NUR 2212 Test Bank Version 2 (Updated)_SATISFACTION GUARANTEED: Miami Dade College, Miami.

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NUR 2212 Test Bank Version 2 (Updated) 1.) The nurse is teaching a client about the anti-ulcer medication Ranitidine. Which statement best describes the action of the drug? 2.) A client who is 36 week... s gestation is admitted with severe preeclampsia. After a ??? was administered a IV infusion of magnesium sulfate at a rate of 2g/hr. What finding warrants immediate intervention by the nurse? 3.) What I the nurse’s priority goal when providing for a 2 year old child experiencing a seizure? 4.) Which intervention should the nurse include in the plan of care for a client with leukocytosis? 5.) The nurse is preparing to discharge an older female client who is at risk for hypercalcemia. What should the nurse include in the client’s discharge teaching? Select all that apply A. Report any muscle twitching or seizures B. Take vitamin D with calcium daily C. Avoid seafood, particularly shellfish D. Low-fat yogurt is a good source of calcium E. Keep a diet record to monitor calcium intake 6.) The husband of a client with advanced ovarian cancer wants his wife to have every treatment available. When the husband leaves, the client tells the nurse that she has had enough chemotherapy and wants to stop all chemotherapy but knows her husband will sign the consent from for more treatment. The nurse’s response would include which information? Select all that apply A. The husband cannot sign the consent for the client, her signature is required B. The client’s specific wishes should be discussed with her healthcare provider C. Counseling should be sought to resolve the husband’s desire to control his wife D. The healthcare team will formulate a plan to keep the client comfortable E. The client should seek a second medical opinion before deciding to stop treatment 7.) The nurse is preparing a 50 ml dose of 50% dextrose IV for a client with insulin shock. How would you administer the medication? 8.) The daughter of an older female tells the clinic nurse that she is no longer able ??? and has lost the ability to perform ADL’s due to aging. What options are best for the female client’s mother? Select all that apply 9.) A client with polycystic kidney disease is receiving antibiotics for an infected cyst. Which action should the nurse implement? 10.) A male client with cancer who is receiving antineoplastic drugs is admitted to the hospital. Which finding most often manifests this condition? 11.) A community health nurse is concerned about the spread of communicable diseases in the community. What action should the nurse take to promote success of a healthcare ??? 12.) A 7 year old boy is brought to the clinic because of facial edema. He reports that he has cloudy, tea colored urine. The parents state their son had a sore throat 2 weeks ago. The nurse takes the child’s vital signs and weight. What intervention should the nurse implement next? 13.) The nurse teaches an adolescent male client how to use a metered dose inhaler as seen in the picture. What instruction should the nurse provide? 14.) A nurse is caring for 4 clients. Client A, who has emphysema, Client B who has postoperative hemoglobin of 8.7, Client C is newly admitted with potassium levels of ???, and Client D who had an appendectomy who has a WBC count of 15,000. What intervention should the nurse implement? 15.) A 3 year old boy with a congenital heart defect is brought to the clinic by his mother. During the assessment, the mother asks the nurse why her child is in the 5th percentile in growth. What is the best response for the nurse to provide? 16.) A client with hypertension receives a prescription for enalapril, an angiotensin converter enzyme. Which instruction should the nurse include in the medication teaching plan? 17.) A client in her first trimester of pregnancy complains of nausea. Which compliments should the nurse suggest? 18.) The nurse is evaluating the health teaching of a female client with condyloma acuminata warts. What response indicates that the teaching has been effective? 19.) When administering ceftriaxone sodium (Rocephin) IV to a client before ???, what would be the most immediate intervention by the nurse? 20.) A client with superficial burns to the face, neck, and hands resulting from a house fire presents to the ER. Which assessment finding indicates to the nurse that the client should be monitored for carbon monoxide poisoning? 21.) The nurse is assessing a client with a small bowel obstruction who was hospitalized 2 days ago. Which assessment finding should the nurse report immediately to the HCP? 22.) An adult female client is admitted to the psychiatric unit because of complex hand washing that takes 2 hours or longer to complete. She worries about staying clean and refuses to sit. What characteristic is an example of this clinical behavior? 