The nurse is caring for a client diagnosed with influenza who has had

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.A Native American client is hospitalized for depression and attempted suicide. Family members have requested that they be allowed to bring in a medicine healer to perform a ritual on the client. Which of the following is the best action by the nurse? 选项： A:

Explain that the client's depression is being treated with medications

B:

Explain that the client's depression will not be relieved by a ritual

C:

Plan a meeting with the health care provider (HCP), family, nurse, and medicine healer to make arrangements for the ceremony

D:

Tell the family that such practices are not allowed in the hospital

Need for discharge to a skilled nursing facility

B:

Nutritional consult with instructions on a high-calorie diet

C:

Option of palliative care

D:

Physical therapy prescription to promote activity

">3.An 84-year-old client with oxygen-dependent chronic obstructive pulmonary disease is admitted with an exacerbation and steady weight loss. The client has been in the hospital 4 times over the last several months and is "tired of being poked and prodded." Which topic would be most important for the nurse to discuss with this client's health care team? 选项： A:

Need for discharge to a skilled nursing facility

B:

Nutritional consult with instructions on a high-calorie diet

C:

Option of palliative care

D:

Physical therapy prescription to promote activity

"Always ask the health care provider or pharmacist before taking OTC medications."

B:

"Ingredients in some OTC medications may interact with prescription medications."

C:

"It is best to avoid OTC medications, but herbal and supplement products are usually safe."

D:

"Remember to discuss all medications, herbs, and supplements you take with your health care providers."

E:

"Taking OTC medications can sometimes hide symptoms of a serious disease or illness."

">4.A client who has been prescribed several medications asks, "Can I take over-the-counter (OTC) medications with my prescriptions?" Which of the following statements by the nurse is appropriate? Select all that apply 选项： A:

"Always ask the health care provider or pharmacist before taking OTC medications."

B:

"Ingredients in some OTC medications may interact with prescription medications."

C:

"It is best to avoid OTC medications, but herbal and supplement products are usually safe."

D:

"Remember to discuss all medications, herbs, and supplements you take with your health care providers."

E:

"Taking OTC medications can sometimes hide symptoms of a serious disease or illness."

5.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

6.The nurse is reviewing the primary health care provider's prescriptions for an adult client who has been admitted to the hospital after a back injury . Carisoprodol is prescribed for the client to relieve the muscle spasms . The primary health care provider has prescribed 350 mg to be administered 4 times a day . What would the nurse conclude?None 选项： A:The prescription is the normal adult dosage . B:The prescription is lower than normal dosage . C:The prescription is higher than normal dosage . D:The dosage prescribed requires further clarification with the primary health care provider .

7.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

8.The nurse is caring for a child newly diagnosed with cystic fibrosis. Which of the following interventions are appropriate to include in the child's plan of care? Select all that apply. 选项： A:

Aerobic exercise

B:

Chest physiotherapy

C:

Low-calorie diet

D:

Oral fluid restriction

E:

Social support services

9.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

10.Which of the following drug administrations should be reported as a practice error? Select all that apply. 选项： A:

Cephalexin administered; client has history of anaphylaxis from penicillin

B:

Hydromorphone 2 mg administered; client reports pruritus

C:

Immunization for 3-month-old administered in ventrogluteal site

D:

Oral niacin (nicotinic acid) administered; client has facial flushing

E:

Warfarin administered; client at 12 weeks gestation

11.A newly admitted client describes symptoms of dizziness and feeling faint on standing. The client has a history of type 2 diabetes, coronary artery disease, and bipolar disorder. Which medications may be contributing to the client's symptoms? Select all that apply. 选项： A:

Atorvastatin

Metformin

Metoprolol

Olanzapine

Omeprazole

12.The postpartum unit nurse has provided discharge instructions to a client planning to breast/chest-feed a normal, healthy infant . Which statement by the client indicates an understanding of the instructions?None 选项： A:"If I experience any sweating during the night, I would call the primary health care provider ." B:"If I have uterine cramping while breast/chest-feeding, I would contact the primary health care provider ." C:"If I'm still having vaginal drainage in a week, I would contact the primary health care provider ." D:"If I notice any pain, redness, or swelling in my breasts/chest, I need to contact the primary health care provider ."

