A construction worker is seen in the emergency department with
low blood pressure, normal pulse rate, diaphoresis, and
weakness. These are clinical signs of: Correct Answer Heat
exhaustion
A diabetic patient presents to the clinic for a dressing change.
The wound is located on the right foot and has purulent yellow
drainage. Which of these interventions would be most
appropriate for the nurse to do first? Correct Answer Don
gloves and other appropriate PPE
A major issue of computerized charting is Correct Answer
confidentiality
A new nurse asks the preceptor why a change-of-shift report is
important since care is documented in the chart. What is the
preceptor's best response? Correct Answer provides an
opportunity to share essential information to ensure patient
safety and continuity of care
A new nurse notes that the health care unit keeps a listing of
patient names in a closed book behind the front desk of the
nursing station so patients can be located easily. What action is
most appropriate for the nurse to take? Correct Answer Use the
book as needed while keeping it away from individuals not
involved in patient care.
, A nurse is preparing a change-of-shift report for a patient who
had chest pain. Which information is critical for the nurse to
include? Correct Answer Sharp pain of 8 on a scale of 1 to 10
A nurse is sitting at the patient's bedside taking a nursing
history. Which zone of personal space is the nurse using?
Correct Answer Personal
A nurse's use of ethical responsibility can best be seen in which
of the following nursing actions? Correct Answer Delivery of
competent care
A patient complains of nasal drainage and sinus headache. The
nurse suspects a nasal infection and anticipates observing which
finding during examination? Correct Answer Purulent green-
yellow drainage
A patient has trouble speaking words, and the patient's speech is
garbled. Which nursing diagnosis is most appropriate for this
patient? Correct Answer Impaired verbal communication
A recent immigrant who does not speak English is alert and
requires hospitalization. What is the initial action that the nurse
must take to enable informed consent to be obtained? Correct
Answer get an official interpreter
A rectum filled will stool may Correct Answer decrease
absorption of a medication
an illness in which a person has abnormal eating habits that
affect their health. Correct Answer eating disorder