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REMAR NURSE ASSESSMENT QUESTIONS & ANSWERS RATED 100% CORRECT!!, Exams of Advanced Education

Widener University - DelawareAdvanced Education

The home health nurse is visiting an 18-year-old with osteogenesis imperfecta which information obtained want to visit will cost the most concerned A. Like to play foot ball B. Drink carbonated soda C. Has 2 sisters - CORRECT ANSWER-Like to play football

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REMAR NURSE ASSESSMENT
The home health nurse is visiting an 18-year-old with osteogenesis imperfecta which
information obtained want to visit will cost the most concerned
A. Like to play foot ball
B. Drink carbonated soda
C. Has 2 sisters - CORRECT ANSWER-Like to play football
The physician had ordered 80mg of Furosemide (Lasix) two times per day the nurses
notes that the client potassium level is 2.5meq/L the nurse should
A. Administer furosemide
B. Offer potassium rich food
C. Withhold drug and call the dr - CORRECT ANSWER-Withhold the drug and call dr
The nurse is caring for the client following a thyroidectomy when suddenly the client
becomes non-responsive pale and BP is 60 systolic the nurse initial action should be to
do what
A. Lower HOB
B. Increase infusion normal saline
C. Administer Atropine IV - CORRECT ANSWER-Increase the infusion of normal saline
A nurse is caring for a client with iron deficiency anemia the nurse you recommend
which of the following foods to increase iron
A. Organ meats
B. Dairy
C. Whole grain
D. Citrus fruits - CORRECT ANSWER-Organ meats
A nurse is caring for a client prescribed a nasal decongestant spray which statement is
most important for the nurse to include
A. Avoid fluid 6 hrs after med given
B. Avoid eat & drink 30 mins after med given
C. Avoid eating for 1 hr after med given - CORRECT ANSWER-Avoid eat /drink 30 mins
after medication administered
The nurse is caring for an obsterical client in early labor after rupture of membranes the
nurse should give priority to
A. Apply internal monitor
B. Monitor fetal heart rate
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Download REMAR NURSE ASSESSMENT QUESTIONS & ANSWERS RATED 100% CORRECT!! and more Exams Advanced Education in PDF only on Docsity!

REMAR NURSE ASSESSMENT

The home health nurse is visiting an 18-year-old with osteogenesis imperfecta which information obtained want to visit will cost the most concerned A. Like to play foot ball B. Drink carbonated soda C. Has 2 sisters - CORRECT ANSWER-Like to play football The physician had ordered 80mg of Furosemide (Lasix) two times per day the nurses notes that the client potassium level is 2.5meq/L the nurse should A. Administer furosemide B. Offer potassium rich food C. Withhold drug and call the dr - CORRECT ANSWER-Withhold the drug and call dr The nurse is caring for the client following a thyroidectomy when suddenly the client becomes non-responsive pale and BP is 60 systolic the nurse initial action should be to do what A. Lower HOB B. Increase infusion normal saline C. Administer Atropine IV - CORRECT ANSWER-Increase the infusion of normal saline A nurse is caring for a client with iron deficiency anemia the nurse you recommend which of the following foods to increase iron A. Organ meats B. Dairy C. Whole grain D. Citrus fruits - CORRECT ANSWER-Organ meats A nurse is caring for a client prescribed a nasal decongestant spray which statement is most important for the nurse to include A. Avoid fluid 6 hrs after med given B. Avoid eat & drink 30 mins after med given C. Avoid eating for 1 hr after med given - CORRECT ANSWER-Avoid eat /drink 30 mins after medication administered The nurse is caring for an obsterical client in early labor after rupture of membranes the nurse should give priority to A. Apply internal monitor B. Monitor fetal heart rate

