A nurse is teaching a client who has been newly diagnosed with systemic lupus erythemato-
sus (SLE). Which statement by the client indicates an understanding of the teaching? - AN-
SWER "I should inspect my skin daily for cuts and rashes"
A nurse is caring for a client who has Parkinson's disease. Which of the following actions
should the nurse take to promote the client's mobility? - ANSWER Instruct the client to
perform range-of-motion exercises
-exercising and walking help to delay the progression of the disease
A nurse is caring for a client who has had a myocardial infarction and suspects cardiogenic
shock. The nurse should monitor for which of the following manifestations? - ANSWER
Pulmonary Congestion
-Pulmonary congestion is a result of decreased cardiac output due to damage to the cardiac
muscle
A nurse is assessing a client who has a DNR order and has stopped breathing. The family asks
the nurse to resuscitate the client. Which action should the nurse take? - ANSWER Re-
spect the client's preferences.
A nurse manager is teaching a group of nurses about OSHA. What information should the
nurse include? - ANSWER Sets standards for hazardous exposures in the workplace.
A nurse manager identifies that the number of client medication administration errors on
the unit has increased. When creating a cause-and-effect chart, which of the following infor-
mation should the nurse manger include? - ANSWER Possible reasons for the medication
errors
1
,A nurse manager notices that he has exceeded the amount of money allocated for labor
costs for the quarter. Which action should the nurse manager take? - ANSWER involve
staff nurses in budge planning.
-this promotes awareness of the costs of staffing a unit and encourages cost-effective care.
A nurse is providing teaching to a client who has a halo device applied to prevent further
cervical spinal cord injury following a diving accident. What info should the nurse include? -
ANSWER "Avoid leaning forward when attempting to stand."
-the weight of the halo device can alter balance. leaning forward could cause the client to
fall.
A nurse is working on an interprofessional collaboration plan of care for a client who has a
stage 3 pressure ulcer. Which action should the nurse recognize as the. role of the licensed
practical nurse (LPN)? - ANSWER Administer pain medication
A nurse manager is facilitating conflict resolution between two nurses who disagree about
the need to make a referral to a social worker. Which conflict management strategies should
the nurse manager use? - ANSWER Offer self to constructively facilitate communication.
-The nurse manager will be the impartial third party in this communication
A nurse is having a disagreement with a coworker about a client assignment. When following
the chain of command, which of the following individuals should the nurse contact to dis-
cuss the conflict? - ANSWER The charge nurse
-the charge nurse is the nurse's immediate supervisor
2
, A triage nurse is prioritizing clients following a mass casualty disaster. Which of the following
clients should the nurse treat first? - ANSWER A client who is exhibiting manifestations of
shock.
-a client exhibiting manifestations of shock requires immediate intervention for survival.
A nurse is caring for a client who has a partial-thickness burn and a prescription for a silver
sulfadiazine cream. Which intervention should the nurse take? - ANSWER Monitor the
client's WBC.
-A drop in the WBC count can be an indication of an allergic reaction to the silver sulfadia-
zine cream
A nurse is preparing to administer nitroglycerin topical ointment to a client who had a myo-
cardial infarction. Which action should the nurse plan to take? (move steps in order) - AN-
SWER 1) Cleanse the client's skin and allow it to dry
2) Apply a thin layer of medication ointment to the dosing paper.
3) Spread the medication over a 6.4 by 8.9 cm area of skin
4) Cover the medication site with plastic wrap
5) Remove the medication in 6 hr.
A nurse manager is teaching a group of nurses about professional negligence. Which of the
following situations should the nurse manager include as an example? - ANSWER Admin-
istering heparin to a client who is undergoing a lumbar puncture.
