QUESTIONS & RATIONALES | GRADED A+ | GUARANTEED PASS!!
1. Which client condition should the nurse prioritize 24 hours postoperative?-
ANS: The client who reports an increased pain level of 8 on a scale of 0 to 10 after
receiving an opioid analgesic.
2. What is an example of malpractice in nursing? ANS:: A client who is competent
refuses an
antidepressant medication. The nurse dissolves the medication in food and administers it
to the client without the client's knowledge.
3.Which client should the nurse follow up with regarding pyridostigmine? ANS: The client
receiving pyridostigmine who reports nausea and congested cough.
4.What is the first strategy the CQI committee should initiate to reduce med-
ication errors? ANS: Review the events that led to the medication administration error by
creating a flow diagram.
5. When can informed consent be waived?ANS: For urgent medical or surgical
treatment if the client is unconscious, per facility policy.
6.
7. Which client should the nurse prioritize after receiving the hand-off report?-
ANS: The client with cirrhosis, several new areas of ecchymosis, and a partial
thromboplastin time (PTT) of 76 seconds.
8. Which pediatric client should the nurse assess first based on telemetry? ANS: A
1-month-old infant who is sleeping and has a pulse of 180.
, 9. For which child should the nurse initiate an interdisciplinary conference? ANS: A
5-year-old diagnosed with cystic fibrosis (CF) at birth and hospitalized 4 times in the past
2 months.
10. What is the most appropriate action for a nurse reviewing a client with pericarditis
and elevated WBC? ANS: Update the nursing interventions as needed.
11. Which documentation by a nurse indicates correct practice? ANS: IV catheter site in
left antecubital space is red and warm to touch. IV catheter removed intact. 20-gauge
catheter placed in right forearm.
12. What should the nurse do with a client's CPAP machine brought from home? ANS:
Have the machine inspected by the facility's engineering department.
13. Which client is safest for discharge during an emergency response plan? ANS: The
client who has a deep vein thrombosis (DVT), is receiving warfarin, and has a
prothrombin time (PT) of 28 seconds.
14. What indicates correct client care by a newly hired UAP? ANS: Placing dedicated
equipment in the room of a client who has herpes zoster.
15. Which statement by a parent indicates a need for further teaching on child car
passenger safety? ANS: One hand should fit between the infant and the car seat
harness.
16. What order requires follow-up for a child with acute glomerulonephritis? ANS: -
High-potassium diet for a 5-year-old child.