1.The nurse is performing passive range of-motion (ROM) exercises on the extremities of an adult client who is unable to move independently. The nurse should plan to exercise each joint until.
Pain is felt.
The joint moves freely.
Slight resistance is felt.
The joint is fully extended and flexed.
2.The nurse is assessing a newborn at 1 minute after birth and observes the skin condition shown below. The nurse should understand that the
Skin condition is caused by hypoglycemia in the newborn.
Newborn should be placed in an incubator.
Newborn requires oxygen therapy.
Skin condition is expected in the newborn.
3. The nurse is documenting client care for a client who has scabies . Which of the following would be an example of correct documentation to include in the client’s medical record?
Small, flat macules noted on the client’s lower back.
Client presents with small red burrows and vesicles.
Client presents with open and closed comedones and pustules.
Scaly, erythematous patches with silvery scales noted on the client’s lower back.
4. The nurse is screening for clients who are at increased risk for developing sexually transmitted infections (STIs). Which of the following questions would be most important for the nurse to ask when screening sexually active clients?
Do you use a method of birth control?
How many sexual partners have you had in the past year?
At what age did you become sexually active?
Have you ever had an STI?
5. The nurse has taught the parents of a 2 day old newborn who has the skin condition shown below. Which of the following statements by the parent would indicate a correct understanding of the teaching?
There are most likely more of these on my newborn’s internal organs.
I know that this may continue to get larger until my newborn is 1 year old.
My newborn will need to have immediate surgery in order to remove this.
This is a result of an injury that my newborn suffered during the birth.
6. The nurse on a psychiatric unit is alone at the nurses’ station when the following 4 clients simultaneously request assistance. Which one would be a priority for the nurse to assist?
A client who reports having racing thoughts about calling a travel agency to arrange a cruise for everyone to the unit.
A client who reports hearing voices that say the staff is planning to put poison in his medicine.
A client who complains of feeling shaky, sweaty, and as if bugs are crawling on her skin.
A client who complains of feeling anxious and restless and having an upset stomach .
6. The nurse is teaching a client who is prescribed for a paracentesis in 6 hours. Which of the following information should the nurse include? Select all that apply
You should maintain a supine position for the procedure.
Your weight will be obtained before and after the procedure.
You will be transported to the radiology department for the procedure.
Your bladder will need to be emptied prior to the procedure.
You will need to avoid eating or drinking for 2 hours prior to the procedure.
1) The correct option is C) Slight resistance is felt .
The nurse assisting the inactive client with range-of-motion exercises should assist in moving each joint until there is resistance but no pain so that each joint is exercised to its point of limitation.
2) The correct option is B) Newborn should be placed in an incubator.
Phototherapy transforms the bilirubin in the baby's skin into a less harmful chemical. The baby may be undressed and placed in a warm incubator under blue lights
3) The correct option is B) Client presents with small red burrows and vesicles.
The clinical manifestation of scabies is red burrows and vesicles inbetween the fingers.
4) The correct option is B)
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