AH3 EXAM 3 QUESTIONS & ANSWERS
In an ER, someone choked on a piece of food and unconscious, tried suctioning, tried
sweeping, did abdominal trust like hymelick, - Answers :Prepare for a tracheostomy.
You are working with the hospital on their emergency operation plan and are aware that
there are potential for ethical dilemmas during emergency situations. Ethical dilemmas
in this context are best addressed by doing what? - Answers :Having an ethical
framework in place prior to an emergency (anticipate for things and not react to them)
You are in the ED and assessing clients that came in by ambulance following the
collapse of a bridge. You should recognize which of the following? - Answers
:Subcutaneous emphysema (rice crispy/bubble wrap) may indicate laryngeal tracheal
disruption
You are caring for a client that is critically ill and at risk for stress ulcers. Which of the
following prescribed medications is expected from the healthcare provider as profylactic
therapy for stress ulcers? - Answers :misoprostol -PPI
pantoprazole-PPI
You are in the ED and caring for a group of clients who experienced poisoning. Which
of the following actions by the nurse is appropriate? - Answers :Preparing a client who
ingested an excessive dose of aspirin for hemodialysis
A nurse gives NPH insulin to client at 7:00am. When does the nurse expect the NPH
insulin to begin peaking? - Answers :1100
A nurse is giving care to a patient who survived near drowning. Which intervention is the
nurse's priority to take? - Answers :Correcting hypoxia
You are in the ED and received training about ways to protect yourself from potential
violence from clients. Which actions by the nurse indicates a correct understanding of
the potential anti violence type training? Select all that apply: - Answers :Including Qs of
clients arrest record
Performing activities while nursing assistant is in the room- YES
Position oneself between client and door-YES
Caring pepper spray in a uniform pocket-NO
Making oneself aware of staff rooms that can be locked- YES
1. Providing discharge teaching for a parent of 18 mo old toddler, being found face tub
in bath by parent, treated fully recovered what information - Answers :Do not leave your
child in a bathtub alone or unattended, even for a few mins.
1. S/S of pulmonary congestion feeling anxious, request prescription of - Answers :a.
Furosemide
, b. Lorazepam
You are attending a staff training about family and intimate partner violence. Which of
these would indicate a correct understanding of the training by a nurse? - Answers :I
can screen clients for abuse by asking if the client feels safe at home
You are preparing for an education conference about agents of terrorism. Which of the
following information should be included in conference? Select all that apply: - Answers
:Explosive devices can result in blast, crushed, or penetrative injuries, atropine can be
used as an antidote for nerve agent poisoning, radioactive dispersal devices include a
mix of explosives and radioactive material
The nurse is planning an educational conference about insulin for clients with diabetes.
Which of the following medications would we include if we were discussing rapid acting
insulin? Select all that apply: - Answers :Glulasin
Lispro
Aspart
You are caring for a client who was at home, fell, and sustained a right hip fracture.
Which of the following is the most important to assess on this client? - Answers :Pedal
pulses and capillary refill
A nurse in the ED is caring for a patient who has hyperthermia. The patient's family
member asked why we are placing a urinary catheter in the hyperthermic patient. It
would be appropriate to explain to the family member that the catheter is being placed
because it helps the nurse do what? - Answers :The catheter is being placed because it
helps to monitors for signs of kidney damage
You are caring for a client on the critical care unit and severe sleep disturbance is
reported. You call the healthcare provider to request which of the following perscriptions
to help client sleep? - Answers :Tomazepam
You are stabilizing an unconscious client that was in car accident. A family member
asks why a nasogatsric tube is being inserted into the client. You respond: - Answers
:The nasogastric tube prevents stomach fluid from building up and entering the lungs
You are teaching a client with type 1 diabetes about exercise and glucose control.
Which action by the client indicates further teaching is necessary? - Answers :Client
increases daily exercises when ketones are present in the urine
A nurse is caring for a client who received gastric lavage for treatment of a nonsteroidal
anti inflammatory drug overdose (took too many nsaids). Which of the following actions
by the nurse is appropriate to monitor the client for complications from the procedure? -
Answers :Auscultating the lungs
In an ER, someone choked on a piece of food and unconscious, tried suctioning, tried
sweeping, did abdominal trust like hymelick, - Answers :Prepare for a tracheostomy.
