Nurselogic Knowledge & Clinical Judgment Advanced
Terminal Cancer client who is competent and requests a DNR; required to legally change TO a DNR:
Correct Answer: A written Script from provider; until then, all measures should be taken to revive
patient.
ear drop administration: Correct Answer: warm refrigerated drops to room temp prior to installation
Pt being DC'd home to daughters house: Correct Answer: "What part of your mother's care concerns
you?"
Lithium levels: Correct Answer: 0.75mEq/L
Lumbar Puncture; Post-procedural complications: Correct Answer: Headache
cromolyn sodium metered-dose inhaler (MDI); Needs further teaching: Correct Answer: "I will use my
cromolyn inhaler before using my albuterol inhaler."
Electronic Blood Pressure: Correct Answer: A pt who is recovering from a cardiac catheterization
132lbs, 5mg/kg/day in 3 equal doses, available 40mg/mL, mix with 50mL NS, how many mL should RN
add to solution per dose? Correct Answer: 2.5mL
Clinical Manifestations of an Infant w/ Biliary Atresia: Correct Answer: Dark Urine
Confidentiality requirements are not being met; needs intervention when: Correct Answer: staff are all
using the same password
School RN requesting playground equipment be removed because of injuries: Correct Answer: advocacy
Droplet Precautions: Correct Answer: Rubella
(Study Precautions for: Measles, hep A, Rocky mountain spotted fever)
Which tube has increased risk for hypokalemia? Correct Answer: NG Tube w/ suction
sickle cell anemia vaso-occlusive crisis; highest priority? Correct Answer: slurred speech
newborn assessment finding that requires intervention: Correct Answer: abdominal distention
dumping syndrome diet: Correct Answer: toast with PB
A/E of clozapine: Correct Answer: for schizophrenia; A/E is WBC 2,800/mm3
postop wedge resection w/ chest tube. Pt reports burning pain in chest: Correct Answer: assist client to
side lying position
Terminal Cancer client who is competent and requests a DNR; required to legally change TO a DNR:
Correct Answer: A written Script from provider; until then, all measures should be taken to revive
patient.
ear drop administration: Correct Answer: warm refrigerated drops to room temp prior to installation
Pt being DC'd home to daughters house: Correct Answer: "What part of your mother's care concerns
you?"
Lithium levels: Correct Answer: 0.75mEq/L
Lumbar Puncture; Post-procedural complications: Correct Answer: Headache
cromolyn sodium metered-dose inhaler (MDI); Needs further teaching: Correct Answer: "I will use my
cromolyn inhaler before using my albuterol inhaler."
Electronic Blood Pressure: Correct Answer: A pt who is recovering from a cardiac catheterization
132lbs, 5mg/kg/day in 3 equal doses, available 40mg/mL, mix with 50mL NS, how many mL should RN
add to solution per dose? Correct Answer: 2.5mL
Clinical Manifestations of an Infant w/ Biliary Atresia: Correct Answer: Dark Urine
Confidentiality requirements are not being met; needs intervention when: Correct Answer: staff are all
using the same password
School RN requesting playground equipment be removed because of injuries: Correct Answer: advocacy
Droplet Precautions: Correct Answer: Rubella
(Study Precautions for: Measles, hep A, Rocky mountain spotted fever)
Which tube has increased risk for hypokalemia? Correct Answer: NG Tube w/ suction
sickle cell anemia vaso-occlusive crisis; highest priority? Correct Answer: slurred speech
newborn assessment finding that requires intervention: Correct Answer: abdominal distention
dumping syndrome diet: Correct Answer: toast with PB
A/E of clozapine: Correct Answer: for schizophrenia; A/E is WBC 2,800/mm3
postop wedge resection w/ chest tube. Pt reports burning pain in chest: Correct Answer: assist client to
side lying position
