PREBOARD 38A

1.) The nurse is assessing a client with acute decompensated heart failure who is receiving a
continuous infusion of sodium nitroprusside. The client is pale with cool, clammy skin and reports
feeling light-headed. It would be a priority for the nurse to
a. check the client's capillary refill
b. review the client's ECG monitor
c. obtain the client's blood pressure
d. auscultate the client's breath sounds

2.) The home health nurse is visiting a client who underwent a left total knee replacement seven days
ago. The client is using a cane to go up and down the stairs. Which client action indicates an
understanding of the correct technique when using a cane?
a. Holds the cane with the left hand
b. Leads with the right leg when going up stairs
c. Moves the left leg down first when descending stairs
d. Uses a side-facing technique to go up stairs

3.) A client diagnosed with head and neck cancer has developed mouth sores related to external
radiation therapy. Which of the following oral hygiene practices does the nurse include while
educating the client about the condition? Select all that apply.
a. Apply a water-soluble lubricating agent to moisturize mouth tissues
b. Brush teeth with a soft-bristle toothbrush
c. Cleanse the mouth with saline after meals and at bedtime
d. Do not drink hot liquids or eat foods that are spicy or acidic
e. Remove dentures between meals and soak with cleaning solution
f. Rinse with alcohol-based antiseptic mouthwash to decrease mouth odor

4.) The nurse should plan to teach which client about the need for prophylactic antibiotics prior to
dental procedures?
a. Client who had a large anterior wall myocardial infarction (MI) with subsequent heart
failure
b. Client who had a mitral valvuloplasty repair
c. Client with a mechanical aortic valve replacement
d. Client with mitral valve prolapse with regurgitation

5.) The nurse should consider which of the following client reports as an indication of an allergic
reaction?
a. "I can't eat broccoli or cabbage when I take my warfarin."
b. "I get a headache when using my nitroglycerine patch."
c. "My feet swell when I take felodipine."
d. "My lips swell when I eat bananas or avocados."

6.) The nurse is feeding a confused client via a small-bore nasoenteric tube. The nurse observes the
client pulling at the tube and then notices an increase in external tube length from the original
exit mark. After immediately stopping the feeding, which action is appropriate for the nurse to
take next?
a. Advance the tube to the original exit mark, check gastric aspirate pH, and resume feeding
 b. Contact the health care provider to request a prescription for hand mitts
c. Contact the health care provider to request an x-ray to verify tube placement
d. Reinsert the guide wire and advance the tube to its original exit mark

7.)
8.) The nurse is caring for a client with multiple myeloma who reports persistent back pain after
falling at home. The client does not have headaches, muscle weakness, or paresthesia. The nurse
should recognize that the client may be experiencing
a. hypercalcemia
b. a pathological fracture
c. central nervous system involvement
d. chemotherapy-induced peripheral neuropathy

9.) A client was struck on the head by a baseball bat during a robbery attempt. The nurse gives this
report to the oncoming nurse at shift change and conveys that the client's current Glasgow Coma
Scale (GCS) score is a "10." Which client assessment is most important for the reporting nurse to
include?
a. Belief that the current surroundings are a racetrack
b. GCS score was "11" one hour ago
c. Recent vital signs show blood pressure of 120/80 mm Hg and pulse of 82/min
d. Reported allergy to penicillin and vancomycin

10.) The graduate nurse (GN) is reinforcing teaching for a client who is initiating contraception with
the etonogestrel and ethinyl estradiol vaginal ring. Which statement by the GN would require the
nurse preceptor to intervene?
a. "Hormones from the ring are absorbed into the bloodstream through the vaginal
mucosa."
b. "If the ring is accidently removed, rinse and place it back in the vagina within 3 hours."
c. "The vaginal ring is effective as soon as you insert it."
d. "Wear the vaginal ring for 3 weeks, then remove it for 1 week."

11.) The nurse provides education to the parent of a 10-year-old client with irritable bowel syndrome
(IBS). Which of the following parent statements indicate understanding? Select all that apply.
a. "Adding a daily probiotic supplement may help to reduce my child's IBS symptoms."
b. "Finding mucus or undigested food in my child's stool is an emergency and I should call
the health care provider promptly."
c. "For constipation-predominant IBS, we will increase the amount of fiber in my child's
diet."
d. "I can help improve IBS symptoms by promoting healthy coping skills for my child, like
talking about problems."
e. "I will ensure my child gets daily exercise by encouraging outdoor play with friends."

