1. A nurse is assessing a client who received 2 units of packed RBCs 48 hr. ago. Which
of the following findings should indicate to the nurse that the
... [Show More] therapy has been
effective?
a. Hemoglobin 14.9 g/dl
b. WBC count 12000/mm3
c. Potassium 4.8 mEq/L
d. BUN 18 mg/dl
2. A nurse working in an emergency department is triaging four clients. Which of the
following clients should the nurse recommend for treatment first?
a. An older adult client who reports constipation of 4 days.
b. A preschooler who has a skin rash.
c. An adolescent who has a closed fracture
d. A middle adult client who has unstable vital signs.
3. A nurse is caring for a client who has fluid volume overload. Which of the following
tasks should the nurse delegate to an assistive personnel (AP)?
a. Palpate the degree of edema
b. Regulate IV pump fluid rate.
c. Measure the client’s daily weight.
d. Assess the client’s vital sign.
4. A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test
dose to a client who has severe oliguria. The client weights 198 lb. What is the
amount in grams the nurse should administer? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing zero.)
a. 18 G
5. A nurse is conducting a physical examination for an adolescent and is assessing the
range of motion of the legs. Which of the following images indicates the adolescent is
abducting the hip joint?
E. La foto que está parado de frente y solo se ven pies que están separados uno del otro hacia
afuera. The image, on the adolescent is abducting the hip joint by moving the leg away from
the midline of the body. (imagen with patient facing you with her right leg lifted) answer
quizlet (es la imagen con el paciente frente a usted con la pierna derecha levantada).
6. A nurse is caring for a client who has hyperthyroidism. Which of the following
findings should the nurse expect?
a. Dry, coarse hair
b. Bradycardia
c. Tremors
d. Periorbital edema
7. A nurse is assessing a school-age child who has bacterial meningitis. Which of the
following findings should the nurse expect?
a. Nuchal rigidity
b. Weight gain
c. Tinnitus
d. Positive Trendelenburg sign.
8. A nurse is assessing a newborn’s heart rate. Which of the following actions should
the nurse take?
a. Assess the apical pulse is most accurate when the newborn is in a quiet state. The sound
of crying obscures the heart sounds.
b. Palpate the radial pulse for 30 seconds.
c. Listen to the apical pulse while palpating the radial pulse.
d. Auscultate the apical pulse at least 1 min.
9. A nurse is preparing to assist with a thoracentesis for a client who has pleurisy. The
nurse should plan to perform which of the following actions?
a. Administer a bowel preparation the night before the procedure.
b. Place the client on bed rest for 24 hr after the procedure.
c. Perform pulmonary function tests following the procedure.
d. Instruct the client to avoid coughing during the procedure.
10. A nurse in the emergency department is assessing a preschooler who has a facial
laceration. The nurse should identify which of the following findings as a potential
indication of child sexual abuse?
a. A child exhibits discomfort while walking.
b. The child has thin extremities.
c. The child has bruises on the upper back.
d. The child is wearing a stained shirt.
D
A nurse is preparing an inservice program about delegation. Which of the
following elements should she identify when presenting the 5 rights of delegation.
Select all:
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
B
C
E
A nurse manager of a med surg unit is assigning care responsibilities for the
oncoming shift. A client is waiting transfer back to the unit from the PACU
following thoracic surgery. To which staff member should the nurse assign the
client?
A. Charge nurse
B. RN
C. LVN
D. AP
B
What is the study of conduct and character?
Ethics
What are the values and beliefs that guide behavior and decision making?
Morals
What is the right to make ones own personal decisions, even tho those decisions
might not be in the persons best interest
Autonomy
What are positive actions to help others
Beneficience
What is an agreement to keep promises [Show Less]