c following actions should the nurse take?
d cd cd cd cd cd
A. Administerondansetron.
B.
cd
C. Applyfundal pressure duringcontractions. cd cd
D. Assist theclientto asupine position. cd cd cd cd cd
7. a nurse in an emergency department is performing triage for multiple clients following a
cd cd cd cd cd cd cd cd cd cd cd cd cd
disasterinthecommunity. To whichofthefollowingtypesofinjuriesshouldthenurseassign the
cd cd cd cd
highestpriority?
cd cd
A. Below-
B. Fracturedtibia
C. 95%full-thickness bodyburn
cd cd
D. 10cm(4in)laceration to theforearm cd cd cd
8. anursemanagerisupdatingprotocolsfortheuseofbeltrestraints. Which ofthefollowing cd ,f cd
guidelines should the nurse include?
c d cd cd cd cd
A. Removetheclient’srestraintevery4hr cd cd
B.
cd
C. Attachtherestrain tothebed’s siderails cd cd
D. RequestaPRNrestrain prescriptionforclients whoareaggressive
cd cd cd
9. Anurseisteachinganin-serviceaboutnursingleadership.Which ofthefollowing information
,f cd cd ,f
should the nurse include about an effective leader?
cd cd cd cd cd cd cd cd
A.
B. (Unable toread) forthe unit cd cd cd
C. Prioritiesstaffrequest overclient needs. cd cd
D. Providesroutineclient careand documentation. cd cd
10. Anurseisreviewingthelaboratoryfindingsofaclientwhohasdiabetesmellitusandreports that cd
she has been following her (unable to read) care. The nurse should identify which of the following
cd cd cd cd cd cd cd cd cd cd cd cd cd cd cd cd cd
findings indicates a need to revise the client’s plan of care.
cd cd cd cd cd cd cd cd cd cd cd
A. Serumsodium 144 mEq/ cd cd
B. (Unabletoread)
C.
cd
D. Randomserumglucose190 mg/dl.
c d cd cd
,11. A nurse ina provider’s office is reviewingthe laboratoryresults of a group of clients. The
cd cd cd cd cd cd cd cd cd cd cd cd cd cd cd cd
nurseshouldidentifythat which of thefollowingsexuallytransmitted infections isanationally
cd cd ,f cd
notifiable infectious disease that should be reported to the state health department?
c d cd cd cd cd cd cd cd cd cd cd cd
A. Chlamydia
B. Humanpapillomavirus
C. Candidiasis
D. Herpssimplex virus cd
12. A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a
cd cd cd cd cd cd cd cd cd cd cd cd cd cd cd
group on a mental health unit. Which ofthe following group facilitation techniques should the nurse
cd cd cd cd cd cd cd cd cd cd cd cd cd cd cd
include in the teaching?
cd cd cd cd
A. Sharepersonal opinionsto helpinfluencethe group’s values cd cd cd cd
B. Measuretheaccomplishments ofthegroup against aprevious group cd cd cd cd
C. Yield in situationsofconflictstomaintain groupharmony
,f cd cd
D.
cd
13. A nurse is planning for a client who practices Orthodox Judaism. The client tells the nurse that
cd cd cd cd cd cd cd cd cd cd cd cd cd cd cd cd
(Unabletoread) Passoverholiday. Which ofthefollowing actionshould thenurseincludein the plan
cd cd cd ,f cd cd cd
ofcare?
cd cd
A. Providechicken with creamsauce. cd cd
B. Avoidservingfishwithfinsandscales. cd cd cd cd cd
C.
cd
D. Avoidservingfoods containinglamb.
c d cd
14. Anurseis caringfora client who has apulmonaryembolism. Thenurseshouldidentifythe ,f cd ,f cd cd
effectiveness of the treatment
c d cd cd cd
A. Achest x-rayreveals increaseddensityinall fields. cd cd cd cd cd
B.
cd
C. Diminishedbreath soundsareauscultatedbilaterally cd
D. ABGresults includePh7.48PaO2 77mmHg and PaCO2 47mmHg. cd cd cd cd cd cd cd ,f cd cd cd cd
15. Anurseinanemergencydepartmentisassessingaclientwhoreportsingestingthirtydiazepam
cd cd cd cd cd cd cd cd cd cd cd cd cd cd
tablets(Unable toread) arespiratoryrateof10/min. Aftersecuring the client’s airwayand initiating
cd cd cd cd ,f cd cd cd
an IV, which of the following actions should the nurse do next.
cd cd cd cd cd cd cd cd cd cd cd cd
A. Monitortheclient’sIVsiteforthrombophlebitis. cd cd
B.
cd
C. Evaluatetheclient for furthersuicidal behavior. cd cd cd
D. Initiateseizureprecautions forthe client. cd cd
, 16. Anurseinanemergencydepartmentiscaringforaclientwhoreportscocaineuse1hrago.
cd cd
c Which of the following findings should the nurse expect?
d cd cd cd cd cd cd cd cd
A. Hypotension
B. Memoryloss
C. Slurredspeech
D.
cd
17. Anurseis assessinga newborn whohasablood glucoselevel of 30mg/dl. Whichofthe ,f cd ,f cd cd cd
following manifestations should the nurse expect?
c d cd cd cd cd cd
A. Loosestools
B. Jitteriness
C. Hypertonia
D. Abdominaldistention
18. Anurseinapediatricclinicisreviewingthelaboratorytestresults ofaschoolagechild. cd
c Which of the following findings should the nurse report to the provider?
d cd cd cd cd cd cd cd cd cd cd cd
A. Hgb12.5 g/dl cd cd
B. Platelets 250,000/mm3 cd
C. Hct40% cd
D.
cd
19. Achargenurseisteaching anewlylicensednurseaboutclientsdesignatingahealth careproxyin
cd cd cd cd cd cd cd cd cd cd cd cd cd cd cd
situationsthat requireadurablepowerofattorneyforhealcare(DPSHC).Whichofthe following
cd cd cd cd
information should the charge nurse include?
c d cd cd cd cd cd
A. “Theproxyshouldmakehealthcaredecisionsfortheclientregardlessoftheclient’s c d
ability to do so.”
c d cd cd cd
B. “Theproxycan makefinancial decisions if theneed arises.” cd cd cd cd cd
C.
cd
D. “Theproxyshould managelegal issues forthe client.”
c d cd cd cd cd cd cd
20. AnurseinthePACUiscaringforaclientwhoreportsnausea.Whichofthefollowingcd cd
c actions should the nurse take first?
d cd cd cd cd cd
A.
B. Administeran analgesic cd cd
C. Administerantiemetic
D. Monitortheclient’svital signs. cd cd