NSG 4800 All Comps COMP COMP COMP #3
#1 #2
1. Potassium The nurse working in the ED has received the
following
prescriptions for a newly admitted client, which
prescrip- tions should the nurse implement
FIRST?:
Initiate IV sodium and potassium for a client
admit- ted with diarrhea and dehydration who
2.Urinary A nurse is caring for a male client who has a deep
partial thickness and a full thickness burn to 45 % of
the lower body, it would be a PRIORITY for the nurse
to notify the provider if the client has:
A Urinary output of 45 ml over the past two hours
3. Chest The nurse is assessing clients at the scene of a
mass
casualty disaster and is prioritizing care based
on the disaster triage tag system which of the
following clients should be transported to the
health care facility FIRST? The client who has
multiple compound fractures and is reporting
4 Droplet The charge nurse in the ED is reviewing the care
. provided for recently admitted clients; which of
the following reflects implementation of an
accepted standard of care?: Placing the client
who has suspected Hemophilus influen- za on
Droplet precautions
5. Ambulance The nurse is working on a crisis hotline speaking
with a client who states "I just took an entire bottle of amitripty-
line" which of the following responses should the nurse
INITIALLY make to the client?:
I'm glad you called, and I want to send anAmbulance
to help you '
Concussion/TBI - reduce stimuli
Transfer pt = assess if they can bear weight
first OCD = assess & identify triggers & give them
things to do
Pericarditis (what do you not want to see) = fever over 101.0
Pt can request medical records - RN can start the process for
,them Staging of grieving = anger
Pt can refuse tx
Start IV
w/chlorhexidine
, All Comps
6 Heart rate The nurse is monitoring a client following a
. thoracentesis it would be a priority for the
nurse to notify the primary health care provider if
the client develops:
A Heart r_at_e that has increased from 95 to
110BPM
Thoracentesis = bad if heart rate goes from 95-110bpm
7. Chicken A nurse is caring for a client receiving
chemotherapy, the
client is not eating well but denies any nausea or
vomiting which of the following would be best for
the nurse to suggest to the client?:
Chicken , green beans and cottage cheese
8. Amiodarone Which med should be given for the pt in Vtach?
(Rhythm
strip)
V-tach = tomb stones
Give amiodarone
9. Hot The nurse is talking with a client who has MS
what would need follow up by nurse?:
Hot showers
10. Provider A nurse is assessing a patient who had a
colostomy created 6 hours ago. The stoma
appears dark red dry and flaccid with a small
amount of mucous drained in the bag. which
action would be priority for the nurse to make?:
Call the Provider
2/
56
, All Comps
11. Lower Lumbar surgery w/ headache and clear drainage:
Lower the head of the Lumbar SX = lay pt supine
bed
An adverse effect of magnesium sulfate is a RR
12. RR of
10. Respiratory depression
13. Annually Health fair
screening: Annuall for ages 10-14.
y
Scoliosis
screening
14. Metabolic The pt taking antacids is at risk for which acid-base
alkalo- sis im- balance?
15. Metabolic The pt w/ an NG tube is at risk for which acid-base
alkalo- sis imbalance?
16. Increase Which finding in the kidney transplant pt requires
f/u?:
Temp Increase .
17. Boundaries Bipolar pt:
set clear Boundaries and limits.
18. D10 TPN:
Only given through central line, only hang D-10 if
out
- NOT D50
19. Urine Catheter question further teaching:
3/
56
#1 #2
1. Potassium The nurse working in the ED has received the
following
prescriptions for a newly admitted client, which
prescrip- tions should the nurse implement
FIRST?:
Initiate IV sodium and potassium for a client
admit- ted with diarrhea and dehydration who
2.Urinary A nurse is caring for a male client who has a deep
partial thickness and a full thickness burn to 45 % of
the lower body, it would be a PRIORITY for the nurse
to notify the provider if the client has:
A Urinary output of 45 ml over the past two hours
3. Chest The nurse is assessing clients at the scene of a
mass
casualty disaster and is prioritizing care based
on the disaster triage tag system which of the
following clients should be transported to the
health care facility FIRST? The client who has
multiple compound fractures and is reporting
4 Droplet The charge nurse in the ED is reviewing the care
. provided for recently admitted clients; which of
the following reflects implementation of an
accepted standard of care?: Placing the client
who has suspected Hemophilus influen- za on
Droplet precautions
5. Ambulance The nurse is working on a crisis hotline speaking
with a client who states "I just took an entire bottle of amitripty-
line" which of the following responses should the nurse
INITIALLY make to the client?:
I'm glad you called, and I want to send anAmbulance
to help you '
Concussion/TBI - reduce stimuli
Transfer pt = assess if they can bear weight
first OCD = assess & identify triggers & give them
things to do
Pericarditis (what do you not want to see) = fever over 101.0
Pt can request medical records - RN can start the process for
,them Staging of grieving = anger
Pt can refuse tx
Start IV
w/chlorhexidine
, All Comps
6 Heart rate The nurse is monitoring a client following a
. thoracentesis it would be a priority for the
nurse to notify the primary health care provider if
the client develops:
A Heart r_at_e that has increased from 95 to
110BPM
Thoracentesis = bad if heart rate goes from 95-110bpm
7. Chicken A nurse is caring for a client receiving
chemotherapy, the
client is not eating well but denies any nausea or
vomiting which of the following would be best for
the nurse to suggest to the client?:
Chicken , green beans and cottage cheese
8. Amiodarone Which med should be given for the pt in Vtach?
(Rhythm
strip)
V-tach = tomb stones
Give amiodarone
9. Hot The nurse is talking with a client who has MS
what would need follow up by nurse?:
Hot showers
10. Provider A nurse is assessing a patient who had a
colostomy created 6 hours ago. The stoma
appears dark red dry and flaccid with a small
amount of mucous drained in the bag. which
action would be priority for the nurse to make?:
Call the Provider
2/
56
, All Comps
11. Lower Lumbar surgery w/ headache and clear drainage:
Lower the head of the Lumbar SX = lay pt supine
bed
An adverse effect of magnesium sulfate is a RR
12. RR of
10. Respiratory depression
13. Annually Health fair
screening: Annuall for ages 10-14.
y
Scoliosis
screening
14. Metabolic The pt taking antacids is at risk for which acid-base
alkalo- sis im- balance?
15. Metabolic The pt w/ an NG tube is at risk for which acid-base
alkalo- sis imbalance?
16. Increase Which finding in the kidney transplant pt requires
f/u?:
Temp Increase .
17. Boundaries Bipolar pt:
set clear Boundaries and limits.
18. D10 TPN:
Only given through central line, only hang D-10 if
out
- NOT D50
19. Urine Catheter question further teaching:
3/
56
