1. A charge nurse smells smoke, enters the visitor restroom, and sees flames in the trash can. What is
the sequence of actions that the nurse should take? (Move the steps into the box on the right, placing
them in the selected order of performance. Use all the steps.)
Evacuate clients from the area is the first step.
Pull the lever on the fire alarm box is the second step.
Close the fire doors on the unit is the third step.
Use a fire extinguisher to put out the fire is the fourth step.
2. A nurse is caring for a client who has metastatic cancer and practices Catholicism. The client asks the
nurse to discuss the afterlife with them. Which of the following statements by the nurse assists in
meeting the client's spiritual needs?
"Tell me what the afterlife means to you."
3. A nurse is reinforcing teaching with a client about the prevention of stress injuries. Which of the
following instructions should the nurse include?
"When lifting a heavy object, keep it close to your body."
4. A nurse is reinforcing teaching with a client about the use of crutches. Which of the following actions
by the client indicates an understanding of the teaching?
The client advances the unaffected leg first while climbing stairs.
5. A client who has advanced cancer tells the nurse that they have a difficult time talking to anyone
about the illness. Which of the following actions should the nurse take to encourage therapeutic
communication?
Let the client know that, as their nurse, they are available and willing to listen.
6. A nurse is preparing to remove a client's peripheral IV catheter. After performing hand hygiene and
applying clean gloves, which of the following actions should the nurse take first?
Clamp the infusion tubing.
7. A nurse is contributing to the plan of care for a client who has a positive throat culture for
streptococci. Which of the following interventions should the nurse recommend to be included in the
plan of care?
Ensure that the client wears a surgical mask during transportation throughout the facility.
8. A 6-year-old patient weighing 44 pounds is prescribed Amoxicillin 250 mg oral suspension. The
concentration of the oral suspension is 125mg/5mL. The prescribed dose is 10mg/kg/dose every 8 hours
for 10 days.
a. What is the patient's weight in kilograms?
44 pounds / 2.2 pounds/kg = 20 kg
b. What is the recommended dose for this patient?
10 mg/kg/dose x 20 kg = 200 mg/dose
, c. How many milliliters of the oral suspension should be given per dose?
The concentration of the oral suspension is 125 mg/5 mL. Therefore, 200 mg/dose ÷ 125 mg/5 mL = 8
mL/dose.
d. How many milliliters of the oral suspension should be given in total for the full 10-day course?
The patient is prescribed 3 doses per day for 10 days, so 3 doses/day x 10 days = 30 doses. Therefore, 8
mL/dose x 30 doses = 240 mL total.
9. Scenario: A patient is prescribed Furosemide 40 mg IV. The medication is available as 10mg/mL. The
recommended infusion time is 1-2 minutes.
a. How many milliliters of the medication should be prepared for the patient's dose?
The medication is available as 10mg/mL, so the patient will need 40 mg ÷ 10 mg/mL = 4 mL.
b. What is the recommended infusion time?
The recommended infusion time is 1-2 minutes.
c. If the infusion time is 1 minute, what is the rate of infusion in milliliters per minute (mL/min)?
If the infusion time is 1 minute, the rate of infusion is 4 mL/min.
d. If the infusion time is 2 minutes, what is the rate of infusion in milliliters per minute (mL/min)?
If the infusion time is 2 minutes, the rate of infusion is 2 mL/min.
10. A nurse is contributing to the plan of care for a client who has a prescription for elastic bandages to
the lower extremities. Which of the following actions should the nurse recommend for the plan of care?
Compare the client's pedal pulses bilaterally every 4 hr.
11. A nurse is taking notes of client information on a piece of paper while receiving report. Which of the
following actions should the nurse take to dispose of the paper?
Shred the paper in a secure container.
12. A nurse is assisting with the care of a recently deceased client. Which of the following actions should
the nurse complete prior to the family viewing the body?
Clean soiled areas of the body.
13. A nurse is preparing to administer an enteral feeding to a client who has an NG tube in place. Which
of the following methods should the nurse use to verify correct placement of the NG tube?
Check the pH of the gastric aspirate
14. A nurse is caring for a client who has a terminal illness and a family member asks why the client's
mouth is continually open. Which of the following responses should the nurse make?
