Comp 2 fall 2023
comp3 . - É m Comp 3 fall 2023
>
-
Exam3 Comp 1 fall 2023
comp11Q
The nurse is preparing to administer prescribed medications to the following clients. It is most important
? for the nurse to follow up with the PCP for the client who has
a. A prosthetic mitral valve, an INR of 3.0 and is currently taking a prescribed dose of
1 warfarin
b. Constipation predominant IBS and has been prescribed loperamide ↓
4 diaurned
c. Diabetes mellitus, is scheduled to have a computer tomography scan with IV contrast,
g
and has been prescribed to withhold metformin
d. A methicillin-resistant staphylococcus aureus wound infection, an allergy to
sulfonamide, and has been prescribed vancomycin
2. The nurse is preparing to administer an intramuscular injection to an adult client. Which of the
following actions is appropriate for the nurse to take?
Size needle
a. Limit the amount of medication to 4ml when injecting into the deltoid muscle ·
1
b. Use the deltoid site if the client is an adult who requires 3ml of medication
c. Draw up an air bubble into the syringe after the medications has been prepared Im ztrack
·
=
d. Hold the skin taut when using the z-track method
0
3. The nurse is discussing health screening guidelines with a group of men. It is appropriate for
the nurse to state that men should:
a. Perform a monthly testicular self-examination immediately after a bath or shower
b. Begin having a sigmoidoscopy once every 10 years beginning at age 50 (every 5 years
somps once year are 45)
c. Begin having an annual prostate examination beginning at age 40 (50 years old every 2
years)
d. Be tested annually for sexually transmitted diseases upon becoming sexually active
4. The nurse manager is observing a staff nurse care for a client who has a sealed radiation
implant. Which of the following would require the nurse to intervene?
a. Keeping the door to the client’s room closed
comp3
b. Keeping dedicated equipment in the clients until the implant is removed
c. Wearing a lead shield when providing client care
d. Placing bed linens in a receptable kept inside the client’s room.
5. The nurse is reviewing prescriptions for the following assigned clients. The nurse should clarify
the prescription for the client who:
a. Presented with clinical manifestations of an ischemic stroke that started 2 hours ago
and is to receive alteplase intravenously
b. Has creatinine level of 2.8 mg/dl and is scheduled to have a cardiac catheterization in
the morning
have
c. Had a myocardial infraction 3 hours ago and is to have troponin levels drawn in 3 hours
d. Had a permanent pacemaker inserted 6 months ago and is scheduled for a radiography
(x-ray) of the chest.
might
seen comp3-preeclampsia sar's
him lights In room prunt
·
, O6. The nurse preceptor has discussed appropriate dietary intake for various ages of pediatric
clients with a newly hired nurse. Which of the following statements by the newly hired nurse
indicated a need for further teaching?
a. Sliced banana is an appropriate snack for a toddler-aged child
b. Milk is introduced as 12 months of age in an infant which has been breastfed since birth
c. Honey can be introduced to an infant at 9 months of age (needs to be 1 year)
d. 4oz fruit juice can be given in a cup to a 13-month-old infant per…
O
7. The nurse is assessing a client at the scene of a mass casualty disaster and prioritizing care
based on the disaster triage tag system. The client who should be transported to the
compl
healthcare facility first is the one:
a. Patient who is confused and has an open wound on the right lower leg
1 b. Patient who has multiple compound fracture and is reporting chest pain
c. Patient who reports an abdominal pain and has facial lacerations
d. Patient who has burns to 75% of the posterior trunk and lower body
O8. The nurse is caring for a pediatric client who is postoperative following ventriculoperitoneal
shunt placement. The nurse notes the client has been difficult to arouse. Which of the
following actions should the nurse take immediately?
a. Prepare the client for endotracheal tube insertion
comp 1
b. Measure the clients head circumference
c. Turn the client to the operative side (positioned on nonoperative side to prevent
pressure on shunt valve)
d. Elevate the client’s head of bed to 30 degrees
O9. The nurse is caring for a client who has hypovolemic shock and has a pulse of 116. The nurse
has intravenous 0.9% sodium chloride. Which of the following actions should the nurse
perform next?
compa
a. Initiate oxygen at 2 L/min via nasal cannula
b. Document and continue to monitor the client
c. Insert and indwelling urethral catheter
d. Obtain a prescription for a vasodilator
O
10. The nurse is caring for a client receiving mechanical ventilation with high-pressure alarm
sounds. The nurses assess for problems causing the alarm and is unable to determine. Which
of the following actions should the nurse take?
a. Ventilate the client with a bag-mask valve devise
compe
b. Notify respiratory therapy to check the ventilator settings
c. Turn off and call a code
d. Assess client’s lung sounds and breathing pattern.
