I was having this discussion with a friend, but we later agree to to these. Hope this will benefit all nurses student still in school or awaiting to take NCLEX. Is more or less like a study :rckn:group. If you think you have any question you can thread and pple will respond with answer. Just thread in question with no answer to see what you have learn so far.
Absence of bubbling in the water seal compartment indicate what?:thnkg:
A nurse is preparing a five year old for a scheduled tonselectomy. The parents are anxious and concerned about the child's reaction to impending surgery. What nursing intervention should best prepare the child?
1. introduce child to staff day before surgery
2. explain the surgery one week prior to procedure
3. arrange a tour of operating room and recovery room
4. encourage the child to bring a toy to the hospital
A nurse enters a two year old child's hospital room in order to give a oral medication. When the child is asked if the child is ready to take the medication, the child's immediate response is "no!" . What should be an appropriate next action by the nurse?
1. leave the room and return five minutes later and give medication
2. explain to the child that the medication must be taken now
3. give the medication the parent and ask the parent to give it
4. mix the medication with ice cream or apple sauce
The nurse should instruct the parents of a toddler diagnosed with atopic dermatitis to take which action?
1. dress the child warmly to avoid chilling when in or outdoors
2. keep the child away from other children for the duration of the rash
3. clean the affected areas with tepid water and anti bacterial soap
4. wrap the child's hands in mittens or socks to prevent scratching
A schoold nurse suspects that a third grade child might have ADHD (attention deficit hyperactivity disorder). Prior to refering the child for futher evalulation the nurse should
1. observe child's behavior on atleast two occasions
2. consult with teacher on how to control impulsivity
3. complete a hx of behavior patterns and developmental accomplishments
4. compare the child's behaviour with classic signs and symptoms
A nurse is preparing a five year old for a scheduled tonselectomy. The parents are anxious and concerned about the child's reaction to impending surgery. What nursing intervention should best prepare the child?
1. introduce child to staff day before surgery
2. explain the surgery one week prior to procedure
3. arrange a tour of operating room and recovery room
4. encourage the child to bring a toy to the hospital
A nurse enters a two year old child's hospital room in order to give a oral medication. When the child is asked if the child is ready to take the medication, the child's immediate response is "no!" . What should be an appropriate next action by the nurse?
1. leave the room and return five minutes later and give medication
2. explain to the child that the medication must be taken now
3. give the medication the parent and ask the parent to give it
4. mix the medication with ice cream or apple sauce
The nurse should instruct the parents of a toddler diagnosed with atopic dermatitis to take which action?
1. dress the child warmly to avoid chilling when in or outdoors
2. keep the child away from other children for the duration of the rash
3. clean the affected areas with tepid water and anti bacterial soap
4. wrap the child's hands in mittens or socks to prevent scratching
A schoold nurse suspects that a third grade child might have ADHD (attention deficit hyperactivity disorder). Prior to refering the child for futher evalulation the nurse should
1. observe child's behavior on atleast two occasions
2. consult with teacher on how to control impulsivity
3. complete a hx of behavior patterns and developmental accomplishments
4. compare the child's behaviour with classic signs and symptoms
a nurse is preparing a five year old for a scheduled tonselectomy. the parents are anxious and concerned about the child's reaction to impending surgery. what nursing intervention should best prepare the child?
1. introduce child to staff day before surgery
2. explain the surgery one week prior to procedure:up: five year olds can understand surgery and should be well prepared before. most procedures on "same day" surgeries and do not require over night stay.
3. arrange a tour of operating room and recovery room:nono:
4. encourage the child to bring a toy to the hospital
a nurse enters a two year old child's hospital room in order to give a oral medication. when the child is asked if the child is ready to take the medication, the child's immediate response is "no!" . what should be an appropriate next action by the nurse?
1. leave the room and return five minutes later and give medication:up:since the nurse gave the child a choice about taking the medication, the nust must comply with the child's reponse in order to build trust. since toddlers do not have sense of time, leaving the room and coming back later is another episode to the toddler.
2. explain to the child that the medication must be taken now:nono:
3. give the medication the parent and ask the parent to give it
4. mix the medication with ice cream or apple sauce
the nurse should instruct the parents of a toddler diagnosed with atopic dermatitis to take which action?
1. dress the child warmly to avoid chilling when in or outdoors
2. keep the child away from other children for the duration of the rash
3. clean the affected areas with tepid water and anti bacterial soap
4. wrap the child's hands in mittens or socks to prevent scratching shouldnt itch, finger nails should be cut short and covered.
a schoold nurse suspects that a third grade child might have adhd (attention deficit hyperactivity disorder). prior to refering the child for futher evalulation the nurse should
1. observe child's behavior on atleast two occasions
2. consult with teacher on how to control impulsivity
3. complete a hx of behavior patterns and developmental accomplishments:yeah:
4. compare the child's behaviour with classic signs and symptoms
lol yes, practice makes perfect.. actually i also got these questions wrong when i initially answered them.. .. therefore i found them a bit difficult and thought i would share them on this site.. i picked that the child should bring a toy to the hospital lol, and ther answer i picked was that the nurse should have the parents give the med lol the other i asnwer i picked the same one as u did.. for washing with soap and water.. ill post more if i find any good ones :)
A internal disaster is diclared in the hospital at 9pm. The charge nurse is asked on the shift to determine which client is a candidate for discharge. Which of these clients should the charge nurse determine as a potential for discharge?