You are working with the hospital on their emergency operation plan and are aware that
there are potential for ethical dilemmas during emergency situations. Ethical dilemmas
in this context are best addressed by doing what? - Answers :Having an ethical
framework in place prior to an emergency (anticipate for things and not react to them)
You are in the ED and assessing clients that came in by ambulance following the
collapse of a bridge. You should recognize which of the following? - Answers
:Subcutaneous emphysema (rice crispy/bubble wrap) may indicate laryngeal tracheal
disruption
You are caring for a client that is critically ill and at risk for stress ulcers. Which of the
following prescribed medications is expected from the healthcare provider as profylactic
therapy for stress ulcers? - Answers :misoprostol -PPI
pantoprazole-PPI
You are in the ED and caring for a group of clients who experienced poisoning. Which
of the following actions by the nurse is appropriate? - Answers :Preparing a client who
ingested an excessive dose of aspirin for hemodialysis
A nurse gives NPH insulin to client at 7:00am. When does the nurse expect the NPH
insulin to begin peaking? - Answers :1100
A nurse is giving care to a patient who survived near drowning. Which intervention is the
nurse's priority to take? - Answers :Correcting hypoxia
You are in the ED and received training about ways to protect yourself from potential
violence from clients. Which actions by the nurse indicates a correct understanding of
the potential anti violence type training? Select all that apply: - Answers :Including Qs of
clients arrest record
Performing activities while nursing assistant is in the room- YES
Position oneself between client and door-YES
Caring pepper spray in a uniform pocket-NO
Making oneself aware of staff rooms that can be locked- YES
1. Providing discharge teaching for a parent of 18 mo old toddler, being found face tub
in bath by parent, treated fully recovered what information - Answers :Do not leave your
child in a bathtub alone or unattended, even for a few mins.
1. S/S of pulmonary congestion feeling anxious, request prescription of - Answers :a.
Furosemide
, b. Lorazepam
You are attending a staff training about family and intimate partner violence. Which of
these would indicate a correct understanding of the training by a nurse? - Answers :I
can screen clients for abuse by asking if the client feels safe at home
You are preparing for an education conference about agents of terrorism. Which of the
following information should be included in conference? Select all that apply: - Answers
:Explosive devices can result in blast, crushed, or penetrative injuries, atropine can be
used as an antidote for nerve agent poisoning, radioactive dispersal devices include a
mix of explosives and radioactive material
The nurse is planning an educational conference about insulin for clients with diabetes.
Which of the following medications would we include if we were discussing rapid acting
insulin? Select all that apply: - Answers :Glulasin
Lispro
Aspart
You are caring for a client who was at home, fell, and sustained a right hip fracture.
Which of the following is the most important to assess on this client? - Answers :Pedal
pulses and capillary refill
A nurse in the ED is caring for a patient who has hyperthermia. The patient's family
member asked why we are placing a urinary catheter in the hyperthermic patient. It
would be appropriate to explain to the family member that the catheter is being placed
because it helps the nurse do what? - Answers :The catheter is being placed because it
helps to monitors for signs of kidney damage
You are caring for a client on the critical care unit and severe sleep disturbance is
reported. You call the healthcare provider to request which of the following perscriptions
to help client sleep? - Answers :Tomazepam
You are stabilizing an unconscious client that was in car accident. A family member
asks why a nasogatsric tube is being inserted into the client. You respond: - Answers
:The nasogastric tube prevents stomach fluid from building up and entering the lungs
You are teaching a client with type 1 diabetes about exercise and glucose control.
Which action by the client indicates further teaching is necessary? - Answers :Client
increases daily exercises when ketones are present in the urine
A nurse is caring for a client who received gastric lavage for treatment of a nonsteroidal
anti inflammatory drug overdose (took too many nsaids). Which of the following actions
by the nurse is appropriate to monitor the client for complications from the procedure? -
Answers :Auscultating the lungs
