Cashback Offer from 1st to 15th March 2021. Get Flat 20% Cashback credited to your account for a minimum transaction of $80. Post Your Question Today!

Question DetailsNormal
$ 15.00

Transition Prof Nurs Practice Sample/Practice Exam (211 Questions and Answers)

Question posted by
Online Tutor Profile
request

Tarleton State University Transition Prof Nurs Practice

Sample/Practice Exam Questions and Answers

1.    An older male client is brought to the Emergency Department by family members who he has become increasingly confused in the last 3 days. Which actions should the nurse (Select all That apply)

A.   Explain that advanced age is associated with confusion

B.   Evaluate polypharmacy for possible drug interactions

C.   Obtain a urine specimen for culture and sensitivity

D.   Discuss nursing home placement with the family

E.    Determine oxygen saturation rate and breath sounds , C, E

2.    A multigravida, full-term, laboring client complains of “back Labor”. Vaginal examination reveals that the client’s 3cm with 50% effacement and the fetal head is at -1 station. What action should the nurse implement?

A.   Apply counter-pressure to the sacral area

B.    Turn the client to a lateral position

C.   Notify the scrub nurse to prepare the OR

D.   Ambulate the client between contractions

3.    An infant born to a heroin-addicted mother is admitted to the neonatal care unit. What behaviors can this to exhibit?

A.   Lethargy and a poor suck

B.    Facial abnormalities and microcephaly

C.   Irritability and a high-pitched cry

D.   Low birth weight and intrauterine growth retardation

4.    A client with gestational diabetes is undergoing a non-stress test (NST) at 34- weeks gestation; the baby’s heart is 144 beats/minute. The client is instructed to mark the fetal monitor paper by pressing a…. Each time the baby moves. After 20 minutes, the nurse evaluates the fetal monitor strip. ????

A.   The mother perceives and marks at least four fetal movements

B.    Fetal movements must be elicited with a vibroacoustic stimulator

C.   Two FHR accelerations of 15 beats/minute x 15 seconds are recorded

D.   No FHR late decelerations occur in response to fetal movement

5.    A toddler with a history of an acyanotic heart defect is admitted to the pediatric intensive, the respiration rate of 60 breaths/minute, and a heart rate of 150 beats/minute. What action should the nurse first?

A.   Obtain a pulse oximeter reading

B.    Assess the Child’s blood pressure

C.   Perform a neurological assessment

D.   Initiate peripheral intravenous access


6.    An infant is placed in a radiant warmer immediately after birth. At one hour of age, the nurse ….. Tachypneic, and hypotonic. What is the first action that the nurse should take?

A.   Notify the healthcare provider immediately

B.    Increase the temperature of the radiant warmer

C.   Assess the infant’s heart rate

D.   Determine the infant’s blood sugar level

7.    A client is receiving oxytocin (Pitocin) to augment early labor. Which assessment is most important at time the infusion rate is increased?

A.   Contraction pattern

B.    Blood pressure

C.   Infusion site

D.   Pain level

8.    A 6-year old child with acute infectious diarrhea is placed on rehydration therapy regimen. Which action should the nurse instruct the parent to take if the child begins to vomit?

A.   Continue giving ORS frequently in small amounts

B.    Withhold all oral intake

C.   Supplement ORS with gelatin or chicken broth

D.   Provide only bottled water

9.    Artificial rupture of the membranes of a laboring client reveals meconium-stained fluid. Which is the first nurse priority?

A.   Clean the perineal area to prevent infection

B.    Assess the mother’s blood pressure to check for signs of preeclampsia

C.   Assess the mother’s temperature to check for development of sepsis

D.   Have a meconium aspirator available at delivery

10.During a 26-week gestation prenatal exam, a client reports occasional dizziness. What intervention is best for the nurse to recommend to this client?

A.   Elevate the head with two pillows while sleeping

B.    Lie on the left or right side when sleeping or resting

C.   Increase intake of foods that are high in iron

D.   Decrease the amount of carbohydrates in the diet

11.A postpartal client complains that she has the urge to urinate every hour but is only able to a small…. What intervention provides the nurse with the most useful information?

A.   Initiate a perineal pad count

B.    Catheterize for residual urine after next voiding

C.   Assess for a perineal hematoma

D.   Determine the client’s usual voiding pattern

12.A client is scheduled for a laminectomy to treat lower back pain related to a herniated intervertebral disk. When conducting preoperative teaching, the nurse should teach the client that numbness and tingling in the lower extremities sometimes occurs postoperatively as the result of which condition?

A.   Effects of intrathecal anesthesia that resolve quickly

B.    Minor injuries caused by positioning during surgery

C.   Pressure on the nerves due to prolonged immobility

D.   Manipulation of nerves and muscles during surgery

13.The nurse is assessing a 4-year-old boy admitted to the hospital with the diagnosis of possible nephrotic syndrome. Which statement by the parents indicates a likely correlation to the child’s diagnosis?

