Multidimensional Care II / MDC 2 |
Clinical Judgment Exam (CJE) |
Latest - Rasmussen
Question:
A client is being treated for an exacerbation of Crohn's disease. Which
finding leads the nurse: to conclude that the client's condition is not
improving?
Answer:
Administered maximum 24-hour dose of acetaminophen for past three
days.
Question:
The nurse manager on the oncology unit conducts staff training about
family dynamics during end-of-life care. Which action best demonstrates
leadership by the staff?
Answer:
Role models skilled communication and collaboration.
,Question:
The experienced nurse precepts a graduate nurse in the intensive care
unit. Which action by the graduate nurse requires immediate intervention
by the experienced nurse?
Answer:
Administering intravenous furosemide through the distal lumen of the rigt
subclavian central line.
Question:
The floor nurse determines the readiness of use for a new arteriovenous
fistula placed in preparation for hemodialysis. Which findings inform the
nurse that there might be complications preventing the catheter from being
used? Select all that apply.
Answer:
- Pain is a sign of infection or other complication.
- Bulging and shiny skin suggests an aneurysm or pseudoaneurysm.
- The absence of a palpable thrill (buzzing sensation) indicates a lack of
blood flow, meaning the fistula is occluded or thrombosed.
, Question:
The emergency department nurse calls the medical-surgical unit with
report on a client in sickle cell crisis who is being admitted. The nurse
reports that the client is experiencing priapism and received 30 mg of
nifedipine 5 minutes ago. What should the floor nurse inclu in the client's
immediate plan of care?
Answer:
Ensuring ready access to epinephrine and preparing the client for a
possible urologic procedure.
Question:
Morphine 4 mg intravenous is prescribed in the emergency department for
a client with myocardial infarction. In the medication machine is morphine
10mg/ml. How many milliliters (ml) should the nurse administer? Round to
the tenth.
Answer:
0.4ml