COMP Galen College of nursing
Questions with Complete Solutions
.A 45 year old client who was recently DX with terminal cancer says to the nurse "If God could only let
me live long enough to put my daughter through college, I wouldn't mind dealing with the illness." The
nurse caring for this client recognizes this statement as reflecting of what stage of grieving - ANSWER-
Bargaining
.A client with ESRD is schedule for hemodialysis in one hour, the nurse should notify physician is the
client has - ANSWER-K of 6.8
.A nurse is caring for a 2 month old infant being evaluated for congenital hypothyroidism, The nurse
should recognize which of the following findings and being consistent finding of congenital
hypothyroidism - ANSWER-The infant sleeps for 6 hours at a time
.A nurse is observing a new hire nurse provide care for assigned clients. The nurse should intervene if the
new hire nurse is observed - ANSWER-Cleansing the wound from the outer surface to the inner surface
for the client how wound is infected with MRSA
.A student nurse is admin Maalox. The nurse should intervene if the student plans to admin the antacid -
ANSWER-at the same time as Iron
.Four clients recently returned to the unit following invasive diagnostic testing. The nurse should
immediately intervene if one of the clients: - ANSWER-Is observed flexing and extending the legs two
hours post cardiac cath
.he nurse in the ED is assessing a toddler who has swallowed bleach, The toddler is crying. It would be a
priority if the patient parents says - ANSWER-"I gave my toddler a tablespoon of Ipecac syrup."
.It would be appropriate to assign which of these task to the CNA - ANSWER-one - on - one client
observation for safety
.Nursing considerations when admin heparin - ANSWER-ADMIN in ABD, do not massage, protamine
sulfate is antidote
, .Reason for high pressure alarm on a ventilator - ANSWER-Increase bronchial secretions
kink in tubing
acute bronchospasms
tubing is disconnected
.Teaching instructions for a client with ulcerative colitis - ANSWER-occurs in Jewish men 30-50 years
Prednisone may be prescribed for exacerbations
Flagyl, Cipro, and commonly prescribed during acute exacerbations
.The charge nurse is observing a LPN preforming patient care. Follow up would be required if - ANSWER-
The LPN dons clean gloves on the dominant hand before trach suctioning
.The charge nurse of a med-surg floor notice a nurse walking with an unsteady gait, slurred speech and a
faint smell of alcohol on the breath immediately following a lunch break, The charge nurse priority action
would be to - ANSWER-relieve the nurse of assigned clients
.The community health nurse is caring for the following clients. It would be a priority for the nurse to
initiate a multidisciplinary conference for the client who is - ANSWER-17 years old, has DM type 1,
unemployed, and recent A1C is 13%
.The following pediatric unit has been informed the following clients are being admitted. The nurse
should first plan to assess the client who is - ANSWER-2 year old, 100.8 temp, BP 68/44
.The home health care nurse is assigned to see four clients who all live within three miles of each other.
The nurse should first see the client - ANSWER-who has cancer of the esophagus and given away his
favorite shirt
.The infection control nurse is making rounds on a Med - Surg unit. The infection control nurse should
intervene if they observe - ANSWER-Wearing a disposable surgical face mask when entering the room of
a client with active pulmonary TB
Questions with Complete Solutions
.A 45 year old client who was recently DX with terminal cancer says to the nurse "If God could only let
me live long enough to put my daughter through college, I wouldn't mind dealing with the illness." The
nurse caring for this client recognizes this statement as reflecting of what stage of grieving - ANSWER-
Bargaining
.A client with ESRD is schedule for hemodialysis in one hour, the nurse should notify physician is the
client has - ANSWER-K of 6.8
.A nurse is caring for a 2 month old infant being evaluated for congenital hypothyroidism, The nurse
should recognize which of the following findings and being consistent finding of congenital
hypothyroidism - ANSWER-The infant sleeps for 6 hours at a time
.A nurse is observing a new hire nurse provide care for assigned clients. The nurse should intervene if the
new hire nurse is observed - ANSWER-Cleansing the wound from the outer surface to the inner surface
for the client how wound is infected with MRSA
.A student nurse is admin Maalox. The nurse should intervene if the student plans to admin the antacid -
ANSWER-at the same time as Iron
.Four clients recently returned to the unit following invasive diagnostic testing. The nurse should
immediately intervene if one of the clients: - ANSWER-Is observed flexing and extending the legs two
hours post cardiac cath
.he nurse in the ED is assessing a toddler who has swallowed bleach, The toddler is crying. It would be a
priority if the patient parents says - ANSWER-"I gave my toddler a tablespoon of Ipecac syrup."
.It would be appropriate to assign which of these task to the CNA - ANSWER-one - on - one client
observation for safety
.Nursing considerations when admin heparin - ANSWER-ADMIN in ABD, do not massage, protamine
sulfate is antidote
, .Reason for high pressure alarm on a ventilator - ANSWER-Increase bronchial secretions
kink in tubing
acute bronchospasms
tubing is disconnected
.Teaching instructions for a client with ulcerative colitis - ANSWER-occurs in Jewish men 30-50 years
Prednisone may be prescribed for exacerbations
Flagyl, Cipro, and commonly prescribed during acute exacerbations
.The charge nurse is observing a LPN preforming patient care. Follow up would be required if - ANSWER-
The LPN dons clean gloves on the dominant hand before trach suctioning
.The charge nurse of a med-surg floor notice a nurse walking with an unsteady gait, slurred speech and a
faint smell of alcohol on the breath immediately following a lunch break, The charge nurse priority action
would be to - ANSWER-relieve the nurse of assigned clients
.The community health nurse is caring for the following clients. It would be a priority for the nurse to
initiate a multidisciplinary conference for the client who is - ANSWER-17 years old, has DM type 1,
unemployed, and recent A1C is 13%
.The following pediatric unit has been informed the following clients are being admitted. The nurse
should first plan to assess the client who is - ANSWER-2 year old, 100.8 temp, BP 68/44
.The home health care nurse is assigned to see four clients who all live within three miles of each other.
The nurse should first see the client - ANSWER-who has cancer of the esophagus and given away his
favorite shirt
.The infection control nurse is making rounds on a Med - Surg unit. The infection control nurse should
intervene if they observe - ANSWER-Wearing a disposable surgical face mask when entering the room of
a client with active pulmonary TB