12.) The emergency nurse is admitting a 12-year-old client who reports palpitations. Which action
should the nurse anticipate? Click the exhibit button for additional information.
 a. Administering epinephrine by rapid IV push
b. Assisting the client to a tripod position
c. Instructing the client to hold their breath and bear down
d. Sedating the client for immediate asynchronous defibrillation

13.) The emergency department nurse cares for 5 clients. Which of the clients below are at risk for
developing metabolic acidosis? Select all that apply.
a. 25-year-old client with claustrophobia who was stuck in an elevator for 2 hours
b. 36-year-old client with food poisoning and severe diarrhea for the past 3 days
c. 40-year-old client with 3-day history of chemotherapy-induced vomiting
d. 75-year-old client with pyelonephritis and hypotension
e. 82-year-old client due for hemodialysis with clotted arteriovenous shunt

14.) A client who is 2 hours post aortic valve replacement is in the intensive care unit (ICU). The low
pressure alarm for the client's radial arterial line sounds. Which action should the nurse take first?
a. Check for bleeding at tube connection sites
b. Perform a fast flush of the arterial line system
c. Re-level the transducer to the phlebostatic axis
d. Zero and re-balance the monitor and system

15.) The nurse is caring for a client with acute pancreatitis. Which of the following actions should the
nurse take? Select all that apply.
a. Initiate an infusion of IV fluids.
b. Administer IV hydromorphone.
c. Implement seizure precautions.
d. Administer ondansetron IV push.
e. Obtain a blood specimen to check the client's BNP level.
 f. Monitor the client's breath sounds and oxygen saturation level.

16.) A client with cancer pain is prescribed oxycodone. Which teaching is most essential to help
prevent long-term complications?
a. Teach the client how to assess blood pressure daily
b. Teach the client how to prevent constipation
c. Teach the client how to prevent itching
d. Teach the client how to prevent nausea

17.) The emergency department nurse is assessing a client brought in after a car accident in which the
client's head hit the steering column. Which assessment findings would indicate that the triage
nurse should apply spinal immobilization? Select all that apply.
a. Breath smells of alcohol
b. Client disoriented to place
c. Client reports eyes burning
d. History of multiple sclerosis
e. Point tenderness over spine

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23.)

24.) During a home visit, the community health nurse observes bruises in various stages of healing on
the extremities and torso of an elderly client. The client explains that the bruises are from
bumping into furniture and the wall in the wheelchair. What is the priority nursing action?
a. Ask the client to explain the bruises on the torso
b. Assess the client's general hygiene and nutritional status
c. Report the bruises to the client's health care provider (HCP)
d. Talk to the client's child about the injuries

25.) The nurse is observing a staff member caring for a newborn with a myelomeningocele. The nurse
should intervene if the staff member is observed
a. obtaining a rectal temperature
b. placing the newborn in a prone position
c. avoiding the use of diapers on the newborn
d. covering the sac with a moist, sterile dressing

26.) The nurse has attended a staff education program about negative pressure wound therapy
(NPWT). Which of the following statements by the nurse would indicate a correct understanding
of the program?
a. "Aseptic technique should be used when performing NPWT dressing changes."
b. "The foam dressing should compress when the NPWT device is turned on."
c. "NPWT can be prescribed for wounds with eschar."
d. "The use of NPWT requires hospitalization."
27.) The nurse is assessing a client with diabetes mellitus who had a right total knee replacement 8
hours ago. The client reports numbness and tingling in the lower extremities bilaterally. The
 client's pedal pulses are strong, and capillary refill is <3 seconds bilaterally. Which of the following
actions should the nurse take?
a. Offer the client PRN pain medication.
b. Ask the client if the symptoms were present before surgery.
c. Notify the client's health care provider.
d. Continue the assessment by checking the client's surgical dressing.