A.   “I couldn’t get my son’s socks and shoes on this morning”

B.    “I couldn’t get my son to calm down and sleep last night”

C.   “My son has had a red rash over his entire body for the past 4 days”

D.   “My son has been on Augmentin for 2 days for an ear infection”

14.The nurse is evaluating the home care teaching of a family who has a child with cystic fibrosis. Which parental action indicates correct understanding of the child’s home care?

A.   Performs postural drainage after meals

B.    Supplements diet with water-soluble vitamins and fluids

C.   Plans a diet high in fat and calories

D.   Gives pancreatic enzymes before every meal and snack

15.Client with mitral stenosis is at 28-weeks gestation. In assessing this client, which observation should the nurse investigate first?

A.   Edematous feet

B.    Persistent cough

C.   Increased fatigue

D.   Recent sadness


16.A 72-year-old client is admitted to the hospital after falling at home. In taking a nursing history, the nurse notes that the client is taking labetalol HCL (Normodyne) 300mg PO BID and ranitidine (Zantac) 150 mg PO QID. What nursing intervention is most important to include in this client’s nursing care plan?

A.   Determine gastric pH on admission

B.    Weigh daily in early morning

C.   Frequent monitoring of blood pressure

D.   Daily assessment of WBCs and platelets

17.Captopril (Capoten) is prescribed for an infant admitted 3 days ago with a diagnosis of heart failure. During assessment, which clinical finding indicates to the nurse that the medication is effective?

A.   Capillary refill is down from 4 seconds on admission to 2 seconds

B.    Blood pressure decrease from 125/85 on admission to 106/60

C.   Heart     rate      decreased       from     200     beats/minute        on    admission      to               140 beats/minute today

D.   Periorbital adema disappears


18.The client with paranoia and homicidal ideation is brought to Emergency Department…. The client states that her daughter lives her television set and will come the nurse talk to her. What additional finding indicates that the client has a thought disorder?

A.   Feels lonely and isolated

B.    Feels very anxious

C.   Easily changes the subject

D.   Stays in bed all morning

19.A client with a history of gastroesphageal reflux disease (GERD), who smokes 2 packs of cigarettes and drinks a fifth of liquor daily, had a cholecystectomy. While completing a head to toe assessment, the nurse discovers that the client is tremulous, agitate, febrile, and disoriented. What is the likely indication of this finding?

A.   Impending delirium tremens

B.    Post-surgical infection

C.   Reoccurring reflux

D.   Nicotine withdrawal

20.Which prescription should the nurse anticipate administering to a client who is experiencing increased intracranial pressure secondary to a head injury?

A.    Acetazolamide (Diamox)

B.   Mannitol (Osmitrol)

C.   Sumatriptan (Imitrex)

D.   Dobutamine HCI (Dobutrex)

21.The emergency room is alerted that a child is arriving by ambulance with a history of flu-like symptoms for the past week. The reported vital signs are temperature 101 ̊ F, heart rate 168 beats/minute, respirations 16 breaths/minute, and blood pressure 90/60.The child is lethargic with a capillary refill time of 4 seconds. When preparing for the child’s arrival, the nurse should assemble which equipment?

A.   Mechanical ventilator

B.    IV infusion pump

C.   Cooling blanket

D.   Automated defibrillator

22.A child with heart failure is receiving the diuretic furosemide (Lasix) and has a serum potassium level of 3.0 mEq/L. Which assessment is most important for the nurse to obtain?

A.   Cardiac rhythm and heart rate

B.    Daily intake of foods rich in potassium

C.   Hourly urinary output

D.   Thirst and skin turgor

23.A male client, who had a total laryngectomy two days ago, is transferred from the intensive care unit to a private room close to the nurse’s station. The nurse recognizes that the client is anxious. Which intervention should the nurse implement?

A.   Encourage a family member to stay with the client at all times

B.    Answer the client’s call signal in person quickly after he calls

C.   Explain the emergency procedure for loss of airway to the client

D.   Provide the client with a suction catheter to allow for self-suctioning

24.When caring for a client with an acute myocardial infarction, which observation warrants immediate intervention by the nurse?

A.   Systolic blood pressure of 100

B.    Oral temperature of 99.4  ̊ F

C.   Central venous pressure (CVP) of 4 mHg

D.   The telemetry displays ventricular bigamy

25.A client is admitted to the emergency center with a possible head injury and spinal cord injury (SCI) after an automobile collision. What is the nurse’s priority assessment?

A.   Level of consciousness

B.    Mobility of extremities

C.   Respiratory status

D.   Cranial nerve function

26.A school-aged child with juvenile rheumatoid arthritis develops a viral infection with a low grade fever. The child is already taking aspirin for the arthritis. What instruction should the nurse provide to this mother?

A.   Discontinue the use of all medications to avoid masking the symptoms of the

illness

B.    Discontinue the aspirin, and use another NSAID to control the child’s fever and symptoms

C.   Continue the aspirin, but add another NSAID to control the child’s fever and

symptoms

D.   Increase the dose of aspirin to control the child’s fever and symptoms

27.A female teacher tells the school nurse that she thinks she is pregnant, but her pregnancy test was negative the previous night. When taking the teacher’s history, the nurse finds that the only medication the teacher is currently taking is tetracycline for acne. Which instruction should the nurse provide?

