Questions & Correct Answers- Updated / 2025 /
2026.
Terms in this set (117)
A nurse is caring for a client "The pain is like a dull ache in my stomach"
who reports pain. When
documenting the
quality of the client's pain on
an initial pain assessment,
the nurse should record
which of the following client
statements?
"I am having mild pain" "The
pain is like a dull ache in my
stomach"
"I notice that the pain gets
worse after I eat" "The pain
makes me feel nauseous"
,A client in non ambulatory Evacuate the client
notifies the nurse that his
trash can is on fire. After the
nurse confirms the presence
of the fire, which of the
following actions should the
nurse take next?
Activate the emergency fire
alarm
Extinguish the fire
Evacuate the client
Confine the fire
Rapid heart rate
A nurse is completing an
admission assessment for a
client who reports vomiting
and diarrhea for the past 3
days. Which of the following
findings should the nurse
expect? Neck vein distention
Urine specific gravity 1.010
Rapid Heart rate Blood
pressure 144/82
mmHg
,A nurse has accepted a verbal 0.3 mg
prescription for "thee tenths
of a milligram of
levothyroxine IV stat" for a
client who has
myxedema coma. How
should the nurse transcribe
the dosage of this medication
in the client's medical
record?
.3 mg
0.3 mg
0.30 mg
3/10 mg
8 ml/hour
A nurse is preparing a
heparin infusion for a client
who was admitted to the
facility with deep vein
thrombosis. The prescription
reads: 25,000 units of
heparin in 0.9% sodium
chloride 250 ml to infuse at
800 units/hour. At what rate
should the nurse set the
infusion pump?
, A nurse is caring for a client Cleanse the wound from the center outward
who has a prescription for
wound irrigation. Which of
the following actions should
the nurse take?
Wear sterile gloves when
removing the old dressing
Warm the irrigation solution
to 40.5 C (105 F) Cleanse the
wound from the center
outward Use a 20 ml syringe
to irrigate the wound
Skin blanching
A nurse is caring for a client
who is receiving fluid through
a peripheral IV catheter.
Which of the following
findings at the IV site should
the nurse identify as
indicating infiltration?
Purulent exudate
Warmth
Skin blanching
Bleeding