Question: A nurse is caring for a client whose family member requests to view the client’s medical record. Which response should the nurse make?

Answer Choices:
– “The health care provider will share this information with you”
\n- “The ethics committee will need to approve this request for you”
\n- “I will ask the nursing supervisor to obtain the medical records for you”
\n- “The client must provide permission to share the records with you”

Answer: “The client must provide permission to share the records with you”
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\nQuestion 81 [There appears to be a gap – this question wasn’t shown in our conversation]

 

Question: A nurse in a provider’s office is assessing a client who has rheumatoid arthritis (RA). Which of the following findings is a late manifestation of this condition?

Answer Choices:
– Low-grade fever
\n- Weight loss
\n- Anorexia
\n- Knuckle deformity

Answer: Knuckle deformity

 

Question: A nurse is preparing a community health program for adults at risk for cardiovascular disease. Which of the following should the nurse include as a modifiable risk factor?

Answer Choices:
– Diagnosis of diabetes mellitus
\n- Cigarette smoking
\n- Increasing age
\n- Family history of cardiac disease

Answer: Cigarette smoking

 

Question: A charge nurse is teaching about the antagonist action of medications. Which antagonist medication is used for benzodiazepines?

Answer Choices:
– Naloxone
\n- Diphenhydramine
\n- Flumazenil
\n- Protamine

Answer: Flumazenil

 

Question: A nurse is caring for a client who is scheduled to have surgery. In preparing the client for surgery, which of the following actions is considered outside the nurse’s responsibilities?

Answer Choices:
– Reviewing preoperative laboratory test results
\n- Explaining the operative procedure, risks, and benefits
\n- Ensuring that a signed surgical consent form was completed
\n- Assessing the current health status of the client

Answer: Explaining the operative procedure, risks, and benefits

 

Question: A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?

Answer Choices:
– Generalized urticaria
\n- Bilateral flank pain
\n- Distended jugular veins
\n- Blood pressure 184/92 mm Hg

Answer: Generalized urticaria

 

Question: A nurse is caring for a client who experienced a cesarean birth due to dysfunctional labor. The client states that she is disappointed that she did not have natural childbirth. Which response should the nurse make?

Answer Choices:
– “At least you know you have a healthy baby”
\n- “Maybe next time you can have a vaginal delivery”
\n- “It sounds like you are feeling sad that things didn’t go as planned”
\n- “You can resume sexual relations sooner than if you had delivered vaginally”

Answer: “It sounds like you are feeling sad that things didn’t go as planned”

 

Question: A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations?

Answer Choices:
– Frequent mood changes
\n- Sensitivity to cold
\n- Weight gain of 4.5 kg in 3 weeks
\n- Constipation

Answer: Frequent mood changes

 

Question: A nurse is preparing to administer fluconazole 400 mg by intermittent IV bolus daily. Available is fluconazole 400 mg in 0.9% sodium chloride (NaCl) 200 mL to infuse over 2 hr. The nurse should set the IV pump to deliver how many mL/hr?

Answer Choices:
[Math calculation]

Answer: 100 mL/hr

 

Question: A nurse is planning care for a client who has a halo fixation device. Which of the following actions should the nurse include in the plan of care?

Answer Choices:
– Remove the vest daily to inspect the client’s skin integrity
\n- Check that the halo jacket is snug against the client’s skin
\n- Monitor the client for an elevated temperature
\n- Provide range of motion to the client’s neck

Answer: Monitor the client for an elevated temperature

 

Question: A nurse is caring for a toddler who is 24 hr postoperative following a cleft palate repair. Which of the following actions should the nurse take?

Answer Choices:
– Offer fluids through a straw
\n- Apply bilateral wrist restraints
\n- Administer opioids for pain
\n- Implement a soft diet

Answer: Apply bilateral wrist restraints

 

Question: A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?

Answer Choices:
– Polyphagia
\n- Hyperglycemia
\n- Bradycardia
\n- Dehydration

Answer: Dehydration

 

Question: A nurse is performing a fall risk assessment on a client. Which of the following findings indicates that the client is at increased risk for falls? (Select all that apply)

Answer Choices:
– Parkinson’s disease
\n- WBC count
\n- Orthostatic blood pressure
\n- Potassium level on day 2
\n- Temperature
\n- Furosemide

Answer: – Parkinson’s disease
\n- Orthostatic blood pressure
\n- Potassium level on day 2
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\n1. Individual Problems 5-1