ARCHER Tutor 12/22
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1. Following a detailed conversation D. "My autologous blood donation will be screened for
between a nurse and a client re- infectious diseases."
garding autologous blood dona-
tions, which of the following state- Autologous donations are not screened for infectious
ments, if made by the client, would diseases. According to the Food and Drug Administration
indicate the need for additional (FDA), autologous donations are not screened because
education on the topic? autologous donors are not exposed to new transfu-
sion-transmitted infections in receiving their own blood.
A. "Autologous donations require
a health care provider's (HCP) or-
der."
B. "There is no age limitation for
autologous blood donations."
C. "I can begin autologous blood
donations five weeks before my
surgery date and continue up until
72 hours before surgery."
D. "My autologous blood donation
will be screened for infectious dis-
eases."
2. What is the nurse's priority when a A. Rescue the patient
fire occurs in a client's room?
Rescue others immediate
A. Rescue the patient Alert - shout fire pull fire or dial 911
B. Extinguish the fire Contain - close all doors windows
C. Sound the alarm Extinguish/evacuate - extinguish small fires, evacuate
D. Run for help clients. if appropiate
3. The patient is diagnosed with A, C, D
acute pancreatitis. Which pre-
ventative intervention should the Respiratory infections are common in acute pancreatitis
, ARCHER Tutor 12/22
Study online at https://quizlet.com/_cll9mq
nurse implement to reduce the pa- due to retroperitoneal fluid pushing the diaphragm up-
tient's risk of developing a respi- wards and causing the patient to take shallow abdominal
ratory infection? Select all that ap- breaths. Assisting the patient to change positions fre-
ply. quently, encouraging deep breathing as well as cough-
ing exercises, and positioning patients for maximum
A. Assist the patient to turn and chest expansion would all be preventative interventions
reposition frequently. to reduce the risk of respiratory infection.
B. Document the respiratory rate
and oxygen saturation.
C. Place the patient in a
semi-fowlers position.
D. Encourage deep breathing and
coughing.
4. The nurse is caring for a client who B, C
has a prescribed regular insulin
sliding scale. At 0800, the client's The client's blood glucose has been above 250 mg/dL
capillary blood glucose (CBG) was for three consecutive readings and the physician needs
258 mg/dl. At 1215 the CBG was to be notified. In addition, the sliding scale prescribes six
288 mg/dl. At 1730 the CBG was units of insulin based on the 17:30 CBG result.
254 mg/dl. The nurse should do
which of the following at 1730?
See the table below. Select all that
apply.
151 - 200 mg/dl - Regular insulin 2
units
201 - 250 mg/dl - Regular insulin 4
units
251 - 300 mg/dl - Regular insulin 6
units
301- 350- mg/dl - Regular insulin 8
units
, ARCHER Tutor 12/22
Study online at https://quizlet.com/_cll9mq
Notify DM for 3 consecutives >
CBGs than 250 mg/dl
A. Administer 8 units of regular in-
sulin
B. Administer 6 units of regular in-
sulin
C. Notify the primary health care
provider (PHCP)
D. Withhold the prescribed insulin
E. Modify the client's prescribed
diet to low sodium
5. The registered nurse (RN) ob- A, D, E
serves licensed practical/vocation-
al nurses (LPN/VN) care for as- An indwelling catheter is irrigated with sterile water or
signed clients. Which of the follow-sterile normal saline. Irrigating an indwelling catheter
ing actions by the LPN would re- with tap water would introduce pathogens into the blad-
quire the RN to intervene? Select der. A chest tube should never be clamped as it will
all that apply. cause a rapid increase in intrathoracic pressure, which
may cause a tension pneumothorax. A client requiring
A. Irrigates an indwelling catheter log rolling should be repositioned with more than one
with warm tap water. staff member and with a transfer sheet. A gait belt is used
B. Administers glargine insulin for when a patient is ambulating.
a client with nothing by mouth
(NPO)
C. Obtains a 12-lead electrocar-
diogram for a client with hyper-
kalemia.
D. Clamps a chest tube while the
client ambulates.
, ARCHER Tutor 12/22
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E. Repositions a client who re-
quires log rolling by using a gait
belt.
6. The charge nurse is planning client A, F
care assignments for a registered
nurse (RN) and licensed prac- When making client assignments, the LPN should be
tical/vocational nurse (LPN/VN). assigned to a stable client with a predictable outcome.
Which of the following clients A client receiving antibiotics for lower extremity cellulitis
would be most appropriate to as- is a low acuity illness and may be cared for by the LPN.
sign to the LPN? Select all that ap- Scheduled tube feedings and colostomy irrigations are
ply. A client within the scope of an LPN, and this can be delegated.
A. receiving antibiotics for lower
extremity cellulitis.
B. newly admitted with an exacer-
bation of myasthenia gravis.
C. with a chest tube and receiving
mechanical ventilation.
D. requiring a referral to an outpa-
tient support group.
E. needing to receive intramuscu-
lar RhoGAM.
F. needing scheduled tube feed-
ings and colostomy irrigations.
