COMP GALEN COLLEGE OF NURSING
…AN EXAM WITH COMPLETE
SOLUTIONS
The nurse is reviewing medical prescription for the newly admitted clients. It would be a
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PRIORITY for the nurse to flow up with the physician if a client with - correct answer-a K
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level of 4.0 and has kayexalate prescribed
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The nurse should intervene if the nurse suspects a staff member - correct answer-Obtain
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a client consent prior to receiving Ativan
v v v v v v v
The community health nurse is caring for the following clients. It would be a priority for the
v v v v v v v v v v v v v v v v
nurse to initiate a multidisciplinary conference for the client who is - correct answer-17
v v v v v v v v v v v v vv v
years old, has DM type 1, unemployed, and recent A1C is 13%
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The Nurse from the postpartum unit has been temporarily assigned to a med surg floor. It
v v v v v v v v v v v v v v v
would be most appropriate to assign the nurse to the client who - correct answer-had
v v v v v v v v v v v v v vv v
surgery two hours ago, appendectomy
v v v v v
The nurse in a well baby clinic has assigned several children today. It would be
v v v v v v v v v v v v v v
appropriate to suggest follow up for the child who is - correct answer-18 months old and
v v v v v v v v v v v vv v v v v
needs support to ambulate
v v v v
The nurse is caring for a mechanically ventilated client who was declared brain dead. An
v v v v v v v v v v v v v v
Advance Directive is not documented in the medical record. It would be most appropriate
v v v v v v v v v v v v v v
to obtain consent for organ donation from the - correct answer-Clients closest family
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member
v
, The nurse has received report on 4 clients, who should the nurse assess first - correct
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answer-been admitted with Guillian Barre syndrome and has begun plasmapheresis
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therapy
v
It would be appropriate to assign which of these task to the CNA - correct answer-one - on
v v v v v v v v v v v v v vv v v v
- one client observation for safety
v v v v v v
The nurse should intervene is a staff member - correct answer-discussing a client's DX
v v v v v v v v vv v v v v
with visiting family member
v v v v
The nurse is preparing a staff presentation on legal and ethical issues in nursing. The
v v v v v v v v v v v v v v
nurse would be correct to include which of the following examples. - correct answer-
v v v v v v v v v v v v vv v
Putting a client in a geriatric chair with the lap tray in front of the client in the day room to
v v v v v v v v v v v v v v v v v v v v
watch TV... Example of false imprisonment
v v v v v v
The nurse from the pediatric unit has been temp assigned to the ED. It would be most
v v v v v v v v v v v v v v v v
appropriate to assign the nurse to the client who - correct answer-Is HIV + reporting
v v v v v v v v v v vv v v v v
nausea and vomiting
v v v
Four clients recently returned to the unit following invasive diagnostic testing. The nurse
v v v v v v v v v v v v
should immediately intervene if one of the clients: - correct answer-Is observed flexing
v v v v v v v v v vv v v v
and extending the legs two hours post cardiac cath
v v v v v v v v v
The nurse is made aware for the following situations. The nurse should first check the
v v v v v v v v v v v v v v
client who - correct answer-Has a history of partial seizures and is sitting in the bed
v v v vv v v v v v v v v v v v v
picking at the clothing and smacking lips
v v v v v v v
The nurse in a community health clinic is talking with the parent of a child with celiac
v v v v v v v v v v v v v v v v
disease. Which statement would require follow up by the nurse - correct answer-"I can
v v v v v v v v v v v vv v v
feed my child oatmeal and eggs for breakfast."
v v v v v v v v
The charge nurse is observing a LPN preforming patient care. Follow up would be
v v v v v v v v v v v v v
required if - correct answer-The LPN dons clean gloves on the dominant hand before
v v v vv v v v v v v v v v v
trach suctioning
v v
The nurse at a health promotion fair has taught a group of parents about car seat safety.
v v v v v v v v v v v v v v v v
Which of the following statement, if made by the parents, would indicate a correct
v v v v v v v v v v v v v v
understanding of the information given? - correct answer-"I will place my newborn infant
v v v v v v vv v v v v v v
in a rear facing car seat in the middle of the rear seat."
v v v v v v v v v v v v v
The nurse is caring for a client with VRE. The nurse should place the client on - correct
v v v v v v v v v v v v v v v v vv
answer-Contact precaution
v v
The nurse should initiate protective precaution for a client who has - correct answer-
v v v v v v v v v v v vv v
WBC 2500 mm3 v v
The nurse has provided health teaching for a group of clients who recently DX with HIV.
v v v v v v v v v v v v v v v
Which statement made by the clients will require further teaching - correct answer-"I will
v v v v v v v v v v v vv v v
miss not being able to work in my garden."