A nurse is teaching a client who has deep-vein thrombosis and is receiving heparin injec-
tions. The nurse should instruct the client to report which of the following manifestations as
an adverse effect of this medication? - ANSWER An increase in nosebleeds
-increase in nosebleeds or bruising can be indications of a hemorrhage, which is an adverse
effect of heparin
3
sus (SLE). Which statement by the client indicates an understanding of the teaching? - AN-
SWER "I should inspect my skin daily for cuts and rashes"
A nurse is caring for a client who has Parkinson's disease. Which of the following actions
should the nurse take to promote the client's mobility? - ANSWER Instruct the client to
perform range-of-motion exercises
-exercising and walking help to delay the progression of the disease
A nurse is caring for a client who has had a myocardial infarction and suspects cardiogenic
shock. The nurse should monitor for which of the following manifestations? - ANSWER
Pulmonary Congestion
-Pulmonary congestion is a result of decreased cardiac output due to damage to the cardiac
muscle
A nurse is assessing a client who has a DNR order and has stopped breathing. The family asks
the nurse to resuscitate the client. Which action should the nurse take? - ANSWER Re-
spect the client's preferences.
A nurse manager is teaching a group of nurses about OSHA. What information should the
nurse include? - ANSWER Sets standards for hazardous exposures in the workplace.
A nurse manager identifies that the number of client medication administration errors on
the unit has increased. When creating a cause-and-effect chart, which of the following infor-
mation should the nurse manger include? - ANSWER Possible reasons for the medication
errors
1
,A nurse manager notices that he has exceeded the amount of money allocated for labor
costs for the quarter. Which action should the nurse manager take? - ANSWER involve
staff nurses in budge planning.
-this promotes awareness of the costs of staffing a unit and encourages cost-effective care.
A nurse is providing teaching to a client who has a halo device applied to prevent further
cervical spinal cord injury following a diving accident. What info should the nurse include? -
ANSWER "Avoid leaning forward when attempting to stand."
-the weight of the halo device can alter balance. leaning forward could cause the client to
fall.
A nurse is working on an interprofessional collaboration plan of care for a client who has a
stage 3 pressure ulcer. Which action should the nurse recognize as the. role of the licensed
practical nurse (LPN)? - ANSWER Administer pain medication
A nurse manager is facilitating conflict resolution between two nurses who disagree about
the need to make a referral to a social worker. Which conflict management strategies should
the nurse manager use? - ANSWER Offer self to constructively facilitate communication.
-The nurse manager will be the impartial third party in this communication
A nurse is having a disagreement with a coworker about a client assignment. When following
the chain of command, which of the following individuals should the nurse contact to dis-
cuss the conflict? - ANSWER The charge nurse
-the charge nurse is the nurse's immediate supervisor
2
, A triage nurse is prioritizing clients following a mass casualty disaster. Which of the following
clients should the nurse treat first? - ANSWER A client who is exhibiting manifestations of
shock.
-a client exhibiting manifestations of shock requires immediate intervention for survival.
A nurse is caring for a client who has a partial-thickness burn and a prescription for a silver
sulfadiazine cream. Which intervention should the nurse take? - ANSWER Monitor the
client's WBC.
-A drop in the WBC count can be an indication of an allergic reaction to the silver sulfadia-
zine cream
A nurse is preparing to administer nitroglycerin topical ointment to a client who had a myo-
cardial infarction. Which action should the nurse plan to take? (move steps in order) - AN-
SWER 1) Cleanse the client's skin and allow it to dry
2) Apply a thin layer of medication ointment to the dosing paper.
3) Spread the medication over a 6.4 by 8.9 cm area of skin
4) Cover the medication site with plastic wrap
5) Remove the medication in 6 hr.
A nurse manager is teaching a group of nurses about professional negligence. Which of the
following situations should the nurse manager include as an example? - ANSWER Admin-
istering heparin to a client who is undergoing a lumbar puncture.
A nurse is teaching a client who has deep-vein thrombosis and is receiving heparin injec-
tions. The nurse should instruct the client to report which of the following manifestations as
an adverse effect of this medication? - ANSWER An increase in nosebleeds
-increase in nosebleeds or bruising can be indications of a hemorrhage, which is an adverse
effect of heparin
3