7. Which of the following lab values D. Creatinine 8.7 mg/dL
would be most significant in de-
termining renal function in a client Creatinine is a specific indicator of renal function/failure.
with a history of polycystic kidney Polycystic kidney disease is a genetic disorder that causes
disease? fluid-filled cysts to grow inside the kidneys. Unlike simple
kidney cysts that may develop later in life, PKD cysts can
Study online at https://quizlet.com/_cll9mq
1. Following a detailed conversation D. "My autologous blood donation will be screened for
between a nurse and a client re- infectious diseases."
garding autologous blood dona-
tions, which of the following state- Autologous donations are not screened for infectious
ments, if made by the client, would diseases. According to the Food and Drug Administration
indicate the need for additional (FDA), autologous donations are not screened because
education on the topic? autologous donors are not exposed to new transfu-
sion-transmitted infections in receiving their own blood.
A. "Autologous donations require
a health care provider's (HCP) or-
der."
B. "There is no age limitation for
autologous blood donations."
C. "I can begin autologous blood
donations five weeks before my
surgery date and continue up until
72 hours before surgery."
D. "My autologous blood donation
will be screened for infectious dis-
eases."
2. What is the nurse's priority when a A. Rescue the patient
fire occurs in a client's room?
Rescue others immediate
A. Rescue the patient Alert - shout fire pull fire or dial 911
B. Extinguish the fire Contain - close all doors windows
C. Sound the alarm Extinguish/evacuate - extinguish small fires, evacuate
D. Run for help clients. if appropiate
3. The patient is diagnosed with A, C, D
acute pancreatitis. Which pre-
ventative intervention should the Respiratory infections are common in acute pancreatitis
, ARCHER Tutor 12/22
Study online at https://quizlet.com/_cll9mq
nurse implement to reduce the pa- due to retroperitoneal fluid pushing the diaphragm up-
tient's risk of developing a respi- wards and causing the patient to take shallow abdominal
ratory infection? Select all that ap- breaths. Assisting the patient to change positions fre-
ply. quently, encouraging deep breathing as well as cough-
ing exercises, and positioning patients for maximum
A. Assist the patient to turn and chest expansion would all be preventative interventions
reposition frequently. to reduce the risk of respiratory infection.
B. Document the respiratory rate
and oxygen saturation.
C. Place the patient in a
semi-fowlers position.
D. Encourage deep breathing and
coughing.
4. The nurse is caring for a client who B, C
has a prescribed regular insulin
sliding scale. At 0800, the client's The client's blood glucose has been above 250 mg/dL
capillary blood glucose (CBG) was for three consecutive readings and the physician needs
258 mg/dl. At 1215 the CBG was to be notified. In addition, the sliding scale prescribes six
288 mg/dl. At 1730 the CBG was units of insulin based on the 17:30 CBG result.
254 mg/dl. The nurse should do
which of the following at 1730?
See the table below. Select all that
apply.
151 - 200 mg/dl - Regular insulin 2
units
201 - 250 mg/dl - Regular insulin 4
units
251 - 300 mg/dl - Regular insulin 6
units
301- 350- mg/dl - Regular insulin 8
units
, ARCHER Tutor 12/22
Study online at https://quizlet.com/_cll9mq
Notify DM for 3 consecutives >
CBGs than 250 mg/dl
A. Administer 8 units of regular in-
sulin
B. Administer 6 units of regular in-
sulin
C. Notify the primary health care
provider (PHCP)
D. Withhold the prescribed insulin
E. Modify the client's prescribed
diet to low sodium
5. The registered nurse (RN) ob- A, D, E
serves licensed practical/vocation-
al nurses (LPN/VN) care for as- An indwelling catheter is irrigated with sterile water or
signed clients. Which of the follow-sterile normal saline. Irrigating an indwelling catheter
ing actions by the LPN would re- with tap water would introduce pathogens into the blad-
quire the RN to intervene? Select der. A chest tube should never be clamped as it will
all that apply. cause a rapid increase in intrathoracic pressure, which
may cause a tension pneumothorax. A client requiring
A. Irrigates an indwelling catheter log rolling should be repositioned with more than one
with warm tap water. staff member and with a transfer sheet. A gait belt is used
B. Administers glargine insulin for when a patient is ambulating.
a client with nothing by mouth
(NPO)
C. Obtains a 12-lead electrocar-
diogram for a client with hyper-
kalemia.
D. Clamps a chest tube while the
client ambulates.
, ARCHER Tutor 12/22
Study online at https://quizlet.com/_cll9mq
E. Repositions a client who re-
quires log rolling by using a gait
belt.
6. The charge nurse is planning client A, F
care assignments for a registered
nurse (RN) and licensed prac- When making client assignments, the LPN should be
tical/vocational nurse (LPN/VN). assigned to a stable client with a predictable outcome.
Which of the following clients A client receiving antibiotics for lower extremity cellulitis
would be most appropriate to as- is a low acuity illness and may be cared for by the LPN.
sign to the LPN? Select all that ap- Scheduled tube feedings and colostomy irrigations are
ply. A client within the scope of an LPN, and this can be delegated.
A. receiving antibiotics for lower
extremity cellulitis.
B. newly admitted with an exacer-
bation of myasthenia gravis.
C. with a chest tube and receiving
mechanical ventilation.
D. requiring a referral to an outpa-
tient support group.
E. needing to receive intramuscu-
lar RhoGAM.
F. needing scheduled tube feed-
ings and colostomy irrigations.
7. Which of the following lab values D. Creatinine 8.7 mg/dL
would be most significant in de-
termining renal function in a client Creatinine is a specific indicator of renal function/failure.
with a history of polycystic kidney Polycystic kidney disease is a genetic disorder that causes
disease? fluid-filled cysts to grow inside the kidneys. Unlike simple
kidney cysts that may develop later in life, PKD cysts can
