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1. The nurse working in the ED has received the following prescriptions for a
newly admitted client, which prescriptions should the nurse implement FIRST?:
Initiate IV sodium and potassium for a client admitted with diarrhea and
dehydration who has a serum _____________level of 2.9. - ANSWER
Potassium
2. A nurse is caring for a male client who has a deep partial thickness and a full
thickness burn to 45 % of the lower body, it would be a PRIORITY for the nurse to
notify the provider if the client has: A _________output of 45 ml over the past two
hours. - ANSWER Urinary
3. The nurse is assessing clients at the scene of a mass casualty disaster and is
prioritizing care based on the disaster triage tag system which of the following
clients should be transported to the health care facility FIRST? Chest The client
who has multiple compound fractures and is reporting ________ pain - ANSWER
Chest
4. The charge nurse in the ED is reviewing the care provided for recently
admitted clients; which of the following reflects implementation of an accepted
standard of care?: Placing the client who has suspected Haemophilus influenza on
____________precautions. - ANSWER Droplet
5. The nurse is working on a crisis hotline speaking with a client who states "I
just took an entire bottle of amitriptyline" which of the following responses should
,the nurse INITIALLY make to the client?: I'm glad you called, and I want to send
an ____________to help you. - ANSWER Ambulance
6. The nurse is monitoring a client following a thoracentesis would be a priority
for the nurse to notify the primary health care provider if the client develops: A
_____________that has increased from 95 to 110BPM. - ANSWER Heart rate
7. A nurse is caring for a client receiving chemotherapy, the client is not eating
well but denies any nausea or vomiting which of the following would be best for
the nurse to suggest to the client?: ___________, green beans and cottage cheese. -
ANSWER Chicken
8. Which med should be given for the pt in Vtach? (Rhythm strip) - ANSWER
Amiodarone
9. The nurse is talking with a pt who has MS what would need follow up by the
nurse - ANSWER hot showers
10. Pt had colostomy created 6 hours ago. Stoma appears dark red dry flaccid w a
small amount of mucous drained in the bag. What is the first priority? - ANSWER
Call the provider.
11. Lumbar surgery w/headache and clear drainage: _____ - ANSWER lower
the head of the bed
12. An adverse effect of magnesium sulfate is a __________of 10 - ANSWER
Respiratory rate
, 13. Health fair screening: Scoliosis screening for ages 10-14 - ANSWER
Annually
14. Pt taking antacids is at risk for which acid base imbalance - ANSWER
Metabolic Alkalosis
15. Pt w NG tube is at risk for acid based imbalance - ANSWER Metabolic
Alkalosis
Which finding in the kidney transplant requires f/u? - ANSWER Temperature
increase
17. Bipolar pt.: set clear - ANSWER boundaries and limits
18. TPN: Only given through central line, only hang - ANSWER D-10 if out
NOT D50
19 Catheter further teaching: Inflate balloon as soon as you see - ANSWER
Urine
20 LPN delegation: LPN can - ANSWER Reinforce teaching
21. Pt most at risk for colorectal cancer - ANSWER 55 yo male w Crohns
whose FATHER has polyposis
, 22. Mom is Rh ___________. Give rubella vacc. after delivery - ANSWER
NEGATIVE
Pt w hepatic encephalopathy you should call the provider when - ANSWER
Urinary output of 450 ml in 24 hours, it should be at least 720
23. Hearing Aid teaching: Do not use alcohol wipes, use on ____________
setting to avoid feedback - ANSWER lowest
24. Which situation should an incident report be used for? - ANSWER Staff
member witnesses Visitor falls in the cafeteria
Therapeutic effect of desmopressin? - ANSWER UO decrease form 2500 ml
to 1200 ml
26. What should the RN do after pt has had a bronchoscopy - ANSWER
hemoptysis
Pain and redness at IV site, what should the nurse do next? - ANSWER insert
a new IV at a different site
29. What should the nurse do after receiving pt from PACU and identifying the
pt? - ANSWER Assess breath sounds and vitals