A.   Make an appointment with an obstetrician as soon possible

B.    Increase oral fluid intake to 3 or quarts daily

C.   Use first voiding of the day for accurate results of a pregnancy test

D.   Stop taking the acne medication immediately

28.Three days after admission for diabetic ketoacidosis (DKA), a client’s blood glucose levels ranges from 420 to 540 mg/dl. Regular insulin is being administered using a sliding dosage scale. Which intervention is most important for the nurse to implement?

A.   Confer with the healthcare provider about a continuous IV insulin infusion

B.    Arrange for a nutritional consult to assist the client with diabetic food choices

C.   Request the diabetic educator to evaluate the client’s knowledge of diabetes

D.   Given an additional dose of regular insulin according to sliding scale prescription

 

29.An adult male who recently returned from a trip to China is diagnosed with severe acute respiratory syndrome (SARS). He is hospitalized and placed in a negative pressure isolation room. Which intervention is most important to include in this client’s plan of care?

A.   Determine if an advanced directive is signed

B.    Require use of gown, gloves, and N-95 mask

C.   Limit visitors to family members only

D.   Teach how to dispose of used tissues

30.When evaluating the effectiveness of medications administered to a client with Parkinson’s disease, the nurse recognizes that symptom management  requires a balance among which neurotransmitters?

A.   Norepinephrine and acetylcholine

B.    Epinephrine and dopamine

C.   Dopamine and norepinephrine

D.   Acetylcholine and dopamine

31.The nurse is assessing the normal development of a 9-month-old male infant. Which information should the nurse obtain from the mother?

A.   Is the baby able to lift his head when prone?

B.    Has the child started to walk?

C.   Does the baby roll from abdomen to back?

D.   Can the child sit alone?

32.A male client returns to the mental health clinic for assistance with his anxiety reaction that is manifested by a rapid heartbeat, sweating, shaking, and nauseas while driving over the bay bridge. What action in the treatment plan should the nurse implement?

A.   Tell client to drive over the bridge until fear is manageable

B.    Teach client to listen to music or audio books while driving

C.   Recommend that the client avoid driving over the bridge

D.   Encourage client to have spouse drive in stressful places  or C

33.When caring for a client with deep partial-thickness burns to the posterior neck, which intervention should the nurse implement during the acute phase to prevent contractures at the site of injury?

A.   Place a towel roll under the client’s neck or shoulder

B.    Passively raise arms above the head hourly while awake

C.   Actively turn head from side to side 90 degrees hourly

D.   Keep in a supine position without the use of pillow

34.The nurse is conducting an admission assessment and interview of a client who is believed to have Guillain- Barre syndrome. Which comment by the client has the most significance to this diagnosis?

A.   “I’ve had problems with my sinuses and bad allergies since I was a child”

B.    “Two years ago, I received immunizations before going to Japan”

C.   “I’ve lost 5 pounds in the last month by decreasing my fat intake”

D.   “About two weeks ago, I missed a day of work because I had a bad cold”

35.Which symptom is characteristic of ureteral colic in the client diagnosed with renal calculi?

A.   Symptoms of irritation associated with urinary tract infection

B.    Acute, excruciating, wave-like pain radiating to the genitalia

C.   Intense, deep ache in the costovertebral region

D.   Chills, fever, and dysuria Correct Answer:

36.When assisting an elderly female client who is bathing herself in bed, the nurse observes that the client has inelastic skin turgor, large pendulous breasts, and a soft flaccid abdomen. To prevent skin maceration, which action should the nurse implement?

A.   Advice the client to use talcum powder over skin surfaces

B.    Recommend the use of a blow dryer to dry under the breasts

C.   Teach the client to dry the skin well between skin folds

D.   Apply a smooth layer of lotion over areas of loose, inelastic skin

37.A client at the healthcare clinic reports a new onset of pyrosis and dyspepsia to the nurse. Which nursing action has the highest priority?

A.   Instruct the client about the symptoms of reflux disease

B.    Provide reassurance that these are common symptoms of reflux disease

C.   Recommend the use of antacids to control symptoms

D.   Schedule an appointment for a physical examination

38.A female client with pneumonia and a history of sickle cell anemia begins to complain of pain in her fingers, which indicates to the nurse a possible ensuing sickle cell crisis. What is the underlying pathophysiology for pain in sickle cell crisis?

A.   Hemolysis of blood cells containing hemoglobin 5 increases cellular debris that results in bone pain

B.    Production of abnormal red cells in the bone marrow causes extreme pain

C.   Viscosity of the blood creates sluggish blood flow, leading to blood

D.   Sickled red blood cells do not flow through small blood vessels, leading to vasocclusion and ischemia


39.A female client with chronic pyelonephritis expresses concern that she may have to undergo dialysis. What is the best initial response by the nurse?