13.The nurse is performing an assessment on a client with a head injury and notes that the client is assuming this posture. The nurse contacts the primary health care provider and reports that the client is exhibiting which posture? Refer to figure.None 选项： A:Opisthotonos B:Decorticate rigidity C:Decerebrate rigidity D:Flaccid quadriplegia

14.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

15.A client is seen in the ambulatory care center for treatment of a second episode of acute gout. Which lifestyle modifications would help prevent future exacerbations? Select all that apply. 选项： A:

Achieve and maintain a healthy weight

B:

Avoid foods containing protein

C:

Drink plenty of fluids

D:

Increase meat intake

E:

Limit alcohol consumption

16.Which of the following practice could not reflect the patient-centered care? 选项： A:

A nurse works with the patient and family instead of giving care to the patients.

B:

The privacy of the patients are protected

C:

The patients are informed about illness and health care.

D:

Patients’ views are based on specific diseases and they receive care passively.

17.Which of the following practice could not reflect the patient-centered care? 选项： A:

A nurse works with the patient and family instead of giving care to the patients.

B:

The privacy of the patients are protected.

C:

The patients are informed about ilness and health care.

D:

Patients' views are based on specific diseases and they receive care passively.

18.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

19.Choose the right description of risk tolerance in financial planning industry 选项： A:

risk tolerance helps the client understand how he or she feels about risk .

B:

risk tolerance is a tool that can assist client to clarify their understanding of their tolerance to

risk .

C:

A financial advicer should use all the profiling

tools to assess the risk - tolerance of the client .

D:

A risk profile toot is a newly - developed instrument in financial planning industry ,

and has been applied by every financial advicer nowadays .

20.Which of the following clarification steps should be taken if apps are not appearing on a deployment client? (Select all that apply.) 选项： A:

Check serverclass.conf of the deployment server.

B:

Check deploymentclient.conf of the deployment client.

C:

Check the content of SPLUNK_HOME/etc/apps of the deployment server.

D:

Search for relevant events in splunkd.log of the deployment server.

21.The nurse caring for a refugee considers which health care need a priority for this client?None 选项： A:Access to housing B:Access to clean water C:Access to transportation D:Access to mental health care services

22.he nurse is providing care to an aged client who is terminally ill. Numerous family members are present most of the time and many of the family members are very emotional. What is the most appropriate nursing action for this client? 选项： A: Restrict the number of family members visiting at one time B: Inform the family that emotional outbursts are to be avoided C: Make the necessary arrangements so that family members can visit D: Contact the health care provider to speak to the family regarding their behaviors

23.231. The nurse is monitoring a client in active labor and notes that the client is having contractions every 3 minutes that last 45 seconds. The nurse notes that the fetal heart rate between contractions is 100 beats per minute. Which nursing action is most appropriate? 选项：A. Notify the primary health care provider (PHCP). B. Continue monitoring the fetal heart rate. C. Encourage the client to continue pushing with each contraction. D. Instruct the client’s coach to continue to encourage breathing techniques.

24.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

25.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

26.A nurse in the emergency department is titrating a continuous infusion of nitroglycerin to a client admitted for acute coronary syndrome. The client's vital signs, including blood pressure (BP), heart rate (HR), and pain level, are beingmonitored frequently. Which assessment findings indicate that the current rate of administration should be maintained? 选项： A:

BP 80/50 mm Hg, HR 110/min; client reports pain is 0 out of 10

B:

BP 100/60 mm Hg, HR 90/min; client reports pain is 3 out of 10

C:

BP 110/70 mm Hg, HR 80/min; client reports pain is 0 out of 10

D:

BP 120/80 mm Hg, HR 70/min; client reports pain is 5 out of 10

27.144. A pregnant woman is diagnosed with hepatitis A. Supportive care recommended by the nurse should include which of the following measures? 选项： A:

A. Taking ibuprofen for pain

B:

B. Eating three large meals a day

C:

C. Scheduling rest periods throughout the day

D:

D. Restricting fluids during the acute phase