1- A nurse on a medical unit is preparing to discharge a client to home. Which of the following actions
should the nurse take as part of the medication
... [Show More] reconciliation process?
A) Seal unused hospital medications in a plastic bag.
B) Evaluate the client's ability to self-administer medications.
C) Report an identified discrepancy to The Joint Commission.
D) Compare prescriptions with medications the client received during hospitalization.
2- A nurse is reviewing a client's medication prescription that reads, "digoxin 0.25 by mouth every
day." Which of the following components of the prescription should the nurse verify with the
provider?
a. medication name
b. route of administration
c. medication dose
d. frequency of administration
3- A nurse is teaching a group of staff nurses about the use of essential oils for aromatherapy. The
nurse should include in the teaching that this therapy might be contraindicated for which of the
following clients?
a. a client who has a history of physical abuse
b. a client who has a permanent pacemaker
c. a client who has ulcerative colitis
d. a client who has asthma
4- A nurse is admitting a client who has rubella. Which of the following types of transmission based
precautions should the nurse initiate?
a. droplet
b. airborne
c. contact
d. protective environment
5- A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. Which of
the following actions should the nurse take?
a. gently shake the container of medication prior to administration
b. transfer the medication to a medicine cup
c. place the client in the semi-Fowler's position prior to medication administration
d. verify the dosage by measuring the liquid before administering it
6- A nurse is performing a peripheral vascular assessment for a client. When placing the bell of the
stethoscope on the client's neck, she hears the following sound. This sound indicates which of the
following? (Click on the audio button to listen to the clip.)
A) Narrowed arterial lumen
B) Distended jugular veins
C) Impaired ventricular contraction
D) Asynchronous closure of the aortic and pulmonic valves
7- A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The client's
partner wants the client to have the blood transfusion. Which of the following actions should the
nurse take?
A) Ask the client to consider a direct donation.
B) Withhold the blood transfusion.
C) Request a consultation with the ethics committee.
D) Ask the client's family to intervene.
8- A nurse in an acute care facility is preparing a discharge summary for a client who is transferring to
a long-term care facility. Which of the following documentation should the nurse include?
a. client flow sheet
b. acuity ranges
c. current medications
d. incident reports
9- A nurse is assessing an adult client who has been immobile for the past 3 weeks. The nurse should
identify that which of the following findings requires further intervention?
A) Erythema on pressure points
B) Lower-extremity pulse strength of 2+
C) Fluid intake of 3,000 mL per day
D) A bowel movement every other day
10- A nurse is planning teaching for a group of adolescents who each recently had surgical placement
of an ostomy. Which of the following methods should the nurse use as psychomotor approach to
learning?
a. role play
b. group discussions
c. question-answer meetings
d. practice sessions
11- A nurse is caring for a client who reports pain. When documenting the quality of the client's pain
on an initial pain assessment, the nurse should record which of the following client statements?
A) "I'm having mild pain."
B) "The pain is like a dull ache in my stomach."
C) "I notice that the pain gets worse after I eat."
D) "The pain makes me feel nauseous."
12- A nurse is reviewing practice guidelines with a group of newly licensed nurses. Which of the
following interventions should the nurse include that is within the RN scope of practice?
A) Insert an implanted port.
B) Close a laceration with sutures.
C) Place an endotracheal tube.
D) Initiate an enteral feeding through a gastrostomy tube.
13- A client who is non ambulatory notifies the nurse that his trash can is on fire. After the nurse
confirms the fire, which of the following actions should the nurse take next?
a. activate the emergency fire alarm
b. extinguish the fire
c. evacuate the client
d. confine the fore
14- A nurse is discussing the use of herbal supplements for health promotion with a client. Which of
the following client statements indicates an understanding of herbal supplement use?
A) "I can take echinacea to improve my immune system"
B) "I can take feverfew to reduce my level of anxiety"
C) "I can take ginger to improve my memory"
D) "I can take ginkgo biloba to relieve nausea"
15- A nurse enters a client's room and finds her on the floor. The client's roommate reports that the
client was trying to get out of bed and fell over the side rail onto the floor. Which of the following
statements should the nurse document about this incident?
A) "incident report completed"
B) "client climbed over the side rails"
C "client found lying on the floor"
D) "client was trying to get out of bed"
16- A nurse is performing a Romberg test during the physical assessment of a client. Which of the
following techniques should the nurse use?
A) touch the face with a cotton ball
B) apply vibrating tuning fork to the client's forehead
C) have the client stand with their arms at their sides and their feet together
D) perform direct percussion over the area of the kidneys
17- A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the following
statements should the nurse identify as an indication that the client understands the teaching?
A) "When descending stairs, I will first shift my weight to my right leg."
B) "I should place my crutches 12 inches in front and to the side of each foot." [Show Less]