equipment

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Potential fluid volume deficit related to decreased fluid intake

    Quick Answer: 223

    Detailed Answer: 235

  • As the client reaches 6cm dilation, the nurse notes late decelerations on the fetal monitor. What is the most likely explanation of this pattern?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The baby is sleeping.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The umbilical cord is compressed.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    There is head compression.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    There is uteroplacental insufficiency.

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Notify her doctor.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Start an IV.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Reposition the client.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Readjust the monitor.

    Quick Answer: 223

    Detailed Answer: 235

  • Which of the following is a characteristic of an ominous periodic change in the fetal heart rate?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    A fetal heart rate of 120–130bpm

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    A baseline variability of 6–10bpm

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Accelerations in FHR with fetal movement

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    A recurrent rate of 90–100bpm at the end of the contractions

    Quick Answer: 223

    Detailed Answer: 235

  • The rationale for inserting a French catheter every hour for the client with epidural anesthesia is:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The bladder fills more rapidly because of the medication used for the epidural.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Her level of consciousness is such that she is in a trancelike state.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The sensation of the bladder filling is diminished or lost.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    She is embarrassed to ask for the bedpan that frequently.

    Quick Answer: 223

    Detailed Answer: 235

  • A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Estrogen levels are low

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Lutenizing hormone is high

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The endometrial lining is thin

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The progesterone level is low

    Quick Answer: 223

    Detailed Answer: 235

  • A client tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Age of the client

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Frequency of intercourse

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Regularity of the menses

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Range of the client’s temperature

    Quick Answer: 223

    Detailed Answer: 235

  • A client with diabetes asks the nurse for advice regarding methods of birth control. Which method of birth control is most suitable for the client with diabetes?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Intrauterine device

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Oral contraceptives

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Diaphragm

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Contraceptive sponge

    Quick Answer: 223

    Detailed Answer: 235

  • The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of a ruptured ectopic pregnancy?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Painless vaginal bleeding

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Abdominal cramping

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Throbbing pain in the upper quadrant

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Sudden, stabbing pain in the lower quadrant

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Hamburger patty, green beans, French fries, and iced tea

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Roast beef sandwich, potato chips, baked beans, and cola

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Fish sandwich, gelatin with fruit, and coffee

    Quick Answer: 223

    Detailed Answer: 236

  • The client with hyperemesis gravidarum is at risk for developing:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Respiratory alkalosis without dehydration

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Metabolic acidosis with dehydration

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Respiratory acidosis without dehydration

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Metabolic alkalosis with dehydration

    Quick Answer: 223

    Detailed Answer: 236

  • A client tells the doctor that she is about 20 weeks pregnant. The most definitive sign of pregnancy is:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Elevated human chorionic gonadatropin

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The presence of fetal heart tones

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Uterine enlargement

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Breast enlargement and tenderness

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Hypoglycemic, small for gestational age

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Hyperglycemic, large for gestational age

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Hypoglycemic, large for gestational age

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Hyperglycemic, small for gestational age

    Quick Answer: 223

    Detailed Answer: 236

  • Which of the following instructions should be included in the nurse’s teaching regarding oral contraceptives?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Weight gain should be reported to the physician.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    An alternate method of birth control is needed when taking antibiotics.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    If the client misses one or more pills, two pills should be taken per day for one week.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Changes in the menstrual flow should be reported to the physician.

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Diabetes

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    HIV

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Hypertension

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Thyroid disease

    Quick Answer: 224

    Detailed Answer: 236

  • A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse’s first action should be to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Assess the fetal heart tones.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Check for cervical dilation.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Check for firmness of the uterus.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Obtain a detailed history.

    Quick Answer: 224

    Detailed Answer: 236

  • A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Her contractions are two minutes apart.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    She has back pain and a bloody discharge.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    She experiences abdominal pain and frequent urination.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Her contractions are five minutes apart.

    Quick Answer: 224

    Detailed Answer: 236

  • The nurse is teaching a group of prenatal clients about the effects of cigarette smoke on fetal development. Which characteristic is associated with babies born to mothers who smoked during pregnancy?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Low birth weight

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Large for gestational age

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Preterm birth, but appropriate size for gestation

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Growth retardation in weight and length

    Quick Answer: 224

    Detailed Answer: 237

  • The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive. To provide postpartum prophylaxis, RhoGam should be administered:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Within 72 hours of delivery

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Within one week of delivery

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Within two weeks of delivery

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Within one month of delivery

    Quick Answer: 224

    Detailed Answer: 237

  • After the physician performs an amniotomy, the nurse’s first action should be to assess the:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Degree of cervical dilation

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Fetal heart tones

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Client’s vital signs

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Client’s level of discomfort

