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A client has just been released from the hospital. The client is no longer on neutropenic precautions. What is the normal range for Platelet Count? - CORRECT ANSWER - 150,000-450,000 It is within a Licensed Practical Nurse scope of practice to insert a rectal tube. - CORRECT ANSWER - FALSE
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A client has just been released from the hospital. The client is no longer on neutropenic precautions. What is the normal range for Platelet Count? - CORRECT ANSWER - 150,000-450, It is within a Licensed Practical Nurse scope of practice to insert a rectal tube. - CORRECT ANSWER - FALSE It is within the Registered Nurse scope of practice to perform a needle thoracostomy emergently to relieve tension pneumothorax. - CORRECT ANSWER - FALSE It is within the Registered Nurse scope of practice to flush an epidural line on a pregnant client. - CORRECT ANSWER - FALSE What is the normal range for Prothrombin Time (PT)? - CORRECT ANSWER - 9.5-13. It is in the Practical Nurse scope of practice to operate a cough assist machine. - CORRECT ANSWER - FALSE Who is most appropriate to administer Ketamine for pain control? - CORRECT ANSWER - Anesthesiologist What is the normal range for creatinine? - CORRECT ANSWER - 0.5-1.2 mg/dL It is within the registered nurse scope of practice to administer narcotics via an epidural line for a postpartum client. - CORRECT ANSWER - FALSE It is within the Registered Nurse scope of practice to pronounce death. - CORRECT ANSWER - TRUE It is within the Registered Nurse scope of practice to dispense emergency contraception in absence of a pharmacist on site and without a provider's request. - CORRECT ANSWER - FALSE It is within the Practical Nurse scope of practice to empty a supra-pubic catheter when it is clamped off and not attached to a drainage bag. - CORRECT ANSWER - FALSE What is the normal range for hematocrit in women? - CORRECT ANSWER - 37 - 48% What is the normal range for Partial Thromboplastin Time (PTT)? - CORRECT ANSWER - 25 - 35 seconds
The nurse is caring for a client with bipolar disorder who has lithium prescribed. The nurse should suggest that the client have which of the following snacks? - CORRECT ANSWER - Tomatoes and saltine crackers It is within the scope of practice for a Practical Nurse to perform a heel stick on a newborn. - CORRECT ANSWER - TRUE The nurse is caring for an African American client. She suspects an impaired respiratory status. Because of this client's dark skin, the nurse should assess for cyanosis by inspecting the: - CORRECT ANSWER - mucous membranes Which lobe of the brain is utilized in making decisions? - CORRECT ANSWER - FRONTAL Which part of the brain enables you to tell whether things are warm or cold to the touch? - CORRECT ANSWER - PARIETAL A health care provider is conducting a community education class on stroke prevention. The teaching plan for this class will include which of these instructions? - CORRECT ANSWER - "It is important to maintain a healthy weight and to control your blood pressure." A client with chronic asthma is prescribed theophylline. The nurse knows that the therapeutic theophylline concentration falls within which range? - CORRECT ANSWER - 10 to 20 mcg/ml When determining the effectiveness of oxygen therapy, which arterial blood gas value is most important? - CORRECT ANSWER - Partial pressure of arterial oxygen A nurse is caring for a 9 years old client diagnosed with cystic fibrosis. The client is ordered to have chest physiotherapy. When should the nurse perform this procedure? - CORRECT ANSWER - At least 2 hours after a meal. Which of the following is contraindicated for a client with seizure precautions? - CORRECT ANSWER - Assessing oral temperature with a glass thermometer. A client who is regaining consciousness after a craniotomy becomes restless and attempts to pull out her IV line. Which nursing intervention protects the client without increasing her ICP? - CORRECT ANSWER - Wrap her hands in soft "mitten" restraints. A nurse is caring for a client with chronic obstructive pulmonary disease, which nursing intervention would help maintain a patent airway? - CORRECT ANSWER - Encouraging coughing and deep breathing. A new nurse is caring for a client who presents to the emergency room complaining of a chronic illness. The client states "I have to clear my throat of a lot of mucus first thing in the morning." The client also has bluish colored nail beds. The nurse notes an 8 pound weight loss and an arterial blood gas that indicates respiratory acidosis. The nurse should expect which of the following? - CORRECT ANSWER - Chronic obstructive pulmonary disease
