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."
C) "As I sit down, I will hold one crutch in each hand."
D) "I will make sure the shoulder rests are snug against my armpits."
18- A nurse is preparing to administer multiple medications to a client who has an enteral feeding
tube. Which of the following action should the nurse plan to take?
A) dissolve each medication in 5 mL of sterile water
B) draw up medications together in the syringe
C) push the syringe plunger gently when feeling resistance
D) flush the tube with 15 mL of sterile water
19- A community health nurse is checking blood pressure for a group of clients at a community health
screening. Which of the following clients is at an increased risk for hypertension?
a. a client who is 52 years old
b. a client who smokes one pack of cigarettes each day
c. a client who walks for 30 minutes every day
d. a client who drinks one glass of wine 3 times per week
20- A nurse is planning care for a client who has vision loss. Which of the following interventions
should the nurse include in the plan of care to assist the client with feeding?
a. assign a staff member to feed the client
b. provide small handled utensils for the client
c. thicken liquids on the client's tray
d. arrange food in a consistent pattern on the client's plate
21- A nurse is planning an educational program for a group of older adults at a senior living center.
Which of the following recommendations should the nurse include?
a. "You should have an eye exam every 2 years"
b. "You should receive a tetanus booster every 5 years"
c. "You should have a fecal occult blood test every 2 years"
d. "You should receive a pneumococcal immunization every 10 years"
22- A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for
the past 3 days. Which of the following findings should the nurse expect?
a. neck vein distention
b. urine specific gravity 1.010
c. rapid heart rate
d. blood pressure 144/82 mmHg
23- A nurse is administering IV fluid to an older adult client. The nurse should perform which priority
assessment to monitor for adverse effects?
A) Auscultate lung sounds.
B) Measure urine output.
C) Monitor blood pressure readings.
D) Monitor serum electrolyte levels.
24- A nurse is caring for a client who has decreased mobility. Which of the following actions should the
nurse take to decrease the client's risk of developing plantar flexion contractures?
a. place a pillow under the client's knees
b. position a trochanter toll under each of the client's hips
c. advise the client to wear rubber-soled slippers
d. apply an ankle-foot orthotic device to the client's feet
25- A nurse is planning care for a client who has tuberculosis. The nurse should use which of the [Show Less]