"The reduced muscle tone has relaxed the jaw muscles."
the sequence of actions that the nurse should take? (Move the steps into the box on the right, placing
them in the selected order of performance. Use all the steps.)
Evacuate clients from the area is the first step.
Pull the lever on the fire alarm box is the second step.
Close the fire doors on the unit is the third step.
Use a fire extinguisher to put out the fire is the fourth step.
2. A nurse is caring for a client who has metastatic cancer and practices Catholicism. The client asks the
nurse to discuss the afterlife with them. Which of the following statements by the nurse assists in
meeting the client's spiritual needs?
"Tell me what the afterlife means to you."
3. A nurse is reinforcing teaching with a client about the prevention of stress injuries. Which of the
following instructions should the nurse include?
"When lifting a heavy object, keep it close to your body."
4. A nurse is reinforcing teaching with a client about the use of crutches. Which of the following actions
by the client indicates an understanding of the teaching?
The client advances the unaffected leg first while climbing stairs.
5. A client who has advanced cancer tells the nurse that they have a difficult time talking to anyone
about the illness. Which of the following actions should the nurse take to encourage therapeutic
communication?
Let the client know that, as their nurse, they are available and willing to listen.
6. A nurse is preparing to remove a client's peripheral IV catheter. After performing hand hygiene and
applying clean gloves, which of the following actions should the nurse take first?
Clamp the infusion tubing.
7. A nurse is contributing to the plan of care for a client who has a positive throat culture for
streptococci. Which of the following interventions should the nurse recommend to be included in the
plan of care?
Ensure that the client wears a surgical mask during transportation throughout the facility.
8. A 6-year-old patient weighing 44 pounds is prescribed Amoxicillin 250 mg oral suspension. The
concentration of the oral suspension is 125mg/5mL. The prescribed dose is 10mg/kg/dose every 8 hours
for 10 days.
a. What is the patient's weight in kilograms?
44 pounds / 2.2 pounds/kg = 20 kg
b. What is the recommended dose for this patient?
10 mg/kg/dose x 20 kg = 200 mg/dose
, c. How many milliliters of the oral suspension should be given per dose?
The concentration of the oral suspension is 125 mg/5 mL. Therefore, 200 mg/dose ÷ 125 mg/5 mL = 8
mL/dose.
d. How many milliliters of the oral suspension should be given in total for the full 10-day course?
The patient is prescribed 3 doses per day for 10 days, so 3 doses/day x 10 days = 30 doses. Therefore, 8
mL/dose x 30 doses = 240 mL total.
9. Scenario: A patient is prescribed Furosemide 40 mg IV. The medication is available as 10mg/mL. The
recommended infusion time is 1-2 minutes.
a. How many milliliters of the medication should be prepared for the patient's dose?
The medication is available as 10mg/mL, so the patient will need 40 mg ÷ 10 mg/mL = 4 mL.
b. What is the recommended infusion time?
The recommended infusion time is 1-2 minutes.
c. If the infusion time is 1 minute, what is the rate of infusion in milliliters per minute (mL/min)?
If the infusion time is 1 minute, the rate of infusion is 4 mL/min.
d. If the infusion time is 2 minutes, what is the rate of infusion in milliliters per minute (mL/min)?
If the infusion time is 2 minutes, the rate of infusion is 2 mL/min.
10. A nurse is contributing to the plan of care for a client who has a prescription for elastic bandages to
the lower extremities. Which of the following actions should the nurse recommend for the plan of care?
Compare the client's pedal pulses bilaterally every 4 hr.
11. A nurse is taking notes of client information on a piece of paper while receiving report. Which of the
following actions should the nurse take to dispose of the paper?
Shred the paper in a secure container.
12. A nurse is assisting with the care of a recently deceased client. Which of the following actions should
the nurse complete prior to the family viewing the body?
Clean soiled areas of the body.
13. A nurse is preparing to administer an enteral feeding to a client who has an NG tube in place. Which
of the following methods should the nurse use to verify correct placement of the NG tube?
Check the pH of the gastric aspirate
14. A nurse is caring for a client who has a terminal illness and a family member asks why the client's
mouth is continually open. Which of the following responses should the nurse make?
"The reduced muscle tone has relaxed the jaw muscles."
