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RENAL
MATERNITY
PEDIATRICS
NEUROLOGICAL
RESPIRATORY
100
In planning the diet teaching for a patient in renal failure, the nurse would discuss with the parents the following dietary changes: 1. Adequate protein intake, low sodium 2. Low protein, low potassium 3. Low potassium, low calorie 4. Limited protein, high carbohydrate
What is adequate protein intake, low sodium
100
A low risk 38 week gestation woman calls the labor unit and says, "I have to come to the right hospital right now. I just saw pink streaks on the toilet tissue when I went to the bathroom. I'm bleeding." Which of the following responses should the nurse make first? 1. "Does it burn when you void?" 2. "You sound frightened." 3."That is just the mucus plug." 4. "How much blood is there?"
What is "Does it burn when you void?"
100
A 3 year old female is hospitalized for a femur fracture. As her nurse, what nursing action would be help foster the child's sense of autonomy? 1. Allow the child to choose what time to take her oral antibiotics. 2. Allow the child to have a doll for medical play. 3. Allow the child to administer her own dose of Keflex (cephalexin)via oral syringe. 4. Allow the child to watch age-appropriate video's.
What is allow the child to have a doll
100
The client has been lethargic, but responding to verbal commands. The nurse re-assesses that the client is responding by withdrawing to noxious stimuli. The most appropriate nursing action would be: 1. Plan on reassessing the client in one hour 2. Notify the doctor that the client is deteriorating 3. Place the client in Trendelenburg position 4. Call the family and tell them the client is improving
What is notify the doctor
100
Which of the following is the most effective method for the nurse to evaluate the effectiveness of tracheal suctioning? 1. Note subjective data such as, “My breathing is much improved now.” 2. Note objective findings such as decreased respiratory rate and pulse 3. Consult with respiratory therapy to determine effectiveness 4. Auscultate the chest for change or clearing in adventitious breath sounds
What is auscultate
200
Which of the following clients is a likely candidate for developing acute renal failure? 1. A female with recent ileostomy due to ulcerative colitis 2. Middle age male with elevated temperature and chronic pancreatitis 3. Teenager in hypovolemic shock following a crushing injury to the chest 4. Child with compound fracture of right femur and massive laceration to left arm
What is hypovolemic shock
200
A Muslim woman request something to eat after the delivery of her baby. which of the following meals would be most appropriate for the nurse to give her? 1. Ham sandwich 2. Bacon and eggs 3. Spaghetti with sausage 4. Chicken and dumplings
What is chicken and dumplings
200
A 17-year-old male is being seen in the E.R. In order to obtain the adolescent's health information, his nurse should: 1. Interview the adolescent using direct questions. 2. Gather information during a casual conversation. 3. Interview the adolescent only in the presence of his parents. 4. Gather information only from the parents.
What is gather during a casual conversation
200
The nurse enters the room and discovers the client has right sided paralysis, and unequal pupils. The most appropriate next step for the nurse is to: 1. Call the doctor 2. Assess the respiratory status 3. Determine the level of consciousness 4. Perform a complete neurological evaluation
What is assess the respiratory status
200
After a bronchoscopy is completed with a client, which of the following nursing observations would indicate a complication? 1. Depressed gag reflex 2. Sputum streaked with blood 3. Tachypnea 4. Widening pulse pressure
What is tachypnea
300
A client is experiencing severe pain from renal calculi. Which of the following is a priority in the nursing care plan? 1. Administer pain medication as often as needed according to doctors orders 2. Encourage fluid intake to help flush the stone through 3. Assist the client to ambulate to promote draining the bladder 4. Irrigate the bladder to maintain urinary patency
What is administer pain medication
300
During a prenatal interview, a client tells the nurse, "My mother told me she has toxemia during pregnancy and almost die!" Which of the following questions should the nurse ask in response to this statement? 1." Does your mother have a cardiac condition?" 2. "Did your mother tell you what she was toxic from?" 3. "Does your mother have diabetes now?" 4. "Did your mother say whether she had a seizure or not?"
