2021 RN EXIT VERSION 3

2021 RN EXIT VERSION 3 1) A nurse is planning care for a child who has scabies and he keeps itching… ANS: Keep nails trimmed short and have him wear mittens 2) An acute care hospital has a disaster something about an outage and a generator. The UAP asks the charge nurse what she can do to help… ANS: Tell clients to stay in their rooms 3) Discharge teaching to a patient with heart failure what parameter is most important for weight monitoring… ANS: Weigh themselves at the same time everyday 4) Patient with metabolic syndrome is going to start exercising what is most important to tell him… ANS: Monitor BP as exercise increases 5) A charge nurse watches an LPN gloves for a sterile dressing change, what action requires action by the charge nurse? ANS: 6) Patient c/o pain distal to insertion site, what action should the nurse implement? ANS: Remove 7) A seriously ill patient that has a DNR is transferred to a medical facility in another state that does not honor that what should the nurse implement? ANS: Honor clients wishes 8) Question regarding taking a sample for sputum out of a water chamber from a patient with a chest tube insertion for a person on a trach, where do you take the sample from? ANS: Rubberized port at bottom of the catheter chamber 9) A patient is in the acute phase of burn to prevent auto contamination when changing dressings how should you do it? ANS: Change each dressing separately 10) The nurse enters a client’s room with his morning meds. Patient states he will take them later. What action should the nurse take? ANS: make a deal him on a time to return and give the meds 11) A client has returned from China and has SARS. What will you do before coming into contact with him? ANS: Gown, gloves, n95 mask 12) A client admitted with chest tightness respiratory acidosis an increase in which lab would show this? ANS: PaCO2