Practice Test, Study
Guide, Exam Prep &
Review
|Guaranteed success|
, For which situation should nurse complete an incident Staff member determines that a client's dentures are missing
report?
Well-baby clinic nurse assessed several infants. Most 3 months old and does not smile when played with
important to suggest follow-up for?
Nurse admits client following sexual assault w/ cuts & "You are safe now."
bruises on face, hands, & chest. What should nurse
initially say to client?
Nurse precepting new nurse administer unit of PRBCs Administer the PRBCs over 3 hours
to client. Action nurse plan to take?
PACU nurse caring for pt post abdominal surgery pH = 7.50; PaO2 = 79 mm Hg; PaCO2 = 35 mm Hg; HCO3- = 30 mEq/L; SaO2 =
under general anesthesia, receiving O2 at 40% face 88%
mask, respirations shallow at rate of 6. ABG results
consistent w/ resp assessment?
Admitting client suspected of severe sepsis. Action Administer a prescribed broad-spectrum antibiotic
necessary to take within first 3 hrs?
Nurse manager prepares in-service on legal issues & Defamation is posting inaccurate information regarding a coworker on social
client care. Correct example to give-- media
Nurse assessing clients for hospice services should Has terminal cancer and needs assistance with pain management at home
recommend hospice care for client who
Pedi nurse received change-of-shift report, reviews Adolescent admitted with sickle cell crisis and reports visual disturbances
client data & Rx’s. Nurse plan to see first?
RN plan care for clients & assign tasks to LVN & UAP. Collection of PMH for a client who is admitted for cellulitis
Task best for RN to assign LVN?
ED nurse aware of client situations. Requires report by 27-yr-old who was admitted with a confirmed STI
nurse to outside public health agency?
Client had kidney transplant 1 week ago. Priority for Reports tenderness of the kidney with a noted increase in lethargy
nurse to notify PHCP if client?
Charge nurse reviewing EMR. Indicates correct "Late entry: Ambulated from bed to doorway without assistance. No shortness
documentation by nurse? of breath or diaphoresis noted. VS remain within baseline after ambulating."
Nurse working med-surg unit. Situation requires nurse A client has developed phlebitis from an IV catheter and is now receiving
complete incident report? antibiotics