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HomeQuiz Today
25
Created on By admin

Maternity Nursing

When assessing the newborn’s mouth, look for
the presence of thrush (Candida albicans), which
are white patchy areas on the tongue or gums that
cannot be removed with a washcloth; these may be
painful.

1 / 6

The postpartum nurse is providing instructions to
the mother of a newborn with hyperbilirubinemia
who is being breast-fed. The nurse should provide
which instruction to the mother?

2 / 6

The mother of a newborn calls the clinic and
reports that when cleaning the umbilical cord,
she noticed that the cord was moist and that discharge
was present. What is the most appropriate
nursing instruction for this mother?

3 / 6

The nurse in a neonatal intensive care unit (NICU)
receives a telephone call to prepare for the admission
of a 43-week gestation newborn with Apgar
scores of 1 and 4. In planning for admission of this
newborn, what is the nurse’s h ighest priority?

4 / 6

The nurse is assessing a newborn after circumcision
and notes that the circumcised area is red with a
small amount of bloody drainage. Which nursing
action is most appropriate?

5 / 6

The nurse in a newborn nursery is monitoring a
preterm newborn for respiratory distress syndrome.
Which assessment findings should alert
the nurse to the possibility of this syndrome?
Select all that apply.

6 / 6

The nurse assisted with the birth of a newborn.
Which nursing action is most effective in preventing
heat loss by evaporation?

Your score is

The average score is 38%

0%

14
Created on By admin

Acid-Base Balance

An insufficient supply of insulin in a client with
diabetes mellitus can result in metabolic acidosis known
as diabetic ketoacidosis.

1 / 6

The nurse is caring for a client with diabetic ketoacidosis
and documents that the client is experiencing
Kussmaul’s respirations. Which patterns did the
nurse observe? Select all that apply.

2 / 6

The nurse is caring for a client with a nasogastric
tube that is attached to low suction. The nurse monitors
the client for manifestations of which disorder
that the client is at risk for?

3 / 6

The nurse is caring for a client having respiratory
distress related to an anxiety attack. Recent
arterial blood gas values are pH ¼7.53,
PaO2¼72 mm Hg (72 mm Hg), PaCO2¼32 mm Hg
(32 mm Hg), and HCO3
À ¼28 mEq/L(28 mmol/L).
Which conclusion about the client should the
nurse make?

4 / 6

A client with a 3-day history of nausea and vomiting
presents to the emergency department. The client is
hypoventilating and has a respiratory rate of 10
breaths/minute. The electrocardiogram (ECG) monitor
displays tachycardia,with a heart rate of 120 beats/
minute. Arterial blood gases are drawn and the nurse
reviews the results, expecting to note which finding?

5 / 6

The nurse reviews the arterial blood gas results of a
client and notes the following: pH 7.45, PaCO2 of
30 mm Hg (30 mm Hg), and HCO3 À of 20 mEq/L
(20 mmol/L). The nurse analyzes these results as
indicating which condition?

6 / 6

1.You are taking care of a patient with severe COPD. What type of diet would best suit this patient's needs?

Your score is

The average score is 36%

0%

5
Created on By admin

Fundamentals of Care

1 / 5

The nurse notes documentation that a client is
exhibiting Cheyne-Stokes respirations. On assessment
of the client, the nurse should expect to note
which finding?

2 / 5

The nurse is testing the extraocular movements
in a client to assess for muscle weakness in the
eyes. The nurse should implement which assessment
technique to assess for muscle weakness in
the eye?

3 / 5

While performing a cardiac assessment on a client
with an incompetent heart valve, the nurse auscultates
a murmur. The nurse documents the finding
and describes the sound as which?

4 / 5

A client diagnosed with conductive hearing loss
asks the nurse to explain the cause of the hearing
problem. The nurse plans to explain to the client
that this condition is caused by which problem?

5 / 5

The nurse is performing a neurological assessment
on a client and elicits a positive Romberg’s sign.
The nurse makes this determination based on
which observation?

Your score is

The average score is 20%

0%

19
Created on By admin

FLUID & ELECTROLYTES

1 / 5

The nurse provides instructions to a client with a low potassium level about the foods that are high in potassium and tells the client to consume which foods? Select all that apply

2 / 5

The nurse is preparing to care for a client with a potassium deficit. The nurse reviews the client’s record and determines that the client is at risk for developing the potassium deficit because of which situation?

3 / 5

The nurse is caring for a client with heart failure. On assessment, the nurse notes that the client is dyspneic, and crackles are audible on auscultation. What additional manifestations would the nurse expect to note in this client if excess fluid volume is present?

4 / 5

The nurse reviews a client’s electrolyte laboratory report and notes that the potassium level is 2.5 mEq/L (2.5 mmol/L). Which patterns should the nurse watch for on the electrocardiogram (ECG) as a result of the laboratory value? Select all that apply

5 / 5

Potassium chloride intravenously is prescribed for a client with hypokalemia. Which actions should the nurse take to plan for preparation and administration of the potassium? Select all that apply.

Your score is

The average score is 19%

0%

8
Created on By admin

Administration of Blood Products

1 / 5

Packed red blood cells have been prescribed for a female client with a hemoglobin level of 7.6 g/dL (76 mmol/L) and a hematocrit level of 30% (0.30). The nurse takes the client’s temperature before hanging the blood transfusion and records 100.6 °F (38.1 °C) orally. Which action should the nurse take?

2 / 5

A client receiving a transfusion of packed red blood cells (PRBCs) begins to vomit. The client’s blood pressure is 90/50 mm Hg from a baseline of 125/78 mm Hg. The client’s temperature is 100.8 °F  (38.2 °C) orally from a baseline of 99.2 °F(37.3 °C) orally. The nurse determines that the client may be experiencing which complication of a blood transfusion?

3 / 5

The nurse has received a prescription to transfuse a client with a unit of packed red blood cells. Before explaining the procedure to the client, the nurse should ask which initial question?

4 / 5

The nurse determines that a client is having a transfusion reaction. After the nurse stops the transfusion, which action should be taken next?

5 / 5

A client has received a transfusion of platelets. The
nurse evaluates that the client is benefiting most
from this therapy if the client exhibits which
finding?

Your score is

The average score is 33%

0%

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