Correct Questions and Verified Answers| Grade A
1. 1.A nurse is performing telephone triage at the clinic office. Which patient
has the most acute problem and should be scheduled for the first available
appointment? CORRECT ANSWER- A 21 year old with a history of a kidney
transplant. Today the patientreports flu-like symptoms with a fever of 100.4 F (38
C)
2. 2.The nurse is admitting a woman who has an arteriovenous (AV) fistula in
her right arm that is used for hemodialysis. She missed her last hemodialysis
session and is experiencing shortness of breath and an irregular heartbeat.
Which action should the nurse assign to the UPA who is working with the
nurse? CORRECT ANSWER- Measure Vital Signs
3. 3.The nurse should assess the patient with which problem first? CORRECT
ANSWER- Paresthesiasecondary to an arterial occlusion
4. 4.A young adult patient with a brain tumor refuses further treatment and
requests to be allowed to die a natural death. The healthcare provides does
not agree with the patient's decision and refuses to write do-not-
resuscitate instructions. Which action should the nurse take? CORRECT
ANSWER- Initiate a review of the situation by the hospital's ethics committee.
5. 5.A healthcare provider notifies the nurse that new prescriptions have
been written for a patient. Which is the 1st action the nurse should
implement? CORRECT ANSWER- Read all of the new prescriptions for the
patient written by the provider
6. 6.The nurse is observing the staff provide care to a patient with acquired
immune deficiency syndrome: Unlicensed assistive personnel wearing a mask
to take patient's blood pressure.
7. 7.The nurse caring for a patient with bacterial meningitis is preparing
reportfor the oncoming nurse. It is most important to include which
assessment finding in the report? CORRECT ANSWER- Increasing Pulse
Pressure
8. 8.The charge nurse notices that a respiratory therapist who has been
cross-trained to work as a phlebotomist and unlicensed assistive personnel
(UAP) seems to be avoiding HIV positive patients: Provide the employee with
feedback about observed behavior
9. 9.The nursing supervisor sends an unlicensed assistant personnel ( UAP)
, to a medical unit to replace an absent UAP. When delegating the task of ob-
taining patient's blood sugar levels using a glucometer, which action is
mostimportant for the nurse to implement? CORRECT ANSWER- Observe
the UAP obtain a fingerstick glucose level using the glucometer.
10. 10.The nurse manager conducts regular audits of patient care medication
records and notices that the amount of narcotic pain medications admin-