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1. The (UAP) calls the nurse to the room of Determine what the client was thinking just
a client who is admitted to the psychiatric before the panic attack started
unit yesterday for sever panic attacks. The
UAP says, "Look the client is curled up like
a ball, trembling, shaking, and breathing
fast. I can't take the vital signs. The nurse
helps to calm the client.
2. Two nurses have come to the nurse man- Meet with the charge nurse to discuss the
ager to report that they suspect the charge issue but do not divulge the source of the
nurse is diverting narcotics without sup- information
porting information. They are very dis-
traught to report this as the charge nurse
has been on the unit for many years and
gets along well with everyone. However,
ethically, they feel it is the right thing to do.
3. The nurse preparing to undergo an 1.Healthcare provider explains procedure to
elective cholecystectomy. In which order client
should the following preoperative steps be 2.Client signs consent form
performed? 3.Witness signs consent form
4.Consent form is placed in chart
5.Preoperative medication is administered
4. A client with diabetes presents to the clin- -Spaghetti with meatballs and parmesan
ic. Their glycosylated hemoglobin (HbA1C) cheese ,steamed broccoli ,raw carrots ,and a
is 9.4 %. The client has difficulty adhering glass of water
to the prescribed diet and asks for sug- -Ham sandwich with a slice of cheese, a ba-
gestions. Which dietary choices should the nana, and iced tea with low calorie sweeten-
most appropriate for the nurse to recom- er
mend? SATA
, NR446 readiness CJE
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5. The nurse assesses a client diagnosed c. Report sleeplessness and tremors to both
with bipolar disorder managed with lithi- hands that started yesterday
um based on the clients assessment the
provider requests laboratory evaluation.
What assessment finding by the nurse sup-
ports the finding of the providers request?
6. A student in the local high school attempt- -When students have low self-esteem, they
ed suicide because of being bullied by are more apt to react negatively to bullying.
other students in the school; the student -Students who bully other students usually
is now in a coma. the community health lack empathy and are aggressive.
nurse plans a presentation about bully- -Bullies are often observing violent or abu-
ing to students and teachers at the school sive behavior at home.
what is most important for the nurse to -Victims of bullying frequently experience
include in the presentation? Select all that social isolation.
apply
7. A 46-year-old client presents to the ED fol- 1. Alcohol withdrawal, an anxiety attack, ex-
lowing a MVA. Complete the following sen- cruciating pain, compartment syndrome
tences by choosing from the list of options 2. A benzodiazepine, additional pain med-
the nurses expects the client is experienc- ication, emergency surgery, and anti-hyper-
ing tensive
8. The nurse receives change of shift report Room 305 -client with a possible ectopic
of four clients on a maternity unit. Click to pregnancy who reports intense shoulder
identify the client the nurse should assist pain
first.
9. The nursing supervisor calls a nurse who is Disaster plan
off shift at home and states we are asking
all available staff to come into work im-
mediately we really need you are you able
to come in what hospital plan is the most
, NR446 readiness CJE
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likely reason for the supervisors call to the
nurse?
10. A nurse works in a mobile clinic provid- Can you locate all the women with whom you
ing human immunodeficiency virus(HIV) have sex while infected?
screening to residents to various neigh-
borhoods . Today, a client has tested posi-
tive for HIV and says to the nurse, " I kind
of knew I was positive, but I just wanted
to be sure. I know who I got it from too!
Women are so deceiving. Anyway, I already
took my revenge as I already slept with sev-
eral women deliberately. What question is
most important for the nurse to ask the
client?
11. The nurse receives a prescription to ad- 09:48
minister 100 mL of IV fluids at 125 mL/hr
. the bag is hung at 0900. at what time
should the nurse hang on your back an-
swer in military time without a colon.
12. A hospitalized client develops watery in- - Place the client on contact precautions in a
continent diarrhea. a stool culture con- private room
firms a diagnosis of Chloridoids difficile - Clean all equipment that has been in the
which action should the nurse take? Select room with bleach wipes
all that apply -Wash hands with soap and water after
touching anything in the room
13. 13. A pediatric client sustains an injury 7.50
and is prescribed pain medication. the
nurse administers morphine sulfate as
prescribed. when checking on the client 10