C. Insert foley D. Assist with epidural anesthesia - CORRECT ANSWER-Monitor fetal HR A client with bipolar disorder is a discharge with a prescription for valproic acid the nurse should remind the client of the need for A. Frequent dental visits B. Frequent lab work C. Additional fluids - CORRECT ANSWER-Frequent lab work Which of the following medications can be safely administered during pregnancy A. Dancrine B. Methotrexate C. Levothyroxine - CORRECT ANSWER-Levithyroxine A nurse is caring for a laboring client who is receiving epidural anesthesia which position is contra indicated for the client A. Supine B. Semi fowler C. Rt side lying - CORRECT ANSWER-Supine The parents of a teenager with hemophilia are concerned about high school sports which physical activity sure the nurse suggest A. Baseball B. Football C. Swimming D. Chess - CORRECT ANSWER-Swimming A client has recently received a kidney transplant and the health care provider has prescribe mycophenolate. The nurse should expect to administer this medication art which of the following A. 10 days after transplant B. 72 hours after transplant C. 2weeks after transplant - CORRECT ANSWER-Within 72 hours after transplant A 7yr old client with hyperthyroidism is admitted to the pediatric unit what clinical findings should the nurse expect A. Bradycardia B. Exophthalmos C. Cold intolerance - CORRECT ANSWER-Exophthalmos

A. Glucometer reading B. Sodium and potassium intake C. Daily weights - CORRECT ANSWER-Glucometer reading as ordered They charge nurse on a medical step down unit is making shift assignments which client is most appropriate to assign to a new graduate nurse A. Sickle cell client being discharged B. Client reporting abdomen pain C. Client with AD and confuse - CORRECT ANSWER-A client with Alzheimer's disease who is confused Which client assessment is most appropriate for a new graduate nurse A. Client with leg amputee B. Client just coming back from surgery C. Client receiving IV fluids to stabilize BP - CORRECT ANSWER-A client who returned from a leg amputee A nurse is working on a MedSurg unit which client sure the nurse report to first A. Fall risk client requesting bathroom B. Client receiving blood transfusion C. Client thats blind need to use bathroom - CORRECT ANSWER-Fall risk client requesting bathroom Answer: blood transfusion Rationale: look for risk A client with diverticulitis is admitted with nausea vomiting and dehydration which findings suggest a complication of diverticulitis A. Abdomenal pain B. Boardlike abdomen C. Nuchal rigidity - CORRECT ANSWER-Boardlike abdomen The physician has prescribed tacrine for a client with dementia the nurse should monitor the client for adverse reactions which include A. Hypoglycemia B. Jaundice C. Urinary retention D. Tinnitus - CORRECT ANSWER-Jaundice Rationale: reversible cholinesterase inhibitor that treat mild to moderate dementia. Adverse reaction is drug induce hepatitis. Nurse monitor signs of jaundice.

Which of the following statements is made by client taken nicardipine will require a follow up teaching A. Take medication as schedule B. Report edema last longer than 3 days C. Report episodes of angina - CORRECT ANSWER-Reporting edema if last longer than 3 days The nurse anticipates a positive initropic effect after administering which of the following medications? A. Atropine sulfate B. Digoxin C. Verapamil - CORRECT ANSWER-Digoxin Which of the following client reactions indicate a complication of the seventh cranial nerve A. Unable to determine sensations of the face B. unable to hear C. unable to raise shoulders - CORRECT ANSWER-Unable to determine sensations of the face And adolescent client was cystic acne has a prescription for ISOTRETOIN which lab work is needed before beginning the medication A CBC B. Liver profile C. Thyroid function test - CORRECT ANSWER-Liver profile Rationale: Isotretinoin is

  • made from Vitamin A
  • Fat soluble
  • hepatoxic (liver profile needed) A client is transferred from surgery to the post anesthesia care unit after surgery the nurse working in the PACU should monitor the vital signs of a client at least A. 5mins B. 10 mins C. 15 mins - CORRECT ANSWER-15 mins A client with diabetes mellitus type has been prescribed glipizide. The nurse understands the intended purpose of the medication is A. To treat just gestational diabetes B. To treat Type2 diabetes mellitus C. To decrease the release of insulin from the pancreatic islet cell - CORRECT ANSWER-Treat Type 2 diabetes A client is placed on gentamicin sulfate which of the following assessments perimeters is an expected potential serious adverse toxic effects of this pharmacological agent

