The health care provider (HCP) explains the risks and benefits of a pr

Document the client's statement in the electronic medical record

Inform the nursing supervisor that the client needs additional teaching

Notify the operating room scheduler of a possible delay in surgery

Request that the health care provider clarify the client's concerns

">1.The health care provider gives the preoperative nurse a signed consent form and walks away. The client turns to the nurse and states, "I don't know what's going on. Why do I need surgery?" What action should the nurse perform first? 选项： A:

Document the client's statement in the electronic medical record

B:

Inform the nursing supervisor that the client needs additional teaching

C:

Notify the operating room scheduler of a possible delay in surgery

D:

Request that the health care provider clarify the client's concerns

2.The nurse is caring for a client diagnosed with influenza who has had high fever, muscle aches, headache, and sore throat for 36 hours. The health care provider prescribes ibuprofen and oseltamivir. Which of the following actions by the nurse are appropriate? Select all that apply. 选项： A:

Clarify the prescription for oseltamivir with the health care provider

B:

Instruct the client to cover the mouth and nose while coughing or sneezing

C:

Place a mask on the client when transporting the client through the halls

D:

Plan discharge teaching about the importance of annual influenza vaccination

E:

Use contact precautions when providing care for the client

3.Upon arrival in the post-anesthesia care unit, the nurse performs the initial assessment of a client who had surgery under general anesthesia. Which assessment finding prompts the nurse to notify the health care provider immediately? 选项： A:

Difficult to arouse

B:

Muscle stiffness

C:

Pinpoint pupils

D:

Temperature 94 F (34.4 C)

4.The nurse receives telephone messages from the following 4 clients. Which client should the nurse call back first? 选项： A:

Client taking cyclosporine who reports swollen and bleeding gums for several days

B:

Client taking doxycycline who reports severe sunburn after sun exposure

C:

Client taking phenytoin who reports flu-like symptoms and a new painful skin rash

D:

Client taking sildenafil who reports dizziness when standing up from a seated position

5.Which one is incorrect for interpreters? ( )选项： A:The interpreter cannot take cellphone during interpreting. B:The interpreter should show up earlier than the agreed time. C:The interpreter can have colorful nail polish. D:The interpreter should maintain natural eye contact with the listener.

6.The unit secretary notifies the nurse that 4 clients called the nurses' station reporting pain. Which client should the nurse assess first? 选项： A:

Client who had a foot amputation today reporting left shoulder pain radiating down the arm

B:

Client who has acute pancreatitis reporting severe, continuous, penetrating abdominal pain

C:

Client who has multiple myeloma reporting deep pelvic pain after walking down the hall

D:

Client who has sickle cell disease reporting severe pain in the arms and upper back

7.The emergency nurse is triaging four clients. Which client should the nurse assess first? 选项： A:

6-month-old client who is constipated, cannot hold the head up, and has a weak cry after eating honey

B:

4-year-old client who has elbow pain, swelling, and deformity after falling from a playground swing

C:

6-year-old client who has fever and reports right-sided abdominal pain and difficulty tolerating food

D:

9-year-old client who is lethargic and reports having painful urination and back pain

8.The nurse is caring for a client with an asthma exacerbation who has been prescribed albuterol. The client's blood pressure is 146/86 mm Hg, heart rate is 110/min, and respirations are 32/min. One hour after the treatment, which finding indicates that the medication is producing the desired therapeutic effect? 选项： A:

Blood pressure 130/82 mm Hg

B:

Constricted pupils

C:

Heart rate of 120/min

D:

Respirations of 24/min

9.The nurse is caring for a client receiving mechanical ventilation. The ventilator begins alarming and displays an alert about low tidal volumes. The nurse checks the endotracheal tube and ventilator tubing but does not find any obvious cause of the alarm. The client's oxygen saturation is decreasing. What should the nurse do next? 选项： A:

Call the respiratory therapist to the bedside to troubleshoot the ventilator

B:

Elevate the head of the bed and apply a nonrebreather mask

C:

Increase the oxygen delivery setting on the ventilator to 100%

D:

Manually ventilate with a bag-valve-mask resuscitator attached to the endotracheal tube

10.The nurse is caring for a client who reports severe abdominal pain and vaginal spotting. The client had a positive urine pregnancy test at home, and her last menstrual period was 8 weeks ago. Which client report to the nurse is most concerning? 选项： A:

Abdominal pain rated as 8 out of 10

B:

History of pelvic inflammatory disease

C:

Intermittent nausea and vomiting for the past 7 days

D:

Right shoulder pain and dizziness

11.A nurse manager on a pediatric oncology unit is leading a discussion about personal coping strategies that nurses can use to remain effective when caring for dying children. What should be included in the discussion? 选项： A:

Attending a child's memorial service can be helpful

B:

Avoid expressing personal feelings of grief or loss directly with the family

C:

Personal contact with the family of the deceased should end after they leave the hospital

D:

The length of daily exercise routines should be increased

12.The nurse is collecting data during an admission assessment of a client who is pregnant with twins . The client has a healthy 5-year-old child who was delivered at 38 weeks and tells the nurse that there is no history of any type of abortion or fetal demise . Using GTPAL, what would the nurse document in the client's chart?None 选项： A:G = 3, T = 2, P = 0, A = 0, L = 1 B:G = 2, T = 1, P = 0, A = 0, L = 1 C:G = 1, T = 1, P = 1, A = 0, L = 1 D:G = 2, T = 0, P = 0, A = 0, L = 1

13.‏The quality of interpretation is not decided by ______.‌‏‌‏‌ 选项： A、familiarity of the topic B、the speaker’s logic and clarity of the speech. C、the interpreter’s control of the language. D、how long has the interpreter learned the languages.

14.Language competence is not enough for a qualified interpreter.Aqualified interpreter should have cross-cultural awareness.()

15.The nurse is monitoring a client who is in active labor with a cervical dilation of 6 cm. Which uterine assessment finding requires an intervention by the nurse? 选项： A:

Contraction duration of 95 seconds

B:

Contraction frequency of every 3 minutes

C:

Contraction intensity of 45 mm Hg

D:

Uterine resting tone of 10 mm Hg

16.Choose the correct statements about interpreter’s etiquette.( ) 选项： A、The interpreter should pay attention to the dress code. B、The interpreter should be glued to the notes and don’t look at others in order to deliver a good interpreting. C、The interpreters should appear calm and poised without awkward facial expressions or unnecessary gestures. D、Don’t offer a hand that is sweaty in handshake.

17.The nurse receives report on the assigned team of clients on the oncology unit. All are receiving chemotherapy. Which client should the nurse check on first? 选项： A:

Alopecia and oral mucositis noted on assessment

B:

Morning hemoglobin result is 8 g/dL (80 g/L)

C:

New-onset back pain and weakness in legs

D:

Persistent vomiting and potassium result is 3.4 mEq/L (3.4 mmol/L)

18.A preoperative client expresses anxiety to the nurse about upcoming surgery . Which response by the nurse is most likely to stimulate further discussion between the client and the nurse?None 选项： A:"If it's any help, everyone is nervous before surgery ." B:"I will be happy to explain the entire surgical procedure to you ." C:"Can you share with me what you've been told about your surgery?" D:"Let me tell you about the care you'll receive after surgery and the amount of pain you can anticipate ."

19.The standings now which we will reveal in aminute inevitably _______ Buffett's reaction after the bet's first year, 2008. 选项： A:

bring to mind

B:

keep in mind

C:

have in mind

D:

make up our mind