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Evolve Final

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Which action should the nurse implement when administering a prescription drug that should be given on an empty stomach?   show
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The nurse is caring for a client who is unable to void. The plan of care establishes an objective for the client to ingest 1000ml of fluid between 7am and 3pm. Which client response should the nurse document that indicates a sucessful outcome?   show
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show It will identify someone that can make decisions for your health care if you are in a coma or vegetative state.  
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The nurse caring for the daughter of a local politician approaches a man reading names on the doors, IDs himself as a reporter for the local newspaper and requests information about the pts status. Which standard of nsg practice should the nurse use?   show
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show Ensure the accuracy of the blood type match.  
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A male client who had abdominal surgery has a nasogastric tube to suction, oxygen per nasal cannula, and complains of dry mouth. Which action should the nurse implement?   show
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A client with chronic renal failure selects a scramble egg for his breakfast. Which action should the nurse take?   show
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The nurse is administering meds through a NG tube which is connected to suction. After ensuring correct tube placement, what action should the nurse take next?   show
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show Continue asking the mother questions about the child.  
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show Loosen the right wrist restraint.  
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A client who is 5'5 tall and weighs 200lbs is scheduled for surgery the next day. What question is most important for the nurse to include during the preoperative assessment?   show
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show Inquire about the source and type of pain. Different cultural have different words.  
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In developing a plan of care for a client with dementia, the nurse should remember that confusion in the elderly?   show
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The nurse is instructing a client with high cholesterol about diet and lifestyle modification. What comment from the client indicates that the teaching has been effective?   show
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show Ask the spouse to step out for a few minutes.  
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show Nutritional history  
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RN takes a female pt to the examination room and asks her to remove her clothes and put on an examination gown with the front open. The woman states "I have special undergarments that I do not remove for religious reasons." How should the nurse respond?   show
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show Inadequate lifestyle changes in diet and exercise.  
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show The client Demonstrates the wound care procedure correctly  
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show Fowlers' (Semi-sitting)  
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show Activity intolerance related to postoperative pain.  
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The nurse is preparing to adminster IV fluid to a client with a strict fluid restriction. IV tubing with which feature is most important for the nurse to select?   show
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show Notify the healthcare provider of the family's request.  
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Prior to transferring a client to a chair using a mechanical lift, what is the most important client characteristic the nurse should assess?   show
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show Chocolate pudding  
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A pt is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The prep arrives from the pharmacy diluted in 50 ml of 0.9% NaCl. The RN plans to administer the IVPB dose over 20m. How many ml/hr should the infusion pump be set to deliver the secondary infusion?   show
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The healthcare provider prescribes furosemide (Lasix) 15 mg IV stat. On hand is Lasix 20 mg/2 ml. How many milliliters should the nurse administer?   show
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The nurse witnesses the signature of a client who has signed an informed consent. Which statement best explains this nursing responsibility?   show
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show Avoid any types of sprays, powders, and perfumes.  
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Obese male pt discusses with RN plans to begin a LT wt loss regimen. With dietary changes, he plans to begin an aerobic exercise program 3-4x/w and stress mgmt classes. P/ praising pt for his decision, which info is most important for the RN to give?   show
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show Reassess the client's blood pressure using a larger cuff.  
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show Upper torso.  
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A client who is in hospice care complains of increasing amounts of pain. The healthcare provider prescribes an analgesic every four hours as needed. Which action should the nurse implement?   show
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An unlicensed assistive personnel (UAP) places a client in a left lateral position prior to administering a soap suds enema. Which instruction should the nurse provide the UAP?   show
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show Assist the ambulating client back to the bed.  
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A pts infusion of NS infiltrated earlier today, and approx 500 ml of NS infused into the SQ tissue. The client is now c/o of excruciating arm pain and demanding “stronger pain medications.” What initial action is most important for the nurse to take?   show
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What is the most important reason for starting intravenous infusions in the upper extremities rather than the lower extremities of adults?   show
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show 11,000 units.  
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show 1 tablet.  
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The nurse observes that a male client has removed the covering from an ice pack applied to his knee. What action should the nurse take first?   show
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show Blood transfusions are forbidden.  
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Which action is most important for the nurse to implement when donning sterile gloves?   show
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show Assess for bladder distention.  
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show Re-oxygenate the client before attempting to suction again.  
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The nurse is teaching a client proper use of an inhaler. When should the client administer the inhaler-delivered medication to demonstrate correct use of the inhaler?   show
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show Determine the etiology of the problem.  