C. Paraesthesia of the fingers - CORRECT ANSWER-Paraesthesia of the fingers A client has been diagnosed with placenta previa and is admitted w/ painless vaginal bleeding. Which of the following procedures is used to diagnose placenta previa A. Amniocentesis B. Pap Smear C. Ultrasound D. External fetal monitoring - CORRECT ANSWER-Ultrasound The nurse is orienting a new nurse to the cardiac step down unit the new nurse reports that there are too many tasks to do and is overwhelming which response is best by the nurse A. Attempt to pass meds first B. Delegate to ancillary staff C. Prioritize - CORRECT ANSWER- A client is admitted reporting chest pain which of the following medication orders should the nurse question A. Ampicillin B. Nitroglycerin C. Propranolol D. Verapamil - CORRECT ANSWER-Ampicillin A registered nurse a practical nurse and a UAP are on the medical unit there are four clients which of the following is correct clinical judgment Rm 100 - client request bedpan Rm 101 - pt with BS 389 Rm 102 - pt dx w/ intestinal bleed Rm 103 - pt request to get dress A. Send UAP 100 & RN to 102 B. PN to 103 & RN 101 C. UAP to 103 & RN to 102 D. PN to 102 & RN to 101 - CORRECT ANSWER-D The client is scheduled to have an IV cholangiogram before the procedure the nurse should assess the client for which allergy A. Shellfish B. Gallbladder disease C. Egg allergy - CORRECT ANSWER-Shellfish The nurse is caring for a client receiving chemotherapy the current platelet count is 9000 based on this laboratory findings which of the following is the priority nurse in action A. Determine neuro status B. Determine bowel sounds

C. Determine if client is dehydrated - CORRECT ANSWER-Determine neuro status A diagnose a multiple sclerosis is often delayed because of the various symptoms experience by those affected by the disease which symptom is most common in those with multiple sclerosis A. Resting tremors B. Double vision C. Flaccid paralysis - CORRECT ANSWER-Double vision A client with psychotic depression is receiving haloperidol which one of the following adverse effect our associate it with the use of haloperidol all all A. Akathisia B. Cataracts C. Polyuria - CORRECT ANSWER-Akathisia A client with pancreatitis has been transferred to the ICU which order with the nurse anticipate A. BP q15mins B. Insertion of Levine Tube C. Cardiac monitoring - CORRECT ANSWER-Insertion of Levine Tube Rationale: Pancreatitis

  • n/v
  • Lavage depress stomach to rest bowel A client presents to the ED with shortness of breath and Wolf Parkinson White Syndrome. adenosine Is to be administered the most important equipment for the nurse to obtain before administering the medication is which of the following A. Cardiac monitor B. Endotracheal tube C. IV infusion pump - CORRECT ANSWER-Cardiac monitor Which of the following diet Instructions should be given to the client with recurring UTI A. Avoid citrus fruits B. Drink cranberry juice C. Increase meats - CORRECT ANSWER-Cranberry juice The nurse notes variable decelerations on the fetal monitor strip the most appropriate initial action will be to A. Call dr B. Reposition client C. Readjust monitor - CORRECT ANSWER-Reposition client Which observation with a nurse expect to make after an amniotomy A. Yellow fluid