23.) Following routine diagnostic tests, a client who is symptom free is diagnosed with Piaget’s disease. Which instruction by the nurse should be directed toward the important goal for the client? 24.) A mother of a 1 month old baby boy at home brings the infant to his first well checkup. The infant was born 2 weeks after his due date and the mother states that he is a “good, quiet baby” who almost ???? hypothyroidism. What question is most important for the nurse to ask the mother? 25.) A nurse is presenting information about fetal development to a group of parents who are attending a Lamaze breathing class. When discussing cephalocaudal fetal development, which information should the nurse provide? 26.) In preparing assignments for the shift, which client is best for the charge nurse to assist ??? 27.) When organizing home visits for the day, which older client should the home health nurse see first? 28.) A client is admitted for type 2 diabetes and chronic kidney disease. Which breakfast selection by the client indicates effective learning? 29.) When caring for a client receiving the antibiotic gentamycin, it is most important for the nurse to monitor which diagnostic test? 30.) The nurse weighs a 6 month old infant during a well-baby check up and determines that ??? the baby’s birth weight of 7 pounds, 6 ounces. The mothers asks if the baby is gaining enough weight. What teaching should the nurse offer? 31.) A client with multiple sclerosis is admitted to the medical unit. The client reports fatigue. Which action should the nurse implement to reduce the client’s risk for falls? Select all that apply 32.) A school aged child was recently diagnosed with celiac disease. Which instruction should the nurse provide to the classroom teacher? 33.) A nurse is caring for a client with diabetes insipidus. Which assessment finding warrants intervention by the nurse? 34.) A woman who takes pyridostigmine for myasthenia gravis arrives to the emergency room with muscle weakness. Her adult daughter tells the nurse that since yesterday her mother has ???. Which finding warrants immediate intervention by the nurse? 35.) An older female client tells the nurse that her muscles have gradually been getting weaker. What is the best initial response by the nurse? 36.) A client with a postoperative would that eviscerated yesterday has an elevated temperature. What is most important for the nurse to implement? 37.) PICTURE A client has a primary IV infusion and a secondary infusion of medication ???. 38.) A vacuum assisted closure (VAC) device is being used to provide would care for a client with a below the knee amputation. Which intervention should the urse implement to ensure that the VAC device is used properly? 39.) Which statement is accurate regarding the pathological changes in the pulmonary system during ARDS? 40.) A male Korean-American client looks away when asked by the nurse to describe his healing process. What is the priority nursing action? 41.) A client with acute pancreatitis is complaining of pain and nausea. What intervention should the nurse implement? Select all that apply 42.) While preforming a skin inspection for a female adult client, the nurse observes a rash which is well circumscribed, has silvery scales and plaques and is located on the elbows and knees. These assessment findings are likely to indicate which condition? 43.) A 16 year old male is admitted to the pediatric ICU after being involved in a ??? has burns to his lower torso and extremities. Before a dressing change to his legs, which intervention should the nurse implement? 44.) A male client recently released from a correctional facility arrives to the clinic with a cough and was diagnosed with active TB 10 years ago. What action should the nurse implement? Select all that apply 45.) A nurse is teaching a client with Atrial fibrillation about a newly prescribed medication. The nurse should include what instruction? Select all the apply 46.) When changing the diaper on a 2 day old infant, the nurse observes that the baby’s legs ????? What action should the nurse take? 47.) An adult male who was admitted 2 days ago following a CVA reports weakness. He has tried to get out of bed several times but is unable to ambulate without support. What is important for the nurse to implement? 48.) A client presents to the clinic with blepharitis. What instruction should the nurse provide? 49.) An adolescent mother calls the clinic because the teen is having recurrent vomiting and has been combative the last 2 days. The mother states that the teen takes vitamins, calcium, magnesium, and aspirin. Which nursing intervention has the highest priority? 50.) The nurse observes the UAP using an alcohol based cleaning agent in the room. The UAP rubs the both hands thoroughly for 2 minutes while standing at the sink. What action should the nurse take? 51.) After receiving lactulose, a client with hepatic encephalopathy has several loose stools. What action should the nurse take? 52.) An adult female client with CKD asks the nurse if she can continue..? medications. Which medication provides the greatest risk to this client? 