After receiving an intramuscular (IM) injection in the deltoid, a patient states, "My arm
really hurts. It's burning and tingling where I got my injection. What should the nurse
do next?
Select all that apply.
1. Assess the injection site
2. Administer an oral medication for pain
3. Notify the patient's health care provider of assessment findings
4. Document assessment findings and related interventions in the patient's medical
record
5. This is a normal finding so nothing needs to be done
6. Apply ice to the site for relief of burning pain
,Give this one a try later!
1. Assess the injection site
3. Notify the patient's health care provider of assessment findings
4. Document assessment findings and related interventions in the patient's
medical record
The nursing assessment of an 80-year-old patient who demonstrates some confusion
but no anxiety reveals that the patient is a fall risk because she continues to get out of
bed without help despite frequent reminders. The initial nursing intervention to
prevent falls for this patient is to:
1. Place a bed alarm device on the bed.
2. Place the patient in a belt restraint.
3. Provide one-on-one observation of the patient.
4. Apply wrist restraints.
Give this one a try later!
1. Place a bed alarm device on the bed.
At 12 noon the emergency department nurse hears that an explosion has occurred in
a local manufacturing plant. Which action does the nurse take first?
1. Prepare for an influx of patients
2. Contact the American Red Cross
3. Determine how to resume normal operations
4. Evacuate patients per the disaster plan
Give this one a try later!
1. Prepare for an influx of patients
, A couple who is caring for their aging parents are concerned about factors that put
them at risk for falls. Which factors are most likely to contribute to an increase in falls
in the elderly?
Select all that apply.
1. Inadequate lighting
2. Throw rugs
3. Multiple medications
4. Doorway thresholds
5. Cords covered by carpets
6. Staircases with handrails
Give this one a try later!
1. Inadequate lighting
2. Throw rugs
3. Multiple medications
4. Doorway thresholds
5. Cords covered by carpets
You are a new graduate nurse completing your orientation on a very busy intensive
care unit. You cannot read a health care provider's order for one of your patient's
medications. You have heard from more experienced nurses that this health care
provider does not like to be called, and you know that another of the health care
provider's patients is very unstable. What is the most appropriate next step for you to
take?
1. Call the health care provider to clarify the order
2. Talk with your preceptor to help you interpret the order
3. Refer to a medication manual before giving the medication
4. Use your best judgment and critical thinking and administer the dose you think the
health care provider ordered
Give this one a try later!
really hurts. It's burning and tingling where I got my injection. What should the nurse
do next?
Select all that apply.
1. Assess the injection site
2. Administer an oral medication for pain
3. Notify the patient's health care provider of assessment findings
4. Document assessment findings and related interventions in the patient's medical
record
5. This is a normal finding so nothing needs to be done
6. Apply ice to the site for relief of burning pain
,Give this one a try later!
1. Assess the injection site
3. Notify the patient's health care provider of assessment findings
4. Document assessment findings and related interventions in the patient's
medical record
The nursing assessment of an 80-year-old patient who demonstrates some confusion
but no anxiety reveals that the patient is a fall risk because she continues to get out of
bed without help despite frequent reminders. The initial nursing intervention to
prevent falls for this patient is to:
1. Place a bed alarm device on the bed.
2. Place the patient in a belt restraint.
3. Provide one-on-one observation of the patient.
4. Apply wrist restraints.
Give this one a try later!
1. Place a bed alarm device on the bed.
At 12 noon the emergency department nurse hears that an explosion has occurred in
a local manufacturing plant. Which action does the nurse take first?
1. Prepare for an influx of patients
2. Contact the American Red Cross
3. Determine how to resume normal operations
4. Evacuate patients per the disaster plan
Give this one a try later!
1. Prepare for an influx of patients
, A couple who is caring for their aging parents are concerned about factors that put
them at risk for falls. Which factors are most likely to contribute to an increase in falls
in the elderly?
Select all that apply.
1. Inadequate lighting
2. Throw rugs
3. Multiple medications
4. Doorway thresholds
5. Cords covered by carpets
6. Staircases with handrails
Give this one a try later!
1. Inadequate lighting
2. Throw rugs
3. Multiple medications
4. Doorway thresholds
5. Cords covered by carpets
You are a new graduate nurse completing your orientation on a very busy intensive
care unit. You cannot read a health care provider's order for one of your patient's
medications. You have heard from more experienced nurses that this health care
provider does not like to be called, and you know that another of the health care
provider's patients is very unstable. What is the most appropriate next step for you to
take?
1. Call the health care provider to clarify the order
2. Talk with your preceptor to help you interpret the order
3. Refer to a medication manual before giving the medication
4. Use your best judgment and critical thinking and administer the dose you think the
health care provider ordered
Give this one a try later!
