,6. Anurseiscaringforaclientwhoisinactivelaborandrequestspainmanagement. Whichof the
following actions should the nurse take?
A. Administerondansetron.
B. Place the client in a warm shower.
,f ,f ,f ,f ,f ,f
C. Applyfundal pressure duringcontractions.
D. Assist the clientto a supine position.
7. a nurse in an emergency department is performing triage for multiple clients following a
disasterinthecommunity. To whichofthefollowingtypesofinjuriesshouldthenurseassign the
highest priority?
A. Below-the knee amputation ,f ,f
B. Fracturedtibia
C. 95% full-thickness bodyburn
D. 10cm(4in) laceration to theforearm
8. anursemanagerisupdatingprotocolsfortheuseofbeltrestraints. Which ofthe following ,f
guidelines should the nurse include?
A. Removetheclient’s restraint every4hr
B. Document the client’s condition every15 min,f ,f ,f ,f ,f ,f
C. Attachtherestrain tothebed’s siderails
D. Requesta PRNrestrain prescriptionforclients whoareaggressive
9. Anurseisteachinganin-serviceabout nursingleadership. Which ofthefollowing information
,f ,f
should the nurse include about an effective leader?
A. Acts as an advocate for the nursing unit.
,f ,f ,f ,f ,f ,f ,f
B. (Unable toread) forthe unit
C. Prioritiesstaffrequest overclient needs.
D. Providesroutineclient careand documentation.
10. Anurseisreviewingthelaboratoryfindingsofaclientwhohasdiabetesmellitusandreports that
she has been following her (unable to read) care. The nurse should identify which of the following
findings indicates a need to revise the client’s plan of care.
A. Serumsodium 144 mEq/
B. (Unabletoread)
C. Hba1c 10 % ,f ,f
D. Randomserumglucose 190 mg/dl.
,11. A nurse in a provider’s office is reviewing the laboratory results of a group of clients. The
nurseshouldidentifythat which of thefollowingsexuallytransmitted infections isanationally ,f
notifiable infectious disease that should be reported to the state health department?
A. Chlamydia
B. Humanpapillomavirus
C. Candidiasis
D. Herpssimplex virus
12. A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a
group on a mental health unit. Which ofthe following group facilitation techniques should the nurse
include in the teaching?
A. Sharepersonal opinionsto helpinfluencethe group’s values
B. Measuretheaccomplishments ofthegroup against aprevious group
C. Yield in situationsofconflictstomaintain groupharmony
,f
D. Use modeling to help the clients improve their interpersonal skills
,f ,f ,f ,f ,f ,f ,f ,f ,f
13. A nurse is planning for a client who practices Orthodox Judaism. The client tells the nurse that
(Unabletoread) Passoverholiday. Which ofthefollowing actionshould thenurseincludein the plan ,f
of care?
A. Providechicken with creamsauce.
B. Avoid servingfish with fins and scales.
C. Provide unleavened bread.
,f ,f
D. Avoidservingfoods containinglamb.
14. Anurseis caringfora client who has apulmonaryembolism. Thenurseshouldidentifythe
,f ,f
effectiveness of the treatment
A. Achest x-rayreveals increased densityin all fields.
B. The client reports feeling less anxious.
,f ,f ,f ,f ,f
C. Diminishedbreath soundsareauscultatedbilaterally
D. ABGresults include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg. ,f
15. A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam
tablets(Unable toread) arespiratoryrateof10/min. Aftersecuring the client’s airwayand initiating ,f
an IV, which of the following actions should the nurse do next.
A. Monitortheclient’s IV siteforthrombophlebitis.
B. Administer flumazenil to the client.
,f ,f ,f ,f
C. Evaluatetheclient for furthersuicidal behavior.
D. Initiateseizureprecautions forthe client.
, 16. Anursein an emergencydepartmentiscaringforaclientwhoreportscocaineuse1hrago.
Which of the following findings should the nurse expect?
A. Hypotension
B. Memoryloss
C. Slurredspeech
D. Elevated temperature,f
17. Anurseis assessinga newborn whohasablood glucoselevel of 30mg/dl. Whichofthe
,f ,f
following manifestations should the nurse expect?
A. Loosestools
B. Jitteriness
C. Hypertonia
D. Abdominaldistention
18. Anurseinapediatricclinicisreviewingthelaboratorytestresults ofaschoolagechild.
Which of the following findings should the nurse report to the provider?
A. Hgb 12.5 g/dl
B. Platelets 250,000/mm3
C. Hct 40%
D. WBC 14,000/mm3
,f
19. A charge nurse is teaching a newly licensed nurse about clients designating a health care proxyin
situationsthat requireadurablepowerofattorneyforhealcare(DPSHC). Whichofthe following
information should the charge nurse include?
A. “Theproxyshouldmakehealthcaredecisionsfortheclientregardlessoftheclient’s
ability to do so.”
B. “Theproxycan makefinancial decisions if theneed arises.”
C. “The proxycan make treatment decisions if the client is under anesthesia.”
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
D. “Theproxyshould manage legal issues for the client.”
20. Anurseinthe PACUiscaringforaclientwhoreportsnausea. Whichofthefollowing
actions should the nurse take first?
A. Turn the client on their side.
,f ,f ,f ,f ,f
B. Administer an analgesic
C. Administerantiemetic
D. Monitortheclient’s vital signs.
following actions should the nurse take?