53.) The nurse is reinforcing home care instructions with the client who is being discharged following a TURP. Which intervention is most important for the nurse to include in the clients discharge instructions? 54.) The nurse provides feeding tube instructions to the wife of a client with end stage cancer. The wife completes the demonstration correctly, but begins crying and tells the nurse, “I just don’t think I can do this” What further teaching strategies is directed toward which learning domain. 55.) A male client with Rheumatoid Arthritis is scheduled for a procedure in the morning. The client was unable to complete the procedure because of early morning stiffness. Which intervention by the nurse should be implemented? 56.) Then nurse is caring for a client following a myelogram. Which assessment finding should the nurse report to the HCP immediately? 57.) The client is complaining of intermittent left lower abdominal pain that began 2 days ago. What order should the nurse implement the following interventions? (Place in proper order) 58.) An adult female client is admitted to the psychiatric unit with a diagnosis of major depression. After medication therapy, the nurse notices the client has more energy, is giving her belongings away, etc. Which intervention is best for the nurse to implement? 59.) When obtaining a rectal temperature with an electronic thermometer, which action is most essential for the nurse to carry out? 60.) The HCP prescribes atenolol 50 mg PO daily for a client with angina pectoralis. What should the nurse report to the HCP before administering this medication? 61.) A male client with impaired renal function who takes ibuprofen daily for chronic arthritis pain has GI bleeding. After administering IV fluids and a blood transfusion, his blood pressure is 100/70 and his renal output is 20 ml/hr. Which intervention should the nurse include in the following hours? 62.) Which instruction is most important for the nurse to provide for a client who is being discharged with giullan-barre syndrome? 63.) A nurse assesses a female with obstructive sleep apnea syndrome who is 70kg. The client’s 24 hour diet includes no breakfast, cheeseburger and ice-cream and a cola drink for dinner and two glasses of wine before going to bed. What instruction should the nurse provide? Select all that apply 64.) A male client is having abdominal pain after a left femoral angioplasty and a stent. He reports having right lower quadrant pain 9/10. He received hydrocodone-acetaminophen ??? Temperature is 97.8, HR is 102, and the abdomen is swollen. His groin access site is tender, peripheral pulses are present, ??? clopidrogel was prescribed for a histry for previous peripheral stents. Another nurse is ??? arterial access sites which may be leaking in to the abdomen. Which data is needed to make ??? 65.) In caring for a client with a PCA infusion of morphine-sulfate through the right cephalic vein, ??? the patient is lethargic, with a blood pressure of 90/60, and a pulse rate of 118 beats per minute and respiratory rate of ???. Which assessment shold the nurse perform next? 66.) Sampling (CVS) to rule out genetic abnormalities, the client has ??? pregnancy termination. The nurses religious beliefs forbid termination under any circumstance. Which action should the nurse take? 67.) The nurse delegates to a UAP denture care for a client who needs assistance with ADL’s. When making this assessment, which instruction is most important for the nurse to give? 68.) Question about a client who needs assisted devices. Select all that apply 69.) In conducting a health assessment, the nurse determines that both parents of a child smoke cigarettes. Which recommendation is best for the nurse to provide these parents? 70.) An adult male who lives alone is brought to the ED by his daughter ???. Initial assessment indicates that the client has minimal respiratory effort and his pupils are fixed and dilated. At the daughters request, the client is intubated and put on a ventilator. Which nursing intervention has the highest priority? 71.) A client has a prescription for lorazepam 2mg for alcohol withdrawal symptoms. Which finding is most important in the client? 72.) Progressive kyphoscoliosis leading to respiratory distress is evident in a client with muscle weakness. Which finding warrants immediate intervention by the nurse? 73.) After checking the fingerstick glucose at 16:30, what action should the nurse implement? 74.) Following a gunshot wound to the abdomen, a young adult male had an emergency bwel surgery…multiple blood products while in the operating room. His current blood pressure is 78/52. He is being mechanically ventilated. His oxygen saturation is 87%, platelets are 20,000. Based on these assessment findings, what intervention should the nurse implement first? 