28.) The nurse has been made aware of clients who are in labor and are requesting pain medication.
Which of the following clients can safely receive IV butorphanol?
a. nullipara client who is at 3 cm dilation and ambulating without assistance
b. nullipara client who is at 6 cm dilation and moaning with contractions
c. multipara client who is at 6 cm dilation and has reported recent heroin use
d. multipara client who is at 9 cm dilation and has an urge to push

29.) The nurse is admitting a client with a diagnosis of right-sided heart failure resulting from
pulmonary hypertension. What clinical manifestations are most likely to be assessed? Select all
that apply.
a. Crackles in lung bases
b. Increased abdominal girth
c. Jugular venous distension
d. Lower extremity edema
e. Orthopnea

30.) An 8-month-old infant with congenital pulmonic stenosis is scheduled for a femorally inserted
balloon angioplasty in the cardiac catheterization laboratory. Which finding should the nurse
report to the health care provider that could possibly delay the procedure?
a. Auscultation of a loud heart murmur
b. Infant has been NPO for 4 hours
c. Infant has a severe diaper rash
d. Slight cyanosis of the nail beds

31.) The nurse is preparing a client who had a Roux-en-Y gastric bypass (RYGB) for discharge from the
hospital. What information should the nurse plan to include related to the prevention of dumping
syndrome?
a. Meals should be small and low in carbohydrate content
b. Fluids should be encouraged with each meal
c. Take a multivitamin with iron and calcium supplements daily
d. You will need to take your cobalamin injection monthly

32.) A 25-year-old client is about to undergo a unilateral orchiectomy for treatment of testicular
cancer. The client says to the nurse, "I'm so worried that my future spouse is going to call off our
engagement." What is the best response by the nurse?
a. "Are you concerned about how the surgery will affect your sexuality?"
b. "If you are concerned about infertility, you could always bank your sperm."
c. "The cancer is at an early stage. You are going to be fine."
d. "What have you and your future spouse discussed about your condition?"
33.) The nurse in the emergency department is caring for assigned clients. The nurse should first assess
the client with
a. unilateral facial pain that is aggravated by consumption of hot beverages
 b. an epidural hematoma who has a decreased level of consciousness
c. Bell palsy who has unilateral facial droop and drooling
d. multiple sclerosis who is reporting blurred vision

34.) The nurse is caring for a client with acute pancreatitis who has severe nausea, frequent vomiting,
epigastric pain, and tachycardia. Which of the following interventions should the nurse anticipate
for this client? Select all that apply.
a. Administer IV fluids
b. Administer IV hydromorphone for pain
c. Insert a nasogastric tube for nasogastric suction
d. Maintain the client in a supine position with the head of bed flat
e. Provide small, frequent, high-carbohydrate, high-calorie meals

35.) The nurse is conducting a health-screening clinic at an industrial work site. The nurse should be
most concerned about which client's risk for metabolic syndrome? Click the exhibit button for
additional client information.

a. 27-year-old female with triglycerides of 210 mg/dL (2.4 mmol/L), blood pressure of
128/82 mm Hg, and fasting serum glucose of 98 mg/dL (5.4 mmol/L)
b. 45-year-old male with waist circumference of 38 in (96.5 cm), HDL of 49 mg/dL (1.3
mmol/L), and fasting serum glucose of 118 mg/dL (6.6 mmol/L)
c. 55-year-old female with waist circumference of 37 in (94 cm), triglycerides of 190 mg/dL
(2.2 mmol/L), and fasting serum glucose of 120 mg/dL (6.7 mmol/L)
d. 82-year-old male with HDL of 45 mg/dL (1.2 mmol/L), blood pressure of 148/88 mm Hg,
and fasting serum glucose of 114 mg/dL (6.33 mmol/L)

36.) The nurse is preparing to administer insulin aspart to a client with diabetes mellitus. Which of the
following actions would be a priority for the nurse to take?
a. Choose a site on the client's arm for the injection.
 b. Ensure that the client eats within 15 minutes of receiving the injection.
c. Check the client's capillary blood glucose level in 1 hour.
d. Teach the client about the signs and symptoms of hyperglycemia.

37.) The nurse is caring for a client who has a brain tumor. The client suddenly vomits but denies
nausea. It would be a priority for the nurse to
a. keep the head of the bed flat
b. notify the health care provider
c. document the amount of emesis
d. administer antiemetic medication

38.) Which interventions should the nurse include when caring for a client who has had endovascular
repair of an abdominal aortic aneurysm? Select all that apply.
a. Assess abdominal incision every 4 hours
b. Check for bleeding at groin puncture sites
c. Measure chest tube drainage
d. Monitor fluid intake and urine output
e. Palpate and monitor peripheral pulses

39.) An adolescent client seen in the ambulatory care center is going on a one-week fasting regimen
of water and juice to jump start weight loss. The nurse's response is based on an understanding
of which of the following?
a. Fasting for 7 days is not likely to cause health problems
b. Fasting spares protein in favor of fat metabolism
c. Fasting will help control hunger pangs in the long term
d. Initial weight loss during fasting is primarily from fluid loss