A. Administerondansetron.
B. Place the client in a warm shower.
,f ,f ,f ,f ,f ,f
C. Applyfundal pressure duringcontractions.
D. Assist the clientto a supine position.
7. a nurse in an emergency department is performing triage for multiple clients following a
disasterinthecommunity. To whichofthefollowingtypesofinjuriesshouldthenurseassign the
highest priority?
A. Below-the knee amputation ,f ,f
B. Fracturedtibia
C. 95% full-thickness bodyburn
D. 10cm(4in) laceration to theforearm
8. anursemanagerisupdatingprotocolsfortheuseofbeltrestraints. Which ofthe following ,f
guidelines should the nurse include?
A. Removetheclient’s restraint every4hr
B. Document the client’s condition every15 min,f ,f ,f ,f ,f ,f
C. Attachtherestrain tothebed’s siderails
D. Requesta PRNrestrain prescriptionforclients whoareaggressive
9. Anurseisteachinganin-serviceabout nursingleadership. Which ofthefollowing information
,f ,f
should the nurse include about an effective leader?
A. Acts as an advocate for the nursing unit.
,f ,f ,f ,f ,f ,f ,f
B. (Unable toread) forthe unit
C. Prioritiesstaffrequest overclient needs.
D. Providesroutineclient careand documentation.
10. Anurseisreviewingthelaboratoryfindingsofaclientwhohasdiabetesmellitusandreports that
she has been following her (unable to read) care. The nurse should identify which of the following
findings indicates a need to revise the client’s plan of care.
A. Serumsodium 144 mEq/
B. (Unabletoread)
C. Hba1c 10 % ,f ,f
D. Randomserumglucose 190 mg/dl.
,11. A nurse in a provider’s office is reviewing the laboratory results of a group of clients. The
nurseshouldidentifythat which of thefollowingsexuallytransmitted infections isanationally ,f
notifiable infectious disease that should be reported to the state health department?
A. Chlamydia
B. Humanpapillomavirus
C. Candidiasis
D. Herpssimplex virus
12. A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a
group on a mental health unit. Which ofthe following group facilitation techniques should the nurse
include in the teaching?
A. Sharepersonal opinionsto helpinfluencethe group’s values
B. Measuretheaccomplishments ofthegroup against aprevious group
C. Yield in situationsofconflictstomaintain groupharmony
,f
D. Use modeling to help the clients improve their interpersonal skills
,f ,f ,f ,f ,f ,f ,f ,f ,f
13. A nurse is planning for a client who practices Orthodox Judaism. The client tells the nurse that
(Unabletoread) Passoverholiday. Which ofthefollowing actionshould thenurseincludein the plan ,f
of care?
A. Providechicken with creamsauce.
B. Avoid servingfish with fins and scales.
C. Provide unleavened bread.
,f ,f
D. Avoidservingfoods containinglamb.
14. Anurseis caringfora client who has apulmonaryembolism. Thenurseshouldidentifythe
,f ,f
effectiveness of the treatment
A. Achest x-rayreveals increased densityin all fields.
B. The client reports feeling less anxious.
,f ,f ,f ,f ,f
C. Diminishedbreath soundsareauscultatedbilaterally
D. ABGresults include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg. ,f
15. A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam
tablets(Unable toread) arespiratoryrateof10/min. Aftersecuring the client’s airwayand initiating ,f
an IV, which of the following actions should the nurse do next.
A. Monitortheclient’s IV siteforthrombophlebitis.
B. Administer flumazenil to the client.
,f ,f ,f ,f
C. Evaluatetheclient for furthersuicidal behavior.
D. Initiateseizureprecautions forthe client.
, 16. Anursein an emergencydepartmentiscaringforaclientwhoreportscocaineuse1hrago.
Which of the following findings should the nurse expect?
A. Hypotension
B. Memoryloss
C. Slurredspeech
D. Elevated temperature,f
17. Anurseis assessinga newborn whohasablood glucoselevel of 30mg/dl. Whichofthe
,f ,f
following manifestations should the nurse expect?
A. Loosestools
B. Jitteriness
C. Hypertonia
D. Abdominaldistention
18. Anurseinapediatricclinicisreviewingthelaboratorytestresults ofaschoolagechild.
Which of the following findings should the nurse report to the provider?
A. Hgb 12.5 g/dl
B. Platelets 250,000/mm3
C. Hct 40%
D. WBC 14,000/mm3
,f
19. A charge nurse is teaching a newly licensed nurse about clients designating a health care proxyin
situationsthat requireadurablepowerofattorneyforhealcare(DPSHC). Whichofthe following
information should the charge nurse include?
A. “Theproxyshouldmakehealthcaredecisionsfortheclientregardlessoftheclient’s
ability to do so.”
B. “Theproxycan makefinancial decisions if theneed arises.”
C. “The proxycan make treatment decisions if the client is under anesthesia.”
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
D. “Theproxyshould manage legal issues for the client.”
20. Anurseinthe PACUiscaringforaclientwhoreportsnausea. Whichofthefollowing
actions should the nurse take first?
A. Turn the client on their side.
,f ,f ,f ,f ,f
B. Administer an analgesic
C. Administerantiemetic
D. Monitortheclient’s vital signs.