    Quick Answer: 224

    Detailed Answer: 237

  • A client is admitted to the labor and delivery unit. The nurse performs a vaginal exam and determines that the client’s cervix is 5cm dilated with 75% effacement. Based on the nurse’s assessment, the client is in which phase of labor?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Active

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Latent

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Transition

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Early

    Quick Answer: 224

    Detailed Answer: 237

  • A newborn with narcotic abstinence syndrome is admitted to the nursery. Nursing care of the newborn should include:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Teaching the mother to provide tactile stimulation

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Wrapping the newborn snugly in a blanket

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Placing the newborn in the infant seat

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Initiating an early infant-stimulation program

    Quick Answer: 224

    Detailed Answer: 237

  • A client elects to have epidural anesthesia to relieve the discomfort of labor. Following the initiation of epidural anesthesia, the nurse should give priority to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Checking for cervical dilation

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Placing the client in a supine position

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Checking the client’s blood pressure

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Obtaining a fetal heart rate

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse is aware that the best way to prevent post-operative wound infection in the surgical client is to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Administer a prescribed antibiotic.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Wash her hands for two minutes before care.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Wear a mask when providing care.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Ask the client to cover her mouth when she coughs.

    Quick Answer: 224

    Detailed Answer: 237

  • The elderly client is admitted to the emergency room. Which symptom is the client with a fractured hip most likely to exhibit?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Pain

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Disalignment

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Cool extremity

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Absence of pedal pulses

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse knows that a 60-year-old female client’s susceptibility to osteoporosis is most likely related to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Lack of exercise

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Hormonal disturbances

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Lack of calcium

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Genetic predisposition

    Quick Answer: 224

    Detailed Answer: 237

  • A two-year-old is admitted for repair of a fractured femur and is placed in Bryant’s traction. Which finding by the nurse indicates that the traction is working properly?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The infant no longer complains of pain.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The buttocks are 15° off the bed.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The legs are suspended in the traction.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The pins are secured within the pulley.

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement is true regarding balanced skeletal traction? Balanced skeletal traction:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Uses a Steinman pin

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Requires that both legs be secured

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Utilizes Kirschner wires

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Is used primarily to heal the fractured hips

    Quick Answer: 224

    Detailed Answer: 238

  • The client is admitted for an open reduction internal fixation of a fractured hip. Immediately following surgery, the nurse should give priority to assessing the:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Serum collection (Davol) drain

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Client’s pain

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Nutritional status

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Immobilizer

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement made by the family member caring for the client with a percutaneous gastrostomy tube indicates understanding of the nurse’s teaching?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    “I must flush the tube with water after feedings and clamp the tube.”

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    “I must check placement four times per day.”

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    “I will report to the doctor any signs of indigestion.”

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    “If my father is unable to swallow, I will discontinue the feeding and call the clinic.”

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is assessing the client with a total knee replacement two hours post-operative. Which information requires notification of the doctor?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Scant bleeding on the dressing

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Low-grade temperature

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Hemoglobin of 7gm

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The urinary output has been 120ml during the last hour

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is caring for the client with a five-year-old diagnosis of plumbism. Which information in the health history is most likely related to the development of plumbism?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The client has traveled out of the country in the last six months.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The client’s parents are skilled stained-glass artists.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The client lives in a house built in 1990.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The client has several brothers and sisters.

    Quick Answer: 224

    Detailed Answer: 238

  • A client with a total hip replacement requires special equipment. Which equipment would assist the client with a total hip replacement with activities of daily living?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    High-seat commode

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Recliner

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    TENS unit

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Abduction pillow

    Quick Answer: 224

    Detailed Answer: 238

  • An elderly client with an abdominal surgery is admitted to the unit following surgery. In anticipation of complications of anesthesia and narcotic administration, the nurse should:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Administer oxygen via nasal cannula.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Have narcan (naloxane) available.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Prepare to administer blood products.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Prepare to do cardioresuscitation.

    Quick Answer: 224

    Detailed Answer: 238

  • Which roommate would be most suitable for the six-year-old male with a fractured femur in Russell’s traction?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    16-year-old female with scoliosis

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    12-year-old male with a fractured femur

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    10-year-old male with sarcoma

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    6-year-old male with osteomylitis

    Quick Answer: 224

    Detailed Answer: 239

  • A client with osteoarthritis has a prescription for Celebrex (celecoxib). Which instruction should be included in the discharge teaching?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Take the medication with milk.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Report chest pain.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Remain upright after taking for 30 minutes.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Allow six weeks for optimal effects.

