answers passed
A client makes vague statements with no logical connections and asks whether the nurse
understands. Which response is best? - ANS ✔✔"I want to understand what you're saying, but
I'm having difficulty following you."
A client is on the surgical unit after orthopedic surgery. The health care provider has prescribed
4 mg of morphine sulfate IM for pain. The vial reads "morphine sulfate 10 mg per 1 mL." How
many milliliters should the nurse administer? - ANS ✔✔0.4 mL
A 6-month-old infant is admitted with a diagnosis of bacterial meningitis. The nurse would place
the infant in which room? - ANS ✔✔a private room near the nurses' station
The nurse is calculating the proper dosage of medication for a child. What parameters should
this calculation be based on? - ANS ✔✔Body weight
A nurse is assisting with the development of a plan of care for a pregnant client. The
interdisciplinary team determines that the client will require more frequent prenatal visits
based on which data gathered? - ANS ✔✔type 1 diabetes
A 6-year-old child is diagnosed with diabetes and requires education along with the family.
Which factor is considered when the nurse assists in the planning of the education? - ANS
✔✔The child and parents should be educated together.
A client is talking with a nurse about the binge-purge cycle. Which question should the nurse
ask about the cycle? - ANS ✔✔"How often do you go through the binge-purge cycle?"
, A 10-year-old child with a concussion is admitted to the pediatric unit. The nurse would place
this child in a room with which roommate? - ANS ✔✔A 12-year-old child with a fractured femur
A nurse is caring for a client who is admitted to the hospital with a bowel obstruction. Which
nursing action requires the use of sterile gloves? - ANS ✔✔inserting a urinary catheter
A nurse implements standard precautions when caring for a client. Which action best
demonstrates proper use of these precautions? - ANS ✔✔performing hand hygiene
immediately after removing gloves
At a staff meeting, a nurse-manager states that the unit performance improvement committee
will perform a concurrent audit of the documentation of all coronary artery bypass clients'
clinical pathways weekly for 4 weeks. A nurse asks why this is necessary. Which response is the
best explanation of the audit's purpose? - ANS ✔✔"Audits are an evaluation tool used to
improve compliance with hospital policy and standards."
The nurse inadvertently gives a client a double dose of a prescribed medication. After
discovering the error, whom should the nurse notify? - ANS ✔✔The prescriber
The nurse is caring for a 15-year-old client admitted with suspected bacterial pneumonia. Which
nursing action takes priority? - ANS ✔✔Obtain a sputum culture.
A boy, age 4, begins to use foul language. Concerned about this behavior, his parents ask the
nurse how to stop it. Which advice should the nurse offer? - ANS ✔✔"Tell him it isn't acceptable
and he'll be disciplined if he continues to do it."
The nurse is reinforcing education for the family of a child with seizures. When should the nurse
inform them to call emergency medical services in the event of a seizure? - ANS ✔✔continuous
vomiting for 30 minutes after the seizure