1. The nurse knows that which statement by the mother indicates that the
mother
understands safety precautions with her four month-old infant and her
... [Show More] 4
year-old child?
A) "I strap the infant car seat on the front seat to face backwards."
B) "I place my infant in the middle of the living room floor on a blanket to
play with my
4 year old while I make supper in the kitchen."
C) "My sleeping baby lies so cute in the crib with the little buttocks stuck
up in the air
while the four year old naps on the sofa."
D) "I have the 4 year-old hold and help feed the four month-old a bottle in
the kitchen
while I make supper."
The correct answer is D: "I have the four year-old hold and help feed the
four month-old
a bottle in the kitchen
2. Upon completing the admission documents, the nurse learns that the
87 year-old client
does not have an advance directive. What action should the nurse take?
A) Record the information on the chart
B) Give information about advance directives
C) Assume that this client wishes a full code
D) Refer this issue to the unit secretary
The correct answer is B: Give information about advance directives
3. A nurse administers the influenza vaccine to a client in a clinic. Within
15 minutes after
the immunization was given, the client complains of itchy and watery
eyes, increased
anxiety, and difficulty breathing. The nurse expects that the first action in
the sequence of
care for this client will be to
A) Maintain the airway
B) Administer epinephrine 1:1000 as ordered
C) Monitor for hypotension with shock
D) Administer diphenhydramine as ordered
The correct answer is B: Administer epinephrine 1:1000 as ordered .
4. Which of these children at the site of a disaster at a child day care
center would the
triage nurse put in the "treat last" category?
A) An infant with intermittent bulging anterior fontanel between crying
episodes
B) A toddler with severe deep abrasions over 98% of the body
C) A preschooler with 1 lower leg fracture and the other leg with an upper
leg fracture
D) A school-age child with singed eyebrows and hair on the arms
The correct answer is B: A toddler with severe deep abrasions over 98% of
the body .
5. When admitting a client to an acute care facility, an identification
bracelet is sent up
with the admission form. In the event these do not match, the nurse’s
best action is to
A) Change whichever item is incorrect to the correct information
B) Use the bracelet and admission form until a replacement is supplied
C) Notify the admissions office and wait to apply the bracelet
D) Make a corrected identification bracelet for the client
The correct answer is C: notify the admissions office and wait to apply the
bracelet
6. The nurse is having difficulty reading the health care provider's written
order that was
written right before the shift change. What action should be taken?
A) Leave the order for the oncoming staff to follow-up
B) Contact the charge nurse for an interpretation
C) Ask the pharmacy for assistance in the interpretation
D) Call the provider for clarification
The correct answer is D: Call the provider for clarification
7. An adult client is found to be unresponsive on morning rounds. After
checking for
responsiveness and calling for help, the next action that should be taken
by the nurse is
to:
A) check the carotid pulse
B) deliver 5 abdominal thrusts
C) give 2 rescue breaths
D) open the client's airway
The correct answer is D: open the client''s airway
8. A client has an order for 1000 ml of D5W over an 8 hour period. The
nurse discovers
that 800 ml has been infused after 4 hours. What is the priority nursing
action?
A) Ask the client if there are any breathing problems
B) Have the client void as much as possible
C) Check the vital signs
D) Auscultate the lungs
The correct answer is D: Auscultate the lungs
9. Following change-of-shift report on an orthopedic unit, which client
should the nurse
see first?
A) 16 year-old who had an open reduction of a fractured wrist 10 hours
ago
B) 20 year-old in skeletal traction for 2 weeks since a motor cycle accident
C) 72 year-old recovering from surgery after a hip replacement 2 hours
ago
D) 75 year-old who is in skin traction prior to planned hip pinning surgery.
The correct answer is C: 72 year-old recovering from surgery after a hip
replacement 2
hours ago
10. A nurse observes a family member administer a rectal suppository by
having the
client lie on the left side for the administration. The family member
pushed the
suppository until the finger went up to the second knuckle. After 10
minutes the client
was told by the family member to turn to the right side and the client did
this. What is the
appropriate comment for the nurse to make?