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Handles the cast with the fingertips

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Petals the cast

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Dries the cast with a hair dryer

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Allows 24 hours before bearing weight

    Quick Answer: 224

    Detailed Answer: 239

  • The teenager with a fiberglass cast asks the nurse if it will be okay to allow his friends to autograph his cast. Which response would be best?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    “It will be alright for your friends to autograph the cast.”

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    “Because the cast is made of plaster, autographing can weaken the cast.”

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    “If they don’t use chalk to autograph, it is okay.”

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    “Autographing or writing on the cast in any form will harm the cast.”

    Quick Answer: 224

    Detailed Answer: 239

  • The nurse is assigned to care for the client with a Steinman pin. During pin care, she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Assisting the LPN with opening sterile packages and peroxide

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Telling the LPN that clean gloves are allowed

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Telling the LPN that the registered nurse should perform pin care

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Asking the LPN to clean the weights and pulleys with peroxide

    Quick Answer: 224

    Detailed Answer: 239

  • A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Check the bowel sounds.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Assess the blood pressure.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Offer pain medication.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Check for swelling.

    Quick Answer: 224

    Detailed Answer: 239

  • The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Russell’s traction

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Buck’s traction

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Halo traction

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Crutchfield tong traction

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a total knee replacement has a CPM (continuous passive motion device) applied during the post-operative period. Which statement made by the nurse indicates understanding of the CPM machine?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    “Use of the CPM will permit the client to ambulate during the therapy.”

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    “The CPM machine controls should be positioned distal to the site.”

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    “If the client complains of pain during the therapy, I will turn off the machine and call the doctor.”

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    “Use of the CPM machine will alleviate the need for physical therapy after the client is discharged.”

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured hip is being taught correct use of the walker. The nurse is aware that the correct use of the walker is achieved if the:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Palms rest lightly on the handles

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Elbows are flexed 0°

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Client walks to the front of the walker

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Client carries the walker

    Quick Answer: 224

    Detailed Answer: 240

  • When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Attempt to replace the cord.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Place the client on her left side.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Elevate the client’s hips.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Cover the cord with a dry, sterile gauze.

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is caring for a 30-year-old male admitted with a stab wound. While in the emergency room, a chest tube is inserted. Which of the following explains the primary rationale for insertion of chest tubes?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The tube will allow for equalization of the lung expansion.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Chest tubes serve as a method of draining blood and serous fluid and assist in reinflating the lungs.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Chest tubes relieve pain associated with a collapsed lung.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Chest tubes assist with cardiac function by stabilizing lung expansion.

    Quick Answer: 224

    Detailed Answer: 240

  • A client who delivered this morning tells the nurse that she plans to breastfeed her baby. The nurse is aware that successful breastfeeding is most dependent on the:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Mother’s educational level

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Infant’s birth weight

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Size of the mother’s breast

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Mother’s desire to breastfeed

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is monitoring the progress of a client in labor. Which finding should be reported to the physician immediately?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The presence of scant bloody discharge

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Frequent urination

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The presence of green-tinged amniotic fluid

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Moderate uterine contractions

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is measuring the duration of the client’s contractions. Which statement is true regarding the measurement of the duration of contractions?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Duration is measured by timing from the beginning of one contraction to the beginning of the next contraction.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Duration is measured by timing from the end of one contraction to the beginning of the next contraction.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Duration is measured by timing from the beginning of one contraction to the end of the same contraction.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Duration is measured by timing from the peak of one contraction to the end of the same contraction.

    Quick Answer: 224

    Detailed Answer: 240

  • The physician has ordered an intravenous infusion of Pitocin for the induction of labor. When caring for the obstetric client receiving intravenous Pitocin, the nurse should monitor for:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Maternal hypoglycemia

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Fetal bradycardia

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Maternal hyperreflexia

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Fetal movement

    Quick Answer: 224

    Detailed Answer: 240

  • A client with diabetes visits the prenatal clinic at 28 weeks gestation. Which statement is true regarding insulin needs during pregnancy?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Insulin requirements moderate as the pregnancy progresses.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    A decreased need for insulin occurs during the second trimester.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Elevations in human chorionic gonadotrophin decrease the need for insulin.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Fetal development depends on adequate insulin regulation.

    Quick Answer: 224

    Detailed Answer: 240

  • A client in the prenatal clinic is assessed to have a blood pressure of 180/96. The nurse should give priority to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Providing a calm environment

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Obtaining a diet history

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Administering an analgesic

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Assessing fetal heart tones

    Quick Answer: 224

    Detailed Answer: 240

  • A primigravida, age 42, is six weeks pregnant. Based on the client’s age, her infant is at risk for:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Down syndrome

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Respiratory distress syndrome

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Turner’s syndrome

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Pathological jaundice

    Quick Answer: 224

    Detailed Answer: 241

  • A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most likely be treated with:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Magnesium sulfate

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Calcium gluconate

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Dinoprostone (Prostin E.)

