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NR 509-EXAM 2021 1) A nurse who works in the nursery is attending the vaginal delivery of a term infant. What action should the nurse complete prior to leaving the delivery room? 2) An adult mal... e who fell from a roof and fractured his left femur is admitted for surgical stabilization after having a sot cast applied in the emergency department. Which assessment finding warrants immediate intervention by the nurse? 3) A client with delusions tells the nurse, “You aren’t doing your job. Go get those people over there and shoot them before they get me.” Which statement is the nurse’s best response? 4) The nurse is preparing a teaching plan for a hospitalized client who was recently diagnosed with type 2 diabetes mellitus (DM). Which self-care teaching topics should the nurse provide prior to discharge? (SATA) 5) A client with chronic alcoholism is admitted with a decreased serum magnesium level. Which snack option should the nurse recommend to the client? 6) The nurse plans to collect a 24-hour urine specimen for a creatinine clearance test. Which instruction should the nurse provide to the adult male client? 7) A male client with severe anxiety becomes diaphoretic and complains of chest pain, what intervention should the nurse implement first? 8) The healthcare provider prescribes methylergonovine maleate for a postpartum client with uterine atony. What finding should indicate to the nurse to the nurse to withhold the next dose of the medication? 9) A client in the intensive care unit is being mechanically ventilated, has an indwelling urinary catheter in place, and is exhibiting signs of restlessness. Which action should the nurse take first? 10) A client is admitted for exacerbation of heart failure (HF) and is being treated with diuretics for fluid volume excess. In planning nursing care, which intervention should the nurse include? (SATA) 11) When assessing a client, the nurse should establish which findings as objective? (SATA) 12) At 1615 prior to ambulating a postoperative client for the first time, the nurse reviews the client’s medical record. Based on the data contained in the record, what action should the nurse take before assisting the client with ambulation? 13) A male client who is diagnosed with an evolving myocardial infarction (MI) insists on getting out of bed to use the bathroom to void. Which action should the nurse take? 14) After 5 days if high fever, chills, headache, and muscle aches, an adult women is diagnosed with severe acute respiratory syndrome (SARS). She is admitted to the hospital and placed a negative pressure isolation room. Which assessment finding should the nurse obtain? 15) A male client with HIV, who is receiving saquinavir PO in combination with other antiretroviral therapy, tells the home health nurse that he is always hungry and thirsty but seems to be losing weight. What action should the nurse implement? 16) The nurse is caring for a 17-year-old male who fell 20 feet 5 months ago while climbing the side of a cliff and sustained vegetative state since the accident. Which intervention should the nurse implement? 17) The nurse who works in labor and delivery is reassigned to the cardiac care unit for delivery?? Which assignment is best for the charge nurse to give this nurse? 18) A client is being treated for syndrome of SIADH…weight gain 4.4 lbs (2 kg) in 24 hours and an elevated pulse rate. Which intervention should nurse perform? 19) The home health nurse is preparing to make daily visits to a group of clients. Which client should nurse see first? 20) The nurse is planning to assist a client with pneumonia from the bed to a chair for the first time after……nurse determines that the client’s ability to help during the transfer is limited. What is the priority? 21) A client is receiving ophthalmic drops preoperatively for a cataract extraction and asks the nurse why prescribed all these medications. Which information should the nurse include when responding to this client? (SATA) 22) The nurse is assessing a 3-month-old infant who had pylorotomy yesterday. This child…which finding? (SATA) 23) The nurse is developing a plan of care for a middle-aged women who is dignosed with type 2…..blood glucose and increase her serum high-density lipoprotein (HDL) levels, which instruction should the nurse provide? 24) Following a gunshot wound, an adult male has a hemoglobin level of 4 grams/dl a unit of blood for an emergency transfusion. The client is Type AB negative and the blood bank.....negative, reporting that there is no Type AB negative blood currently available. Which intervention? 25) An older client is admitted for repair of a broken hip. To reduce the risk for infection in the post-operative period?? Care interventions should the nurse included in the client’s plan of care? (SATA) 26) A client is admitted with metastatic carcinoma of the liver, ascites, and bilateral 4+ pitting edema......the client complains that antiembolic stockings are too constricting,which intervention should the .... 27) The nurse administers an antibiotic to a client with a respiratory tract infection. To evaluate the......laboratory values should the nurse monitor? (SATA) 28) The nurse is providing supplemental oxygen to a client who is experiencing a cluster headache. ....the oxygen therapy, what assessment is most important for the nurse to make? 29) Which intervention should the nurse include in the preoperative preparation of a client who is scheduled for surgery? 31) A client arrives in the emergency center with a blood alcohol level of 500mg/dl..........client becomes demanding, aggressive, and shouts at the staff.....Which assessment finding.....identify in the first 24 hours? 32) The nurse had completed the diet teaching of a male client who is being discharged following treatment.....protein diet is encouraged to promote wound healing. Which lunch choice? 33) While conducting a mental state exam, the nurse asks the client to implement the......exercise provides a measure of which parameter? 34) Which intervention should the nurse implement when beginning a physical assessment of a 6 month old.......? 35) The urinary drainage of a client with a continuous bladder irrigation is becoming increasingly red..............What should nurse implement? 36) The client who is receiving aminoglycoside for an infection appears dizzy when ambulating. What should the nurse review? 37) An elderly male client is admitted to the urology unit with acute renal failure due to a post renal obstruction.........the nurse in obtaining relevant historical data? 38) (MATH!!!!!!) A client with chronic kidney disease receives a prescription for darbepoetin alfa 40 mcg subcutaneously, darbepoetin alfa is labeled, “60 mcg/ml.” How many ml should the nurse administer? 39) An adolescent, whose mother recently died, comes to the school nurse complaining of a...........student should warrant further exploration by the nurse? 40) A client presents in the emergency room with right-sided facial asymmetry. The nurse.......movements that require use of the facial muscles. What symptoms suggest that the client bells palsy rather than a stroke? 41) A client with a new diagnosis of Raynaud’s disease lives alone. Which instruction..........teaching plan? 42) ....adult female asks about getting Herpes Vaccination...How should nurse respond? 43) Oxygen at 5 L/minute per nasal cannula is being administered to a 10-year-old with........what principle of oxygen administration should the nurse consider? 44) While changing a client’s postoperative dressing, the nurse observes a red and swollen and green drainage and a foul odor. Given there is a positive methicillin-resistant stap......What is an important action for the nurse to take? 45) Which assessment is most important for the nurse to include in the daily plan of.... 46) Older client id admitted to the intensive care unit unconscious after several days of............urinary catheter and obtains a scant amount of dark amber output. Which intervention...........??? 47) A young adult female with chronic kidney disease (CKD) .........peripheral edema......complaining of severe nausea.......premature ventricular contractions.....Her blood pressure 200/110 mm....What should the nurse do first? 48) A client complains of shortness of breath and abdominal pain 1 week after bariatric evaluation. Which assessment finding warrents immediate intervention by the nurse? 49) Charge nurse observes that a primary nurse has administered 10 units of regular insulin......450 mg/dl (24.75 mmol/L SI). What action should the charge nurse take? 50) The nurse is preparing to gavage feed a premature infant through an orogastric tube..........heart rate drops to 60 beats/minute. Which action should the nurse take? 51) The nurse notes a visible prolapse of the umbilical cord after a client experiences spontaneous labor. What intervention should the nurse implement immediately? -RANDOM ANSWERS- [Show More]

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