Comps 1-3 NUR 283
The nurse working in a mental health unit is caring for a pt d. "you have a right to refuse even though you have signed the consent."
who is scheduled to have electroconvulsive therapy (ECT)
treatment the next day. The pt ask, "can i refuse the ECT
treatment tomorrow?" which of the following responses
should the nurse make?
a. "you should consider discussing this decision with your
family first."
b. "having this treatment can be scary, but it is going to
help you feel better."
c. "let's talk with your doctor before you make a final
decision."
d. "you have a right to refuse even though you have signed
the consent."
the nurse has atteneded a conference on informed b. forms must be signed when a pt is competent to make an informed decision
consent. it indicates a correct understanding of the
teaching if the nurse states that informed consent
a. is an agreement to receive medical treatment that can't
be revoked once signed
b. forms must be signed when a pt is competent to make
an informed decision
c. is signed by the nurse to indicate that the pt
understands the procedure
d. is the nurse's responsibility to explain the risk, benefits,
and alternative treatments
the nurse is in the labor and delivery unit has become c. the pt whose bloody show is dark red with active pushing
aware of the following pts who are in the second stage of
labor and are being monitored with external fetal monitors.
the nurse identifies which pt as a priority for follow-up
a. the pt whose cervix has dilated to 10 cm with
moderately intense contractions of 40 to 50 seconds
b. the pt whose fetal heart rate (FHR) remains consistent
at 132BPM
c. the pt whose bloody show is dark red with active
pushing
d. the pt whose contrations are lasting 60 seconds with a
3-minute interval
the nurse is prioritizng pt care after receiving the change- d. had an endoscopic retrograde cholangiopancreatography (ERCP) 1 hour ago
of-shift report. the nurse should first plan to see the pt who and is reporting difficulty swallowing
a. had laparoscopic surgery 12 hours ago and is reporting
right shoulder pain
b. had a cardiac catheterization one hour ago and has
been drowsy since returning from the procedure
c. is scheduled for an echocardiogram in one hour and is
eating food brought in by a visotor
d. had an endoscopic retrograde
cholangiopancreatography (ERCP) 1 hour ago and is
reporting difficulty swallowing
the registered nurse is planning care for pts and is a. collection of past medical history for a pt who is admitted for cellulitis
assigning tasks to a licensed voational nurse and an
unlicensed assistive personnel. which of the following
tasks is best for the RN to assign the the LVN
a. collection of past medical history for a pt who is admitted
for cellulitis
b. recording the output for a pt who just urniated in the
collection container of the toilet
c. assisting with the delivery of breakfast trays to the pts
d. devlopment of plan of care for a pt who is postoperative
from a cholecystitis
, Comps 1-3 NUR 283
the nurse working in the emergency room has been made d. 72 y.o. who lives with their daughter and has several pressure ulcers
aware of the following pt situatios. which pt information
requires reporting by the nurse to an outside agency
a. 18 y.o. female who has abdominal pain and is 4 months
pregnant
b. 27 y.o. who has a histroy of gonorrhea and chlamydia
infection from 1 year ago
c. 45 y.o. who was involved in a local factroy fire and has
50% of total body surface area burns
d. 72 y.o. who lives with their daughter and has several
pressure ulcers
the nurse working on the pedicatric unit has been made a. 15 y.o. who has acute post-streptoccal glomerulonephritis and has crackles in the
aware of the following information. which of the following lungs with neck vien distention
children should the nurse assess first
a. 15 y.o. who has acute post-streptoccal
glomerulonephritis and has crackles in the lungs with neck
vien distention
b. 13 y.o. who has hemophilia and requires prolonged
pressure held to a venipuncture site after the collection of
labs
c. 10 y.o. who has sickle cell disease is reporting a pain
level of 7 on a scale of 0 to 10 and is scheduled to receive
a dose of prescribed pain med
d. 7 y.o. who has celiac disease and has had 3 episodes of
diarrhea in the past 8 hours
the nurse is caring for a pt who had a kidney transplant 1 d. a change in BP from 122/78 to 92/58 over the past 4 hours.
