1. A nurse is caring for a client who has given informed consent for ECT. Just before the procedure, the
client tells the nurse she is considering not
... [Show More] going forward with the treatment. Which of the following
statements by the nurse is appropriate?
a. “You don’t have to go through with the treatment.”
b. “Most people who have this procedure feel better following the treatment.”
c. “It’s okay to be nervous before this treatment.”
d. “Your doctor wouldn’t have ordered this treatment unless it was necessary.”
2. While performing a routine assessment, a nurse notices fraying on the electrical cord of a client’s CPM
device. Which of the following actions should the nurse take first?
a. Report the defect to the equipment maintenance staff.
b. Ensure the device inspection sticker is current
c. Remove the device from the room
d. Initiate a requisition for a replacement CPM device
3. A nurse is caring for a client who is postoperative and has a new prescription for hydromorphone.
Which of the following actions should the nurse take?
a. Document administration of the medication upon removal from the medication dispensing
system
b. Withhold the medication if the client does not appear to be in pain.
c. Count the current number of unit doses available in the medication dispensing system
Withhold the medication if the client has a fever
4. A nurse performing a change-of-shift assessment. Which of the following clients has the priority
finding?
a. Type 2 DM and a blood glucose of 250 mg/dL
b. Pneumonia with a productive cough and a fever of 38.8° C (101.8° F)
c. 2 hr. post cast placement and has 2+ pitting edema and pallor
d. First-degree heart block and a heart rate of 62/min
5. A nurse in an outpatient mental health facility is providing teaching to a group of adolescents. Which
of the following statements by a client indicates an understanding of the teaching?
a. “I will limit my alcohol use to one drink daily while taking disulfiram.”
d.
c.
b. “I will avoid foods containing tyramine while taking fluoexetine.”
c. “I will take the sustained-release methylphenidate every morning.”
d. “I will take my lithium on an empty stomach.” (pharm pg. 64: taking lithium with food will
help decrease GI distress)
6. A nurse in the emergency department is assessing client who has major depressive disorder. Which of
the following actions should the nurse take first? [View Exhibit]
a. Administer Zofran to the client for nausea
Implement seizure precautions for the client
c. Encourage the client to verbalize feelings
d. Obtain the client’s weight
7. A nurse is completing an admission assessment for a client who ahs narcissistic personality disorder.
Which of the following should the nurse expect?
a. Suspicious of others
b. Exhibits separation anxiety
c. Ritualistic behavior
d. Preoccupied with aging
8. Drug Calc: Client weighs 99 lb. Prescribed diet of 1.5 g protein/kg/day. How many grams of protein per
day should the nurse include in the client’s dietary plan?
9. A nurse is planning care for a group of clients and is working with one LPN and one AP. Which of the
following actions should the nurse take first to manage her time effectively?
a. Develop an hourly time frame for tasks
b. Schedule daily activities
c. Determine goals of the day
d. Delegate tasks to the AP
10. A nurse is developing a plan of care for a client who has preeclampsia and is to receive magnesium
sulfate via continuous IV infusion. Which of the following actions should the nurse include in the
plan?
a. Restrict the client’s total fluid intake to 250 mL/hr.
b. Measure the client’s urine output every hour
c. Give the client protamine if signs of magnesium sulfate toxicity occur (antidote: calcium
gluconate)
d. Monitor the FHR via Doppler every 30 min
11. A nurse is caring for a group of clients. Which of the following wounds should the nurse expect to heal
by primary intention?
a. Infected laceration
b. Stage II pressure ulcer
c. Approximated surgical incision
d. Partial-thickness burn
12. A nurse in an acute mental health care facility is prioritizing care for multiple clients. Which of the
following clients should the nurse see first?
a. Client taking clozapine to treat schizophrenia and reports sore throat (pharm pg. 72:
monitor for infection [fever, sore throat, etc.]) [Show Less]