questions
A nurse has delegated care to an assistive personnel. At the end of the shift, the Ap asks the nurse to
enter data for her because the AP has forgotten her password and needs to leave. Which of the
following actions should the nurse take? - ANS Tell the AP to contact the IT department for charting
assistance.
A nurse is reinforcing teaching about car seat safety to the parents of a newborn. The nurse should
instruct the parents to place the car seat in a.... - ANS Rear-facing position in the back seat.
A nurse is preparing a client for surgery. The client tells the nurse that he is concerned about the safety
of a large sum of money in his wallet. Which of the following actions is appropriate for the nurse to
take? - ANS contact security personnel to place the money in the facility safe.
A nurse is caring for a toddler who is admitted to the pediatric unit and is 2 hr postoperative following a
tonsillectomy. Which of the following findings is a sign on hemorrhage? - ANS Frequent Swallowing
A nurse is reinforcing discharge teaching with an older adult client's family about safety precautions
when administering a tap water enema to the client. Which of the following should the nurse include? -
ANS Instruct the client to bear down during rectal tube insertion.
A nurse is caring for a client. Which of the following client statements should the nurse attend first? -
ANS "My heartburn pain is going into my jaw now"
A nurse is caring for a client who is 3 days postoperative following abdominal surgery and has a Penrose
drain. Which of the following actions should the nurse take? - ANS Leave the drain insertion site open to
air
A nurse is reinforcing with a client who is about to undergo an upper gastrointestinal series with
fluoroscopy. Which of the following information should the nurse provide? - ANS "You will have to drink
a contrast medium before the test."
, A nurse is reviewing the medical record of a client who has sustained a full-thickness burn and is in the
emergent phase of burn. Which of the following findings should the nurse expect? - ANS Hypernatremia
A nurse is planing to administer an ophthalmic medication to a client. Which of the following actions
would minimize systemic absorption of the medication? - ANS Wait 5 mins after instillation before
instilling the drops in the other eye
A nurse is preparing morning medication for a client who has potassium level of 3.2 mEq/L. For which of
the following medications should the nurse withhold administration and notify the provider? - ANS
Furosemide
A nurse is collecting data from a client who has preeclampsia and is receiving magnesium sulfate via a
continuous IV infusion. Which of the following findings should the nurse report to the provider? - ANS
Facial flushing
A nurse in a provider'a office is collecting data from a client who was discharged from the hospital 7
days ago following treatment from deep-vein thrombosis. Which of the following findings is the nurse's
priority? - ANS The client takes ibuprofen to treat musculosketal pain.
A nurse in an urgent care clinic is collecting data from a client who reports having diarrhea for the past 3
days. Which of the following findings indicates hypokalemia? - ANS Muscle weakness
A nurse is participating in a performance improvement process to decrease the rate of health care-
associated infections within the facility. The nurse should recognize that which of the following is an
appropriate performance improvement outcome indicator? - ANS Client data indicates a decreased rate
of infection
A nurse is establishing a baseline postoperative assessment for a client who is recovering from a right
femoropopliteal bypass graft. Which of the following findings in the assessment of the clients's right leg
should be of the most concern to the nurse? - ANS The client's foot feels cooler than the previous
assessment