week ago. it is a priority for the nurse to notify the primary
health care provider if the pt has
a. a urine output that continues to be slightly pink in color
since surgery
b. an incrase in weight from 199 to 201 in the past 72
hours
c. a change in blood urea nitrogen (BUN) level from 10 to
16 over the past 48 hours
d. a change in BP from 122/78 to 92/58 over the past 4
hours.
the nurse is preparing to develop a plan of care after d. review pt data to identify the areas of concern
assessing a newly admitted pt who is diagnosed with
pericarditis. which of the following actions should the nurse
take first?
a. prioritize the pt's reported concerns
b. determine any referrals that need to be initiated
c. formulate short-term and long-term goals
d. review pt data to identify the areas of concern
the charge nurse is reviewing pt's electronic medical d. "ambulated from bed to doorway without assistance. no SOB or diaphoresis
records. which of the following indicates correct noted. VS remain within basling after ambulating."
documentation by a staff nurse?
a. "IV catheter site in antecubital space is red and warm.
IV catheter removed. New IV started."
b. "found pt sitting on floor. all 4 side-rails were in upright
position. pt reports no pain. no abrasion or bleeding noted.
primary health care provider notified. incident report
completed."
c. "returned from radiology department following a
diagnostic procedure. VS obtained with slight increase in
BP from before procedure."
d. "ambulated from bed to doorway without assistance. no
SOB or diaphoresis noted. VS remain within basling after
ambulating."
, Comps 1-3 NUR 283
the nurse working in a med-surge unit is aware of the a. a pt developed phlebitis from an IV catheter and is now receiving antibiotics
following situations. which situation requires the nurse to
complete an incident report?
a. a pt developed phlebitis from an IV catheter and is now
receiving antibiotics
b. a staff member called a code for a pt who developed
respiratory distress
c. the pt who reports having an advanced directive does
not have a copy in their chart
d. the nurse finds a PRN prescription for restrains in a pt's
medical record
the nurse working on a med-surge unit is caring for the d. the pt who has ulcerative colitis, is receiving prednisionse, and having 3 to 4
following assigned pts when the facility's emergency diarrhea stools with streaks of blood
response plan is activated. which pt whould the nurse
recommend for discharge
a. the pt who has suspected appendicitis, intense pain at
McBurney's point, and now reports cessation of pain
b. the pt who has pneumonia, a history of asthma, and has
received IV ABX for the last 24 hours
c. the pt who is positive for HIV has a nonproductive
cough, and a 24-hour Mantoux test reading of 6mm
induration
d. the pt who has ulcerative colitis, is receiving
prednisionse, and having 3 to 4 diarrhea stools with
streaks of blood
the nurse is observing a newly hired unlicensed assistive c. wearing a gown, mask, and gloves when entering the room of a pt who has
personnel care for assigned pts. it indicates correct pt care influenza
if the newly hired UAP is observed
a. donning sterile gloves to empty a urniary drainage
device
b. removing protective eyewear before removing gloves
c. wearing a gown, mask, and gloves when entering the
room of a pt who has influenza
d. placing didicated equipment in the room of a pt who has
cellulities if the left leg
the nurse working in an ambulatory health center has a. reports of burning and pruitus with a linear rash of vesicles extending around the
assessed the following pts who are waiting to see the right lower rib cage
primary health care provider. the nurse should immediatley
remove from the waiting room and place in an examining
room the pt who
a. reports of burning and pruitus with a linear rash of
vesicles extending around the right lower rib cage
b. a 1 mm area that is flat and red at the site of a Mantoux
test which was administered 48 hours ago
c. congestive heart failure and reports gaining 3lbs in the
past 3 days
d. fever of 99.6 and is reporting generalized pain and
malaise, and has a history of boderline personality disorder
the nurse is reviewing newly written prescriptions for b. preoperative atropine for a 60 y.o. pt who has glaucoma
assigned pts. it requires follow-up by the nurse if the
primary health care provider prescribes
a. filgrastim for a 46 y.o. pt who has a WBC of 2,500
b. preoperative atropine for a 60 y.o. pt who has glaucoma
c. a fluid bolus of 500mL over 1 hour for a 12 y.o. pt who
has sickle cell crisis
d. low- potasium diet for a 5 y.o. pt who has acute
glomerulonephritis
The nurse working in a mental health unit is caring for a pt d. "you have a right to refuse even though you have signed the consent."
