1. A nurse in an emergency department is preparing to perform an ocular irrigation for a client.
‘Which of the following actions should the nurse plan totake?: Perform the irrigation with sterile
water specific for irrigation
2. A nurse is preparing to administer lactated ringer's via continuous IV infu-sion at 200 mV/hr.
The IV tubing has a drop factor of 10 drops/ml. How many gtt/min should the nurse set the IV
pump to administer?
Round to near whole number.: 33 gtt/min
3. A nurse is providing discharge teaching to a client who has a new pre- scription for sublingual
nitroglycerin.
Which of the following client statementsindicates an understanding of the teaching?:
I should lie down when I take thismedication.
4. A nurse is providing discharge teaching to an older adult client following a left total hip
arthroplasty. Which of the following instructions should the nurseinclude in the teaching?: Install a
raised toilet seat in your bathroom
5. A nurse is planning care for a client following a cardiac catheterization. Which of the
following actions should the nurse take?: Maintain the client'saffected extremity in extension
6. A nurse is caring for a client who has a lower extremity fracture and a prescription for
crutches. Which of the following client statements indicatesthat the client is adapting to their
role change?: I will need to have my partnertake over shopping for groceries and cooking the meals
for us
7. A nurse is caring for a client who has gastroenteritis.
Which of the followingassessment findings
1/9
,should the nurse recognize as an indication that the client is experiencing dehydration?:
Decreased BP
8. A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The
client's urinary output was 4,000 ml over the past 24 hour.The nurse should anticipate a
prescription for which of the following I'V medication?: Desmopressin
9. A nurse in a clinic receives a phone call from a client who recently started therapy with an
ACE inhibitor and reports a nagging dry cough. Which of thefollowing responses by the nurse is
appropriate?: Your cough may require thatyou stop or change your medication
10. A nurseis taking an admission history from a client who reports Raynaud'sdisease.
Which of the
following assessment findings should the nurse identifyas a potential trigger for exacerbations of
Raynaud's?: Using a nicotine trans- dermal patch
11. A nurse s caring for a patient who has a central venous access device andnotes the tubing has
become disconnected. The client develops dyspnea and
, tachycardia. Which of the following actions should the nurse take first?: Clampthe catheter
12. A nurse is completing an assessment of an older adult client and notesreddened areas over
the bony prominences, but the client's skin is intact.
‘Which of the following
interventions should the nurse include in the plan of care?: Support bonyprominences with pillows
13. A home health nurse is making an initial visit to a client who has multiplesclerosis.
Which of
the following actions is the priority for the nurse to take?-
: Discuss recommendations for eating + swallowing techniques
14. A nurse in the emergency department is assessing a client. Which of thefollowing actions
should the nurse take first?: Initiate airborne precautions
15. A nurse is reviewing the medical record of a client to identify risk factorsfor colorectal
cancer.The nurse should identify which of the following findingsas increasing the client's risk?:
History of Crohn's disease
16. A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse,
"I'm not sure I want to have a mastectomy." Which ofthe following statements should the
nurse make?: I can give you additional information about the procedure
17. A nurse is preparing to administer a unit of packed RBCs to a client whois anemic. Identify
the sequence of steps the nurse should follow.
1 - Obtain venous access using a 19-gauge needle
‘Which of the following actions should the nurse plan totake?: Perform the irrigation with sterile
water specific for irrigation
2. A nurse is preparing to administer lactated ringer's via continuous IV infu-sion at 200 mV/hr.
The IV tubing has a drop factor of 10 drops/ml. How many gtt/min should the nurse set the IV
pump to administer?
Round to near whole number.: 33 gtt/min
3. A nurse is providing discharge teaching to a client who has a new pre- scription for sublingual
nitroglycerin.
Which of the following client statementsindicates an understanding of the teaching?:
I should lie down when I take thismedication.
4. A nurse is providing discharge teaching to an older adult client following a left total hip
arthroplasty. Which of the following instructions should the nurseinclude in the teaching?: Install a
raised toilet seat in your bathroom
5. A nurse is planning care for a client following a cardiac catheterization. Which of the
following actions should the nurse take?: Maintain the client'saffected extremity in extension
6. A nurse is caring for a client who has a lower extremity fracture and a prescription for
crutches. Which of the following client statements indicatesthat the client is adapting to their
role change?: I will need to have my partnertake over shopping for groceries and cooking the meals
for us
7. A nurse is caring for a client who has gastroenteritis.
Which of the followingassessment findings
1/9
,should the nurse recognize as an indication that the client is experiencing dehydration?:
Decreased BP
8. A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The
client's urinary output was 4,000 ml over the past 24 hour.The nurse should anticipate a
prescription for which of the following I'V medication?: Desmopressin
9. A nurse in a clinic receives a phone call from a client who recently started therapy with an
ACE inhibitor and reports a nagging dry cough. Which of thefollowing responses by the nurse is
appropriate?: Your cough may require thatyou stop or change your medication
10. A nurseis taking an admission history from a client who reports Raynaud'sdisease.
Which of the
following assessment findings should the nurse identifyas a potential trigger for exacerbations of
Raynaud's?: Using a nicotine trans- dermal patch
11. A nurse s caring for a patient who has a central venous access device andnotes the tubing has
become disconnected. The client develops dyspnea and
, tachycardia. Which of the following actions should the nurse take first?: Clampthe catheter
12. A nurse is completing an assessment of an older adult client and notesreddened areas over
the bony prominences, but the client's skin is intact.
‘Which of the following
interventions should the nurse include in the plan of care?: Support bonyprominences with pillows
13. A home health nurse is making an initial visit to a client who has multiplesclerosis.
Which of
the following actions is the priority for the nurse to take?-
: Discuss recommendations for eating + swallowing techniques
14. A nurse in the emergency department is assessing a client. Which of thefollowing actions
should the nurse take first?: Initiate airborne precautions
15. A nurse is reviewing the medical record of a client to identify risk factorsfor colorectal
cancer.The nurse should identify which of the following findingsas increasing the client's risk?:
History of Crohn's disease
16. A nurse is caring for a client who is scheduled for a mastectomy. The client tells the nurse,
"I'm not sure I want to have a mastectomy." Which ofthe following statements should the
nurse make?: I can give you additional information about the procedure
17. A nurse is preparing to administer a unit of packed RBCs to a client whois anemic. Identify
the sequence of steps the nurse should follow.
1 - Obtain venous access using a 19-gauge needle