v v v v v v v v v
…AN EXAM WITH COMPLETE
SOLUTIONS
The nurse is reviewing medical prescription for the newly admitted clients. It would be a
v v v v v v v v v v v v v v
PRIORITY for the nurse to flow up with the physician if a client with - correct answer-a K
v v v v v v v v v v v v v v v vv v v
level of 4.0 and has kayexalate prescribed
v v v v v v v
The nurse should intervene if the nurse suspects a staff member - correct answer-Obtain
v v v v v v v v v v v vv v
a client consent prior to receiving Ativan
v v v v v v v
The community health nurse is caring for the following clients. It would be a priority for the
v v v v v v v v v v v v v v v v
nurse to initiate a multidisciplinary conference for the client who is - correct answer-17
v v v v v v v v v v v v vv v
years old, has DM type 1, unemployed, and recent A1C is 13%
v v v v v v v v v v v v
The Nurse from the postpartum unit has been temporarily assigned to a med surg floor. It
v v v v v v v v v v v v v v v
would be most appropriate to assign the nurse to the client who - correct answer-had
v v v v v v v v v v v v v vv v
surgery two hours ago, appendectomy
v v v v v
The nurse in a well baby clinic has assigned several children today. It would be
v v v v v v v v v v v v v v
appropriate to suggest follow up for the child who is - correct answer-18 months old and
v v v v v v v v v v v vv v v v v
needs support to ambulate
v v v v
The nurse is caring for a mechanically ventilated client who was declared brain dead. An
v v v v v v v v v v v v v v
Advance Directive is not documented in the medical record. It would be most appropriate
v v v v v v v v v v v v v v
to obtain consent for organ donation from the - correct answer-Clients closest family
v v v v v v v v v vv v v v
member
v
, The nurse has received report on 4 clients, who should the nurse assess first - correct
v v v v v v v v v v v v v v vv
answer-been admitted with Guillian Barre syndrome and has begun plasmapheresis
v v v v v v v v v v
therapy
v
It would be appropriate to assign which of these task to the CNA - correct answer-one - on
v v v v v v v v v v v v v vv v v v
- one client observation for safety
v v v v v v
The nurse should intervene is a staff member - correct answer-discussing a client's DX
v v v v v v v v vv v v v v
with visiting family member
v v v v
The nurse is preparing a staff presentation on legal and ethical issues in nursing. The
v v v v v v v v v v v v v v
nurse would be correct to include which of the following examples. - correct answer-
v v v v v v v v v v v v vv v
Putting a client in a geriatric chair with the lap tray in front of the client in the day room to
v v v v v v v v v v v v v v v v v v v v
watch TV... Example of false imprisonment
v v v v v v
The nurse from the pediatric unit has been temp assigned to the ED. It would be most
v v v v v v v v v v v v v v v v
appropriate to assign the nurse to the client who - correct answer-Is HIV + reporting
v v v v v v v v v v vv v v v v
nausea and vomiting
v v v
Four clients recently returned to the unit following invasive diagnostic testing. The nurse
v v v v v v v v v v v v
should immediately intervene if one of the clients: - correct answer-Is observed flexing
v v v v v v v v v vv v v v
and extending the legs two hours post cardiac cath
v v v v v v v v v
The nurse is made aware for the following situations. The nurse should first check the
v v v v v v v v v v v v v v
client who - correct answer-Has a history of partial seizures and is sitting in the bed
v v v vv v v v v v v v v v v v v
picking at the clothing and smacking lips
v v v v v v v
The nurse in a community health clinic is talking with the parent of a child with celiac
v v v v v v v v v v v v v v v v
disease. Which statement would require follow up by the nurse - correct answer-"I can
v v v v v v v v v v v vv v v
feed my child oatmeal and eggs for breakfast."
v v v v v v v v
The charge nurse is observing a LPN preforming patient care. Follow up would be
v v v v v v v v v v v v v
required if - correct answer-The LPN dons clean gloves on the dominant hand before
v v v vv v v v v v v v v v v
trach suctioning
v v
The nurse at a health promotion fair has taught a group of parents about car seat safety.
v v v v v v v v v v v v v v v v
Which of the following statement, if made by the parents, would indicate a correct
v v v v v v v v v v v v v v
understanding of the information given? - correct answer-"I will place my newborn infant
v v v v v v vv v v v v v v
in a rear facing car seat in the middle of the rear seat."
v v v v v v v v v v v v v
The nurse is caring for a client with VRE. The nurse should place the client on - correct
v v v v v v v v v v v v v v v v vv
answer-Contact precaution
v v
The nurse should initiate protective precaution for a client who has - correct answer-
v v v v v v v v v v v vv v
WBC 2500 mm3 v v
The nurse has provided health teaching for a group of clients who recently DX with HIV.
v v v v v v v v v v v v v v v
Which statement made by the clients will require further teaching - correct answer-"I will
v v v v v v v v v v v vv v v
miss not being able to work in my garden."
v v v v v v v v v