40.) A student nurse assesses and obtains a urine specimen from a client with methicillin-resistant
Staphylococcus aureus (MRSA) who is on contact precautions. The registered nurse intervenes
when the student performs which action?
a. Cleans the disposable stethoscope with chlorhexidine solution before reuse with a
different client
b. Removes the urine specimen cup from the room in a sealed biohazard bag
c. Scrubs the Foley catheter collection port with alcohol for 15 seconds before withdrawing
a urine specimen
d. Uses an alcohol-based hand antiseptic solution after removing gloves

41.)
42.)
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44.)
45.)
46.)
47.) The nurse is teaching clients at a community health fair about skin cancer prevention. Which of
the following information should the nurse include? Select all that apply.
a. "Apply a broad-spectrum sunscreen before and during outdoor sports."
b. "Reapply sunscreen after swimming, even if waterproof sunscreen was used earlier."
c. "Remember that serious sunburns can occur even on overcast days."
d. "Use tanning beds for ≤15 minutes for a base tan that is less likely to burn."
 e. "Wear protective clothing, including a hat and sunglasses, when spending time outdoors."

48.) The office nurse for an orthopedic health care provider receives 4 telephone messages. Which
client does the nurse call back first?
a. Client who had a left total knee replacement 7 days ago and reports cramping pain in the
left calf
b. Client with a fractured wrist who reports severe itching under a cast that was applied 3
days ago
c. Client with an ankle sprain who is using crutches and reports tingling in the forearm and
fingers
d. Client with an intact anterior cruciate ligament injury who reports tightness in the knee
unrelieved with ice

49.) The nurse is talking with a client with hypothyroidism who has been receiving levothyroxine for
the past 12 months. Laboratory test results show an elevated TSH level. Which of the following
statements would be appropriate for the nurse to make?
a. "Take half your prescribed dose of levothyroxine in the morning and half in the evening."
b. "Levothyroxine may be temporarily held until your TSH level is rechecked in 3 weeks."
c. "Expect your health care provider to increase your prescribed dose of levothyroxine."
d. "Levothyroxine should be taken with a calcium supplement to increase its effectiveness."

50.) A client underwent a transurethral resection of the prostate (TURP) today and has a 3-way Foley
urinary catheter with continuous bladder irrigation (CBI). The client reports lower abdominal pain
rated as an 8 on a scale of 0-10. What action should the nurse carry out first?
a. Administer prescribed belladonna-opium suppositories prn
b. Administer prescribed morphine intravenous push prn
c. Check amount and characteristics of urine output
d. Check when the client had the last flatus or bowel movement

51.) The nurse has just administered a dose of 0.5 mg atropine to a client with a heart rate of 48/min
and blood pressure of 90/62 mmHg. Which rhythm strip would indicate that the medication
achieved the desired outcome?
52.) The nurse is caring for assigned clients. The nurse should first assess the client with a
a. seizure disorder who is reporting nausea and an unsteady gait after receiving a dose of
phenytoin
b. spinal cord injury at L3 who is reporting lower abdominal pain and difficulty urinating
c. malignant brain tumor who is reporting a headache and blurred vision
d. closed head injury who is reporting drowsiness and vomiting

53.) The nurse is caring for a client with Parkinson disease. The nurse should expect that the client will
be prescribed
a. carbidopa/levodopa
b. methotrexate
c. valproic acid
d. dobutamine

54.) A student nurse is preparing to administer the hepatitis B vaccine to a newborn. Which statement
by the student nurse requires the preceptor to provide further teaching?
a. "A%-inch, 25-gauge needle is appropriate for intramuscular injection in newborns."
b. "I will clean the injection site with an antiseptic swab before administration."
c. "I will draw the medication into a 1-mL syringe."
d. "The medication should be administered into the deltoid muscle."

55.) The nurse is reviewing teaching about newly prescribed clonazepam with a client who is receiving
palliative care for cancer. Which client statement shows a correct understanding of the nurse's
teaching?
a. "I am glad that I can continue to take my kava supplement each morning."
b. "If I can't sleep, I will take some melatonin with my evening dose of clonazepam."
c. "If I feel restless, I can put some drops of lavender essential oil in a diffuser to calm
myself."
d. "When my anxiety is getting really intense, I will drink some valerian tea to help me relax."

