Artificial Intelligence Adaptive Test #1

The Registered Nurse is caring for a two-weeks postpartum woman who tested positive for Tuberculosis a month ago. The client visits the postpartum clinic, worried, and requests to discuss how she will know if her child has been infected. Which of the following statements by the Nurse are appropriate? Select All That Apply

A client is about to undergo a lumbar puncture and asks the nurse about special considerations during the procedure. The nurse replied that the client will be placed in which position used during the procedure?

A nurse is taking care of a client who is a very strict vegetarian. To make sure that she will meet the client’s needs, the nurse consults with a dietician regarding the client’s menu choices. Which set of food choices should be served during the client’s meal?

The nurse is caring for a post-op colostomy client. The nurse observes the client crying and asks the client what’s wrong. The client says, “I’ll never be attractive again with this ugly red thing hanging off from me!” What should be the first action by the nurse to address this client’s needs?

The nurse admits a client who was just newly diagnosed with hypertension in the past week. What is the best method for assessing this client’s blood pressure to ensure accuracy of the reading?

Prolonged used of urinary catheter should be avoided for hospitalized clients for which reason?

What is the correct technique that should be used when inserting a urinary catheter into a male penis?

Female clients are more vulnerable to getting a urinary tract infection compared to male clients because of which of the following reason?

A client is scheduled for an upper gastrointestinal (GI) endoscopy. Which of the following assessments is essential to include in the plan of care following the procedure?

Identify which of the following statements signifies a need for reinforcement of teaching when teaching a new nurse regarding intramuscular injection in the dorsogluteal area?

The client recently had a motor vehicular accident. His blood pressure is dropping rapidly, and the nurse knows that positioning the client is one of the first actions to take. The nurse should assess the client for the presence of which condition prior to placing the client in Trendelenburg position?

Which of the following protective equipment should the nurse remove first after seeing a client who was placed in strict isolation?

A 50-year-old client was infused with 25% more than the required volume ordered via his IV therapy. Which the following assessment findings would be expected consequences of this error? Select all that apply.

The client’s IV fluids infused rapidly. The nurse should expect to find peripheral veins on the client that can be described by which of the following descriptions?

A 21-year-old client has been scheduled for dialysis and has a creatinine of 4.6 mg/dl, a blood urea nitrogen of 63 mg/dl, and a potassium of 7.7 mEq/L. A Kayexalate enema is prescribed and will be administered soon. Which of the following is the reason for administering this treatment modality?

The nurse is caring for a client with an initial serum potassium level of 3.4 mEq/L. The client is placed on a cardiac monitor and prescribed 50 mEq KCL in 1000 ml of 5% dextrose in water IV. Which of the following patterns in the ECG would alert the nurse to stop the infusion and notify the Health Care Provider?

The client was prescribed furosemide. Which sign of hypokalemia would the nurse monitor for?

Which low-calorie and low sodium food would the nurse recommend for a client who had a myocardial infarction? Select all that apply.

Which action would the nurse implement first if the client’s serum potassium level has been marked as 5.7 mEq/L?

Which food choice made by a client with a low hemoglobin level shows understanding of the dietary teaching? Select all that apply

The nurse oversees a client who is post liver biopsy. Which position will the client need to remain in for several hours after a liver biopsy?

Which statement about documentation rules indicates the need for further teaching and training? Select all that apply

Which points about proper body mechanics should the nurse observe? Select all that apply.

The nurse is preparing to administer an enteral feeding to a client via a nasogastric feeding tube. What action is the most important for the nurse to perform before initiating feeding?

A healthy client is reviewing some teaching about body mechanics. Which of these statements by the client may indicate the need for further teaching?

When inserting a urinary catheter to female clients, the catheter should be inserted at which length?

A 47-year-old client will be discharged from the hospital after their thyroidectomy has been successfully completed. Which of the following suggestions for discharge instructions would be the best fit for this client? Select all that apply.

The nurse is currently conducting an assessment on a 30-year-old client diagnosed with diabetes insipidus. Which of the following findings should the nurse observe when examining? Select all that apply.

A 43-year-old client is receiving treatment for hypothyroidism. Which of the following findings suggests that thyroid replacement medication has not been effective? Select all that apply.

A 57-year-old male diabetic client is admitted with severe hypoglycemia. What information from the list below should the nurse teach her client? Select all that apply.

A 40-year-old client diagnosed with Addison’s disease was just taken to the hospital for an adrenal crisis and is expected to be discharged in the next few days. Which of the following responses from the client would be most indicative that the nurse’s instruction was successful? Select all that apply.

After jumping from a ladder, a 22-year-old client who had a brain injury developed inappropriate antidiuretic hormone (SIADH). Which of the assessment findings suggests that he is responding to treatment? Select all that apply.

A 50-year-old male client is being seen for his postoperative follow-up visit two weeks after having a partial thyroidectomy performed on him. The medical history makes the nurse aware that the client is more likely to acquire hypothyroidism. Which indications and symptoms of hypothyroidism should the nurse check for in a client? Select all that apply.

A 47-year-old client diagnosed with diabetes mellitus and left-sided heart failure is being admitted to the progressive care unit. Upon the nurse’s examination, it was found that the client had low blood pressure, increased breathing rate and depth, lethargy, and disorientation. In addition, the client reported that they are experiencing headaches and nausea. How would the nurse evaluate the client’s acid-base balance based on the blood test values that are shown below?

A 40-year-old female client diagnosed with hyperthyroidism has a serum calcium level of 14.6 mg/dL. Which treatment should the nurse anticipate being ordered by the healthcare provider?

