PREP QUESTIONS AND ACCURATE
ANSWERS GRADED A+
●● A nurse is caring for a client who has Parkinson's disease. Which of
the following actions should the nurse take to promote the client's
mobility?
Answer: Instruct the client to perform range-of-motion exercises
-exercising and walking help to delay the progression of the disease
●● A nurse is caring for a client who has had a myocardial infarction
and suspects cardiogenic shock. The nurse should monitor for which of
the following manifestations?
Answer: Pulmonary Congestion
-Pulmonary congestion is a result of decreased cardiac output due to
damage to the cardiac muscle
●● A nurse is assessing a client who has a DNR order and has stopped
breathing. The family asks the nurse to resuscitate the client. Which
action should the nurse take?
Answer: Respect the client's preferences.
,●● A nurse manager is teaching a group of nurses about OSHA. What
information should the nurse include?
Answer: Sets standards for hazardous exposures in the workplace.
●● A nurse manager identifies that the number of client medication
administration errors on the unit has increased. When creating a cause-
and-effect chart, which of the following information should the nurse
manger include?
Answer: Possible reasons for the medication errors
●● A nurse manager notices that he has exceeded the amount of money
allocated for labor costs for the quarter. Which action should the nurse
manager take?
Answer: involve staff nurses in budge planning.
-this promotes awareness of the costs of staffing a unit and encourages
cost-effective care.
●● A nurse is providing teaching to a client who has a halo device
applied to prevent further cervical spinal cord injury following a diving
accident. What info should the nurse include?
Answer: "Avoid leaning forward when attempting to stand."
,-the weight of the halo device can alter balance. leaning forward could
cause the client to fall.
●● A nurse is working on an interprofessional collaboration plan of care
for a client who has a stage 3 pressure ulcer. Which action should the
nurse recognize as the. role of the licensed practical nurse (LPN)?
Answer: Administer pain medication
●● A nurse manager is facilitating conflict resolution between two
nurses who disagree about the need to make a referral to a social worker.
Which conflict management strategies should the nurse manager use?
Answer: Offer self to constructively facilitate communication.
-The nurse manager will be the impartial third party in this
communication
●● A nurse is having a disagreement with a coworker about a client
assignment. When following the chain of command, which of the
following individuals should the nurse contact to discuss the conflict?
Answer: The charge nurse
-the charge nurse is the nurse's immediate supervisor
, ●● A triage nurse is prioritizing clients following a mass casualty
disaster. Which of the following clients should the nurse treat first?
Answer: A client who is exhibiting manifestations of shock.
-a client exhibiting manifestations of shock requires immediate
intervention for survival.
●● A nurse is caring for a client who has a partial-thickness burn and a
prescription for a silver sulfadiazine cream. Which intervention should
the nurse take?
Answer: Monitor the client's WBC.
-A drop in the WBC count can be an indication of an allergic reaction to
the silver sulfadiazine cream
●● A nurse is preparing to administer nitroglycerin topical ointment to a
client who had a myocardial infarction. Which action should the nurse
plan to take? (move steps in order)
Answer: 1) Cleanse the client's skin and allow it to dry
2) Apply a thin layer of medication ointment to the dosing paper.
3) Spread the medication over a 6.4 by 8.9 cm area of skin
4) Cover the medication site with plastic wrap
5) Remove the medication in 6 hr.