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Bromocrystine (Parlodel)

    Quick Answer: 224

    Detailed Answer: 241

  • A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100mL. The nurse should:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Continue the infusion of magnesium sulfate while monitoring the client’s blood pressure.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Stop the infusion of magnesium sulfate and contact the physician.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Slow the infusion rate and turn the client on her left side.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Administer calcium gluconate IV push and continue to monitor the blood pressure.

    Quick Answer: 224

    Detailed Answer: 241

  • Which statement made by the nurse describes the inheritance pattern of autosomal recessive disorders?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    An affected newborn has unaffected parents.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    An affected newborn has one affected parent.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Affected parents have a one in four chance of passing on the defective gene.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Affected parents have unaffected children who are carriers.

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Because it is a state law

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    To detect cardiovascular defects

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Because of her age

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    To detect neurological defects

    Quick Answer: 224

    Detailed Answer: 241

  • A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse’s response is based on the knowledge that:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    There is no need to take thyroid medication because the fetus’s thyroid produces a thyroid-stimulating hormone.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    It is more difficult to maintain thyroid regulation during pregnancy due to a slowing of metabolism.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Fetal growth is arrested if thyroid medication is continued during pregnancy.

    Quick Answer: 224

    Detailed Answer: 241

  • The nurse is responsible for performing a neonatal assessment on a full-term infant. At one minute, the nurse could expect to find:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    An apical pulse of 100

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    An absence of tonus

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Cyanosis of the feet and hands

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Jaundice of the skin and sclera

    Quick Answer: 224

    Detailed Answer: 241

  • A client with sickle cell anemia is admitted to the labor and delivery unit during the first phase of labor. The nurse should anticipate the client’s need for:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Supplemental oxygen

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Fluid restriction

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Blood transfusion

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Delivery by Caesarean section

    Quick Answer: 224

    Detailed Answer: 241

  • A client with diabetes has an order for ultrasonography. Preparation for an ultrasound includes:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Increasing fluid intake

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Limiting ambulation

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Administering an enema

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Withholding food for eight hours

    Quick Answer: 224

    Detailed Answer: 241

  • An infant who weighs 8 pounds at birth would be expected to weigh how many pounds at one year?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    14 pounds

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    16 pounds

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    18 pounds

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    24 pounds

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Determines the lung maturity of the fetus

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Measures the activity of the fetus

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Shows the effect of contractions on the fetal heart rate

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Measures the neurological well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 242

  • A full-term male has hypospadias. Which statement describes hypospadias?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The urethral opening is absent

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The urethra opens on the top side of the penis

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The urethral opening is enlarged

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The urethra opens on the under side of the penis

    Quick Answer: 224

    Detailed Answer: 242

  • A gravida III para II is admitted to the labor unit. Vaginal exam reveals that the client’s cervix is 8cm dilated, with complete effacement. The priority nursing diagnosis at this time is:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Alteration in coping related to pain

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Potential for injury related to precipitate delivery

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Alteration in elimination related to anesthesia

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Potential for fluid volume deficit related to NPO status

    Quick Answer: 224

    Detailed Answer: 242

  • The client with varicella will most likely have an order for which category of medication?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Antibiotics

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Antipyretics

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Antivirals

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Anticoagulants

    Quick Answer: 224

    Detailed Answer: 242

  • A client is admitted complaining of chest pain. Which of the following drug orders should the nurse question?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Nitroglycerin

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Ampicillin

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Propranolol

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Verapamil

    Quick Answer: 224

    Detailed Answer: 242

  • Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Avoid exercise because it fatigues the joints.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Take prescribed anti-inflammatory medications with meals.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Alternate hot and cold packs to affected joints.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Avoid weight-bearing activity.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Meperidine 100mg IM m 4 hours PRN pain

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Mylanta 30 ccs m 4 hours via NG

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Cimetadine 300mg PO m.i.d.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Morphine 8mg IM m 4 hours PRN pain

    Quick Answer: 224

    Detailed Answer: 242

  • The client is admitted to the chemical dependence unit with an order for continuous observation. The nurse is aware that the doctor has ordered continuous observation because:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Hallucinogenic drugs create both stimulant and depressant effects.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Hallucinogenic drugs induce a state of altered perception.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Hallucinogenic drugs produce severe respiratory depression.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Hallucinogenic drugs induce rapid physical dependence.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Depression and suicidal ideation

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Tachycardia and diarrhea

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Muscle cramping and abdominal pain

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Tachycardia and euphoric mood

    Quick Answer: 224

    Detailed Answer: 242

  • During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Right breech presentation

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Right occipital anterior presentation

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Left sacral anterior presentation

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Left occipital transverse presentation

    Quick Answer: 224

    Detailed Answer: 243

  • The primary physiological alteration in the development of asthma is:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Bronchiolar inflammation and dyspnea

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Hypersecretion of abnormally viscous mucus

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Infectious processes causing mucosal edema

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Spasm of bronchiolar smooth muscle

    Quick Answer: 224

    Detailed Answer: 243

  • A client with mania is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Serve high-calorie foods she can carry with her.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Encourage her appetite by sending out for her favorite foods.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Serve her small, attractively arranged portions.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Allow her in the unit kitchen for extra food whenever she pleases.