A.   Offer to introduce the client to a dialysis nurse who can provide teaching

about dialysis

B.    Explain the relationship between chronic kidney infection, real failure, and dialysis

C.   Provide assurance that dialysis is not the usual treatment for kidney

infections

D.   Assist the client to reduce anxiety and gain control by using guided imagery exercise


40.A male client with bipolar disease reports to the nurse that he has not taken his prescription medication, divalproex (Depakote) for the last 6 months. Assessment of which is most important for the nurse to obtain?

A.   Mood

B.    Affect

C.   Intellect

D.   Speech

41.A female client with breast cancer who completed her first chemotherapy treatment, out-patient cancer treatment center is preparing for discharge. Which behavior the client understands her care needs for the next week?

A.   Invited friends and family to visit while she is at home for the next week

B.    Rented movies and borrowed books to use while passing time at home

C.   Schedule a lunch date with her best friends for 2 days from now

D.   Stocked her refrigerator with healthy foods including fruits and vegetables

42.What is the priority nursing action when initiating morphine therapy via an intravenous patient-controlled analgesia (PCA) pump?

A.   Assess the client’s ability to use a numeric pain scale

B.    Initiate the dosage lockout mechanism on the PCA pump

C.   Instruct the client to use the medication before the pain becomes severe

D.   Assess the abdomen for bowel sounds


43.A male client with angina pectoris is being discharged from the hospital. What instruction should the nurse plan to indicate in this discharge teaching?

A.   Engage in physical exercise immediately after eating to help decrease

cholesterol levels

B.    Walk briskly in cold weather to increase cardiac output

C.   Keep nitroglycerin in a light-colored plastic bottle and readily available

D.   Avoid all isometric exercises, but walk regularly

44.When assessing a 6 month old infant, the nurse determines that the anterior fontanel is bulging. In which situation would this finding be most significant?

A.   Crying

B.    Straining on stool

C.   Vomiting

D.   Sitting upright

45.Which assessment is most important for the nurse to include in the daily plan of care for a client with a burned extremity?

A.   Range motion

B.    Distal pulse intensity

C.   Extremity sensation

D.   Presence of exudate

46.A series of stool guaiac test is prescribed for a client receiving anticoagulant therapy. While obtaining the first specimen, the nurse observes that the client’s stool is clay- colored. What action should the nurse take?

A.   Implement contact isolation precautions

B.    Report stool’s appearance to the healthcare provider

C.   Increase the frequency of guaiac testing

D.   Assess for signs of bleeding from other orifices Correct Answer:

47.In caring for newborn infant who become cyanotic and start gagging, what action should the nurse implement?

A.   Give three back blows to clear the airway

B.    Provide oxygen by resuscitation bag and mask

C.   Use a bulb syringe to suction nose and mouth

D.   Request the crash cart be brought to the nursery

48.While transferring a client with a chest tube from the bed to a stretcher, the chest becomes disconnected from the water-seal drainage container. The nurse immediately immerses the end of the tube in a container of sterile water. What action should the nurse implement next?

A.   Apply pressure to the chest tube site using a petroleum gauze

B.    Begin manual ventilation while returning the client to the bed

C.   Prepare a new water-seal system and reattach the chest tube

D.   Clamp the chest tube and maintain its distal end in the water

49.While palpating a 6-week old infant’s head, the nurse notes a 0.5 cm wide, soft area at the junction of the coronal and lambdoidal suture lines. Which intervention should the nurse implement?

A.   Document assessment data in the record

B.    Assess for presence of the Babinski reflex

C.   Evaluate infant’s cardinal fields of gaze

D.   Measure the frontal-occipital circumference

50.A client newly diagnosed with diabetes mellitus suddenly becomes confused and weak. Which interventions should the nurse implement? (Select all that apply)

A.   Give the client 4 ounces of orange juice

B.    Provide the client with ½ cup diet carbonated soda

C.   Obtain blood pressure and pulse rate

D.   Check the client’s current finger stick blood glucose

E.    Administer a PRN dose of regular insulin  C D

51.The nurse is auscultating a client’s lung sounds. Which description should the nurse use to document this sound? (audio)

A.   High pitched or fire crackles

B.    Rhonchi

C.   High pitched wheeze

D.   Stridor

52.A woman who had bariatric surgery 2 months ago is admitted because of vomiting and inability to tolerate food and liquids. She states that she is pain free. Which intervention should the nurse include in the client’s plan of care?

A.   Maintain the client on a n NPO status

B.    Administer daily vitamin supplements

C.   Determine if the client is over-hydrating to feel satiated

D.   Encourage positive self-accolades for dietary adherence

53.The nurse knows that several complications can occur the administration of blood. Which finding is an indication of an air emboli?

A.   Increased blood pressure

B.    Nausea and vomiting

C.   Chills and tremors

D.   Difficult breathing

54.Medical asepsis requires that the nurse include what hand washing technique?

A.   Use hot water to ensure pathogens are killed

B.    Hold hands higher than the elbows and scrub vigorously

C.   Use a circular motion, washing from clean to dirty areas

D.   Rinse soap off, keeping hands and forearms lower than elbows

55.The nurse brings an oral medication prescribed to be given daily to a male client who tells the nurse that will take the medication later?