56.) The nurse is caring for a client recently diagnosed with a hiatal hernia. Which of the following
actions should the nurse take? Select all that apply.
a. Elevate the head of the bed at least 30 degrees
b. Encourage use of compression garments around the abdomen
c. Instruct the client to avoid caffeinated beverages
d. Offer small, frequent, low-fat meals
e. Tell the client to avoid lifting and straining

57.) A client is admitted with an exacerbation of asthma following a respiratory viral illness. Which
clinical manifestations characteristic of a severe asthma attack does the nurse expect to assess?
Select all that apply.
 a. Accessory muscle use
b. Chest tightness
c. High-pitched expiratory wheeze
d. Prolonged inspiratory phase
e. Tachypnea

58.) The nurse is caring for a client with suspected pheochromocytoma. The client has diaphoresis, a
severe headache, and a blood pressure of 200/110 mm Hg. Which of the following actions should
the nurse take? Select all that apply.
a. Prepare the client for surgery.
b. Administer radioactive iodine.
c. Administer IV antihypertensive medication.
d. Initiate a 24-hour urine specimen collection.
e. Palpate the abdomen to assess for tenderness.

59.) The nurse is talking with the parent of a 3-year-old client. Which of the following statements by
the parent would represent an expected age-related finding for the client? Select all that apply.
a. "My child can hop on 1 foot."
b. "My child enjoys riding a tricycle around the park."
c. "My child can identify many letters of the alphabet."
d. "My child requires assistance when getting dressed in the morning."
e. "My child is beginning to play with other children while at the playground."

60.) The nurse is teaching the parents of a 6-year-old client who is experiencing fecal incontinence
related to functional constipation. Which of the following information should the nurse include?
Select all that apply.
a. "Provide your child with a foot stool to rest the feet on while sitting on the toilet."
b. "Toilet sitting should be encouraged after meals to facilitate a regular bowel routine."
c. "Keep a record of your child's bowel movements, laxative use, and soiling episodes."
d. "Use a reward system, such as a sticker chart, only for successful bowel movements."
e. "The use of stool softeners may be gradually tapered down to maintain regular bowel
movements."

61.) An experienced nurse is mentoring a new registered nurse (RN) on the telemetry unit. The new
RN is measuring orthostatic blood pressure (BP) for a client. Which situation would warrant
intervention by the experienced nurse?
a. Nurse has client lie supine for 5-10 minutes prior to starting procedure
b. Nurse interprets a decrease in systolic BP by 10 mm Hg as a normal finding
c. Nurse starts by measuring BP and heart rate (HR) with the client standing
d. Nurse takes BP and HR after standing at 1-and 3-minute intervals

62.) The nurse at the radiological imaging center is admitting a client for an MRI of the right knee.
Which information obtained by the nurse should be reported immediately to the prescribing
health care provider?
a. The client ate a full breakfast that morning
b. The client has an implantable cardioverter defibrillator (ICD)
c. The client is allergic to povidone-iodine
d. The client took all prescribed cardiac medications before arriving
63.) The nurse is preparing to use an automated external defibrillator to defibrillate a client who is
experiencing ventricular fibrillation and is unconscious. Which of the following actions should the
nurse take? Select all that apply.
a. Apply the defibrillator pads to the client's chest.
b. Ensure that adequate IV sedation has been administered.
c. Call out and look around to ensure that staff members are all clear.
d. Continue chest compressions until the defibrillator is ready to analyze the rhythm.
e. Remove transdermal medication patches from the client's chest and cleanse the skin.

64.)
65.)
66.)
67.)
68.)
69.)
70.) The nurse is talking with a client who has Huntington disease and is considering becoming
pregnant. Which of the following statements would be appropriate for the nurse to make?
a. "There are alternative methods to expand your family. You should consider adoption."
b. "Genetic counseling is recommended. You will receive a referral before you leave."
c. "Huntington disease inheritance requires both biological parents to carry the gene."
d. "Huntington disease occurs spontaneously and is not likely to affect your children."

71.) The nurse is caring for a client involved in a motor vehicle collision who had a chest tube inserted
to evacuate a pneumothorax caused by fractured ribs. Where would the nurse observe an air
leak?

72.) The nurse is preparing to administer furosemide to a client who is experiencing heart palpitations.
Which of the following actions would be a priority for the nurse to take? Click the exhibit button
for additional client information.
 a. Calculate total urinary output.
b. Hold the furosemide.
c. Notify the health care provider.
d. Obtain a 12-lead ECG.