who is scheduled to have electroconvulsive therapy (ECT)
treatment the next day. The pt ask, "can i refuse the ECT
treatment tomorrow?" which of the following responses
should the nurse make?
a. "you should consider discussing this decision with your
family first."
b. "having this treatment can be scary, but it is going to
help you feel better."
c. "let's talk with your doctor before you make a final
decision."
d. "you have a right to refuse even though you have signed
the consent."
the nurse has atteneded a conference on informed b. forms must be signed when a pt is competent to make an informed decision
consent. it indicates a correct understanding of the
teaching if the nurse states that informed consent
a. is an agreement to receive medical treatment that can't
be revoked once signed
b. forms must be signed when a pt is competent to make
an informed decision
c. is signed by the nurse to indicate that the pt
understands the procedure
d. is the nurse's responsibility to explain the risk, benefits,
and alternative treatments
the nurse is in the labor and delivery unit has become c. the pt whose bloody show is dark red with active pushing
aware of the following pts who are in the second stage of
labor and are being monitored with external fetal monitors.
the nurse identifies which pt as a priority for follow-up
a. the pt whose cervix has dilated to 10 cm with
moderately intense contractions of 40 to 50 seconds
b. the pt whose fetal heart rate (FHR) remains consistent
at 132BPM
c. the pt whose bloody show is dark red with active
pushing
d. the pt whose contrations are lasting 60 seconds with a
3-minute interval
the nurse is prioritizng pt care after receiving the change- d. had an endoscopic retrograde cholangiopancreatography (ERCP) 1 hour ago
of-shift report. the nurse should first plan to see the pt who and is reporting difficulty swallowing
a. had laparoscopic surgery 12 hours ago and is reporting
right shoulder pain
b. had a cardiac catheterization one hour ago and has
been drowsy since returning from the procedure
c. is scheduled for an echocardiogram in one hour and is
eating food brought in by a visotor
d. had an endoscopic retrograde
cholangiopancreatography (ERCP) 1 hour ago and is
reporting difficulty swallowing
the registered nurse is planning care for pts and is a. collection of past medical history for a pt who is admitted for cellulitis
assigning tasks to a licensed voational nurse and an
unlicensed assistive personnel. which of the following
tasks is best for the RN to assign the the LVN
a. collection of past medical history for a pt who is admitted
for cellulitis
b. recording the output for a pt who just urniated in the
collection container of the toilet
c. assisting with the delivery of breakfast trays to the pts
d. devlopment of plan of care for a pt who is postoperative
from a cholecystitis
, Comps 1-3 NUR 283
the nurse working in the emergency room has been made d. 72 y.o. who lives with their daughter and has several pressure ulcers
aware of the following pt situatios. which pt information
requires reporting by the nurse to an outside agency
a. 18 y.o. female who has abdominal pain and is 4 months
pregnant
b. 27 y.o. who has a histroy of gonorrhea and chlamydia
infection from 1 year ago
c. 45 y.o. who was involved in a local factroy fire and has
50% of total body surface area burns
d. 72 y.o. who lives with their daughter and has several
pressure ulcers
the nurse working on the pedicatric unit has been made a. 15 y.o. who has acute post-streptoccal glomerulonephritis and has crackles in the
aware of the following information. which of the following lungs with neck vien distention
children should the nurse assess first
a. 15 y.o. who has acute post-streptoccal
glomerulonephritis and has crackles in the lungs with neck
vien distention
b. 13 y.o. who has hemophilia and requires prolonged
pressure held to a venipuncture site after the collection of
labs
c. 10 y.o. who has sickle cell disease is reporting a pain
level of 7 on a scale of 0 to 10 and is scheduled to receive
a dose of prescribed pain med
d. 7 y.o. who has celiac disease and has had 3 episodes of
diarrhea in the past 8 hours
the nurse is caring for a pt who had a kidney transplant 1 d. a change in BP from 122/78 to 92/58 over the past 4 hours.