75.) A nurse is assisting a new mother with infant feeding. What information should the nurse provide to a mother that has decreased milk supply when breastfeeding? 76.) The nurse determines that a client’s pupils constrict as they change focus from a far object. Which documentation should the nurse enter about this finding? 77.) Which nursing intervention has the highest priority for a multigravida client who delivered ??? 78.) Which actions should the nurse implement with auscultating anterior breath sounds? Place in order 79.) A female client who was mechanically ventilated for 7 days is extubated. Two hours later she has a productive cough and her respirations are rapid and shallow. What intervention is best for the nurse to implement? 80.) A client who had a gestational trophoblastic disease evacuated two days ago is being ??? 18 month old child and lives in a rural area. Her husband takes the family car to work daily. What intervention is most important for the nurse to implement? 81.) A newly graduated staff nurse approaches the nurse manager and requests reassignment from a client who is asking her for a date and is making suggestive comments. What response is best for the nurse to give? 82.) After removing a left femoral arterial sheath, which assessment finding warrants immediate intervention by the nurse? Select all that apply 83.) Which instruction is most important for the nurse to provide a client who receives a new prescription to treat osteoporosis? 84.) A newly hired home health care nurse is planning the initial visit to an adult client who has been bed bound for 20 years and is lifted by a hoist. An unlicensed caregiver provides ??? During the initial visit to this client, which intervention is most important for the nurse to implement? 85.) Which assessment finding indicates to the nurse a client’s readiness for a pulmonary function study? 86.) A young adult male is admitted to the emergency department with diabetic ketoacidosis (DKA). The blood glucose is 310. What action should the nurse implement? 87.) A nurse is assessing the thorax and lungs of a client who is having respiratory difficulty ??? 88.) A client with urticaria due to environmental allergies is taking diphenhydramine, an antihistamine. Which complaint should the nurse identify to the client as a side effect of the over the counter medication? 89.) A nurse is developing an educational program for adult clients who are being discharged with new antihypertensive medications. The nurse should ensure that the educational materials include which characteristics? Select all that apply 90.) A male client is diagnosed with guillan-barre and admitted to the medical unit for muscle weakness, dipoplia, and difficulty swallowing. Which intervention is most important for the nurse to implement? 91.) The mother of a 1 year old brings her child to the clinic because of severe diarrhea. Physical exam by the nurse reveals that the child is febrile and has a distended and tympanic abdomen. Which action should the nurse take first? 92.) A male client with major depression who is taking fluoxetine calls the psychiatric clinic complaining of being more agitated, irritable, and anxious than usual. Which interventions should the nurse implement? 93.) Which expected outcome statement should the nurse include in a teaching plan designed to assist a client with management with an acute attack of gout? 94.) A client’s morning lab test results include leukocytes 3,500. Based on this lab result, which complaint is the client most likely to report to the nurse? - Persistent cough with yellow colored sputum 95.) The nurse is admitting a 4 month old who has RSV. What intervention should the nurse implement first? 96.) Two UAP’s are arguing loudly in the hallway of an extended care facility about who will shower a male resident who defecated in his bed. What action is best for the charge nurse to take? 97.) The nurse administers an isotonic intravenous solution to a client with septic shock. Which parameter is most important for the nurse to monitor to determine that the treatment was effective? 98.) A nurse is preparing an older male client with Parkinson’s disease for discharge to his home. Which instruction should the nurse provide to promote independence and reduce risk for injury? Select all that apply - Consider use of a recliner lift chair 99.) Furosemide is prescribed to a 4 year old child who has a ventricular septal defect. Which outcome indicates to the nurse that this pharmacological intervention was effective? 100.) A client who recently underwent a tracheostomy is being prepared for discharge to home. Which instruction is most important for the nurse to include in the discharge plan? 101.) A practical nurse reports to the charge nurse that a UAP did not adhere to the agencies fall prevention protocol when caring for a client at risk for falls. What action should the charge nurse implement? 