A.   Inform the client that his medication is schedule to be taken now

B.    Agree upon a time to return to the client room with the medication

C.   Note the client noncompliance with medication in the nurse note

D.   Leave the medication on the bed side table with a fresh glass of water

56.Because a client with Bell palsy is at risk for impaired nutrition. What the nurse do or expect?

A.   Arrange the client to received home delivery meals daily

B.    Assist the client in choosing low calories, low fat food each meal

C.   Refers the client to a speech therapist to learn swallowing techniques

D.   Teach the client to chew food on the unaffected side of the face

57.The nurse is assessing a client with a closed head injury sustained in a motor vehicle collision. Which finding indicates the lowest level of neurologic functioning?

A.   Withdrawal from painful stimuli

B.    Localization of a tactile stimulus

C.   Decorticate posturing during position changes

D.   Decerebrate posturing during position changes

58.The nurse measuring the output of an infant admitted for vomiting and diarrhea. During a 12 hours shift, the infant drink 4 ounces of pedialyte, vomit 25ml and void twice the dry diaper weighs is 50 grams and one wet diaper weighs

75 grams, and the other weighs 105 grams. What documentation should the nurse include in this infant record?

A.   Calculate difference in wet and dry diapers and document 80 ml urine

output

B.    Subtract vomitus from 120 ml pedialyte then document 95 ml oral intake

C.   Document on the flow sheet that the infant voided time 2 and vomited 25ml

D.   Compared the difference between the infant body weight and admission

weight

59.                Which class of drugs in the only source of a cure for septic shock?

A.   Antihypertensives

B.    Anticholesteremics

C.   Antihistamines

D.   Antiinfectives

60.A client with atrial fibrillation receives a new prescription for Dabigatram (Praxada). What instruction should the nurse include in this client teaching plan?

A.   Continue obtaining schedule lab bleeding test

B.    Keep an antidote available in the event of hemorrhage

C.   Avoid use of non-steroid anti-inflammatory drugs (NSAID)

D.   Eliminate spinach and other green vegetables in the diet

61.A client experiencing withdrawal from the (Xanax) is demonstrating severe agitation and tremors. What is the best initial nursing action?

A.   Administer Narcan PRN protocol

B.    Obtain serum drug screen

C.   Instruct the family about withdrawal symptom

D.   Initiate seizure precautions

62.In making client care assignments, which client is best to assign to the practical nurse (PN) working on the unit with the nurse?

A.   An immobile client receiving low molecular weight heparin q12h

B.    A client who is receiving a continuous infusion of heparin and gets out of bed BID

C.   A client who is being treated off a heparin infusion and started on PO

warfarin (Coumadin)

D.   An ambulatory client receiving warfarin (Coumadin)with an INR of 5 seconds


63.An older male client arrives at the clinic complaining that his bladder always feels full. He complain of a weak urine flow frequent dribbling after voiding and increasing nocturnal with difficulty initiating his urine stream action should the nurse implement?

A.   Advice the client to maintain a voiding dairy for one week

B.    Instruct effective technique to cleanse the glands pennies

C.   Palpate the client therapeutic area for distention

D.   Obtain urine specimen for culture and sensitivity

64.The mother of the 7 month- old bring the infant to be clinic because the skin in the diaper area is … and red, but there are no blister or bleeding. The mother reports no evidence of watery stool. Which nursing intervention should the nurse implement?

A.   Instruct the mother to change the child’s diaper more often

B.    Tell the mother to cleanse with soap and water at each diaper change

C.   Encourage the mother to apply lotion with each diaper change

D.   Ask the mother to decrease the infant’s intake of fruit for 24 hours

65.A male client admitted with chronic pulmonary obstruction disease (COPD) exacerbation is receiving assisted ventilation with continuous positive airway pressure. His vital signs are temperature 98.8 ̊ , heart rate 118 beats/min, respiration rate 46 breaths/min, blood pressure 176/92. While completing the pulmonary assessment, his oxygen status saturation reading is 78 % and he is difficult to arouse. Which action should the nurse implement?

A.   Administer PRN nebulizer treatment

B.    Increase oxygen delivery by 10%

C.   Complete neurological assessment

D.   Prepare for rapid sequence intubation

66.A  client  with  pneumonia  has  arterial  blood  gases  level  at  pH  7.33,  PaCO₂  49 mm,  HCO₃  25,  PaO₂  95.  What  intervention  should  the  nurse  implement  base  on these results?

A.   Instruct the client to breathe into a paper bag

B.    Prepare to administer sodium chloride fluids

C.   Initiate oxygen administration at 2 to 3 L per nasal cannula

D.   Institute coughing and deep breathing protocols

67.A client with a diagnosis of schizophrenia, sits in the day room and fail to interact…. Which intervention is best for the nurse to implement with this client?

A.   Complete an assessment of social support

B.    Encourage the client to have lunch off the unit

C.   Give the client a schedule of planned daily activities

D.   Engage the client in a game of cards

68.The nurse plans to collect a 24 hrs urine specimen for a creatinine clearance test. Which instruction should the nurse provide to the adult male client?

