lOMoARcPSD|6803794
1. The nurse working in the Ed is triaging a client who has presented with
chest pain, SOB, productive cough, reports night sweats. The client’s
health history includes the presence of AIDS and the recent lab results
that reveal a low CD4+ count. Airborne precautions have been
initiated. Which of the following actions should the nurse take next?
Check the client’s temperature
2. The newly hired nurse is developing a plan of care for a client who has
acquired AIDS and was just diagnosed with pneumocystis and pain.
Which of the following interventions should the nurse preceptor
question?
Placing the client on a pressure-relieving mattress
3. The nurse is caring for a client with AIDS who has just been diagnosed
with cryptococcal meningitis. Which of the following actions should the
nurse take?
Initiate seizure precautions with padded side rails
4. The nurse had provided medication instructions to a client who has HIV
and has been prescribed combination antiretroviral therapy. Which of
the following client statements indicates a correct understanding of the
teaching?
“I can avoid developing drug resistance if I take 90% of my drugs on
time.”
5. The nurse is caring for a client who had a lung transplant 10 days ago.
It would be a priority for the nurse to notify the PHCP if the client has?
Developed sputum that is yellow tinged
6. The nurse is caring for a client who had a liver transplant 48 hours ago.
Which findings from the box below is a priority for the nurse to report
to the PHCP?
2,4,5,6
Increase in AST, increase in PT, INR, Bilirubin levels
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, lOMoARcPSD|6803794
7. The nurse is caring for a client who had a kidney transplant two weeks
ago. Which of the following findings should the nurse correlate to
possible organ rejection?
Blood pressure of 172/96
8. The nurse working in a primary health care providers office has just
administered a routine to a client. The client is asked to wait in the
waiting room for the next 15 minutes. 5 minutes later, the client
develops swelling of the eyes and reports feeling anxious, SOB, and
dizzy. Which following actions should the nurse take first?
Perform a respiratory assessment
9. The nurse is caring for a client who just received a pneumococcal
polysaccharide vaccine. The client reports feeling anxious, SOB, dizzy,
and has an audible wheezing. Which actions from the box below
should the nurse take?
1,2,3,4
Initiate oxygen via nonrebreather mask, obtain IV access with large
bore IV, administer IM epinephrine 0.3 mL, Have a crash cart available
in the client’s room
10. The newly hired nurse has attended a continuing education
conference regarding anaphylaxis work allergen exposure. Which of
the following statements by the newly hired nurse indicates a correct
understanding of assessment findings in the client?
The client will present with widespread hives and hypoxia
11. The nurse is assessing a client who has systemic lupus
erythematosus findings would the nurse identify as a complication of
the disease?
Pericardial friction rub
Downloaded by Felix Mungai ()
1. The nurse working in the Ed is triaging a client who has presented with
chest pain, SOB, productive cough, reports night sweats. The client’s
health history includes the presence of AIDS and the recent lab results
that reveal a low CD4+ count. Airborne precautions have been
initiated. Which of the following actions should the nurse take next?
Check the client’s temperature
2. The newly hired nurse is developing a plan of care for a client who has
acquired AIDS and was just diagnosed with pneumocystis and pain.
Which of the following interventions should the nurse preceptor
question?
Placing the client on a pressure-relieving mattress
3. The nurse is caring for a client with AIDS who has just been diagnosed
with cryptococcal meningitis. Which of the following actions should the
nurse take?
Initiate seizure precautions with padded side rails
4. The nurse had provided medication instructions to a client who has HIV
and has been prescribed combination antiretroviral therapy. Which of
the following client statements indicates a correct understanding of the
teaching?
“I can avoid developing drug resistance if I take 90% of my drugs on
time.”
5. The nurse is caring for a client who had a lung transplant 10 days ago.
It would be a priority for the nurse to notify the PHCP if the client has?
Developed sputum that is yellow tinged
6. The nurse is caring for a client who had a liver transplant 48 hours ago.
Which findings from the box below is a priority for the nurse to report
to the PHCP?
2,4,5,6
Increase in AST, increase in PT, INR, Bilirubin levels
Downloaded by Felix Mungai ()
, lOMoARcPSD|6803794
7. The nurse is caring for a client who had a kidney transplant two weeks
ago. Which of the following findings should the nurse correlate to
possible organ rejection?
Blood pressure of 172/96
8. The nurse working in a primary health care providers office has just
administered a routine to a client. The client is asked to wait in the
waiting room for the next 15 minutes. 5 minutes later, the client
develops swelling of the eyes and reports feeling anxious, SOB, and
dizzy. Which following actions should the nurse take first?
Perform a respiratory assessment
9. The nurse is caring for a client who just received a pneumococcal
polysaccharide vaccine. The client reports feeling anxious, SOB, dizzy,
and has an audible wheezing. Which actions from the box below
should the nurse take?
1,2,3,4
Initiate oxygen via nonrebreather mask, obtain IV access with large
bore IV, administer IM epinephrine 0.3 mL, Have a crash cart available
in the client’s room
10. The newly hired nurse has attended a continuing education
conference regarding anaphylaxis work allergen exposure. Which of
the following statements by the newly hired nurse indicates a correct
understanding of assessment findings in the client?
The client will present with widespread hives and hypoxia
11. The nurse is assessing a client who has systemic lupus
erythematosus findings would the nurse identify as a complication of
the disease?
Pericardial friction rub
Downloaded by Felix Mungai ()