week ago. it is a priority for the nurse to notify the primary
health care provider if the pt has
a. a urine output that continues to be slightly pink in color
since surgery
b. an incrase in weight from 199 to 201 in the past 72
hours
c. a change in blood urea nitrogen (BUN) level from 10 to
16 over the past 48 hours
d. a change in BP from 122/78 to 92/58 over the past 4
hours.
the nurse is preparing to develop a plan of care after d. review pt data to identify the areas of concern
assessing a newly admitted pt who is diagnosed with
pericarditis. which of the following actions should the nurse
take first?
a. prioritize the pt's reported concerns
b. determine any referrals that need to be initiated
c. formulate short-term and long-term goals
d. review pt data to identify the areas of concern
the charge nurse is reviewing pt's electronic medical d. "ambulated from bed to doorway without assistance. no SOB or diaphoresis
records. which of the following indicates correct noted. VS remain within basling after ambulating."
documentation by a staff nurse?
a. "IV catheter site in antecubital space is red and warm.
IV catheter removed. New IV started."
b. "found pt sitting on floor. all 4 side-rails were in upright
position. pt reports no pain. no abrasion or bleeding noted.
primary health care provider notified. incident report
completed."
c. "returned from radiology department following a
diagnostic procedure. VS obtained with slight increase in
BP from before procedure."
d. "ambulated from bed to doorway without assistance. no
SOB or diaphoresis noted. VS remain within basling after
ambulating."
, Comps 1-3 NUR 283
the nurse working in a med-surge unit is aware of the a. a pt developed phlebitis from an IV catheter and is now receiving antibiotics
following situations. which situation requires the nurse to
complete an incident report?
a. a pt developed phlebitis from an IV catheter and is now
receiving antibiotics
b. a staff member called a code for a pt who developed
respiratory distress
c. the pt who reports having an advanced directive does
not have a copy in their chart
d. the nurse finds a PRN prescription for restrains in a pt's
medical record
the nurse working on a med-surge unit is caring for the d. the pt who has ulcerative colitis, is receiving prednisionse, and having 3 to 4
following assigned pts when the facility's emergency diarrhea stools with streaks of blood
response plan is activated. which pt whould the nurse
recommend for discharge
a. the pt who has suspected appendicitis, intense pain at
McBurney's point, and now reports cessation of pain
b. the pt who has pneumonia, a history of asthma, and has
received IV ABX for the last 24 hours
c. the pt who is positive for HIV has a nonproductive
cough, and a 24-hour Mantoux test reading of 6mm
induration
d. the pt who has ulcerative colitis, is receiving
prednisionse, and having 3 to 4 diarrhea stools with
streaks of blood
the nurse is observing a newly hired unlicensed assistive c. wearing a gown, mask, and gloves when entering the room of a pt who has
personnel care for assigned pts. it indicates correct pt care influenza
if the newly hired UAP is observed
a. donning sterile gloves to empty a urniary drainage
device
b. removing protective eyewear before removing gloves
c. wearing a gown, mask, and gloves when entering the
room of a pt who has influenza
d. placing didicated equipment in the room of a pt who has
cellulities if the left leg
the nurse working in an ambulatory health center has a. reports of burning and pruitus with a linear rash of vesicles extending around the
assessed the following pts who are waiting to see the right lower rib cage
primary health care provider. the nurse should immediatley
remove from the waiting room and place in an examining
room the pt who
a. reports of burning and pruitus with a linear rash of
vesicles extending around the right lower rib cage
b. a 1 mm area that is flat and red at the site of a Mantoux
test which was administered 48 hours ago
c. congestive heart failure and reports gaining 3lbs in the
past 3 days
d. fever of 99.6 and is reporting generalized pain and
malaise, and has a history of boderline personality disorder
the nurse is reviewing newly written prescriptions for b. preoperative atropine for a 60 y.o. pt who has glaucoma
assigned pts. it requires follow-up by the nurse if the
primary health care provider prescribes
a. filgrastim for a 46 y.o. pt who has a WBC of 2,500
b. preoperative atropine for a 60 y.o. pt who has glaucoma
c. a fluid bolus of 500mL over 1 hour for a 12 y.o. pt who
has sickle cell crisis
d. low- potasium diet for a 5 y.o. pt who has acute
glomerulonephritis