A.   Urinate immediately into a urinal, and the lab will collect the specimen

every 6 hrs for the next 24 hrs

B.    Urinate at a specified time, discard this urine, and collect all subsequent urine during the next 24hrs

C.   For the next 24 hrs., notify nurse when the bladder is full, and the nurse

will collect catheterized specimen

D.   Cleanse around the meatus, discard first portion of voiding, and collect the rest in a sterile bottle


69.A child is brought to the clinic complaining of fever and joint pain, and is diagnosed with rheumatic fever. When planning care for this child, what is the primary goal of nursing care?

A.   Prevent cardiac damage

B.    Maintain joint mobility and function

C.   Reduce fever

D.   Maintain fluid and electrolyte balance

70.The healthcare provider hands a newborn to the circulating nurse during a cesarean delivery. What action first?

A.   Dry the infant under warming unit

B.    Determine Apgar score

C.   Allow the mother to touch the infant

D.   Perform a physical assessment

71.Following two defibrillation shock, the client ECG continues to indicate ventricular fibrillation. What intervention should the nurse implement next?

A.   Resume CPR immediately

B.    Administer an IV bolus of epinephrine

C.   Perform the third defibrillation shock

D.   Obtain an arterial blood gas sample

 

72.During discharge teaching the mother asks why her premature infant should get monthly synagis (Palivizumab) injections the nurse response should be based on what information?

A.   Monthly injection promote normal neurological and physical development

B.    This drug protect the premature infant from respiratory syncytial virus

C.   These injection prevent retinopathy of prematurity caused by high level of oxygen

D.   This medication provide surfactant, which helps the lungs mature more

quickly

73.


Using the parkland formula for a patient with burns 4ml x Patients weight in kg which is 76kg x whatever % of burns, which is 40%. SO it is 4ml x 76kg x 40%

 

74.Mark the Dilaudid dose in a syringe that has to be administering to a patient. (THE IS A SQUARE OF A NUMBER PAD)

ANS: Mark the NUMBER 1. (1 MG)

Available Answer
$ 15.00

[Solved] Transition Prof Nurs Practice Sample/Practice Exam (211 Questions and Answers)

  • This solution is not purchased yet.
  • Submitted On 09 Apr, 2020 05:13:26
Answer posted by
Online Tutor Profile
solution