1. a middle age with hx of type 2 diabetes admitted yesterday with diabetic keto acidosis
2. a young adult with a hx of asthma since age five admitted few hours ago with exacerbation of asthma
3. an older adult female who is expected to die within the next day or so, and has a DNR order, and the son is at the bedside
4. an adolescent who is newly admitted on the day shift to rule out pancreatitis and who reported to have stopped drinking alcohal two days ago
What is the most objective mehtod by a nurse to establish the correct placement of a nasogastric tube?
1. check the aspirate for the ph
2. inject air while listening for the gastric gurrgle
3. verify tube placement by results on x ray
4. measure the residual volume and then re insert the aspirate
Which of these statements, made by the client who had a mastectomy two months ago, is incorrect and indicates a need for additonal assessment associated with the impact of an alteration in body image.
1. "it really isnt a problem for me, i never had large breasts anyway"
2. "i plan to volunteer to work for others who have had mastectomies in Reach for Recovery"
3. "i guess its time for me to quit wearing a bikini, at my age, anyway"
4. "i only look at myself in the mirror after i am fully dressed"
The client with a spinal cord injury at C5 is suddenly experiencing profound headache, increased hypertention, and sense of impending doom. What should the nurse's initial action be?
1. Check the foley for kinks or for fecal impaction
A internal disaster is diclared in the hospital at 9pm. The charge nurse is asked on the shift to determine which client is a candidate for discharge. Which of these clients should the charge nurse determine as a potential for discharge?
1. a middle age with hx of type 2 diabetes admitted yesterday with diabetic keto acidosis
2. a young adult with a hx of asthma since age five admitted few hours ago with exacerbation of asthma
3. an older adult female who is expected to die within the next day or so, and has a DNR order, and the son is at the bedside
4. an adolescent who is newly admitted on the day shift to rule out pancreatitis and who reported to have stopped drinking alcohal two days ago
What is the most objective mehtod by a nurse to establish the correct placement of a nasogastric tube?
1. check the aspirate for the ph
2. inject air while listening for the gastric gurrgle
3. verify tube placement by results on x ray
4. measure the residual volume and then re insert the aspirate
Which of these statements, made by the client who had a mastectomy two months ago, is incorrect and indicates a need for additonal assessment associated with the impact of an alteration in body image.
1. "it really isnt a problem for me, i never had large breasts anyway"
2. "i plan to volunteer to work for others who have had mastectomies in Reach for Recovery"
3. "i guess its time for me to quit wearing a bikini, at my age, anyway"
4. "i only look at myself in the mirror after i am fully dressed"
The client with a spinal cord injury at C5 is suddenly experiencing profound headache, increased hypertention, and sense of impending doom. What should the nurse's initial action be?
1. Check the foley for kinks or for fecal impaction
a nurse is preparing a five year old for a scheduled tonsillectomy. the parents are anxious and concerned about the child's reaction to impending surgery. what nursing intervention should best prepare the child?
1. introduce child to staff day before surgery
2. explain the surgery one week prior to procedure
3. arrange a tour of operating room and recovery room
4. encourage the child to bring a toy to the hospital
a nurse enters a two year old child's hospital room in order to give a oral medication. when the child is asked if the child is ready to take the medication, the child's immediate response is "no!" . what should be an appropriate next action by the nurse?
1. leave the room and return five minutes later and give medication
2. explain to the child that the medication must be taken now
3. give the medication the parent and ask the parent to give it
4. mix the medication with ice cream or apple sauce
the nurse should instruct the parents of a toddler diagnosed with atopic dermatitis to take which action?
1. dress the child warmly to avoid chilling when in or outdoors
2. keep the child away from other children for the duration of the rash
3. clean the affected areas with tepid water and anti bacterial soap
4. wrap the child's hands in mittens or socks to prevent scratching
a school nurse suspects that a third grade child might have adhd (attention deficit hyperactivity disorder). prior to referring the child for further evaluation the nurse should
1. observe child's behavior on at least two occasions
2. consult with teacher on how to control impulsivity
3. complete a hx of behavior patterns and developmental accomplishments
4. compare the child's behavior with classic signs and symptoms
KAYBDT6, BSN, RN
1,602 Posts
which pt should the nurse see first
1- pt with IV NS infusing @ 125ml/hr with slight swelling @ the insertion site
2- A pt with right knee replacement c/o right calf pain with movement
3- A pt with RR 24 and oxygen of 94%
4- A pt c/o nausea after 12hrs hysterectomy surgery
A pt has a colorless drainage on his dressing after removal of brain tumor. what action should the nurse take initially
1- notify the next shift RN bout the findings
2- document the findings in the pt chart
3- notify the physician
4- mark down with pencil on the dressing and continue to monitor for increase drainage
A pt is taken Lithium carbonate for 2yrs. The nurse check the pt chart and found out the Lithium value is 1.5mEq/L. what action should the nurse take
1- administer the next dose of lithium carbonate
2- encourage the pt to increase fluid and salt daily
3- notify the physician
4- document the findings