    Quick Answer: 224

    Detailed Answer: 243

  • To maintain Bryant’s traction, the nurse must make certain that the child’s:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Hips are resting on the bed, with the legs suspended at a right angle to the bed

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Hips are slightly elevated above the bed and the legs are suspended at a right angle to the bed

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Hips are elevated above the level of the body on a pillow and the legs are suspended parallel to the bed

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Hips and legs are flat on the bed, with the traction positioned at the foot of the bed

    Quick Answer: 224

    Detailed Answer: 243

  • Which action by the nurse indicates understanding of herpes zoster?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The nurse covers the lesions with a sterile dressing.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The nurse wears gloves when providing care.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The nurse administers a prescribed antibiotic.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The nurse administers oxygen.

    Quick Answer: 224

    Detailed Answer: 243

  • There is an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that he should contact the lab for them to collect the blood:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    15 minutes after the infusion

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    30 minutes before the fourth infusion

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    One hour after the infusion

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Two hours after the infusion

    Quick Answer: 224

    Detailed Answer: 243

  • The client using a diaphragm should be instructed to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Refrain from keeping the diaphragm in longer than four hours

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Keep the diaphragm in a cool location

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Have the diaphragm resized if she gains five pounds

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Have the diaphragm resized if she has any surgery

    Quick Answer: 224

    Detailed Answer: 243

  • The nurse is providing postpartum teaching for a mother planning to breastfeed her infant. Which of the client’s statements indicates the need for additional teaching?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    “I’m wearing a support bra.”

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    “I’m expressing milk from my breast.”

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    “I’m drinking four glasses of fluid during a 24-hour period.”

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    “While I’m in the shower, I’ll allow the water to run over my breasts.”

    Quick Answer: 224

    Detailed Answer: 243

  • Damage to the VII cranial nerve results in:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Facial pain

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Absence of ability to smell

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Absence of eye movement

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Tinnitus

    Quick Answer: 224

    Detailed Answer: 243

  • A client is receiving Pyridium (phenazopyridine hydrochloride) for a urinary tract infection. The client should be taught that the medication may:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Cause diarrhea

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Change the color of her urine

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Cause mental confusion

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Cause changes in taste

    Quick Answer: 224

    Detailed Answer: 244

  • Which of the following tests should be performed before beginning a prescription of Accutane?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Check the calcium level.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Perform a pregnancy test.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Monitor apical pulse.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Obtain a creatinine level.

    Quick Answer: 224

    Detailed Answer: 244

  • A client with AIDS is taking Zovirax (acyclovir). Which nursing intervention is most critical during the administration of acyclovir?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Limit the client’s activity.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Encourage a high-carbohydrate diet.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Use an incentive spirometer to improve respiratory function.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Encourage fluids.

    Quick Answer: 224

    Detailed Answer: 244

  • A client is admitted for an CAT scan. The nurse should question the client regarding:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Pregnancy

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    A titanium hip replacement

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Allergies to antibiotics

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Inability to move his feet

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse is caring for the client receiving Amphotericin B. Which of the following indicates that the client has experienced toxicity to this drug?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Changes in vision

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Nausea

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Urinary frequency

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Changes in skin color

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse should visit which of the following clients first?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The client with diabetes with a blood glucose of 95mg/dL

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The client with hypertension being maintained on Lisinopril

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The client with chest pain and a history of angina

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The client with Raynaud’s disease

    Quick Answer: 224

    Detailed Answer: 244

  • A client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer this medication:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Once per day in the morning

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Three times per day with meals

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Once per day at bedtime

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Four times per day

    Quick Answer: 224

    Detailed Answer: 244

  • Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The lens controls stimulation of the retina.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The lens orchestrates eye movement.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The lens focuses light rays on the retina.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The lens magnifies small objects.

    Quick Answer: 224

    Detailed Answer: 244

  • A client who has glaucoma is to have miotic eyedrops instilled in both eyes. The nurse knows that the purpose of the medication is to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Anesthetize the cornea

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Dilate the pupils

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Constrict the pupils

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Paralyze the muscles of accommodation

    Quick Answer: 224

    Detailed Answer: 244

  • A client with a severe corneal ulcer has an order for Gentamicin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Allow five minutes between the two medications.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The medications may be used together.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The medications should be separated by a cycloplegic drug.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The medications should not be used in the same client.

