Exam 3 & 2: Key Practice Questions and Well-
Detailed Answers & Rationales
, Which client condition should the nurse prioritize 24 hours postoperative?
The client who reports an increased pain level of 8 on a scale of 0 to 10 after receiving an
opioid analgesic.
What is an example of malpractice in nursing?
A competent client refuses an antidepressant medication. The nurse dissolves the
medication in food and administers it to the client without the client's knowledge.
Which client should the nurse follow up with regarding pyridostigmine?
The client receiving pyridostigmine who reports nausea and congested cough.
What is the first strategy the CQI committee should initiate to reduce medication
errors?
Review the events that led to the medication administration error by creating a flow
diagram.
When can informed consent be waived?
For urgent medical or surgical treatment if the client is unconscious, per facility policy.
, Which client should the nurse prioritize after receiving the hand-off report?
The client with cirrhosis, several new areas of ecchymosis, and a partial thromboplastin
time (PTT) of 76 seconds.
Which pediatric client should the nurse assess first based on telemetry?
A 1-month-old infant who is sleeping and has a pulse of 180.
For which child should the nurse initiate an interdisciplinary conference?
A 5-year-old diagnosed with cystic fibrosis (CF) at birth and hospitalized 4 times in the
past 2 months.
What is the most appropriate action for a nurse reviewing a client with pericarditis
and elevated WBC?
Update the nursing interventions as needed.
Which documentation by a nurse indicates correct practice?
IV catheter site in left antecubital space is red and warm to touch. IV catheter removed
intact. 20-gauge catheter placed in right forearm.
What should the nurse do with a client's CPAP machine brought from home?
Have the machine inspected by the facility's engineering department.
Which client is safest for discharge during an emergency response plan?
The client who has a deep vein thrombosis (DVT), is receiving warfarin, and has a
prothrombin time (PT) of 28 seconds.