A) Why don’t we now have the client turn back to the left side.
B) That was done correctly. Did you have any problems with the insertion?
C) Let’s check to see if the suppository is in far enough.
D) Did you feel any stool in the intestinal tract?
The correct answer is B: That was done correctly. Did you have any
problems with the
insertion?
11. A client with a diagnosis of Methicillin resistant Staphylococcus aureus
(MRSA) has
died. Which type of precautions is the appropriate type to use when
performing
postmortem care?
A) airborne precautions
B) droplet precautions
C) contact precautions
D) compromised host precautions
The correct answer is C: contact precautions
12. The nurse is reviewing with a client how to collect a clean catch urine
specimen.
Which sequence is appropriate teaching?
A) Void a little, clean the meatus, then collect specimen
B) clean the meatus, begin voiding, then catch urine stream
C) Clean the meatus, then urinate into container
D) Void continuously and catch some of the urine
The correct answer is B: clean the meatus, begin voiding, then catch urine
stream
13. The provider orders Lanoxin (digoxin) 0.125 mg PO and furosomide 40
mg every
day. Which of these foods would the nurse reinforce for the client to eat at
least daily?
A) spaghetti
B) watermelon
C) chicken
D) tomatoes
The correct answer is B: watermelon
14. A nurse is stuck in the hand by an exposed needle. What immediate
action should the
nurse take?
A) Look up the policy on needle sticks
B) Contact employee health services
C) Immediately wash the hands with vigor
D) Notify the supervisor and risk management
The correct answer is C: Immediately wash the hands with vigor
15. As the nurse observes the student nurse during the administration of
a narcotic
analgesic IM injection, the nurse notes that the student begins to give the
medication
without first aspirating. What should the nurse do?
A) Ask the student: "What did you forget to do?”
B) Stop. Tell me why aspiration is needed.
C) Loudly state: “You forgot to aspirate.”
D) Walk up and whisper in the student’s ear “Stop. Aspirate. Then inject.”
The correct answer is D: Walk up and whisper in the student’s ear “Stop.
Aspirate. Then
inject.”
16. A client with Guillain Barre is in a non responsive state, yet vital signs
are stable and
breathing is independent. What should the nurse document to most
accurately describe
the client's condition?
A) Comatose, breathing unlabored
B) Glascow Coma Scale 8, respirations regular
C) Appears to be sleeping, vital signs stable
D) Glascow Coma Scale 13, no ventilator required
The correct answer is B: Glascow Coma Scale 8, respirations regular
17. A client enters the emergency department unconscious via
ambulance from the
client’s work place. What document should be given priority to guide the
direction of care
for this client?
A) The statement of client rights and the client self determination act
B) Orders written by the health care provider
C) A notarized original of advance directives brought in by the partner
D) The clinical pathway protocol of the agency and the emergency
department
The correct answer is C: A notarized original of advance directives
brought in by the
partner
18. The charge nurse has a health care team that consists of 1 PN, 1
unlicensed assistive
personnel (UAP) and 1 PN nursing student. Which assignment should be
questioned by
the nurse manager?
A) An admission at the change of shifts with atrial fibrillation and heart
failure - PN
B) Client who had a major stroke 6 days ago - PN nursing student
C) A child with burns who has packed cells and albumin IV running -
charge nurse
D) An elderly client who had a myocardial infarction a week ago - UAP
The correct answer is A: An admission at the change of shifts with atrial
fibrillation and
heart failure - PN
19. A mother brings her 3 month-old into the clinic, complaining that the
child seems to
be spitting up all the time and has a lot of gas. The nurse expects to find
which of the
following on the initial history and physical assessment?
