With Complete Solutions
A charge nurse is anticipating the admission of four clients and
planning their room assignments. Which client should the nurse
assign to the room closest the nurse's station?
A. A client with a head injury and periods of confusion
B. A client with severe migraine
C. A client with suspected tuberculosis
D. A client with a history of dysrhythmia on continuous
telemetry Correct Answers A. A client with a head injury and
periods of confusion
A charge nurse is making client care assignments. Which task(s)
should the nurse delegate to assistive personnel? {Select all that
apply}
A. Bathe a client who had an amputation 2 days ago
B. Assist a client to ambulate using a gait belt
C. Review a low-sodium diet for a client who has hypertension
D. Explain oral hygiene to a client receiving chemotherapy
E. Feed a client who had a stroke 3 months ago Correct
Answers A. Bathe a client who had an amputation 2 days ago
B. Assist a client to ambulate using a gait belt
,E. Feed a client who had a stroke 3 months ago
A charge nurse may assign this health care worker to draw blood
from a central venous catheter.
A.Phlebotomist
B. Licensed practical nurse (LPN)
C. Unlicensed nursing assistant (patient care tech)
D. Registered nurse Correct Answers D. Registered nurse
A circulating nurse is caring for a client intraoperatively. The
nurse understands their role as circulating nurse is this:
A. Suturing the surgical incision in the OR suite
B. Managing client care activities in the OR suite
C. Counts, instruments, needles and sponges during and after
surgery
D. Handing sterile instruments and supplies to the surgeon in the
OR Correct Answers B. Managing client care activities in the
OR suite
A client admitted to the emergency department has a respiratory
rate of 7 breaths/minute. ABG is as follows:
pH 7.22
, PaCO2 68 mm Hg
Bicarbonate 26 mEq/L
What do these results indicate?
A. Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Metabolic acidosis Correct Answers B. Respiratory acidosis
The client is maintaining carbonic acid.
A client scheduled for surgery told the nurse that they fasted as
requested and only had a cup of black coffee this morning. The
nurse reports this to the surgeon and anesthesia and anticipates
this will occur:
A. A delay or cancellation of surgery
B. Surgeon will ask the client why they drank coffee
C. Client will receive additional sedation to counteract the action
of the stimulant
D. The nurse will ask the client if they received preoperative
teaching Correct Answers A. A delay or cancellation of surgery
A nurse assesses a client who is 2 days postop and auscultates
bilateral breath sounds with absent breath sounds in the lung
bases. The nurse suspects this postoperative complication: