QUESTIONS WITH COMPLETE SOLUTIONS
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A client begins an antidepressant drug during the second day of
hospitalization. Which assessment is most important for the nurse
to include in this client's plan of care while the client is taking the
antidepressant?
A. Appetite
B. Mood
C. Withdrawl
D. Energy level Correct Answer B. Mood
Based on the documentation in the medical record, which action
should the nurse implement next?
A. Give the rubella vaccine subcutaneously
B. Observe the mother breastfeeding her infant
C. Call the nursery for the infant's blodd type result
,D. Administer Vicodin one tablet for pain Correct Answer A. Give
the rubella vaccine subcutaneously
A client is adminitted to the hosptial with a diagnosis of
Pneumonia. Which intervetion should the nurse implement to
prevent complications associated with Pneumonia?
A. Enourage mobilization and ambulation
B. Encourage energy conservation with complete bed rest
C. Provide humidified oxygen per nasal cannula
D. Restrict PO and intravenous fluids Correct Answer A.
Enourage mobilization and ambulation
The practical nurse is preparing to administer a prescription for
cefazolin (kefzol) 600 mg IM every 6 hours. The available vial is
labeled, "Cefazolin (Kefzol) 1 gram and the instrutions for
reconsittution, "For IM use add 2ml sterile water for injection. Total
volume after reconstruction = 2.5 ml. "when reconstituded, how
many milligrams are in each mil of solutions (Enter numeric value
only) Correct Answer 15
Which nursing activity is within the scope of practice for the
practical nurse?
,A. Complete an admission assessment in the normal newborn
nursery.
B. Discontinue a central venous catheter that has become
dislodged
C. Observe a client rotate the subcutaneous site for an insulin
pump
D. Monitor a continous narcotic epidural for a postoperative client
Correct Answer C. Observe a client rotate the subcutaneous site
for an insulin pump
After morning dressing changes are completed, a male client who
has paraplegia contaminates his ischial decubiti dressing with a
diarrheal stool. What activity is best for the nurse to assign to the
unlicensed assistive personnel?
A. Identify the need for additional supplies to provide an extra
dressing change
B. Provide perianal care and collect clean linens for the dressing
change
C. Document the diarrhea that necessitates an additional dressing
change
D. Position the client for access to the decubiti sties and remove
dressings Correct Answer B. Provide perianal care and collect
clean linens for the dressing change
, The nurse is planning to evaluate the effectiveness of several
drugs administered by different routes. Arrage the routes of
administration in the order from fastest to slowest rate of
absorption.
Subcutaenous
Intravenous
Intramuscular
Sublingual
Oral Correct Answer Intravenous, sublingual, intramuscular,
subcutaneous, oral.
A 26-year-old gravida 4, para 0 had a spontaneous abortion at 9
weeks gestation. At one-house post dilation and curettage (D&C)
the nurse assess the vital signs and vaginal bleeding. The client
begins to cry softly. How should the nurse intervene?
A. Offer to call the social worker to discuss the possiblity of
abortion
B. Reassure the client that the infertility specialist can help
C. Express sorrow for the client's grief and offer to sit with her
D. Chart the vital signs and amount of vaginal bleeding Correct
Answer C. Express sorrow for the client's grief and offer to sit with
her