    Quick Answer: 224

    Detailed Answer: 244

  • The client with color blindness will most likely have problems distinguishing which of the following colors?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Orange

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Violet

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Red

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    White

    Quick Answer: 224

    Detailed Answer: 244

  • The client with a pacemaker should be taught to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Report ankle edema

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Check his blood pressure daily

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Refrain from using a microwave oven

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Monitor his pulse rate

    Quick Answer: 224

    Detailed Answer: 245

  • The client with enuresis is being taught regarding bladder retraining. The nurse should advise the client to refrain from drinking after:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    1900

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    1200

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    1000

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    0700

    Quick Answer: 224

    Detailed Answer: 245

  • Which of the following diet instructions should be given to the client with recurring urinary tract infections?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Increase intake of meats.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Avoid citrus fruits.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Perform pericare with hydrogen peroxide.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Drink a glass of cranberry juice every day.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    “I will make sure I eat breakfast within two hours of taking my insulin.”

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    “I will eat a snack around three o’clock each afternoon.”

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 224

    Detailed Answer: 245

  • A client with pneumacystis carinii pneumonia is receiving Methotrexate. The rationale for administering leucovorin calcium to a client receiving Methotrexate is to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Treat anemia

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Create a synergistic effect

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Increase the number of white blood cells

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Reverse drug toxicity

    Quick Answer: 224

    Detailed Answer: 245

  • A client tells the nurse that she is allergic to eggs, dogs, rabbits, and chicken feathers. Which order should the nurse question?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    TB skin test

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Rubella vaccine

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    ELISA test

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Chest x-ray

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed ranitidine (Zantac) for a client with erosive gastritis. The nurse should administer the medication:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    30 minutes before meals

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    With each meal

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    In a single dose at bedtime

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    60 minutes after meals

    Quick Answer: 224

    Detailed Answer: 245

  • A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Is the opening on the client’s left side

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Is the opening on the distal end on the client’s left side

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Is the opening on the client’s right side

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Is the opening on the distal right side

    Quick Answer: 224

    Detailed Answer: 245

  • While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Ask the client to void.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Assess the blood pressure for hypotension.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Administer oxytocin.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Check for vaginal bleeding.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has ordered an MRI for a client with an orthopedic ailment. An MRI should not be done if the client has:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The need for oxygen therapy

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    A history of claustrophobia

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    A permanent pacemaker

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Sensory deafness

    Quick Answer: 224

    Detailed Answer: 246

  • A six-month-old client is placed on strict bed rest following a hernia repair. Which toy is best suited to the client?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Colorful crib mobile

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Hand-held electronic games

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Cars in a plastic container

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    30-piece jigsaw puzzle

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is preparing to discharge a client with a long history of polio. The nurse should tell the client that:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Taking a hot bath will decrease stiffness and spasticity.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    A schedule of strenuous exercise will improve muscle strength.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Rest periods should be scheduled throughout the day.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Visual disturbances can be corrected with prescription glasses.

    Quick Answer: 224

    Detailed Answer: 246

  • A client on the postpartum unit has a proctoepisiotomy. The nurse should anticipate administering which medication?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Dulcolax suppository

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Docusate sodium (Colace)

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Methyergonovine maleate (Methergine)

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Bromocriptine sulfate (Parlodel)

    Quick Answer: 224

    Detailed Answer: 246

  • A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Total Parenteral Nutrition leads to negative nitrogen balance and elevated glucose levels.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Total Parenteral Nutrition cannot be managed with oral hypoglycemics.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Total Parenteral Nutrition is a high-glucose solution that often elevates the blood glucose levels.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Total Parenteral Nutrition leads to further pancreatic disease.

    Quick Answer: 224

    Detailed Answer: 246

  • An adolescent primigravida who is 10 weeks pregnant attends the antepartal clinic for a first check-up. To develop a teaching plan, the nurse should initially assess:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The client’s knowledge of the signs of preterm labor

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The client’s feelings about the pregnancy

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Whether the client was using a method of birth control

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The client’s thought about future children

    Quick Answer: 224

    Detailed Answer: 246

  • An obstetric client is admitted with dehydration. Which IV fluid would be most appropriate for the client?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    .45 normal saline

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Dextrose 1% in water

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Lactated Ringer’s

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Dextrose 5% in .45 normal saline

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered a thyroid scan to confirm the diagnosis of a goiter. Before the procedure, the nurse should:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Assess the client for allergies.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Bolus the client with IV fluid.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Tell the client he will be asleep.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Insert a urinary catheter.

