PEDIATRICS NUR>0416 CAT 2 KAPLAN-2 Questions And Answers Correctly Tested And Verified With Latest Update 2023 Update 1.The nurse access a client who is in the 24th week of gestation. Which finding is a priority for the nurse to follow-up?
- Fetal heart rate of 130 to 140 beats/min.
- Fundal level at 3 fingers below the umbilicus.
- Fetal movements felt faintly on lower part of abdomen.
- Client reports backache and leg cramps when sleeping.
Ans: 2
2.The nurse administers carisoprodol to the incorrect client. Which strategy should the nurse use to reduce the risk of malpractice litigation? (Select all that apply.)
- Ask the charge nurse to reassign the client to a different nurse.
- Notify the health care provider of the medication error immediately.
- Report the incident to the manager for appropriate follow-up with the client.
- Print a copy of the incident report to keep in the nurse’s personal records.
- Explain to the client that the nurse has a heavier assignment than normal.
Ans: 2, 3
3.The nurse provides care for a client who is receiving sitagliptin for type 2 diabetes mellitus.Which assessment finding causes the nurse to suspect the client is experiencing an adverse reaction to the medication?
- Weight gain.
- Anemia.
- Abdominal pain.
- Edema.
Ans: 3
4.The nurse orients a new nurse who inquired about electrical cardioversion. Which statement about cardioversion by the nurse is accurate? (Select all that apply.)
- “Cardioversion is used to treat ventricular fibrillation.”
- “Pulseless electrical activity (PEA) responds to cardioversion.”
- “Cardioversion treats atrial fibrillation and atrial flutter.”
- “An intravenous sedative is required in elective cardioversion.”
- “Check for life-threatening dysrhythmia during
cardioversion.” Ans: 3, 4, 5
5.A wound located on the foot of a client with type 2 diabetes mellitus (DM) is healing. The nurse teaches the client about the prevention of future foot wounds. Which client statement indicates the teaching is effective? (Select all that apply.)
- “I should not cross my legs.”
- “I should wear shoes only when I go outside.”
- “I should apply lotion between my toes after a shower.”
- “I should inspect the inside of my shoes before I put them on.”
- “I should use a mirror to examine the bottom of my feet every
day.” Ans: 1, 4, 5
PEDIATRICS NUR>0416 CAT 2 KAPLAN-2 Questions And Answers Correctly Tested And Verified With Latest Update 2023 Update 6.The nurse prepares discharge instructions for a client who speaks very little English and is recovering from an emergency appendectomy. Which nursing action best helps this client understand wound care instructions?
- Asking if the client understands the instruction.
- Demonstrating the procedure and having the client return the demonstration.
- Asking an interpreter to replay the instructions to the client.
- Writing out the instructions and having a family member read them to the client.
Ans: 2
7.The family sits at the bedside of a client nearing the end-of-life. Which action is appropriate for the nurse to implement? (Select all that apply.)
- Teach family members about physical signs of impending death.
- Encourage the management of adverse signs and symptoms.
- Assess family coping mechanisms to handle impending loss.
- Avoid spirituality as nurse’s beliefs may not be congruent with the client’s.
- Leave the family alone as there is no more need for direct nursing care.
Ans: 1, 2, 3
8.The nurse performs an intermittent urinary catheterization for a client who is 2 hours post surgery. Which client observation indicates that the procedure was effective?
- Reports dribbling of urine.
- Rests quietly.
- Notes distention above symphysis pubis.
- Voids 30 mL every 15 minutes.
Ans: 2
9.The nurse directs the nursing assistive personnel (NAP) to provide a back massage to a client.Which action does the nurse emphasize when giving these directions?
- Warm the lotion in the microwave before use.
- Wear clean gloves while performing the massage.
- Place the bed in the lowest position after the massage.
- Start the massage at the shoulders and work toward the buttocks.
Ans: 3
10.The nurse observes a student nurse provide a client with a subcutaneous injection of heparin.For which student action will the nurse intervene? (Select all that apply.)
- Pinches the skin and inserts the needle 90 degrees.
- Places the needle in the sharps container.
- Administers the injection 1/2 inch from the umbilicus.
- Aspirates after inserting the needle.
- Massages the site.
Ans: 3, 4, 5
PEDIATRICS NUR>0416 CAT 2 KAPLAN-2 Questions And Answers Correctly Tested And Verified With Latest Update 2023 Update 11.The nurse provides care to a client who experienced prolonged cold exposure. For which complication does the nurse closely monitor this client?
- Ventricular fibrillation.
- Hypertension.
- Metabolic alkalosis.
- Shivering.
Ans: 1
12.The nurse provides care for clients in a headache clinic. Which client should the nurse assess first?
- The client reporting pain and neck stiffness.
- The client reporting abdominal pain and vomiting.
- The client with difficulty speaking to the receptionist.
- The client with a headache of 3 weeks’ duration.
Ans: 3
13.The nurse notes the client’s electrocardiogram (ECG) tracing shows a prolonged PR interval, a wide QRS complex, and tall peaked T waves. Which action does the nurse take next?
- Palpate the peripheral pulses.
- Check the serum potassium.
- Raise the head of the bed.
- Obtain serum troponin level.
Ans: 2
14.The nurse provides care for a client on bed rest. The nurse determines that the client’s right calf is swollen, red, and tender to touch. Which nursing action is most appropriate?
- Check the client for Homan sign.
- Massage the area.
- Notify the health care provider.
- Teach the client to dangle legs.
Ans: 3
15.The nurse prepares to teach a client about measures to prevent falls at home. Which point will the nurse include in the teaching plan?
- Place a small area rug on the bathroom floor in front of the bathtub.
- Avoid using step stools.
- Allow damp areas on the floor to air dry.
- Do not attempt to do anything beyond reach.
Ans: 4
16.The nurse auscultates heart sounds in a school-age client. Where does the nurse place the stethoscope to listen to the aortic area of the heart?
- Second left intercostal space.
PEDIATRICS NUR>0416 CAT 2 KAPLAN-2 Questions And Answers Correctly Tested And Verified With Latest Update 2023 Update
- Second right intercostal space.