The registered nurse (RN) is administering haloperidol 0.5 mg IM PRN to a client for
the first time. What side effects should the RN assess the client for during the initial
dose?
Bradykinesia.
Dystonia.
Somatization.
Akathisia.
Give this one a try later!
, Dystonia.
Rationale
Dystonia can be a sudden adverse reaction to this psychotropic
medication which should be discontinued to resolve dystonia, and the
healthcare provider notified immediately.
The registered nurse (RN) is interviewing a female client who states she has a
persistent productive cough during the winter caused by bronchitis. Which
additional finding should the RN assess for bronchitis?
Phlegm production and wheezing.
Smoking history.
Hemoptysis.
Night sweats.
Give this one a try later!
Phlegm production and wheezing.
Rationale
A chronic seasonal cough related to bronchitis is likely accompanied
withphlegm production and wheezing. Although smoking can contribute
to a chronic cough, the typical seasonal cough is an inflammatory
reaction to seasonal changes.
The registered nurse (RN) is caring for an Asian client who refuses to make eye
contact during conversations. How should the RN assess this client's response?
The client cannot understand the nurse.
The client is uncomfortable with the nurse.
The client is treating the nurse with respect.
,The client is purposefully disrespecting the nurse.
Give this one a try later!
The client is treating the nurse with respect.
Rationale
In some Asian cultures, it is not appropriate to look a person of authority
in the eye, so the client is being respectful by looking down while
speaking with the nurse.
The registered nurse (RN) did not note that a prescription dose was recently
changed and did not note the updated medication administration record (MAR).
After giving the client the original dose, the RN reports the medication error to the
nurse manager. What consequences will the RN experience due to this error in
medication administration?
The incident will be reported to the state's Board of Nursing (BON).
A medication error report will be completed and risk management will be notified.
The RN will be suspended from medication administration until the error is
investigated.
The incident will be documented in the RN's personnel file.
Give this one a try later!
A medication error report will be completed and risk management will be
notified.
Rationale
By reviewing quality of care internally, steps of care can be evaluated
and staff can be educated where gaps are identified. The medication
report and notification of management is the responsibility of the RN
who made the mistake, so an internal review of the steps of the
occurrence can be completed to determine further risk potentials.
, The registered nurse (RN) is developing the plan of care for a client who is
admitted for alcohol detoxification. Which goal should be most important for the
RN to primarily focus the client's care?
The client maintains optimal nutritional status.
The client will remain alert and oriented.
The client will remain free from injury.
The client will remain alcohol free during hospitalization.
Give this one a try later!
The client will remain free from injury.
Rationale
The client is at highest risk for injury due to altered cognitive and
sensory disturbances as well as delirium tremors during withdrawal.
Remaining free from injury is the most important goal for the acute
phase of alcohol withdrawal.
A client in an ambulatory clinic describes awaking in the middle of the night with
difficulty breathing and shortness of breath related to paroxysmal nocturnal
dyspnea. Which underlying condition should the registered nurse (RN) identify in
the client's history?
Chronic bronchitis.
Gastroesophageal reflux disease (GERD).
Heart failure (HF).
Chronic pancreatitis.
Give this one a try later!
the first time. What side effects should the RN assess the client for during the initial
dose?
Bradykinesia.
Dystonia.
Somatization.
Akathisia.
Give this one a try later!
, Dystonia.
Rationale
Dystonia can be a sudden adverse reaction to this psychotropic
medication which should be discontinued to resolve dystonia, and the
healthcare provider notified immediately.
The registered nurse (RN) is interviewing a female client who states she has a
persistent productive cough during the winter caused by bronchitis. Which
additional finding should the RN assess for bronchitis?
Phlegm production and wheezing.
Smoking history.
Hemoptysis.
Night sweats.
Give this one a try later!
Phlegm production and wheezing.
Rationale
A chronic seasonal cough related to bronchitis is likely accompanied
withphlegm production and wheezing. Although smoking can contribute
to a chronic cough, the typical seasonal cough is an inflammatory
reaction to seasonal changes.
The registered nurse (RN) is caring for an Asian client who refuses to make eye
contact during conversations. How should the RN assess this client's response?
The client cannot understand the nurse.
The client is uncomfortable with the nurse.
The client is treating the nurse with respect.
,The client is purposefully disrespecting the nurse.
Give this one a try later!
The client is treating the nurse with respect.
Rationale
In some Asian cultures, it is not appropriate to look a person of authority
in the eye, so the client is being respectful by looking down while
speaking with the nurse.
The registered nurse (RN) did not note that a prescription dose was recently
changed and did not note the updated medication administration record (MAR).
After giving the client the original dose, the RN reports the medication error to the
nurse manager. What consequences will the RN experience due to this error in
medication administration?
The incident will be reported to the state's Board of Nursing (BON).
A medication error report will be completed and risk management will be notified.
The RN will be suspended from medication administration until the error is
investigated.
The incident will be documented in the RN's personnel file.
Give this one a try later!
A medication error report will be completed and risk management will be
notified.
Rationale
By reviewing quality of care internally, steps of care can be evaluated
and staff can be educated where gaps are identified. The medication
report and notification of management is the responsibility of the RN
who made the mistake, so an internal review of the steps of the
occurrence can be completed to determine further risk potentials.
, The registered nurse (RN) is developing the plan of care for a client who is
admitted for alcohol detoxification. Which goal should be most important for the
RN to primarily focus the client's care?
The client maintains optimal nutritional status.
The client will remain alert and oriented.
The client will remain free from injury.
The client will remain alcohol free during hospitalization.
Give this one a try later!
The client will remain free from injury.
Rationale
The client is at highest risk for injury due to altered cognitive and
sensory disturbances as well as delirium tremors during withdrawal.
Remaining free from injury is the most important goal for the acute
phase of alcohol withdrawal.
A client in an ambulatory clinic describes awaking in the middle of the night with
difficulty breathing and shortness of breath related to paroxysmal nocturnal
dyspnea. Which underlying condition should the registered nurse (RN) identify in
the client's history?
Chronic bronchitis.
Gastroesophageal reflux disease (GERD).
Heart failure (HF).
Chronic pancreatitis.
Give this one a try later!