C. 10ml - CORRECT ANSWER-11.5g The nurse is completing an assessment history of a client with pernicious anemia which clinical finding differentiate pernicious anemia from other types of anemia A. Dyspnea B. Numbness and tingling C. Lightheaded - CORRECT ANSWER-Numbness and tingling A home health nurse is making preparations for morning visits which one of the following client should the nurse visit first A. Stroke on tube feedings B. CHF reporting dyspnea C. Blood clot dx 6wk ago - CORRECT ANSWER-CHF reporting of dyspnea at night A client newly diagnosed with diabetes started on acarbose. The nurse should tell the client that the medication should be taken when A. With first bite of a meal B. 30 mins after meal C. 1 hr before meal - CORRECT ANSWER-With first bite of a meal A client is receiving phenazopuridine hydrochloride for a UTI. The client should be taught that the medication may A. Cause Diarrhea B. Change urine color C. Change taste - CORRECT ANSWER-Change urine color The nurse is preparing a claim for cervical uterine radiation implant insertion which will be included in the teaching plan A. Foley catheter inserted B. High fiber diet C. Excretions will be radioactive - CORRECT ANSWER-Foley catheter inserted The healthcare provider has ordered a blood test for H pylori the nurse should prepare the client by A. Withholding oral intake B. No special preparations needed C. Small doses of radioactive isotope will be used - CORRECT ANSWER-No special preparations needed H. Pylori is a germ that lives in your stomach (digestive tract) Can be xfer from feces to mouth from unwashed hands A nurse is caring for a 10-year-old boy who weighs 85 pounds with a fractured left femur the client is admitted to the hospital and place in Bryants traction. The nurse understands this type of traction is which A. Intermittent skin B. Continuous skin

C. Continuous skeletal - CORRECT ANSWER-Continuous skin Rationale: Bryant traction is for children with fractures of hip. Both limbs are in the air at 90 degree angle. Its not to be moved and its attached to the skin Which of the following clients is most appropriate to delegate to the UAP A. Pt with hourly blood glucose B. 24 hour urine specimen C. Pt request bathroom after oral enema - CORRECT ANSWER-Pt request bathroom after oral enema A client who has acute alcohol poisoning arrives to the ED which action should the nurse implement first A. Assess urinary output B. Implement aspiration precautions C. Serum alcohol level - CORRECT ANSWER-Implement aspiration precautions A nurse is preparing to remove a nasalgastric tube which is the best instruction to give the client A. Take deep breath and hold B. Breath normal C. Lean forward - CORRECT ANSWER-Take deep breath and hold A client arrives to the emergency room with a possible fracture femur the nurse should anticipate an order for A. Bucks traction B. Abduction pillow C. Trendelenburg position - CORRECT ANSWER-Bucks traction A client diagnosed with acute diarrhea and unrelieved gas reports to the medical surgical unit the client informs the healthcare provider of an allergy to aspirin which of the following medications are safe for the client to take A. Loperamide B. Simethicone C. Bismuth salicylate D. Oral rehydration solution E. Dilhenoxylare hydrochloride - CORRECT ANSWER-Simethicone Oral rehydration solution Loperamide Dilhenoxylare hydrochloride Hint: S O L D The nurse is caring for a client at the motor vehicle accident the client has a fractured tibia and bone is noted protruding through the skin which action is of priority A. Provide manual traction above and below the leg B. Place the patient and prone position

The nursing management of Raynauds disease takes highest priority A. Provide rest periods B. Provide opioid for pain C. Keep hands and feet warm - CORRECT ANSWER-Keep hands and feet warm A 6year-old client is brought to the community clinic for varicella vaccine which question is the most important to I asked the mother before the administration of the vaccine A. Allergic to penicillin B. Allergic to milk C. Recent blood products given - CORRECT ANSWER-Recent blood products given A vagina exam reveals a foot-long breech presentation the nurse should take which of the following actions at the time A. Caesarean section B. Apply an internal fetal monitor C. Place a client in genu pectoral position - CORRECT ANSWER-Apply in internal fetal monitor The RN Is working with a PN and a UAP. To distribute client care which is the most appropriate assignment for the RN to delegate A. UAP crutches and PN administer oral med B. UAP brush dentures PN complete discharge paperwork C. UAP apply prescribed powder during bath PN interpret v/s - CORRECT ANSWER- UAP crutches PN administer oral medications A pregnant client 32 years old ask the nurse why her doctor recommend a serum alpha- fetoprotein the nurse should explain that the doctor has recommended the test A. Detect neurological defects B. Detect cardiovascular defects C. Her age - CORRECT ANSWER-Detect neurological defects A nurse is providing instruction on cardiac health practices which of the following clinical findings of the client indicates a risk for stroke A. BP 172/ B. Total serum cholesterol C. Increased fiber D. 15 lbs overweight E. Smokes 8 cigarettes a day - CORRECT ANSWER-BP 172/9115 pounds overweight smoke eight cigarettes a day A client on a mechanical ventilator begins to fight the ventilator which medication will be ordered for the client A. Sublimaze (fetanyl) B. Pavulon (pancuromium bromide) C. Atarax (hydroxyzine) - CORRECT ANSWER-Pavulon (pancuromium bromide)