102.) A client who is 3 weeks postpartum is brought to the mental health unit by her husband for admission because she has been verbalizing that the baby is evil. After an assessment interview, the nurse determines the client thinks the baby is going to bring harm to their other children. How should the nurse document the client’s altered thought process? 103.) The nurse observes a female client’s indwelling urinary catheter as seen in the photo. Which intervention should the nurse implement first? 104.) A female college student is admitted to the ED following ingestion of alcohol and pain meds. A nasogastric tube and subclavian line are placed. The nurse auscultates audible breath sounds on the right side, faint sounds on the left side, and chest movement that occurs only o the right side of the thorax. Which procedure should the nurse prepare for first? 105.) In making client care assignments, which client is best to assign to the LPN working on the unit with the nurse? 106.) A client who was splashed with a chemical has both eyes covered with bandages. When assisting the client with eating, which intervention should the nurse instruct the UAP to implement? 107.) When administering medications, when is the last opportunity for the nurse to discover a near miss medication error? 108.) A young female client with recurrent pelvic pain for 3 years returns to the clinic for relief of severe dysmenorrhea. The nurse reviews her medical record which indicates that she has endometriosis. Based on this finding, what information should the nurse provide this client? 109.) A nurse prepares to suction a client as seen in the picture. What ongoing assessments should the nurse plan to complete while performing the procedure? Select all that apply 110.) In planning strategies to reduce a client’s risk following orthopedic surgery, the nurse recognizes which pathology as the underlying cause of osteomyelitis? 111.) A male client was transferred yesterday from the ED to the telemetry unit because he had ST depression and resolved chest pain. When his EKG monitor alarms for ventricular tachycardia, what action should the nurse take first? 112.) A female nurse who took drugs from the unit for personal use was temporarily released from duty. After completion of mandatory counseling, the nurse has asked administration to allow her to return to work. When the nursing administrator approaches the charge nurse with the impaired nurse’s request, what action is best for the charge nurse to take? 113.) A client with a new diagnosis of Raynaud’s disease lives alone. Which instruction should the nurse include in the client’s discharge teaching plan? 114.) Sublingual nitroglycerin is administered to a male client with unstable angina who complains of crushing chest pain. 5 minutes later, the client becomes nauseated and his blood pressure drops to 60/40. What intervention should the nurse implement? 115.) A male client who was admitted with an acute MI receives a cardiac diet with sodium restriction and complains that his hamburger is flavorless. Which condiment should the nurse offer? 116.) A mother calls the nurse to report that at 0900 she administered a PO dose of digoxin to her 4 month old infant but at 0920, the baby vomited the medicine. Which instruction should the nurse provide to this mother? 117.) When checking a 3rd graders height and weight, the school nurse recognizes that these measurements have not changed in the last year. The child is currently taking daily vitamins, albuterol, methylphenidate for ADHD. Which intervention should the nurse implement? 118.) The nurse is triaging client’s in the urgent care clinic. The client with which symptoms should be referred to the health care provider immediately? 119.) A nurse is interviewing a client with schizophrenia. Which client behavior requires immediate intervention? 120.) A UAP informs a nurse who is giving medications that a female client is crying. The client was just informed that she has a malignant tumor. Which action should the nurse implement first? 121.) The nurse is caring for a 1 week old infant with a VP shunt that was placed 2 days after birth. Which findings are an indication of a post-operative complications? Select all that apply 122.) The nurse is using a straight urinary catheter to collect a sterile urine specimen. After positioning and prepping the client, rank the actions in the sequence they should be implemented. 123.) After a routine physical exam, the HCP admits a woman with a history of Lupus to the hospital because she has a 3 pitting ankle edema and blood in her urine. Which assessment finding warrants immediate intervention by the nurse? 124.) The husband of an older woman diagnosed with pernicious anemia calls the clinic to report that his wife still has memory loss and some confusion since she last received the last dose of nasal cyanocovalamin two days ago. He tells the nurse that he is worried that she may be getting alzheimer’s disease. What action should the nurse take? 125.) While the school nurse is teaching a group of 14 year olds, one of the participants remarks, “You are too young to be our teacher, you’re not too much older than we are.” How should the nurse respond? 