An 84-year-old client with oxygen-dependent chronic obstructive pulmon

1.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

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 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

3.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

4.A nurse cares for a client on life support who has been declared brain dead. Which intervention is appropriate at this time? 选项： A:

Ask the family members about their plans for the funeral service

B:

Call the local organ procurement services representative

C:

Discontinue nursing care and provide postmortem care

D:

Remove life support as requested by the spouse and family

5.A client is admitted to the intensive care unit with suspected pheochromocytoma. The client's vital

signs are temperature of 99.6 F (37.5 C), blood pressure (BP) of 200/110 mm Hg, heart rate of

110/min, and respirations of 20/min. The client is sweating profusely and reports a severe

headache. Which prescription should the nurse implement first?

选项： A:

Draw labs to assess

electrolyte panel

B:

Give acetaminophen 650 mg

by mouth as needed for

headache

C:

Place a fan in the client's

room

D:

Start nitroprusside infusion

at 0.5 mcg/kg/min

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.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

8.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)

9.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

10.A client with type 2 diabetes, coronary artery disease, and peripheral arterial disease developed hospital-acquired pneumonia (HAP) and has been receiving intravenous (IV) antibiotics for 4 days. Which parameter monitored by the nurse best indicates the effectiveness of treatment? 选项： A:

Color of sputum

B:

Lung sounds

C:

Saturation level

D:

White blood cell count (WBC)

11.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

12.Most people would prefer to _________ at home rather than in a hospital. 选项： A:

be cared in

B:

be cared of

C:

be cared for

D:

take care of

13.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

14.Capecitabine has been prescribed for a client with breast cancer, and the nurse provides instructions to the client about the medication . Which statement by the client indicates the need for further instruction?None 选项： A:"I need to monitor my temperature ." B:"I need to be sure to go to the clinic to receive my yearly flu vaccine ." C:"I may have some diarrhea, but if it becomes severe, I will call my primary health care provider ." D:"It's important for me to contact my primary health care provider if I have any fever or other signs of infection ."

15.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.

16.The nurse is caring for a client after percutaneous placement of a coronary stent for a myocardial infarction. The client rates lower back pain as 5 on a scale of 0-10 and has blood pressure of 140/92 mm Hg. The cardiac monitor shows normal sinus rhythm with occasional premature ventricular contractions. Which prescription should the nurse administer first? Click on the exhibit button for additional information. 选项： A:

Captopril PO every 8 hours

B:

Morphine IV PRN for pain

C:

Potassium chloride IVPB once

D:

Regular insulin subcutaneous with meals

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.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 .

19.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 ."

20.The nurse in the ambulatory care unit is providing home care instructions to a client after cryotherapy for the treatment of malignant skin lesions. Which statement would be most appropriate for the nurse to include in the home care instructions for this client?None 选项： A:"Apply ice to the site to prevent swelling." B:"Clean the site with alcohol 3 times daily." C:"Apply a warm, damp washcloth if discomfort occurs." D:"Avoid showering or taking baths until seen by the primary health care provider in 1 week."

21.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

22.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

23.The patient’s病人 health failed to such an extent that he was put into ________ care. 选项： A:

tense

B:

rigid

C:

intensive

D:

tight