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered an injection of RhoGam for a client with blood type A negative. The nurse understands that RhoGam is given to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Provide immunity against Rh isoenzymes

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Prevent the formation of Rh antibodies

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Eliminate circulating Rh antibodies

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Convert the Rh factor from negative to positive

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is caring for a client admitted to the emergency room after a fall. X-rays reveal that the client has several fractured bones in the foot. Which treatment should the nurse anticipate for the fractured foot?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Application of a short inclusive spica cast

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Stabilization with a plaster-of-Paris cast

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Surgery with Kirschner wire implantation

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    A gauze dressing only

    Quick Answer: 224

    Detailed Answer: 246

  • A client with bladder cancer is being treated with iridium seed implants. The nurse’s discharge teaching should include telling the client to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Strain his urine

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Increase his fluid intake

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Report urinary frequency

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Avoid prolonged sitting

    Quick Answer: 224

    Detailed Answer: 247

  • Following a heart transplant, a client is started on medication to prevent organ rejection. Which category of medication prevents the formation of antibodies against the new organ?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Antivirals

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Antibiotics

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Immunosuppressants

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Analgesics

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Mydriatics to facilitate removal

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Miotic medications such as Timoptic

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    A laser to smooth and reshape the lens

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Silicone oil injections into the eyeball

    Quick Answer: 224

    Detailed Answer: 247

  • A client with Alzheimer’s disease is awaiting placement in a skilled nursing facility. Which long-term plans would be most therapeutic for the client?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Placing mirrors in several locations in the home

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Placing a picture of herself in her bedroom

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Placing simple signs to indicate the location of the bedroom, bathroom, and so on

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Alternating healthcare workers to prevent boredom

    Quick Answer: 224

    Detailed Answer: 247

  • A client with an abdominal cholecystectomy returns from surgery with a Jackson-Pratt drain. The chief purpose of the Jackson-Pratt drain is to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Prevent the need for dressing changes

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Reduce edema at the incision

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Provide for wound drainage

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Keep the common bile duct open

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The nurse can expect to find the presence of:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Mongolian spots

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Scrotal rugae

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Head lag

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Polyhydramnios

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is caring for a client admitted with multiple trauma. Fractures include the pelvis, femur, and ulna. Which finding should be reported to the physician immediately?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Hematuria

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Muscle spasms

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Dizziness

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Nausea

    Quick Answer: 224

    Detailed Answer: 247

  • A client is brought to the emergency room by the police. He is combative and yells, “I have to get out of here. They are trying to kill me.” Which assessment is most likely correct in relation to this statement?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The client is experiencing an auditory hallucination.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The client is having a delusion of grandeur.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The client is experiencing paranoid delusions.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The client is intoxicated.

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing to suction the client with a tracheotomy. The nurse notes a previously used bottle of normal saline on the client’s bedside table. There is no label to indicate the date or time of initial use. The nurse should:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Lip the bottle and use a pack of sterile 4×4 for the dressing.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Obtain a new bottle and label it with the date and time of first use.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Ask the ward secretary when the solution was requested.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Label the existing bottle with the current date and time.

    Quick Answer: 224

    Detailed Answer: 247

  • An infant’s Apgar score is 9 at five minutes. The nurse is aware that the most likely cause for the deduction of one point is:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The baby is hypothermic.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    The baby is experiencing bradycardia.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The baby’s hands and feet are blue.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    The baby is lethargic.

    Quick Answer: 224

    Detailed Answer: 247

  • The primary reason for rapid continuous rewarming of the area affected by frostbite is to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Lessen the amount of cellular damage

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Prevent the formation of blisters

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Promote movement

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Prevent pain and discomfort

    Quick Answer: 224

    Detailed Answer: 248

  • A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse’s response is based on the knowledge that hemodialysis works by:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Passing water through a dialyzing membrane

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Eliminating plasma proteins from the blood

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Lowering the pH by removing nonvolatile acids

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Filtering waste through a dialyzing membrane

    Quick Answer: 224

    Detailed Answer: 248

  • During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Administer an antibiotic.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Contact the physician for an order for immune globulin.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Administer an antiviral.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Tell the client that he should remain in isolation for two weeks.

    Quick Answer: 224

    Detailed Answer: 248

  • A client hospitalized with MRSA is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    The client should be placed in a room with negative pressure.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Infection requires close contact; therefore, the door may remain open.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Transmission is highly likely, so the client should wear a mask at all times.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Infection requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown.

    Quick Answer: 224

    Detailed Answer: 248

  • A client who is admitted with an above-the-knee amputation tells the nurse that his foot hurts and itches. Which response by the nurse indicates understanding of phantom limb pain?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    “The pain will go away in a few days.”