lOMoARcPSD|784381 Tarleton State University Transition Prof Nurs Practice Sample/Practice Exam Questions and Answers 1. An older male client is brought to the Emergency Department by family members who he has become increasingly confused in the last 3 days. Which actions should the nurse (Select all That apply) A. Explain that advanced age is associated with confusion B. Evaluate polypharmacy for possible drug interactions C. Obtain a urine specimen for culture and sensitivity D. Discuss nursing home placement with the family E. Determine oxygen saturation rate and breath sounds , C, E 2. A multigravida, full-term, laboring client complains of “back Labor”. Vaginal examination reveals that the client’s 3cm with 50% effacement and the fetal head is at -1 station. What action should the nurse implement? A. Apply counter-pressure to the sacral area B. Turn the client to a lateral position C. Notify the scrub nurse to prepare the OR D. Ambulate the client between contractions 3. An infant born to a heroin-addicted mother is admitted to the neonatal care unit. What behaviors can this to exhibit? A. Lethargy and a poor suck B. Facial abnormalities and microcephaly C. Irritability and a high-pitched cry D. Low birth weight and intrauterine growth retardation 4. A client with gestational diabetes is undergoing a non-stress test (NST) at 34- weeks gestation; the baby’s heart is 144 beats/minute. The client is instructed to mark the fetal monitor paper by pressing a…. Each time the baby moves. After 20 minutes, the nurse evaluates the fetal monitor strip. ???? A. The mother perceives and marks at least four fetal movements B. Fetal movements must be elicited with a vibroacoustic stimulator C. Two FHR accelerations of 15 beats/minute x 15 seconds are recorded D. No FHR late decelerations occur in response to fetal movement 5. A toddler with a history of an acyanotic heart defect is admitted to the pediatric intensive, the respiration rate of 60 breaths/minute, and a heart rate of 150 beats/minute. What action should the nurse first? A. Obtain a pulse oximeter reading B. Assess the Child’s blood pressure C. Perform a neurological assessment D. Initiate peripheral intravenous access 6. An infant is placed in a radiant warmer immediately after birth. At one hour of age, the nurse ….. Tachypneic, and hypotonic. What is the first action that the nurse should take? A. Notify the healthcare provider immediately B. Increase the temperature of the radiant warmer C. Assess the infant’s heart rate D. Determine the infant’s blood sugar level 7. A client is receiving oxytocin (Pitocin) to augment early labor. Which assessment is most important at time the infusion rate is increased? A. Contraction pattern B. Blood pressure C. Infusion site D. Pain level 8. A 6-year old child with acute infectious diarrhea is placed on rehydration therapy regimen. Which action should the nurse instruct the parent to take if the child begins to vomit? A. Continue giving ORS frequently in small amounts B. Withhold all oral intake C. Supplement ORS with gelatin or chicken broth D. Provide only bottled water 9. Artificial rupture of the membranes of a laboring client reveals meconium-stained fluid. Which is the first nurse priority? A. Clean the perineal area to prevent infection B. Assess the mother’s blood pressure to check for signs of preeclampsia C. Assess the mother’s temperature to check for development of sepsis D. Have a meconium aspirator available at delivery 10. During a 26-week gestation prenatal exam, a client reports occasional dizziness. What intervention is best for the nurse to recommend to this client? A. Elevate the head with two pillows while sleeping B. Lie on the left or right side when sleeping or resting C. Increase intake of foods that are high in iron D. Decrease the amount of carbohydrates in the diet 11. A postpartal client complains that she has the urge to urinate every hour but is only able to a small…. What intervention provides the nurse with the most useful information? A. Initiate a perineal pad count B. Catheterize for residual urine after next voiding C. Assess for a perineal hematoma D. Determine the client’s usual voiding pattern 12. A client is scheduled for a laminectomy to treat lower back pain related to a herniated intervertebral disk. When conducting preoperative teaching, the nurse should teach the client that numbness and tingling in the lower extremities sometimes occurs postoperatively as the result of which condition? A. Effects of intrathecal anesthesia that resolve quickly B. Minor injuries caused by positioning during surgery C. Pressure on the nerves due to prolonged immobility D. Manipulation of nerves and muscles during surgery 13. The nurse is assessing a 4-year-old boy admitted to the hospital with the diagnosis of possible nephrotic syndrome. Which statement by the parents indicates a likely correlation to the child’s diagnosis? A. “I couldn’t get my son’s socks and shoes on this morning” B. “I couldn’t get my son to calm down and sleep last night” C. “My son has had a red rash over his entire body for the past 4 days” D. “My son has been on Augmentin for 2 days for an ear infection” 14. The nurse is evaluating the home care teaching of a family who has a child with cystic fibrosis. Which parental action indicates correct understanding of the child’s home care? A. Performs postural drainage after meals B. Supplements diet with water-soluble vitamins and fluids C. Plans a diet high in fat and calories D. Gives pancreatic enzymes before every meal and snack 15. Client with mitral stenosis is at 28-weeks gestation. In assessing this client, which observation should the nurse investigate first? A. Edematous feet B. Persistent cough C. Increased fatigue D. Recent sadness 16. A 72-year-old client is admitted to the hospital after falling at home. In taking a nursing history, the nurse notes that the client is taking labetalol HCL (Normodyne) 300mg PO BID and ranitidine (Zantac) 150 mg PO QID. What nursing intervention is most important to include in this client’s nursing care plan? A. Determine gastric pH on admission B. Weigh daily in early morning C. Frequent monitoring of blood pressure D. Daily assessment of WBCs and platelets 17. Captopril (Capoten) is prescribed for an infant admitted 3 days ago with a diagnosis of heart failure. During assessment, which clinical finding indicates to the nurse that the medication is effective? A. Capillary refill is down from 4 seconds on admission to 2 seconds B. Blood pressure decrease from 125/85 on admission to 106/60 C. Heart rate decreased from 200 beats/minute on admission to 140 beats/minute today D. Periorbital adema disappears 18. The client with paranoia and homicidal ideation is brought to Emergency Department…. The client states that her daughter lives her television set and will come the nurse talk to her. What additional finding indicates that the client has a thought disorder? A. Feels lonely and isolated B. Feels very anxious C. Easily changes the subject D. Stays in bed all morning 19. A client with a history of gastroesphageal reflux disease (GERD), who smokes 2 packs of cigarettes and drinks a fifth of liquor daily, had a cholecystectomy. While completing a head to toe assessment, the nurse discovers that the client is tremulous, agitate, febrile, and disoriented. What is the likely indication of this finding? A. Impending delirium tremens B. Post-surgical infection C. Reoccurring reflux D. Nicotine withdrawal 20. Which prescription should the nurse anticipate administering to a client who is experiencing increased intracranial pressure secondary to a head injury? A. Acetazolamide (Diamox) B. Mannitol (Osmitrol) C. Sumatriptan (Imitrex) D. Dobutamine HCI (Dobutrex) 21. The emergency room is alerted that a child is arriving by ambulance with a history of flu-like symptoms for the past week. The reported vital signs are temperature 101 ̊ F, heart rate 168 beats/minute, respirations 16 breaths/minute, and blood pressure 90/60.The child is lethargic with a capillary refill time of 4 seconds. When preparing for the child’s arrival, the nurse should assemble which equipment? A. Mechanical ventilator B. IV infusion pump C. Cooling blanket D. Automated defibrillator 22. A child with heart failure is receiving the diuretic furosemide (Lasix) and has a serum potassium level of 3.0 mEq/L. Which assessment is most important for the nurse to obtain? A. Cardiac rhythm and heart rate B. Daily intake of foods rich in potassium C. Hourly urinary output D. Thirst and skin turgor 23. A male client, who had a total laryngectomy two days ago, is transferred from the intensive care unit to a private room close to the nurse’s station. The nurse recognizes that the client is anxious. Which intervention should the nurse implement? A. Encourage a family member to stay with the client at all times B. Answer the client’s call signal in person quickly after he calls C. Explain the emergency procedure for loss of airway to the client D. Provide the client with a suction catheter to allow for self-suctioning 24. When caring for a client with an acute myocardial infarction, which observation warrants immediate intervention by the nurse? A. Systolic blood pressure of 100 B. Oral temperature of 99.4 ̊ F C. Central venous pressure (CVP) of 4 mHg D. The telemetry displays ventricular bigamy 25. A client is admitted to the emergency center with a possible head injury and spinal cord injury (SCI) after an automobile collision. What is the nurse’s priority assessment? A. Level of consciousness B. Mobility of extremities C. Respiratory status D. Cranial nerve function 26. A school-aged child with juvenile rheumatoid arthritis develops a viral infection with a low grade fever. The child is already taking aspirin for the arthritis. What instruction should the nurse provide to this mother? A. Discontinue the use of all medications to avoid masking the symptoms of the illness B. Discontinue the aspirin, and use another NSAID to control the child’s fever and symptoms C. Continue the aspirin, but add another NSAID to control the child’s fever and symptoms D. Increase the dose of aspirin to control the child’s fever and symptoms 27. A female teacher tells the school nurse that she thinks she is pregnant, but her pregnancy test was negative the previous night. When taking the teacher’s history, the nurse finds that the only medication the teacher is currently taking is tetracycline for acne. Which instruction should the nurse provide? A. Make an appointment with an obstetrician as soon possible B. Increase oral fluid intake to 3 or quarts daily C. Use first voiding of the day for accurate results of a pregnancy test D. Stop taking the acne medication immediately 28. Three days after admission for diabetic ketoacidosis (DKA), a client’s blood glucose levels ranges from 420 to 540 mg/dl. Regular insulin is being administered using a sliding dosage scale. Which intervention is most important for the nurse to implement? A. Confer with the healthcare provider about a continuous IV insulin infusion B. Arrange for a nutritional consult to assist the client with diabetic food choices C. Request the diabetic educator to evaluate the client’s knowledge of diabetes D. Given an additional dose of regular insulin according to sliding scale prescription 29. An adult male who recently returned from a trip to China is diagnosed with severe acute respiratory syndrome (SARS). He is hospitalized and placed in a negative pressure isolation room. Which intervention is most important to include in this client’s plan of care? A. Determine if an advanced directive is signed B. Require use of gown, gloves, and N-95 mask C. Limit visitors to family members only D. Teach how to dispose of used tissues 30. When evaluating the effectiveness of medications administered to a client with Parkinson’s disease, ...