What is did your mother tell you what she was toxic from
300
How can the nurse best facilitate the trust relationships between infant and parent while the infant is hospitalized? 1. The nurse should encourage the parents to remain at their child's bedside as much as possible. 2. The nurse should keep parents informed about all aspects of their child's condition. 3. The nurse should encourage the parents to hold their child as much as possible. 4. The nurse should encourage the parents to participate actively in their child's care.
What is encourage the parents to hold the child
300
A client is one week post cerebrovascular accident. The nurse notes the client does not respond readily to movement or objects in peripheral fields. Based on this nursing assessment, an appropriate nursing diagnosis is: 1. Impaired adjustment 2. Ineffective individual coping 3. Sensor-perceptual alteration 4. Self-care deficit
What is sensor-perceptual alteration
300
The nurse is caring for a client with pneumonia. Which of the following nursing observations would indicate a therapeutic response to the treatment for the infection? 1. Oral temperature of 101 F., increased chest pain with non-productive cough 2. Cough productive of thick green sputum, client state he feels tired 3. Respirations at 20, with no complaints of dyspnea, moderate amount of thick white sputum 4. White cell count of 10,000 mm, urine output at 40 cc/hr, decreasing amount of sputum
What is Respirations at 20, with no complaints of dyspnea, moderate amount of thick white sputum
400
In order to maintain asepsis, the client on home peritoneal dialysis should be taught to: 1. Drink only distilled water 2. Cap the Tenchkoff catheter when not in use 3. Boil the dailysate one hour prior to a pass 4. Clean the arteriovenous fistula with hydrogen peroxide daily
What is Cap the Tenchkoff catheter when not in use
400
Which finding should the nurse expect when assesing a client with placenta previa? 1. Sever occiptial headache 2. History of renal disease 3. Previous premature delivery 4. Painless vaginal bleeding
What is painless vaginal bleeding
400
The nurse is caring for a 7-year-old female on the school-age unit. Her mother is concerned that she may be some developmental delays. Whic of the following statments would indicate to the nurse that the child is not developmentally on track for her age: 1. The child is able to follow a four-to-five-step command. 2. The child started wetting the bed on this admission to the hospital. 3. The child has an imaginary friend named Kelly. 4. The child enjoys playing board games with her sister.
What is having an imaginary friend
400
The client is transferred to the Neuro Unit after developing right sided paralysis and aphasia. Which of the following should be included in the nursing care plan in order to promote communication with the client? 1. Encourage client to shake head in response to questions 2. Speak in a loud voice during interactions 3. Speak using phrases and short sentences 4. Encourage the use of radio to stimulate the client.
What is speak using phrases and short sentences
400
During the shift report, a client’s ventilator alarm is activated. Which action would the nurse implement first? 1. Notify the respiratory therapist 2. Check the ventilator tubing for excess fluid 3. Deactivate the alarm and check the spirometer 4. Assess the client for adequate oxygenation
What is Assess your patient
500
A client has a history of oliguria, hypertension, and peripheral edema. Current lab values include BUN 25, K 5.0. Which nutrients should be restricted in this client’s diet? 1. Protein 2. Fats 3. Carbohydrates 4. Magnesium
What is protein
500
A nurse is monitoring the labor of a client who is receiving IV oxytocin (Pitocin) at 6ml per hour. Which of the following clinical signs would lead the nurse to stop the infusion?
What is increased BP, increased, heart rate, and increased temperature in the mother.
500
The nurse is caring for a 12-month-old girl. The child's mother asks if the unit has any toys that her daughter can play with. The nurse goes to the toy area in search of a toy for the child. Which toy is the best choice for this child? 1. A doll 2. A musical rattle 3. A board book 4. Colorful beads.
What is a music rattle
500
What would be the most appropriate next action for the nurse to take after noting the sudden appearance of a fixed and dilated pupil in the neuro client? 1. Re-assess in 5 minutes 2. Check client’s visual acuity 3. Lower the head of the client’s bed 4. Call the doctor
What is call the doctor
500
Your client becomes extubated while being turned. He is cyanotic and has bradycardia and arrhythmias. Which action would be the highest priority while waiting for a physician to arrive? 1. Immediately begin CPR 2. Increase the IV fluids 3. Provide oxygen by BVM and maintain the airway 4. Prepare the medication for resuscitation
What is Provide oxygen by BVM and maintain the airway