126.) An unconscious client is admitted to the ICU and is placed on a ventilator. The ventilator alarms continuously and the client’s oxygen level is 62%. What action should the nurse take first? 127.) A client with a serum sodium level of 125 shold benefit most from the administration of which IV solution? 128.) Picture of a client with a clubbed finger 1.) Indentations in nail 2.) Normal finger 3.) Tip of finger is crooked 4.) Normal finger with tip elevated 129.) After diagnosis and initial treatment of a 3 year old child with cystic fibrosis, the nurse provides home care instructions to the mother. Which statement by the child’s mother indicates that she understands homecare treatment to promote pulmonary function? 130.) A middle aged woman diagnosed with Graves disease asks the nurse about this condition. Which etiological pathology should the nurse include in the teaching plan about hyperthyroidism? SATA 131.) Which assessment is most important for the nurse to include in the daily plan of care for a client with burned extremities? 132.) To prevent infection by autocontamination during the acute phase of recovery from multiple burns, which intervention is most important for the nurse to implement? 133.) When completing an admission assessment for a client with unstable angina, which close ended question should the nurse ask about the client’s chest pain? 134.) A nurde who works in the nursery is attending the vaginal delivery of a term infant. Which action should the nurse complete prior to leaving the delivery room? 135.) The nurse is caring for several clients on a telemetry unit. Which client should the nurse assess first? 136.) A 12- lead EKG indicates a ST elevation in leads V1-V4 for a client who reports having chest pain. The HCP prescribes tissue plasminogen activator (TPA). Prior to initiating the infusion, which intervention is most important for the nurse to implement? 137.) A male client presents to the clinic with large draining ulcers on his lower legs that are characteristic of Kaposi sarcoma. The client is accompanied by two family members. Which action should the nurse take? 138.) The legs of a client who is receiving hospice care have become mottled in appearance. When the nurse observes the UAP placing a heating pad on the mottled area, what action should the nurse take? 139.) A clinical trial is recommended for a client with metastatic breast cancer but she refuses to participate and tells her family that she does not wish to have further treatment. The client’s son and daughter ask the nurse to try and convince their mother to reconsider this decision. How should the nursed respond? - Explore the client’s decision to refuse treatment and offer support 140.) A client who had an open cholecystectomy two weeks ago comes to the emergency department with complaints of nausea, abdominal distention, and pain. Which assessment should the nurse implement? 141.) While assessing a client’s chest tube, the nurse discovers bubbling in the water seal chamber of the chest tube collection device. The client’s vital signs are BP 80/40, HR 120, RR 32 and O2sat 88. Which intervention should the nurse implement? SATA 142.) While the nurse is conducting a daily assessment of an older woman who resides in a long term facility, the client begins to cry and tells the nurse that her family has stopped calling and visiting. What action should the nurse take first? 143.) A female client with severe renal impairment is receiving enoxaparin 3mg sub q BID. Which laboratory value due to enoxaparin should the nurse report to the HCP? 144.) Picture of a client’s chest with a pace maker and you need to point where you place the paddle 145.) Put in order on what you have to do with hierarchy chain of command 146.) A nurse stops at the site of a motorcycle accident and finds a young adult male lying face down in the road in a puddle of water. It is raining, no one is available to send for help and then cell phone is in the car about 50 feet away. What action should the nurse take first? 147.) During a well-baby 6 month visit a mother tells the nurse that her infant has had fewer ear infections than her 10 year old daughter. The nurse should explain that which vaccine is likely to have made a difference in the sibling incidence of otitis media? 148.) A preeclamptic client who delivered 24 hours ago remains in the labor and delivery recovery room. She continues to receive magnesium sulfate at 2mg per hour. Her toal input is limited to 125 ml/hr and her urinary output for the last hour was 850 ml. Which intervention should the nurse implement? 149.) The nurse observes that a post operative client with a continuous bladder irrigation has a blood clot in the urinary drainage tubing. Which action should the nurse perform first? [Show More]

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