Questions and Verified Answers,
100% Guarantee Pass
With 160 Multiple Choice Questions and Answer
1. Suicide precautions are initiated for a child admitted to the mental health unit
following an intentional narcotic overdose. After a visitor leaves, the nurse finds a
package of cigarettes in the client's room. Which intervention is most important for the
nurse to implement?: Remove cigarettes for the client's room
2. A family member of a frail elderly adult asks the nurse about eligibility
requirements for hospice care. What information should the nurse provide? (Select
all that apply.)
A.) A client must be willing to accept palliative care, not curative care.
B.) The healthcare provider must project that the client has 6 months or less to live.
C.) The client must be diagnosed with clinical depression
D.) The client must be of sound mind: A,B
3. A client with atrial fibrillation receives a new prescription for dabigatran. What
instruction should the nurse include in this client's teaching plan?: Avoid use of
nonsteroidal ant-inflammatory drugs (NSAID).
4. An infant who is admitted for surgical repair of a ventricular septal defect (VSD) is
irritable and diaphoretic with jugular vein distention. Which prescrip- tion should the
nurse administer first?: Digoxin
5. The nursing staff on a medical unit includes a registered nurse (RN), prac- tical
nurse (PN), and an unlicensed assistive personnel (UAP). Which task should the
charge nurse assign to the RN?: Supervise a newly hired graduate nurse during an
,admission assessment.
6. While teaching a young male adult to use an inhaler for his newly diagnosed asthma,
the client stares into the distance and appears to be concentrating on something other
than the lesson the nurse is presenting. What action should the nurse take?: Ask the
client what he is thinking about at his time.
7. After several hours of non-productive coughing, a client presents to the emergency
room complaining of chest tightness and shortness of breath. History includes end
stage chronic obstructive pulmonary disease (COPD) and diabetes mellitus.While
completing the pulmonary assessment, the nurse hears wheezing and poor air
movement bilaterally. Which actions should the nurse implement? (Select all that
apply.)
A.) Administer PRN nebulizer treatment.
,B.) Obtain 12 lead electrocardiogram.
C.) Monitor continuous oxygen saturation.
D.) Lay the client in the prone position: A,B,C
8. The nurse caring for a 3-month-old boy one day after a pylorotomy notices that the
infant is restless, is exhibiting facial grimaces, and is drawing his knees to his chest.
What action should the nurse take?: Administer a prescribed analgesia for pain.
9. A 4-year-old with acute lymphocytic leukemia (ALL) is receiving a chemotherapy
(CT) protocol that includes methotrexate (Mexate, Trexal, MIX), an antimetabolite.
Which information should the nurse provide the parents about caring for their child?:
Use sunblock or protective clothing when outdoors.
10. Two days after admission a male client remembers that he is allergic to eggs,
and informs the nurse of the allergy. Which actions should the nurse implement?
SATA
A.) Tell the client that its a mild reaction
B.) Notify the food services department of the allergy.
C.) Enter the allergy information in the client's record.
D.) Add egg allergy to the client's allergy arm band.: B,C,D
11. The rapid response team's detects return of spontaneous circulation (ROSC) after
2 min of continuous chest compressions. The client has a weak, fast pulse and no
respiratory effort, so the healthcare provider performs a successful oral, intubation.
What action should the nurse implement?: Perform bilateral chest auscultation.
12. After administering an antipyretic medication. Which intervention should the
nurse implement?: Encouraging liberal fluid intake
13. A client with hyperthyroidism is being treated with radioactive iodine (I-131).
Which explanation should be included in preparing this client for
this treatment?: Describe radioactive iodine as a tasteless, colorless medication
administered by the healthcare provider
, 14. After a colon resection for colon cancer, a male client is moaning while being
transferred to the Postanesthesia Care Unit (PACU). Which intervention should the
nurse implement first?: Determine client's pulse, blood pressure, and respirations