A nurse working the 7pm to 7 am shift on the Oxygen saturation of 90% on oxygen at 2 L per
pediatric unit has receieved report on four nasal cannula
postoperative clients. Which of the following
requires immediate intervention? - -A
preschooler who is postoperative following A school nurse is reinforcing teaching regarding
tonsillectomy and is experiencing frequent bicycle safety to a group of school-age children.
swallowing Which of the following is the most important
concept to include in the teaching? - -Use a
properly-fitted bicycle helmet
A nurse is caring for a client who has a flaccid
bladder following a spinal cord injury. which of
the following actions should the nurse take first? A nurse is caring for a client who is in preterm
- -Initiate a bladder training schedule labor and is receiving magnesium sulfate. Which
of the following client data is most important for
the nurse to monitor? - -maternal
A nurse is caring for a client who has a fractured respirations
hip and a respiratory rate of 26/min. Which of the
following actions should the nurse take first? -
-Evaluate level of consciousness Following morning report, a nurse assigns
completion of several tasks to an assistive
personnel. Which of the following tasks should
A nurse is caring for a client who is experiencing the nurse have the AP perform first? - -
panic level anxiety. Which of the following Perform fingersticks for glucose levels on client
actions should the nurse take first? - - who have diabetes mellitus
Engage the client in physical activity
A nurse in a provider's office is collecting data on
A nurse is collecting data on a client who has a a group of clients who are pregnant. Which of the
diagnosis of myasthenia gravis. For which of the following clients should be the nurse's priority
following complications is it most important for concern? - -A client who is 34 weeks
the nurse to monitor? - -Decreased gestation and reporting abdominal tenderness
respiratory effort
A nurse is caring for a group of pediatric clients.
A nurse is caring for a client who is newly Which of the following clients requires immediate
diagnosed with bipolar disorder and is currently intervention? - -A client who is prescribed
experiencing an acute manic opisode. Which of digoxin and has had three episodes of vomitting
the following is the priority concern of the nurse?
- -Prevent injury
A nurse is caring for a toddler who has
laryngotracheobronchitis and is having difficulty
A nurse is caring for a client who was admitted to breathing. Which of the following should be the
the unit 3 hour ago following a total hip first action of the nurse - -Obtain an oxygen
arthroplasty. Which of the following findings saturation level
should be nurse's priority concern? - -
1/2