73.) The nurse assesses a client with Cushing syndrome. Which of the following clinical manifestations
should the nurse expect? Select all that apply.
a. Hyperglycemia
b. Hypertension
c. Hyponatremia
d. Truncal obesity
e. Weight loss

74.) A child with attention-deficit hyperactivity disorder (ADHD) has been taking methylphenidate for
a year. What are the priority nursing assessments when the client comes to the clinic for a well-
child visit?
a. Attention span and activity level
b. Dental health and mouth dryness
c. Height/weight and blood pressure
d. Progress with schoolwork and in making friends

75.) The nurse is preparing to insert a peripheral venous access device for a client who has an order
for an infusion of IV fluids. Which of the following veins would be most appropriate for the nurse
to select?
a. radial vein
b. cephalic vein
c. subclavian vein
d. median cubital vein

76.) The nurse is caring for a client who had a gastrojejunostomy and is reporting episodes of nausea,
dizziness, and sweating that occur shortly after eating. Which of the following actions should the
nurse take?
 a. Encourage the client to increase the consumption of carbohydrates.
b. Check the client's blood pressure while lying down and standing.
c. Recommend that the client consume extra fluids with meals.
d. Instruct the client to recline for a short time after meals.

77.) The nurse is talking with a client with hypertension who is receiving hydrochlorothiazide and
amlodipine. Which of the following statements by the client would be essential to follow up?
a. "I like to have a banana every morning with my breakfast."
b. "I occasionally feel dizzy when I stand from a seated position."
c. "I started taking licorice root for occasional heartburn."
d. "I usually take my medications early in the morning."

78.) A hospitalized client is receiving chemotherapy. Based on today's laboratory results, what action
should the nurse take? Click on the exhibit button for additional information.

a. Assess for hematuria

79.) The nurse is preparing to administer newly prescribed warfarin to a client who has a deep venous
thrombosis and is receiving IV heparin. The client states, "I am already receiving heparin." Which
of the following responses would be appropriate for the nurse to make?
a. "Both medications will be administered until a therapeutic anticoagulation level is
achieved."
b. "The heparin infusion will be discontinued after you receive the first dose of warfarin."
c. "The two medications will work together to break apart the clot in your leg."
d. "I will clarify the prescription for warfarin with your health care provider."
80.) The emergency department nurse is caring for a client who has recently been prescribed
methadone for chronic severe back pain. The client ingested extra tablets tonight because the
pain returned. Which assessment findings during discharge require the client to be monitored
longer in the hospital setting? Select all that apply.
a. Client falls asleep while the nurse is talking
b. Client frequently scratches due to pruritus
c. Client has third emesis since taking medication
d. Monitor reveals one premature ventricular contraction
e. Pulse oximeter shows oxygen saturation is 90%

81.) A client receives an injection of botulinum toxin type A for facial and neck rejuvenation. What
complications of this procedure should the nurse be aware of for monitoring and teaching?
a. Abdominal rigidity and diarrhea
b. Back pain and urge incontinence
c. Difficulty swallowing and breathing
d. Difficulty walking and hand tremor

82.) The nurse is assessing a client with ulcerative colitis. Which of the following findings would be
consistent with the condition? Select all that apply.
a. iron deficiency anemia
b. early satiety during meals
c. positive antinuclear antibody test
d. frequent episodes of bloody diarrhea
e. abdominal discomfort after eating foods containing gluten

83.) The nurse is caring for a client with advanced Alzheimer disease. Which techniques are
appropriate when speaking with this client? Select all that apply.
a. Ask open-ended questions
b. Face the client while speaking
c. Speak in a loud voice
d. Turn off the television and close the door
e. Use simple statements and questions

84.) The pediatric nurse cares for a 16-year-old client who is scheduled for an appendectomy in the
morning. Which of the following interventions are appropriate to support the client's psychosocial
needs? Select all that apply.
a. Create a strict daily schedule for the client while hospitalized
b. Encourage the client to have peers visit while hospitalized
c. Ensure parental presence during any client procedure
d. Include the client as an active participant when planning care
e. Support the client in discussing concerns about body image changes

85.) The nurse is reviewing the medication administration record for a 70-year-old client. Which of the
following prescribed medications places the client at increased risk for injury? Select all that
apply.
a. diphenhydramine
b. amitriptyline
c. simvastatin
d. famotidine
e. diazepam