Graded, and Pass Guaranteed
An older male client with a history of type 1 diabetes has not felt well the past few days and
arrives at the clinic with abdominal cramping and vomiting. He is lethargic, moderately
confuses, and cannot remember when he took his last dose of insulin or ate last. What action
should the nurse implement first? A- Obtain a serum potassium level B- Administer the client's
usual dose of insulin C- Start an intravenous infusion of normal saline D- Assess pupillary
response to light. - Start an intravenous infusion of normal saline
A client with a history of heart failure and type 1 diabetes mellitus is admitted with unstable
angina. Which problem requires the most immediate intervention by the nurse?A. Fatigue B.
Fluid volume excess C.Activity intolerance D. Acute anginal pain - Acute anginal pain
Several employees who have a 10 year or longer smoking history ask the occupational health
nurse for assistance with smoking cessation the nurse develops a 2 month program that
includes weekly group sessions on lifestyle changes and use of over-the-counter (OTC) nicotine
substitute products which measurement provides the best indication of the program's
effectiveness A- Survey employees to determine how many are smoking 2 months after the end
of the program B- Design a questionnaire that identities lifestyle changes that contribute to
smoking cessation C- At the end of the program test the employees knowledge of OTC nicotine
substitute products D- Ask the employees to inform the group if they stop smoking and if they
start smoking again - Survey employees to determine how many are smoking
A female client is hospitalized for treatment of a myasthenic crisis and is concerned about what
might cause this illness. She states "i just had a little case of the sniffles and a bit of a sore throat
and wham! Suddenly i couldn't get out of bed or do anything " which response is best for the
nurse to provide this client? A- "The crisis may have been triggered by your cold. i bet it can feel
pretty scary ." B- "It was probably an overdose of your medication. Did you take a double dose?"
C- "You probably just did too much at one time. You need to pace your activities" D- Muscle
weakness is an early sign of crisis and means that you need more rest" - Muscle
weakness is an early sign of crisis and means that you need more rest
The nurse notes that the influenza immunization rates are much lower for certain demographic
groups than for others. Which intervention is likely to be most useful in increasing the rates of
immunization in these lower immunization group A- Reports describing influenza rates during
times of greatest prevalence B- Radio announcements about the availability of the influenza
vaccine C- Legislative proposals that mandate influenza vaccination for all D- Designation of
, clinics conveniently located in target neighborhood - Designation of clinics conveniently
located in target neighborhood
An adult woman who returns to the telemetry unit following cardiac catheterization has an IV
infusion with a secondary solution of nitroglycerin. She is restless while lying flat and is
complaining of a throbbing headache .which intervention should the nurse implement. a- Pause
the nitroglycerin infusion b- Obtain an orthostatic blood pressure C- Raise the head of the bed
d- Immobilize the affected extremity - Raise the head of the bed
The nursing staff expresses concern about a new policy that increases the nurses to patient ratio
by 25% on all shift. Which action is best for the nurse manager take? A- Encourage the nursing
staff to organize a group meeting to voice their complaints. B- Provide a virtual forum or chat
room to discuss the increase nurse ratio. C- Disseminate factual information to all nursing staff
to avoid misinformation and rumors. D- Request a judgment from the state board of nursing
regarding safety of the new policy - Encourage the nursing staff to organize a group
meeting to voice their complaints
An experienced female practical nurse is hired to work on the surgical unit of a tertiary hospital
the first day she is working on the unit the PN tells the charge nurse that she has excellent
wound care skills. it is a busy day and a postoperative client needs to have a sterile dressing
change. what action is best for the charge nurse to take. A- Review the PN skill checklist to
assess for wound care competency B- Tell the PN experience does not indicate ability to
perform skills C- Watch the PN perform sterile wound care to validate her skill level D- Ask the
PN to change the sterile dressing while the nurse is busy - Watch the PN perform sterile
wound care to validate her skill level
The home health nurse is reviewing the personal care needs of an elderly client who lives alone.
Which assessment findings indicate the need to assign an unlicensed assistive personnel (UAP)
to provide routine foot care and file the client's toenails? (Select all that apply) A- Hand tremors
B- Syncope when bending C- Urinary incontinence D- Diminished visual acuity E- Shuffling gait -
Hand tremors Syncope when bending & Diminished visual acuity
A nurse is assessing a 6- month -old infant. Which response requires further evaluation by the
nurse? A- Play peek-a boo B- Has doubled birth weight C- Turn heads to locate sound D-
Demonstrates startle reflex - Demonstrates startle reflex
The charge nurse is making assignment on an in-patient psychiatric unit. The staff consists of
two psychiatric technicians and one practical nurse (PN). Which team assignment is best to
assign to the PN? A- Administration of routine medication B- Routine morning vital signs and