At 0830, the day shift nurse is preparing to administer medications to the client
NPO for an endoscopy. Which medication should the nurse question
administering? Select all that apply.
1. Digoxin 0.125 mg PO every day
2. Furosemide 40 mg PO bid
3. Ranitidine 150 mg in 250 mL NS IV continuous infusion every 24 hours
4. Vancomycin 850 mg IVPB every 24 hours
5. Magnesium hydroxide, simethicone, aluminum hydroxide 30 mL PO PRN
heartburn correct answer 1,2,5
he significant other of a client diagnosed with liver cancer who is dying asks the
nurse, "What is bereavement counseling?" Which statement is the nurse's best
response?
1. "Bereavement counseling helps the client accept terminal illness"
2. "it provides support to you and your family in the transition to a life without
your loved one"
3. we provide counseling to you and your loved one during the dying process
4. it is a group counseling for family members whose loved ones have died correct
answer "it provides support to you and your family in the transition to a life
without your loved one"
One of the primary nursed tells the RN charge nurse she stuck herself in the finger
with a "used" needle and cleaned the site with soap and water. Which
intervention should the charge nurse implement first?
1. notify the infection control nurse
2. complete an adverse occurrence report
,3. request post-exposure prophylaxis
4. check the hepatitis status of the client correct answer complete an adverse
occurrence report
The 59 year old client has been admitted to the hospital diagnosed with
hemorrhaging from an abdominal ulcer. Which independent interventions should
the RN charge nurse instruct the primary nurse implement? Select all that apply.
1. complete the admission assessment
2. evaluate BP lying, sitting, and standing
3. admin IV antibiotics
4. administer blood products
5. obtain a hemoglobin and hematocrit correct answer 1, 2
The administrative supervisor is staffing the hospital's med-surg units during an
ice storm and has received many calls from staff members who are unable to get
to the hospital. Which action should the nurse supervisor implement first?
1. inform the chief nursing officer
2. notify the on- duty staff to stay
3. call staff members who live close to the facility
4. implement the emergency disaster protocol correct answer notify the on- duty
staff to stay
The charge nurse has completed the report. Which client should be seen first?
1. diagnosed with ulcerative colitis who had 5 loose stools the previous shift
2. elderly client admitted from another facility who is refusing to be seen by the
nurse
, 3. diagnosed with intractable vomiting who has tented skin turgor and dry
mucous membranes
4. diagnosed with hemorrhoids who had spotting of bright red blood on the toilet
tissue correct answer diagnosed with intractable vomiting who has tented skin
turgor and dry mucous membranes
The charge nurse is entering HCP orders for a client scheduled for a barium
enema into the EHR. In addition to the radiology department, which department
of the hospital should be notified of the procedure?
1. Cardiac cath department
2. dietary department
3. nuclear medicine department
4. hospital lab correct answer dietary- the patient must be NPO before the
procedure
The charge nurse is making assignments on a med-surg unit. Which client should
be assigned to the most experienced nurse?
1. Client diagnosed with lower esophageal dysfunction who is experiencing
regurgitation
2. client diagnosed with Barrett's esophagus who is scheduled for an endoscopy
3. The client diagnosed with GERD who has bilateral wheezes
4. client who is 1 day post-op hiatal hernia repair and has pain 4/10 correct
answer The client diagnosed with GERD who has bilateral wheezes
The charge nurse is making rounds on the unit. Which client should the charge
nurse assess first?
1. the 67 year old client with peptic ulcer disease who is receiving blood and has a
hemoglobin of 10.1 and hematocrit of 35