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The HCP prescribes 1,000 ml of RL with 30U of Pitocin to run in over 4h for a pt who has just delivered a 10lb infant by C section. The tubing has been changed to a 20 gtt/ml administration set. The nurse plans to set the flow rate at how many gtt/min?   show
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The healthcare provider prescribes morphine sulfate 4mg IM STAT. Morphine comes in 8 mg per ml. How many ml should the nurse administer?   show
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An adult male client with a history of hypertension tells the nurse that he is tired of taking antihypertensive medications and is going to try spiritual meditation instead. What should be the nurse's first response?   show
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show Acknowledge that she is supporting the arm correctly.  
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When evaluating a client's plan of care, the nurse determines that a desired outcome was not achieved. Which action will the nurse implement first?   show
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show Report the vital signs to the nurse.  
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During a visit to the outpatient clinic, the nurse assess a client with severe osteoarthritis using a goniometer. Which finding should the nurse expect to measure?   show
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The nurse is assessing an older client and determines that the client's left upper eyelid droops, covering more of the iris than the right eyelid. Which description should the nurse use to document this finding?   show
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A female client asks the nurse to find someone who can translate into her native language her concerns about a treatment. Which action should the nurse take?   show
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show Stop the code immediately.  
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The nurse dons gown, mask with eyeshield, and gloves before entering a client's room that has airborne precautions. Upon leaving the client's room, in which sequence should the nurse remove the personal protective equipment?   show
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show S1 murmur auscultated in supine position: Objective data  
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show 8am, 4pm, 1200 midnight. q 8hrs  
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The nurse is preparing to administer a high volume saline enema to a client. Which information is most important for the nurse to obtain prior to administering the enema?   show
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A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a fracture resulting from a fall. In reviewing hip precautions with the client, which instruction should the nurse include in this client's teaching plan?   show
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show Give the missed dose at 1300 and change the schedule to administer daily at 1300.  
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show Initiate an alternate site for the IV infusion of the medication.  
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show 63 ml/hour.  
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show Ensure the accuracy of the blood type match.  
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show Reposition the client on her side  
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show After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube.  
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A male client tells the nurse that he does not know where he is or what year it is. What data should the nurse document that is most accurate?   show
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show The nurse who transferred the client to the chair when the fall occurred.  
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show Gently lift the client when moving into a desired position.  
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show Notify the healthcare provider of the family's request.  
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An IV infusion terbutaline sulfate 5 mg in 500 ml of D5W, is infusing at a rate of 30 mcg/min prescribed for a client in premature labor. How many ml/hr should the nurse set the infusion pump?   show
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show It is OK if you don't want to talk about your surgery. I will be available when you are ready.  
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During a physical assessment, a female client begins to cry. Which action is best for the nurse to take?   show
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show Encourage additional oral intake of juices and water  
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Examination of a client complaining of itching on his right arm reveals a rash made up of multiple flat areas of redness ranging from pinpoint to 0.5 cm in diameter. How should the nurse record this finding?   show
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show 1½ tablets  
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show A lactating woman nursing her 3-day-old infant.  
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The RN is caring for a pt who is receiving 24h TPN via a central line at 54 ml/hr. When initially assessing the pt, the RN notes that the TPN solution has run out and the next TPN solution is not available. What immediate action should the nurse take?   show
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The nurse is completing a mental assessment for a client who is demonstrating slow thought processes, personality changes, and emotional lability. Which area of the brain controls these neuro-cognitive functions?   show
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show Skim milk, turkey salad, roll, and vanilla ice cream.  
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show 124 gtt/min.  
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show Hot remedies restore balance after surgery, which is considered a "cold" condition.  
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show 21  
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show Move the chair parallel to the right side of the bed, and stand the client on the right foot.  
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Three days following surgery, a male client observes his colostomy for the first time. He becomes quite upset and tells the nurse that it is much bigger than he expected. What is the best response by the nurse?   show
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show Your blood vessels are becoming dilated and removing the heat from the site.  
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When conducting an admission assessment, the nurse should ask the client about the use of complimentary healing practices. Which statement is accurate regarding the use of these practices?   show
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When evaluating a client's plan of care, the nurse determines that a desired outcome was not achieved. Which action will the nurse implement first?   show
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show Examining a chest x-ray obtained after the tubing was inserted.  
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Which nutritional assessment data should the nurse collect to best reflect total muscle mass in an adolescent?   show
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