11. The nurse is assisting with discharge planning for assigned clients. Which of the following
referrals is appropriate for the nurse to make?
comp1
, a. A speech therapist referral for a client who will be discharged with intermittent tube
feedings.
b. An occupation therapist referral for a client who has Parkinson’s disease and
experiencing difficult performing activities of daily living.
c. A physical therapist referral for a client who has rheumatoid arthritis and requires
instructions in the use of an assistive device for eating
d. A social worker referral for a client who will be discharged with a prescription for a
benzodiazepine.
12. The nurse has attended a continuing education program on legal issues in nursing practice.
Which of the following statement by the nurse indicates a correct understanding of the
conference?
a. Threatening to touch a client without the client’s consent is an example of assault
b. Giving clients false assurance about a health care condition expected outcome is an
compl
example of libel
c. Posting information about a client on social media without the client’s permission is
slander
d. Failure to communicate concerns about an elderly client who is confused is being
discharged home is an example of defamation
13. The nurse working in a medical surgical unit is caring for assigned clients. Which of the
following tasks is appropriate to delegate?
a. Asking a licensed practical nurse to obtain a capillary blood glucose reading on a client
who has become diaphoretic
b. Asking an UAP to turn off the tube feeding for a client who is receiving continuous tube
feedings and is vomiting
Exam c. Asking an UAP to flush the Jackson-Pratt drain of a client who is 7 days postoperative
from an open appendectomy
d. Asking an LPN to teach a client who has a newly created ileostomy how to change the
appliance.
14. The nurse is caring for the following pediatric clients. It is most appropriate for the nurse to
initiate an interdisciplinary conference for the client who is
a. 3 days old, has been readmitted with rhinorrhea, and report that the mother has a
history of substance abuse during pregnancy
b. 6 months old, has acute otitis media with purulent drainage, a red bulging tympanic
membrane and is crying
comp1 c. 5 years old, has a fractured arm from falling on the school playground, and is being
discharged with a fiberglass cast
d. 2 months old, has developmental dysplasia of the hip, unequal leg lengths, limited
abduction of the left hip, and asymmetry of the gluteal folds
, 15. The nurse working in the labor and delivery unit is caring for a client in labor whose
membranes just spontaneously ruptured. Which of the following finding is a priority for the
nurse to report to the primary health care provider?
-
a. A maternal temperature of 99.5
Exam 1 b. Four contractions in a 10-minute period (5 or more contractions in 10 minutes)
comp1
c. Appearance of bloody fluid from the vagina
d. Contractions lasting 60 seconds (contraction duration 2 minutes or longer)
16. The nurse is caring for a client who weighs 150lb (68kg) and has developed hepatic
encephalopathy. It is a priority for the nurse to notify the PCP if the client develops
a. An increase in alanine aminotransferase (ALT) levels
compl
b. A decrease in urine output to 450 ml/day (hepatorenal syndrome → sudden decrease in
urinary flow <500ml/24hr → cause of death in patients)
1
c. The development of a musty odor to the breath
d. A change in pupil size from 7 to 5 mm
17. The nurse has received report for the following clients. The nurse should first assess the client
who:
a. Has meningitis and reports a headache and photosensitivity
?
1
b. Had a stroke 24 hours ago and has become restless and irritable
c. Has an abdominal aneurysm and reports mild lower back pain
d. Had epilepsy and remains drowsy 30 minutes after having a seizure
O
18. The nurse is caring for assigned clients. It is a priority for the nurse to follow up with a client
who:
0
a. Is receiving intravenous fluid at a prescribed rate at 100ml/hr and has received 400ml
after 2 hours
negligenceb. Has end stage renal disease, a history of hyperkalemia, and is drinking orange juice
of
brought in by a visitor
example ago ?
c. Is receiving continuous heparin infusion and received the first dose of warfarin 1 hour
malpractice d. Has a closed-chest drainage system attached to 20 cm of suction and has 3 cm of water
in the water seal chamber
19. The nurse working in the ED is precepting a newly hired nurse. It indicates a correct care if the
newly hired nurse:
a. Raises the HOB to 30 degrees for a client who has a BP of 95/58 mmHg
b. Prepares to give lorazepam to a client who is anxious and needs to sign a consent form
compe
c. Rewarms the trunk before the extremities of client who had moderate hypothermia
d. Removes the pants of a client who has chemical burns by soaking them off with water
0
20. The nurse is participating in the development of a staff education program about ethical
responsibilities in nursing practice. Which of the following should the nurse include in an
ethical dilemma that requires follow-up by a nurse?
