NSG 4800 Exams Review
Study online at https://quizlet.com/_jgee8b
1. The nurse has attended a conference on legal and ethical issues in nursing
practice. Which of the following statements by the nurse would indicate a
correct understanding of the conference?: "A durable power of attorney for health care's
(DPAHCs) authority goes into effect once a client can no longer make decisions."
2. The nurse is triaging children in a pediatric asthma clinic. The nurse should
ask the primary health care provider (PHCP) to first see the child who is: 12 years
old, has mild persistent asthma, and has been using the prescribed rescue inhaler every two hours without relief.
3. The nurse is caring for a client who has had a C7 spinal cord injury. The
client's blood pressure has changed from 136/84 mm Hg to 156/96 mm Hg
and the client is reporting nasal stuffiness and a severe, throbbing headache.
Which action should the nurse take first?
A. Elevate the head of the client's bed.
B. Auscultate the client's breath sounds.
C. Assess the client's oxygen saturation level.
D. Determine the client's pulse pressure.: A. Elevate the head of the client's bed.
4. The nurse is caring for a client who has cirrhosis of the liver with portal
hypertension and esophageal varices. It would be necessary for the nurse to
immediately notify the primary health care provider (PHCP) if a client has
A. passed a black, tarry stool.
B. palms that are warm and erythematous.
C. a musty odor to the breath.
D. an elevated serum ammonia level.: A. passed a black, tarry stool
5. The nurse has been made aware of the following client situations. It would
be necessary for the nurse to immediately notify the primary health care
provider (PHCP) if a client has: pericarditis and has jugular veins that are now visible when the head
of the client's bed is at 60 degrees.
1/7
, NSG 4800 Exams Review
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6. The nurse working in an emergency department (ED) is participating in an
external disaster drill. The nurse should first assess the client who is: 20 years old,
has a traumatic left below the knee amputation (BKA), a blood pressure of 70/46 mm Hg, and a pulse rate of 124
7. The nurse is caring for assigned clients. The nurse should recommend to the
primary health care provider (PHCP) that a referral be initiated to a mental
health professional for which of the following clients?: 39-year-old who has myasthenia
gravis, cries frequently, and has developed a decreased appetite.
8. The nurse working the emergency department (ED) is assessing a client
involved in a motor vehicle accident
(MVA) and notes a large hematoma on the client's right flank. Which action
should the nurse take first?
A. Obtain a urine specimen from the client.
B. Determine the client's vital signs.
C. Palpate the client's bladder.
D. Auscultate the client's bowel sounds.: B. Determine the client's vital signs.
9. The nurse is participating in the development of a staff education pro-
gram about ethical responsibilities in nursing practice. Which of the following
should the nurse include as an ethical dilemma that requires follow up by a
nurse?: A nurse is preparing to adminsiter a unit of prescribed packed red blood cells (PRBCs) to a client who is
a Jehovah's Witness.
10. The nurse has provided discharge instructions to a mother who gave birth
to a healthy, full-term male. Which of the following statements by the mother
would indicate a correct understanding of the instructions?: "I should place my baby
on his back to sleep for the first year of life."
11. The nurse has attended a staff development conference on providing safe
care for clients who have had a stroke. It would indicate the need for addi-
tional instruction if the nurse states: "I will place the wheelchair on the client's affected side when
trasferring the client from the bed to the wheelchair."
12. The nurse is discussing the use of physical restraints with a licensed prac-
tical/vocational nurse (LPN/VN). It would require follow up by the nurse if the
LPN/VN states: "I will make sure that I can not fit my finger between the restraint and the client's extremity."
2/7
Study online at https://quizlet.com/_jgee8b
1. The nurse has attended a conference on legal and ethical issues in nursing
practice. Which of the following statements by the nurse would indicate a
correct understanding of the conference?: "A durable power of attorney for health care's
(DPAHCs) authority goes into effect once a client can no longer make decisions."
2. The nurse is triaging children in a pediatric asthma clinic. The nurse should
ask the primary health care provider (PHCP) to first see the child who is: 12 years
old, has mild persistent asthma, and has been using the prescribed rescue inhaler every two hours without relief.
3. The nurse is caring for a client who has had a C7 spinal cord injury. The
client's blood pressure has changed from 136/84 mm Hg to 156/96 mm Hg
and the client is reporting nasal stuffiness and a severe, throbbing headache.
Which action should the nurse take first?
A. Elevate the head of the client's bed.
B. Auscultate the client's breath sounds.
C. Assess the client's oxygen saturation level.
D. Determine the client's pulse pressure.: A. Elevate the head of the client's bed.
4. The nurse is caring for a client who has cirrhosis of the liver with portal
hypertension and esophageal varices. It would be necessary for the nurse to
immediately notify the primary health care provider (PHCP) if a client has
A. passed a black, tarry stool.
B. palms that are warm and erythematous.
C. a musty odor to the breath.
D. an elevated serum ammonia level.: A. passed a black, tarry stool
5. The nurse has been made aware of the following client situations. It would
be necessary for the nurse to immediately notify the primary health care
provider (PHCP) if a client has: pericarditis and has jugular veins that are now visible when the head
of the client's bed is at 60 degrees.
1/7
, NSG 4800 Exams Review
Study online at https://quizlet.com/_jgee8b
6. The nurse working in an emergency department (ED) is participating in an
external disaster drill. The nurse should first assess the client who is: 20 years old,
has a traumatic left below the knee amputation (BKA), a blood pressure of 70/46 mm Hg, and a pulse rate of 124
7. The nurse is caring for assigned clients. The nurse should recommend to the
primary health care provider (PHCP) that a referral be initiated to a mental
health professional for which of the following clients?: 39-year-old who has myasthenia
gravis, cries frequently, and has developed a decreased appetite.
8. The nurse working the emergency department (ED) is assessing a client
involved in a motor vehicle accident
(MVA) and notes a large hematoma on the client's right flank. Which action
should the nurse take first?
A. Obtain a urine specimen from the client.
B. Determine the client's vital signs.
C. Palpate the client's bladder.
D. Auscultate the client's bowel sounds.: B. Determine the client's vital signs.
9. The nurse is participating in the development of a staff education pro-
gram about ethical responsibilities in nursing practice. Which of the following
should the nurse include as an ethical dilemma that requires follow up by a
nurse?: A nurse is preparing to adminsiter a unit of prescribed packed red blood cells (PRBCs) to a client who is
a Jehovah's Witness.
10. The nurse has provided discharge instructions to a mother who gave birth
to a healthy, full-term male. Which of the following statements by the mother
would indicate a correct understanding of the instructions?: "I should place my baby
on his back to sleep for the first year of life."
11. The nurse has attended a staff development conference on providing safe
care for clients who have had a stroke. It would indicate the need for addi-
tional instruction if the nurse states: "I will place the wheelchair on the client's affected side when
trasferring the client from the bed to the wheelchair."
12. The nurse is discussing the use of physical restraints with a licensed prac-
tical/vocational nurse (LPN/VN). It would require follow up by the nurse if the
LPN/VN states: "I will make sure that I can not fit my finger between the restraint and the client's extremity."
2/7
