With Complete Solutions
A nurse is preparing to administer 650 mg of acetaminophen
syrup to a client. The amount available is acetaminophen syrup
160mg/5 mL. How many tsp should the nurse administer per
dose?
4 tsp
A nurse is preparing to administer epinephrine hydrochloride 0.5
mg subcutaneous stat. How many mcg should the nurse
administer?
500 mcg
A nurse is collecting data on four clients. Which of the
following is the highest priority finding by the nurse?
Diarrhea
A nurse in a rehabilitation facility has received report on four
clients. Which of the following should the nurse evaluate first?
A client who had abdominal surgery 10 days ago and reports
feeling his incision pop
A nurses caring for an older adult client who recently
experienced the death of her partner. Which of the following is
the priority need of the client?
Creating meaningful social relationships
,A nurse is preparing to administer oral medication to a client
who has unilateral weakness following a cerebrovascular
accident (CVA). Which of the following should be the priority
action of the nurse?
Have the client position the head with the chin down while
swallowing
A nurse is conducting therapeutic medication monitoring on four
clients. Which of the findings should be immediately reported to
the provider?
Digoxin 3.0ng/mL
A nurses caring for a client who has a urinary track infection.
The client is disoriented and found wandering on another unit.
Which of the following actions should the nurse take first?
Move the client to room near the nurses station
A nurse is reinforcing discharge teaching to a new mother
regarding sudden infant death syndrome (SIDS). Which of the
following is the highest priority to include in the instructions?
Place the infant in a supine position when sleeping
A nurse is caring for a client who has a serum potassium level of
3.1 mEq/L. Which of the following actions should the nurse take
first?
Obtain an ECG
A nurse is caring for a client who is having difficulty breathing.
Which of the following actions should the nurse take first?
Place the client in the orthopneic position
,A nurse is collecting data on four clients. Which of the
following findings is the most urgent?
Warmth and pain in the calf
A nurse in an urgent care clinic is caring for a client who has
bronchitis with thick pulmonary secretions. The client's oxygen
saturation level is 90% on room air. Which of the following
actions should the nurse take first?
Assist client to cough effectively
A nurse in a long-term care facility is assisting with the
admission of several clients. To prevent falls in hospitalized
clients, which of the following actions should the nurse take
first?
Determine the mobility status of each patient
A nurse is reviewing the lab results for four clients. The client
with which of the following values requires immediate
intervention?
Platelets 95,000 mm3
A nurse working on the cardiac unit hears an alarm and finds
one of the heart monitor screens at the nurse's station is
displaying a straight line, indicating a client is in cardiac arrest.
Which of the following actions should the nurse take first?
Check on the client
A nurses caring for a client who is in the immediate post
operative period following a tracheotomy. Which of the
following is the nurses priority action?
, Maintaining a patent airway
A newly hired nurse is reviewing the facilities emergency
preparedness plan. Based on a review of the four triage
categories, the nurse should provide power you care to clients
who are in which of the following categories during a disaster?
Immediate
A nurse in a provider's office has collected data on four clients.
Which of the following clients should be the nurse's priority
concern?
A client who is having a nosebleed associated with hypertension
A nurse is caring for a client who is diagnosed with
gastroenteritis. Which of the following actions should the nurse
take first when evaluating for fluid volume deficit?
Check the heart rate and blood pressure
A nurse is assisting with the admission of a client who has
decreased circulation in the left leg. Which of the following is
the first action the nurse should take?
Check the leg for warmth and edema
A nurse is caring for a newly admitted client. Which of the
following client needs should the nurse address first?
Hypoxic
A nurse is assisting with teaching a newly licensed nurse about
infectious agents. The nurse should include in the teaching that
pertussis is transmitted by which of the following modes of
transmission?