1. The nurse cares for the three-year-old prior to a surgical procedure. Which behavior
indicates that the child is coping with preoperative preparation?
a. The child hops around the room pretending to be a bunny while the nurse attempts
to obtain a blood pressure reading.
b. The child talks about the picture of a nurse and client while coloring the picture
using a number of bright colored crayons.
c. The child sits quietly reading a story about a boy who is going to have surgery while
the nurse reviews the consent from the parents.
d. The child sits on the parent’s lap and sucks the child’s thumb while the nurse uses
puppets to demonstrate the use of the pulse oximeter.
Answer: B
2. The nurse instructs the client after a total hip arthroplasty. The client will utilize
which assistive devices in the home?
a. Wheelchair
b. A long-handled shoehorn.
c. A reaching device.
d. A raised toilet seat.
e. A trochanter roll.
f. A shower bench.
Answer: B,C,D,F
Note: total hip replacement is the same as arthroplasty
3. The client reports vomiting and diarrhea for three days. Which assessment finding
does the nurse anticipate?
a. Bradycardia
b. Decreased blood pressure.
c. Peripheral edema.
d. Moist crackles.
Answer: B
4. The nurse cares for the client in active labor. The health care provider orders an
oxytocin infusion. Which action should the nurse take FIRST after initiating the infusion?
a. Time and record the length and strength of the contractions.
b. Prepare the client for an emergency cesarean birth.
c. Check the client’s perineum for bulging.
d. Monitor the fetal heart rate.
Answer: A
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