1. A nurse is caring for a client who requires a 24-hr urine collection. Which
of the following statements by the client indicates an understanding of the
teaching? - "I flushed what I urinated at 7:00 a.m. and have saved all
urine since."
2. A nurse is assessing a client who has been on bed rest for the past month.
Which of the following findings should the nurse identify as an indication
that the client has developed thrombophlebitis? - Calf Swelling
3. A nurse manager is overseeing the care on a unit. Which of the following
situations should the nurse manager identify as a violation of HIPAA
guidelines? - A nurse asks a nurse from another unit to assist with her
documentation.
4. A nurse is caring for a client who requires bed rest and has a prescription
for antiembolic stockings. Which of the following actions should the
nurse take? - Remove the stockings at least once per shift.
5. A nurse is administering IV fluid to an older adult client. The nurse
should perform which priority assessment to monitor for adverse effects?
- Auscultate Lung Sounds
6. A nurse is teaching an older client who is at risk for osteoporosis about
beginning a program of regular physical activity. Which of the following
types of activity should the nurse recommend? - Walking Briskly
7. A nurse is assessing an adult client who has been immobile for the past 3
weeks. The nurse should identify that which of the following findings
requires further intervention? - Erythema on pressure points
8. A nurse is responding to a call light and finds a client lying on the
bathroom floor. Which of the following actions should the nurse take
first? - Check the client for injuries
9. A nurse in a clinic is caring for a middle adult client who states, "The
doctor says that, since I am at an average risk for colon cancer, I should
have routine screening. What does that involve?" Which of the following
responses should the nurse make? - "You should have a fecal occult
blood test every year."
10.A nurse manager is preparing to review medication documentation with a
group of newly licensed nurses. Which of the following statements should
the nurse manager plan to include in the teaching? - "Use the complete
name of the medication magnesium sulfate."
, 11.A nurse is caring for a client who has tuberculosis. Which of the
following actions should the nurse take? - Place the client in a room with
negative-pressure airflow.
12.Wear gloves when assisting the client
with oral care. Use antimicrobial sanitizer
for hand hygiene.
13.A nurse is caring for a client who has a prescription for 5 units of regular
insulin and 10 units of NPH insulin to mix together and administer
subcutaneously. Determine the correct order of steps for this procedure. -
Air into NPH
14.Air into
Regular
Draw up
Regular
Draw up
NPH
15.A nurse is reviewing practice guidelines with a group of newly licensed
nurses. Which of the following interventions should the nurse include that
is within the RN scope of practice? - Initiate an enteral feeding through a
gastrostomy tube.
16.A nurse is caring for a client who requires an NG tube for stomach
decompression. Which of the following actions should the nurse take
when inserting the NG tube? - Have the client take sips of water to
promote insertion of the NG tube into the esophagus.
17.A nurse is assessing an older client's risk for falls. Which of the following
assessments should the nurse use to identify the client's safety needs? -
Pupil Clarity
18.Visual
Fields
Visual
Acuity
19.A nurse is evaluating a client's use of a cane. Which of the following
actions should the nurse identify as an indication of correct use? - The
client holds the cane on the stronger side of her body.
20.A nurse is performing a peripheral vascular assessment for a client. When
placing the bell of the stethoscope on the client's neck, she hears the
following sound. This sound indicates which of the following? -
Narrowed Arterial Lumen
21.A nurse is admitting a client who has varicella. Which of the following