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    “The pain is due to peripheral nervous system interruptions. I will get you some pain medication.”

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    “The pain is psychological because your foot is no longer there.”

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    “The pain and itching are due to the infection you had before the surgery.”

    Quick Answer: 224

    Detailed Answer: 248

    Quick Answer: 224

    Detailed Answer: 248

  • A client with cancer of the pancreas has undergone a Whipple procedure. The nurse is aware that during the Whipple procedure, the doctor will remove the:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Head of the pancreas

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Proximal third section of the small intestines

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Stomach and duodenum

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Esophagus and jejunum

    Quick Answer: 224

    Detailed Answer: 248

  • The physician has ordered a minimal-bacteria diet for a client with neutropenia. The client should be taught to avoid eating:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Fruits

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Salt

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Pepper

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Ketchup

    Quick Answer: 224

    Detailed Answer: 248

  • A client is discharged home with a prescription for Coumadin (sodium warfarin). The client should be instructed to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Have a Protime done monthly.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Eat more fruits and vegetables.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Drink more liquids.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Avoid crowds.

    Quick Answer: 224

    Detailed Answer: 248

  • The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Perform the Valsalva maneuver as the catheter is advanced

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Turn his head to the left side and hyperextend the neck

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Take slow, deep breaths as the catheter is removed

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Turn his head to the right while maintaining a sniffing position

    Quick Answer: 224

    Detailed Answer: 248

  • A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Allergies to pineapples and bananas

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    A history of streptococcal infections

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Prior therapy with phenytoin

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    A history of alcohol abuse

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Using oil- or cream-based soaps

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Flossing between the teeth

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    The intake of salt

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Using an electric razor

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Apply the new tie before removing the old one.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Have a helper present.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Hold the tracheotomy with the nondominant hand while removing the old tie.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Ask the doctor to suture the tracheostomy in place.

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Turning the client to the left side

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Milking the tube to ensure patency

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Slowing the intravenous infusion

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Notifying the physician

    Quick Answer: 224

    Detailed Answer: 249

  • The infant is admitted to the unit with tetralogy of Fallot. The nurse would anticipate an order for which medication?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Digoxin

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Epinephrine

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Aminophyline

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Atropine

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is educating the lady’s club in self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram, place an X on the Tail of Spence.

    The new graduate nurse provides care for a client with a halo external fixation device

    Quick Answer: 224

    Detailed Answer: 249

  • The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Tire easily

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Grow normally

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Need more calories

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Be more susceptible to viral infections

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Determine lung maturity

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Measure the fetal activity

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Show the effect of contractions on fetal heart rate

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Measure the well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse is evaluating the client who was admitted eight hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Instruct the client to push.

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Perform a vaginal exam.

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Turn off the Pitocin infusion.

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Place the client in a semi-Fowler’s position.

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Atrial flutter

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    A sinus rhythm

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Ventricular tachycardia

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Atrial fibrillation

    Quick Answer: 224

    Detailed Answer: 250

  • A client with clotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge. The nurse should teach the client that Lovenox injections should:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Be injected into the deltoid muscle

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Be injected into the abdomen

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Aspirate after the injection

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Clear the air from the syringe before injections

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse has a preop order to administer Valium (diazepam) 10mg and Phenergan (promethazine) 25mg. The correct method of administering these medications is to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Administer the medications together in one syringe

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Administer the medication separately

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Administer the Valium, wait five minutes, and then inject the Phenergan

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Question the order because they cannot be given at the same time

    Quick Answer: 224

    Detailed Answer: 250

  • A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Douche after intercourse

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Void every three hours

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Obtain a urinalysis monthly

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Wipe from back to front after voiding

    Quick Answer: 224

    Detailed Answer: 250

  • Which task should be assigned to the nursing assistant?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Placing the client in seclusion

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Emptying the Foley catheter of the preeclamptic client

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Feeding the client with dementia

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Ambulating the client with a fractured hip

    Quick Answer: 224

    Detailed Answer: 250

  • The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    A tracheotomy set

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    A padded tongue blade

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    An endotracheal tube

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    An airway

    Quick Answer: 224

    Detailed Answer: 250

  • The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:

    The new graduate nurse provides care for a client with a halo external fixation device

    A.

    Cats

    The new graduate nurse provides care for a client with a halo external fixation device

    B.

    Dogs

    The new graduate nurse provides care for a client with a halo external fixation device

    C.

    Turtles

    The new graduate nurse provides care for a client with a halo external fixation device

    D.

    Birds

    Quick Answer: 224

    Detailed Answer: 250

    • graduate nurse care client halo external fixation device

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