A) Increased temperature and lethargy
B) Restlessness and increased mucus production
C) Increased sleeping and listlessness
D) Diarrhea and poor skin turgor
The correct answer is B: Restlessness and increased mucus production
20. As the nurse takes a history of a 3 year-old with neuroblastoma, what
comments by
the parents require follow-up and are consistent with the diagnosis?
A) "The child has been listless and has lost weight."
B) "The urine is dark yellow and small in amounts."
C) "Clothes are becoming tighter across her abdomen."
D) "We notice muscle weakness and some unsteadiness."
The correct answer is C: "Clothes are becoming tighter across her
abdomen."
21. A 16 year-old enters the emergency department. The triage nurse
identifies that this
teenager is legally married and signs the consent form for treatment.
What would be the
appropriate action by the nurse?
A) Ask the teenager to wait until a parent or legal guardian can be
contacted
B) Withhold treatment until telephone consent can be obtained from the
partner
C) Refer the teenager to a community pediatric hospital emergency
department
D) Proceed with the triage process in the same manner as any adult client
The correct answer is D: Proceed with the triage process in the same
manner as any adult
client
22. A newly admitted elderly client is severely dehydrated. When planning
care for this
client, which task is appropriate to assign to an unlicensed assistive
personnel (UAP)?
A) Converse with the client to determine if the mucous membranes are
impaired
B) Report hourly outputs of less than 30 ml/hr
C) Monitor client's ability for movement in the bed
D) Check skin turgor every 4 hours
The correct answer is B: Report output of less than 30 ml/hr
23. The nurse has admitted a 4 year-old with the diagnosis of possible
rheumatic fever.
Which statement by the parent would cause the nurse to suspect an
association with this
disease?
A) Our child had chickenpox 6 months ago.
B) Strep throat went through all the children at the day care last month.
C) Both ears were infected over 3 months age.
D) Last week both feet had a fungal skin infection.
The correct answer is B: Strep throat went through all the children at the
day care last
month.
24. A nurse assigned to a manipulative client for 5 days becomes aware
of feelings for a
reluctance to interact with the client. The next action by the nurse should
be to
A) Discuss the feeling of reluctance with an objective peer or supervisor
B) Limit contacts with the client to avoid reinforcement of the
manipulative behavior
C) Confront the client about the negative effects of behaviors on other
clients and staff
D) Develop a behavior modification plan that will promote more functional
behavior
The correct answer is A: Discuss the feeling of reluctance with an
objective peer or
supervisor
25. A client is being treated for paranoid schizophrenia. When the client
became loud and
boisterous, the nurse immediately placed him in seclusion as a
precautionary measure.
The client willingly complied. The nurse’s action
A) May result in charges of unlawful seclusion and restraint
B) Leaves the nurse vulnerable for charges of assault and battery
C) Was appropriate in view of the client’s history of violence
D) Was necessary to maintain the therapeutic milieu of the unit
The correct answer is A: May result in charges of unlawful seclusion and
restraint
26. A client has been admitted to the Coronary Care Unit with a
myocardial infarction.
Which nursing diagnosis should have priority?
A) Pain related to ischemia
B) Risk for altered elimination: constipation
C) Risk for complication: dysrhythmias
D) Anxiety related to pain
The correct answer is A: Pain related to ischemia
27. The provisions of the law for the Americans with Disabilities Act
require nurse
managers to
A) Maintain an environment free from associated hazards
B) Provide reasonable accommodations for disabled individuals
C) Make all necessary accommodations for disabled individuals
D) Consider both mental and physical disabilities
The correct answer is B: Provide reasonable accommodations for disabled
individuals
28. A 42 year-old male client refuses to take propranolol hydrochloride
(Inderal) as
prescribed. Which client statement s from the assessment data is likely to
explain his
noncompliance?
A) "I have problems with diarrhea."
B) "I have difficulty falling asleep."
C) "I have diminished sexual function."
D) "I often feel jittery." [Show Less]