QUESTIONS AND CORRECT VERIFIED
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Which action would the oncology unit nurse take if the nurse receives an order to start a
peripheral intravenous (IV) line and is twice unsuccessful in starting the line?
A) Hydrate the patient with a liter of fluid.
B) Apply two tourniquets to enhance vein visualization.
C) Make an additional attempt and document the result.
D) Ask another nurse for assistance with starting the IV line.
D) Ask another nurse for assistance with starting the IV line.
Which action is the first priority for the nurse when there is a fire in the hospital?
A) Activating the fire alarms
B) Confining the fire
C) Extinguishing the fire
D) Rescuing patients in immediate danger
D) Rescuing patients in immediate danger
Which component of the health care record must a patient receive before being released
from a medical facility?
A) Nurses’ notes
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,B) Progress notes
C) Discharge summary
D) History and physical examination section
C) Discharge summary
Which route is the primary excretion route for the electrolytes sodium and potassium?
A) Liver
B) Feces
C) Kidneys
D) Perspiration
C) Kidneys
Which mnemonic is used to set priorities in case of a fire?
A) ABC
B) CDC
C) RACE
D) OSHA
C) RACE
Immediately after entering the room of a bedridden patient, a nurse notices flames behind
the curtain. Which action would the nurse take first?
A) Rescue the patient.
B) Locate a fire extinguisher.
C) Ask the patient to evacuate.
D) Notify the primary health care provider.
A) Rescue the patient
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, Which rationale supports the nursing intervention of measuring the urine and liquid stool
of a patient by using a graduated container?
A) The nurse is measuring the patient's output.
B) The nurse is checking the output for color changes.
C) The nurse is checking the output for microorganisms.
D) The nurse is cleaning the room for hygiene.
A) The nurse is measuring the patient's output.
If unsure about how to abbreviate, how would a nurse approach using abbreviations in
documentation?
A) Chart using the abbreviations learned in school.
B) Ask the other nurses on the unit what is accepted.
C) Refer to the facility’s published list of abbreviations.
D) Use any form of abbreviations, as long as they can be recalled in a legal situation
B) Refer to the facility’s published list of abbreviations.
When charting using the SOAPE model, which entry would be documented under the "S"
portion of the model?
A) "Nurse to continue to measure wound once a week."
B) "Dressing changed with sterile 4 × 4 wrapped with gauze."
C) "Patient reports pain level of 8 out of 10 during dressing changes."
D) "Use sterile normal saline to loosen dressings before removal."
C) "Patient reports pain level of 8 out of 10 during dressing changes."
An older adult patient has been admitted to a unit where pumps are constantly sounding an
alarm. There are prescriptions for cardiac monitoring, vital signs every hour, and finger
sticks before meals and at bedtime. Which problem is the patient at immediate risk for
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