tonsilectomy constant ear pain
·
Exam
comp3 . - É m Comp 3 fall 2023
>
-
Exam3 Comp 1 fall 2023
comp11Q
The nurse is preparing to administer prescribed medications to the following clients. It is most important
? for the nurse to follow up with the PCP for the client who has
a. A prosthetic mitral valve, an INR of 3.0 and is currently taking a prescribed dose of
1 warfarin
b. Constipation predominant IBS and has been prescribed loperamide ↓
4 diaurned
c. Diabetes mellitus, is scheduled to have a computer tomography scan with IV contrast,
g
and has been prescribed to withhold metformin
d. A methicillin-resistant staphylococcus aureus wound infection, an allergy to
sulfonamide, and has been prescribed vancomycin
2. The nurse is preparing to administer an intramuscular injection to an adult client. Which of the
following actions is appropriate for the nurse to take?
Size needle
a. Limit the amount of medication to 4ml when injecting into the deltoid muscle ·
1
b. Use the deltoid site if the client is an adult who requires 3ml of medication
c. Draw up an air bubble into the syringe after the medications has been prepared Im ztrack
·
=
d. Hold the skin taut when using the z-track method
0
3. The nurse is discussing health screening guidelines with a group of men. It is appropriate for
the nurse to state that men should:
a. Perform a monthly testicular self-examination immediately after a bath or shower
b. Begin having a sigmoidoscopy once every 10 years beginning at age 50 (every 5 years
somps once year are 45)
c. Begin having an annual prostate examination beginning at age 40 (50 years old every 2
years)
d. Be tested annually for sexually transmitted diseases upon becoming sexually active
4. The nurse manager is observing a staff nurse care for a client who has a sealed radiation
implant. Which of the following would require the nurse to intervene?
a. Keeping the door to the client’s room closed
comp3
b. Keeping dedicated equipment in the clients until the implant is removed
c. Wearing a lead shield when providing client care
d. Placing bed linens in a receptable kept inside the client’s room.
5. The nurse is reviewing prescriptions for the following assigned clients. The nurse should clarify
the prescription for the client who:
a. Presented with clinical manifestations of an ischemic stroke that started 2 hours ago
and is to receive alteplase intravenously
b. Has creatinine level of 2.8 mg/dl and is scheduled to have a cardiac catheterization in
the morning
have
c. Had a myocardial infraction 3 hours ago and is to have troponin levels drawn in 3 hours
d. Had a permanent pacemaker inserted 6 months ago and is scheduled for a radiography
(x-ray) of the chest.
might
seen comp3-preeclampsia sar's
him lights In room prunt
·
, O6. The nurse preceptor has discussed appropriate dietary intake for various ages of pediatric
clients with a newly hired nurse. Which of the following statements by the newly hired nurse
indicated a need for further teaching?
a. Sliced banana is an appropriate snack for a toddler-aged child
b. Milk is introduced as 12 months of age in an infant which has been breastfed since birth
c. Honey can be introduced to an infant at 9 months of age (needs to be 1 year)
d. 4oz fruit juice can be given in a cup to a 13-month-old infant per…
O
7. The nurse is assessing a client at the scene of a mass casualty disaster and prioritizing care
based on the disaster triage tag system. The client who should be transported to the
compl
healthcare facility first is the one:
a. Patient who is confused and has an open wound on the right lower leg
1 b. Patient who has multiple compound fracture and is reporting chest pain
c. Patient who reports an abdominal pain and has facial lacerations
d. Patient who has burns to 75% of the posterior trunk and lower body
O8. The nurse is caring for a pediatric client who is postoperative following ventriculoperitoneal
shunt placement. The nurse notes the client has been difficult to arouse. Which of the
following actions should the nurse take immediately?
a. Prepare the client for endotracheal tube insertion
comp 1
b. Measure the clients head circumference
c. Turn the client to the operative side (positioned on nonoperative side to prevent
pressure on shunt valve)
d. Elevate the client’s head of bed to 30 degrees
O9. The nurse is caring for a client who has hypovolemic shock and has a pulse of 116. The nurse
has intravenous 0.9% sodium chloride. Which of the following actions should the nurse
perform next?
compa
a. Initiate oxygen at 2 L/min via nasal cannula
b. Document and continue to monitor the client
c. Insert and indwelling urethral catheter
d. Obtain a prescription for a vasodilator
O
10. The nurse is caring for a client receiving mechanical ventilation with high-pressure alarm
sounds. The nurses assess for problems causing the alarm and is unable to determine. Which
of the following actions should the nurse take?
a. Ventilate the client with a bag-mask valve devise
compe
b. Notify respiratory therapy to check the ventilator settings
c. Turn off and call a code
d. Assess client’s lung sounds and breathing pattern.