Buy now to view the complete solution
Other Similar Questions
User Profile
Acade...

LPN to RN Transitions 4th Edition Claywell Test Bank

LPN to RN Transitions 4th Edition Claywell Test Bank LPN to RN Transitions 4th Edition Claywell Test Bank LPN to RN Transitions 4th Edition Claywell Test Bank...
User Profile
Headm...

NR-553 Week 2 DQ (with Peer Response): Epidemiologic Transition

Correlate one leading risk factor causing the greatest burden of disease in developed regions with Omran’s theory of epidemiologic transition. Week 2: Epidemiologic Transition Agyei-Mensah and Aikins (2010) state that ...
User Profile
PURITY

Test Bank Nursing Today Transition Trends 8th Edition, JoAnn Chapter 10

Chapter 10: Challenges of Nursing Management and Leadership MULTIPLE CHOICE 1. What is the most consistent concern of the nurse as manager? a. To develop long-range career goals b. To coordinate patient care while me...
User Profile
PURITY

Test Bank Nursing Today Transition Trends 8th Edition, JoAnn. Chapter 08: Nursing Theory

Chapter 08: Nursing Theory MULTIPLE CHOICE 1. The student nurse has an adequate understanding of nursing theory when correctly identifying which individual as the first nurse theorist? a. Peplau c. Leininger b. Roger...
User Profile
PURITY

Test Bank Nursing Today Transition Trends 8th Edition, JoAnn Chapter 07: Nursing Education

Chapter 07: Nursing Education MULTIPLE CHOICE 1. Based on data, the nurse interprets which educational program as producing the most graduate nurses annually? a. Diploma program c. Baccalaureate program b. Associate ...

The benefits of buying study notes from CourseMerit

homeworkhelptime
Assurance Of Timely Delivery
We value your patience, and to ensure you always receive your homework help within the promised time, our dedicated team of tutors begins their work as soon as the request arrives.
tutoring
Best Price In The Market
All the services that are available on our page cost only a nominal amount of money. In fact, the prices are lower than the industry standards. You can always expect value for money from us.
tutorsupport
Uninterrupted 24/7 Support
Our customer support wing remains online 24x7 to provide you seamless assistance. Also, when you post a query or a request here, you can expect an immediate response from our side.
closebutton

$ 629.35