In working with individuals from diverse cultural backgrounds, the nurse attempts to anticipate their particular nutritional needs. For a client who is an Orthodox Jew and maintains a kosher diet, the nurse will make sure that the following is not included in the menu: - CORRECT ANSWER - PORK A client has just returned from a bronchoscopy and an emergency biopsy. The nurse is aware which of the following signs should be reported immediately to the physician? - CORRECT ANSWER - Laryngeal stride A nurse is reporting for duty. She has just received report on four clients. Which should she see first? - CORRECT ANSWER - A patient on a morphine While assessing a client newly diagnosed with rheumatoid arthritis, the nurse should focus the assessment on the severity of: - CORRECT ANSWER - Stiffness of joints when waking up in the morning Which of the following is true about toddler play? - CORRECT ANSWER - They may imitate each other, but often do not interact A new nurse is working in the community clinic. To which comment by one of the clients during a discussion about glaucoma would the nurse give a supportive comment to reinforce correct information? - CORRECT ANSWER - "I will decrease my fiber intake to avoid getting constipated." Assessment of a 16-year-old nulligravida client who visits the clinic and asks for information on contraceptives reveals a menstrual cycle of 28 days. The nurse formulates a nursing diagnosis of Deficient Knowledge related to ovulation and fertility management. Which of the following would be important to include in the teaching plan for the client? - CORRECT ANSWER - Ovulation usually occurs on day 14, plus or minus 2 days, before the onset of the next menstrual cycle. A man scheduled for a vasectomy tells the nurse that he and his wife are involved in a monogamous relationship. Which statement by the nurse is best? - CORRECT ANSWER - It takes 2-4 weeks for the drug to reach its full effect. When developing a teaching plan for the parents of a neonate who is to receive phototherapy, which of the following instructions will be included? - CORRECT ANSWER - The child should be feed every 2-3 hours. A nurse is preparing a client for surgery. The nurse observes that the client is wearing a religious charm on a small ribbon around her left ankle. When asked, the client says that she would like it to stay instead of removing. The nurse's initial approach is to: - CORRECT ANSWER - Determine if the item may remain in place during the procedure What is the normal range for Potassium? - CORRECT ANSWER - 3.5-5.0 mEq/L
What is the normal range for Sodium? - CORRECT ANSWER - 135 - 145 mEq/L The nurse is caring for a male client with a chest tube. If the chest drainage system is accidentally disconnected, what should the nurse plan to do? - CORRECT ANSWER - Place the end of the chest tube in a container of sterile saline The amount of air inspired and expired with each breath is called - CORRECT ANSWER - tidal volume The nurse receives order to wean a patient who does not require mechanical ventilation. When weaning the client from the tracheostomy tube, the nurse initially should plug the opening in the tube for - CORRECT ANSWER - 5 - 20 minutes What is the most common complication of influenza? - CORRECT ANSWER - pneumonia Which of the following is the priority nursing diagnosis for a patient diagnosed with a spinal cord injury? - CORRECT ANSWER - Ineffective Airway Clearance A client has signs of increased intracranial pressure. Which of the following is an early indicator of deterioration in the client's condition? - CORRECT ANSWER - Decrease in level of consciousness Which diagnostic test would be used FIRST to evaluate a client with upper GI bleeding? - CORRECT ANSWER - Upper GI studies A client who has just lost an arm from a motor vehicle accident. The client was medicated for pain and tells the nurse. "I was so scared from the pain, I didn't think I was going to make it." Which is the best response by the nurse? - CORRECT ANSWER - I understand that pain can be a frightening experience. A nurse is caring for a 67 years old female prescribed allopurinol to treat gout. The main object of therapy is to: - CORRECT ANSWER - Decrease the production of uric acid What is the first stage of psychosocial development according to Erikson? - CORRECT ANSWER - trust vs mistrust A nurse has checked the residuals on her patient with a g-tube. The patient has severe delayed gastric emptying and decreased level of consciousness. Which position is most beneficial to this patient? - CORRECT ANSWER - Right side lying with head of bed elevated A client had a thoracotomy 4 hours ago. For the past 2 hours there has been 100 ml per hour of bloody chest drainage. Which of the following actions should the nurse take first? - CORRECT ANSWER - Call the physician Which of the following urine specific gravity values would indicate to the nurse that the patient is receiving excessive IV fluid therapy? - CORRECT ANSWER - 1.