A nurse is planning care for a 48-year-old client who has hyperthyroidism. Which of the following nursing interventions would be most appropriate? Select all that apply.

A 45-year-old female client visits the clinic because she has lost 24 pounds in the last month, even though her hunger has been “ravenous,” and she has not modified the amount of physical activity. She has been diagnosed with Graves’ disease. The nurse should also evaluate the client to see if they exhibit any other signs and symptoms associated with Graves’ disease. Select all that apply.

The client is a 38-year-old woman who presents herself to the clinic for possible parathyroid hormone (PTH) insufficiency. Evaluating serum electrolytes is an integral part of this condition’s diagnostic process. Which of the following electrolytes does the nurse anticipate being abnormal in this condition?

When giving discharge instructions to a client with Addison disease, what should the nurse emphasize?

A nurse is providing care to a client who has Addison’s disease. What should the nurse educate the client about eating healthy?

A nurse monitors for clinical signs of infection in a client with Addison’s disease. Which bodily mechanism involved in infectious processes, according to the nurse, is compromised because of this diagnosis?

Which significant intervention should the nurse include in the treatment plan specifically for a client with Addison’s disease?

An Addison’s disease client is receiving nursing care. Which details should the nurse provide in a teaching plan to encourage this client to change their nutritional intake?

For a client with adrenal insufficiency, fludrocortisone (Florinef) is prescribed. Which side effects of the medication should the client report to the healthcare provider? Select all that apply.

A nurse is treating a client with type 1 diabetes who has developed a diabetic coma. Which substance builds up excessively in the blood to trigger the symptoms related to this condition?

A 42-year-old client in a diabetic coma is being examined by the nurse. When evaluating this client, what distinct characteristic connected to a diabetic coma that isn’t shown by hyperglycemic hyperosmolar nonketotic syndrome (HHNS) should the nurse monitor?

Untreated type 1 diabetes mellitus clients are at risk of developing acidosis, which may put them in a coma. Which blood component is more prevalent when this type of acidosis occurs?

A nurse is gathering data on a client with type 1 diabetes hospitalized due to a diabetic ketoacidosis. What risk factors might this client be predisposed to? Select all that apply.

The arterial blood gases resulting from a client show diabetic ketoacidosis. When monitoring this client’s laboratory results, which clinical sign should the nurse expect to see?

A client with diabetic ketoacidosis receives the recommended regular insulin (Novolin R) from the nurse. The nurse also anticipates that the potassium in the IV solution she has administered would restore the potassium ions in the extracellular fluid. By what mechanism is potassium decreased in diabetic ketoacidosis?

A client’s glycosylated hemoglobin level is measured at 6%. Based on the outcomes of this laboratory test, what implications should the nurse make about this client when formulating a care plan?

Which of the following neurovascular complications usually occurs after a fracture? Select all that apply.

A client with a recent fracture is suspected of having compartment syndrome. Assessment findings may include which of the following symptoms?

A client was brought into the unit after having a fracture. The nurse knows that compartment syndrome is one of the possible complications for a fracture. Compartment syndrome occurs under which of the following conditions?

A client who is about to be discharged was prescribed a two-point gait pattern. Which of the following should the nurse i

The nurse should include which of the following in the teaching plan for a client who has a cane prescribed?

The nurse is planning the discharge of a client with rheumatoid arthritis who complains of morning stiffness. Which of the following measures should the nurse include in the discharge instruction for the client?

The nurse has given discharge instructions to a client with an above-the-knee amputation who will be fitted with a prosthesis when healing is complete. Which of the following statements by the client would indicate that the client has understood the instructions?

The client is 3 hours postoperative left AKA. The client tells the nurse, “My left foot is killing me. Please do something.” Which intervention should the nurse implement?

The nurse is teaching an adolescent crutch walking. He has just had a fractured right ankle casted. The nurse knows the client understands teaching about crutch walking when the client is observed doing which of the following?

Which of the following statement is true about fracture?

Which of the following symptoms are considered signs of a fracture?

Which of the following instructions should a nurse give to a client in order to reduce the client’s risk for developing osteoporosis?

In advanced gout, urate crystals deposits develop on the hands, knees, feet, forearms, ear, and Achilles tendon. Which of the following terms refers to these deposits?

The nurse is providing discharge teaching to a client who was newly-diagnosed with gout. Which of the following food items is allowed in the diet of a client with gout?

Identification of risk factors is an important part of providing health teaching to clients. The nurse should identify which of the following conditions or actions as a cause for primary osteoarthritis?

Which of the following instructions would be considered primary prevention of injury from osteoarthritis?

A 47-year-old client is admitted to the hospital after being diagnosed with rheumatoid arthritis. The client is complaining that her knees and wrist joints have been intermittently painful for the past 3 months. The nurse would expect to receive a medication order for which of the following pharmacologic management?

What is the most important aspect to include when developing a home care plan for a client who is experiencing severe arthritis?

Which of the following instructions would be considered primary prevention of injury from osteoarthritis?

The nurse is caring for a client who had a total hip replacement 4 days ago. Which assessment below requires the nurse’s immediate attention?

A nurse has given instructions to a client returning home after arthroscopy of a knee. The nurse would evaluate that the client understands the instructions if the client states to do which of the following actions?

The nurse is caring for a client who is going to undergo an electromyography (EMG). Which of the following is correct teaching regarding this procedure?

Which of the following complaints from a client after a cast application a few hours earlier needs immediate attention from the nurse?

The nurse is caring for a client who just returned from surgery with a long leg cast. Which of the following interventions is the priority in the first 24 hours after this client’s surgery?