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RN COMPREHENSIVE PRA CTICE B
QUESTIONS AND ANSWER S ( A+
GRADED 100% VERIFIED
ANSWERS )!.
Question : A nurse is caring for a client who had
abdominal surgery 24 hr ago. Which of the following actions is the nurse's priority?
CORRECT ANSWER : Assist with deep breathing and
coughing
Question : A nurse is talking with a client who has stage
IV breast cancer. The nurse should recognize which of the following statements by the client as a constructive use of a defense mechanism?
CORRECT ANSWER : "I told my doctor that I would
like to start a support group for other women who are sick in my community"
Question : A nurse is caring for a client who has
immunosuppression and a continuous IV infusion. Which of the following actions should the nurse take?
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CORRECT ANSWER : Monitor the client's mouth every
- hr
Question : A nurse is caring for a 2 month old infant who
has Hirschsprung disease (HD). Which of the following areas should the nurse assess for manifestations of HD?
CORRECT ANSWER : C
The nurse should assess the infant's abdomen for distention and visible peristalsis, which are manifestations of HD
Question : A nurse at a mental health clinic is caring for
four clients. The nurse should recognize the following clients is using dissociation as a defense mechanism?
CORRECT ANSWER : A client who was abused as a
child describes the abuse as if it happened to someone else
Question : A nurse is providing teaching to a client who
has a new diagnosis of type 1 diabetes mellitus. The nurse
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should instruct the client to monitor for which of the following findings as a manifestation of hypoglycemia?
CORRECT ANSWER : irritability
Question : A nurse in an outpatient mental health clinic is
caring for four clients. The nurse should recognize that which of the following clients is effectively using sublimation as a defense mechanism?
CORRECT ANSWER : A client who channels their
energy into a new hobby following the loss of their job
Question : A hospice nurse is consulting with a client and
her family about receiving home services. Which of the following statements should the nurse identify as an indication that the family understands home hospice care?
CORRECT ANSWER : "We can expect the hospice
nurse to provide support for us after our mother's death"
Question : A nurse is caring for a client who has active
tuberculosis. Which of the following actions should the nurse take?
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CORRECT ANSWER : Assign the client to a private
room with negative air pressure
Question : A nurse is providing teaching to a client who is
at 24 weeks of gestation and is schedule for a 3 hour oral glucose tolerance test. Which of the following instructions should the nurse include in the teaching?
CORRECT ANSWER : "You will need to fast the night
before the test"
Question : A nurse on a pediatric unit has received change
of shift report for four children. Which of the following children should the nurse assess first?
CORRECT ANSWER : A 10 year old child who is
awaiting surgery for an appendectomy and experienced sudden relief from pain
Question : A nurse in a community center is providing an
education session to a group of clients about ovarian cancer. Which of the following manifestations of ovarian cancer should the nurse include in the teaching?