  • paralyzes the skeletal muscles

A husband isn't satisfied with his wife's care and an assisted living facility that has been states he is moving his wife out and going to sue the nursing staff he begins to yell and pack his wife belongings which is the best action by the nurse A. Notify the facility security staff B. notify the doctor to speak with the husband C. talk to the husband to ask questions about the wife care from his perspective - CORRECT ANSWER-Talk to the husband to ask questions about the wife care from his perspective Which of the following is a characteristic of ominous periodic change in the fetal heart rate A. Fetal heart rate of 120 to 130 bpm B. Baseline their ability of 6 the 19 bpm C. A recurrence rate of 90 to 100 bpm at the end of the contraction - CORRECT ANSWER-A recurrence rate of 90 to 100 bpm at the end of the contraction A client with schizophrenia and multiple personalities has suddenly change his behavior and voice tone which is the most therapeutic response by the nurse A. You are very sweet at this age but I want to explore your older self B. I have noticed a change can you tell me what is happening C. changing your behavior is not helpful to your condition let's talk more - CORRECT ANSWER-I have noticed a change can you tell me what is happening The nurse is caring for a client with epilepsy who is being treated with carbamazepine. Which laboratory value might indicate a serious side effects of this drug A. Uric acid of 5 mg B. Hematocrit of 33% C. WBC count 2000 - CORRECT ANSWER-WBC What is epilepsy - CORRECT ANSWER-A central nervous system neurological disorder in which the brain activity becomes abnormal causing seizures or periods of unusual behavior sensations and sometimes loss of awareness Carbamazepine is used to prevent and control seizures A client who regularly abuse cocaine has just delivered vaginally a 4 pound female which of the following are expected clinical findings in the neonate select all that apply A respiratory depression B. persistent peripheral cyanosis C. irritability D. tachycardia E jitteriness F Small has a conference - CORRECT ANSWER-C.irritability D. tachycardia E jitteriness F Small has a conference

C. Methylgonovine - CORRECT ANSWER-Promethazine Magnesium sulfate is used for A. Preeclampsia B. Heart burn C. Cough - CORRECT ANSWER-Preeclampsia The nurse is caring for a client after the removal of an endotracheal tube which of the following is the priority clinical findings that needs to be reported A. Pink tinged sputum B. Stridor C. Basilar crackles - CORRECT ANSWER-Stridor A client has ataxia following a cerebral vascular accident the nurse should A. Supervise the claims ambulation B. Measure the clients intake and output C. Provide the client with a magic slate - CORRECT ANSWER-Supervise the clients ambulation A client with hypothyroidism frequently complains of feeling called the nurse to tell the client that she will be more comfortable if she A. Use electric blanket at night B. Dresses in extra layers of clothing C. Apply as a heating pad to her feet - CORRECT ANSWER-Dresses in extra layers of clothing The nurse cares for a client admitted to the hospital due to confusion the client has a non-metastasized lung mass and a diagnosis of SIADH Syndrome of inappropriate anti- diuretic hormone which actions should the nurse expect to implement select all that apply A. Flush bolus NS B. Fluid restriction C. Salt restriction D. Seizure E. Strict fluid I/O - CORRECT ANSWER-Fluid restriction, Seizure and strict I/O What is SIADH? - CORRECT ANSWER-Endocrine condition which leads to Water retention, dilutional hyponatremia. Hyponatremia cause confusion, seizure. SIADH TREATMENT Restrict fluid Salt tablets Vasopressin Hypertonic solution