(WebEx Meeting)
A nurse has four clients to assess. Which of the following clients should the nurse assess FIRST?
A. A client who has just received intravenous morphine
B. A client with a diagnosis of lung cancer who is experiencing thrombocytopenia
C. A client who has an inflamed IV site while receiving packed red blood cells
D. A client who experiences relief of dyspnea after receiving a small volume nebulizer (SVN) - correct
answer A. A client who has just received intravenous morphine
The nurse caring for a client who dystocia (difficult labor) determines that the priority is which action?
A. Position changes and providing comfort measures
B. Explanations to the family members about what is happening to the client
C. Monitor for changes in the physical condition of the mother and fetus
D. Reinforcement of breathing techniques learned in childbirth classes - correct answer
C. Monitor for changes in the physical condition of the mother and fetus
A client who had an application of a right arm cast complains of pain at the wrist when the arm is
passively moved. What action should the nurse take FIRST?
A. Elevate the arm
B. Document the findings
C. Medicate with an additional dose of an opioid
D. Check for paresthesia and paralysis of the right arm - correct answer D. Check for
paresthesia and paralysis of the right arm
The nurse is assigned to care for four clients. In planning client rounds, which client should the nurse
assess FIRST?
A. A postoperative client preparing for discharge with a new medication
B. A client who requires daily dressing changes of a recent surgical incision
, C. A client scheduled for a chest x-ray after insertion of a nasogastric tube
D. A client with asthma who requested a breathing treatment during the shift - correct answer
D. A client with asthma who requested a breathing treatment during the shift
The nurse employed in an emergency department (ED) is assigned to triage clients coming to the ED for
treatment. The nurse should assign PRIORITY to which client?
A. A client complains a muscle aches, a headache, and history of seizures
B. A client who twisted her ankle when rollerblading and is requesting medication for pain
C. A client with chest pain who states that he just ate pizza that was made with a very spicy sauce
D. A client with a minor laceration on the index finger sustained while cutting an eggplant - correct
answer C. A client with chest pain who states that he just ate pizza that was made
with a very spicy sauce
For a cognitively impaired client who cannot accurately report pain, what is the FIRST action that you
should take?
A. Closely monitor for nonverbal signs such as grimacing or rocking
B. Obtain baseline behavioral indicators from family members
C. Look at the MAR and chart, to know the time of the last dose and response
D. Give the maximum PRN dose within the minimum time frame for relief - correct answer
B. Obtain baseline behavioral indicators from family members
What is the best way to schedule medication for a client with constant pain?
A. PRN at the client's request
B. Prior to painful procedure
C. IV bonus after pain assessment
D. Around the clock - correct answer D. Around the clock
Each nurse is responsible for becoming familiar with the nurse practice acts of the state in which he or
she practices because these acts do which of the following?
A. Protect the nurse from malpractice suits
B. Contain national standards and responsibilities