11. The nurse is assisting with discharge planning for assigned clients. Which of the following
referrals is appropriate for the nurse to make?
comp1
, a. A speech therapist referral for a client who will be discharged with intermittent tube
feedings.
b. An occupation therapist referral for a client who has Parkinson’s disease and
experiencing difficult performing activities of daily living.
c. A physical therapist referral for a client who has rheumatoid arthritis and requires
instructions in the use of an assistive device for eating
d. A social worker referral for a client who will be discharged with a prescription for a
benzodiazepine.
12. The nurse has attended a continuing education program on legal issues in nursing practice.
Which of the following statement by the nurse indicates a correct understanding of the
conference?
a. Threatening to touch a client without the client’s consent is an example of assault
b. Giving clients false assurance about a health care condition expected outcome is an
compl
example of libel
c. Posting information about a client on social media without the client’s permission is
slander
d. Failure to communicate concerns about an elderly client who is confused is being
discharged home is an example of defamation
13. The nurse working in a medical surgical unit is caring for assigned clients. Which of the
following tasks is appropriate to delegate?
a. Asking a licensed practical nurse to obtain a capillary blood glucose reading on a client
who has become diaphoretic
b. Asking an UAP to turn off the tube feeding for a client who is receiving continuous tube
feedings and is vomiting
Exam c. Asking an UAP to flush the Jackson-Pratt drain of a client who is 7 days postoperative
from an open appendectomy
d. Asking an LPN to teach a client who has a newly created ileostomy how to change the
appliance.
14. The nurse is caring for the following pediatric clients. It is most appropriate for the nurse to
initiate an interdisciplinary conference for the client who is
a. 3 days old, has been readmitted with rhinorrhea, and report that the mother has a
history of substance abuse during pregnancy
b. 6 months old, has acute otitis media with purulent drainage, a red bulging tympanic
membrane and is crying
comp1 c. 5 years old, has a fractured arm from falling on the school playground, and is being
discharged with a fiberglass cast
d. 2 months old, has developmental dysplasia of the hip, unequal leg lengths, limited
abduction of the left hip, and asymmetry of the gluteal folds
, 15. The nurse working in the labor and delivery unit is caring for a client in labor whose
membranes just spontaneously ruptured. Which of the following finding is a priority for the
nurse to report to the primary health care provider?
-
a. A maternal temperature of 99.5
Exam 1 b. Four contractions in a 10-minute period (5 or more contractions in 10 minutes)
comp1
c. Appearance of bloody fluid from the vagina
d. Contractions lasting 60 seconds (contraction duration 2 minutes or longer)
16. The nurse is caring for a client who weighs 150lb (68kg) and has developed hepatic
encephalopathy. It is a priority for the nurse to notify the PCP if the client develops
a. An increase in alanine aminotransferase (ALT) levels
compl
b. A decrease in urine output to 450 ml/day (hepatorenal syndrome → sudden decrease in
urinary flow <500ml/24hr → cause of death in patients)
1
c. The development of a musty odor to the breath
d. A change in pupil size from 7 to 5 mm
17. The nurse has received report for the following clients. The nurse should first assess the client
who:
a. Has meningitis and reports a headache and photosensitivity
?
1
b. Had a stroke 24 hours ago and has become restless and irritable
c. Has an abdominal aneurysm and reports mild lower back pain
d. Had epilepsy and remains drowsy 30 minutes after having a seizure
O
18. The nurse is caring for assigned clients. It is a priority for the nurse to follow up with a client
who:
0
a. Is receiving intravenous fluid at a prescribed rate at 100ml/hr and has received 400ml
after 2 hours
negligenceb. Has end stage renal disease, a history of hyperkalemia, and is drinking orange juice
of
brought in by a visitor
example ago ?
c. Is receiving continuous heparin infusion and received the first dose of warfarin 1 hour
malpractice d. Has a closed-chest drainage system attached to 20 cm of suction and has 3 cm of water
in the water seal chamber
19. The nurse working in the ED is precepting a newly hired nurse. It indicates a correct care if the
newly hired nurse:
a. Raises the HOB to 30 degrees for a client who has a BP of 95/58 mmHg
b. Prepares to give lorazepam to a client who is anxious and needs to sign a consent form
compe
c. Rewarms the trunk before the extremities of client who had moderate hypothermia
d. Removes the pants of a client who has chemical burns by soaking them off with water
0
20. The nurse is participating in the development of a staff education program about ethical
responsibilities in nursing practice. Which of the following should the nurse include in an
ethical dilemma that requires follow-up by a nurse?
tonsilectomy constant ear pain
·
Exam
