A nurse on duty in the pediatric ward notices an unidentified person carrying a baby in her arms. The
baby is dressed in hospital garb. What action should the nurse take IMMEDIATELY? - Answers alert the
supervisor and call "Code Pink."
What type of assessment should be completed by the first trained healthcare professional to arrive at a
scene of an accident when life-threatening problems or injuries are identified? - Answers primary.
A client in the healthcare facility asks the nurse what IMMEDIATE action is taken by nursing staff in case
of a fire. Which response should the nurse provide the client? - Answers the clients in immediate danger
are moved away from the fire.
The nurse is caring for a client who has built up a tolerance to alcohol. Which nursing consideration is
appropriate for this client? - Answers the use of aspirin enhances the absorption of alcohol.
What type of assessment involves taking and recording the victim's vital signs and performing a head-to-
toe assessment? - Answers secondary.
What interventions should the nurse implement when providing care to a client during the rewarming
process for severe hypothermia? (SATA) - Answers A) Remove and replace all wet clothing
C) Provide warm oral fluids, if client is alert
D) Monitor for cardiac dysrhythmias
A heroin dependent client is enrolled in a methadone maintenance program. What interventions should
the nurse implement when caring for this client? SATA) - Answers A) Supervise the collection of required
urine specimens.
B) Mix the methadone powder with 120 mL of orange juice.
E) Reinforce the importance of participating in group therapy.
What statements present accurate information about the concepts of triage? (SATA) - Answers B)
Contains disaster plan initiated when an accident involves multiple victims.
C) Process of sorting and classifying to determine priority of needs.
D) Process of victim identification so next of kin can be notified.
The nurse is reviewing with the client the use of the emergency signal in the client's bathroom. What
instructions should the nurse review with the client about the use of the emergency signal?
1. Causes a light to flash or a buzzer to sound at a central station
2. Use when experiencing difficulty while in the bathroom
, 3. Staff will respond to the signal within 5 minutes
4. Used by staff to request immediate assistance - Answers 1,2,4.
A nurse is caring for a client with a history of methamphetamine abuse. The nurse observes rapid eye
movement and jerky body movements in the client. How should the nurse document this condition of
the client? - Answers tweaking.
A nurse in a local health care facility is caring for a client suspected of bleeding internally. Which
observation should the nurse report to a physician immediately? - Answers breathing that is becoming
shallow and rapid.
Which class are you in at this time? - Answers NSG 401.
A nurse is gathering data from a client suspected of abusing alcohol. Which question will provide the
most accurate information for predicting withdrawal? - Answers ask when the client had their last drink.
A client who is undergoing chemotherapy has received a bouquet of flowers. What should the nurse do
to assure the client's safety? - Answers explain to the client why the flowers will not be allowed in the
room.
The nurse is assisting the healthcare team to provide dialectical behavioral therapy for a client who is an
alcoholic. Which of the following is the focus of this type of therapy? - Answers the "wise mind", a
midway point between being totally rational and totally emotional.
What safety measures should all healthcare workers practice when using and storing hazardous
substances? (SATA) - Answers B) Always wear protective equipment when working with such liquids.
C) Be aware of proper spill cleanup procedures.
D) Have the phone number for the healthcare agency's Poison Control Center readily available.
E) Read labels carefully noting all emergency information.
Every facility must have on file a material safety data sheet (MSDS) describing any substance that is
considered hazardous. What information is included in the MSDS? (SATA) - Answers A) Information on
the safe handling of the substance.
B) First-aid interventions for accidental exposure.
C) Information on protective equipment required.
D) The substance's potential dangers.
The nurse is caring for a client involved in a house fire with burns to the chest and upper arms. What
signs observed by the nurse indicate the client may have also sustained inhalation injuries? (SATA) -
Answers B) Hoarse voice.