1 A charge nurse for the emergency department is supervising a nurse who
has been temporarily reassigned from the medical-surgical unit during a b
usy
... [Show More] time. Which of the following assignments is most appropriate for this
nurse?
Obtaining a medical history from a client who attempted suicide
Collecting a catheter urine specimen from a 2-year-old child with a fever
Setting up a trauma room for an incoming motor-vehicle crash victim
Performing triage for three clients who have just arrived in the waiting ar
ea
2 A nurse should first provide care for which of the following clients?
An older adult with dyspnea and a respiratory rate of 22/min
A toddler who has a head laceration oozing dark red blood
An adult client with large ecchymoses on both legs
An adolescent with an injured ankle and pain rated at 10 on a 0-10 scale
3 A client with methicillin-resistant Staphylococcus aureus (MRSA) of the
urine is being admitted into the hospital and is placed on contact isolation
. Which of the following should cause the charge nurse to intervene?
The client is dressed in an isolation gown for transport to x-ray.
The door for the isolation room is left open.
A nurse checks the client's IV without wearing gloves.
A provider uses alcohol-based hand cleanser after providing care.
4 A nurse is caring for a competent client who is newly diagnosed with a t
erminal illness. Which of the following statements by the client indicates a
correct understanding of advance directives?
"From this point on, my partner has control over my health care decisions
."
"I am so relieved that the decisions about my care are finalized."
"I'm glad that the doctors now can make all the final decisions."
"When I can no longer make decisions, people now know what I want."
5 A client who is intoxicated presents to the emergency department and repo
rts struggling with depression lately. The next day, the client is ready for
discharge and states, “It’s okay. Soon everything will be just fine.” Which o
f the following is the nurse's priority action?
Ask the client if he is feeling suicidal.
Remind the client that change is always possible.
Inquire about the client's regular alcohol consumption.
Reinforce the need to follow up with the discharge referral.
6 A client diagnosed with an inferior MI 2 days ago suddenly reports nause
a and midsternal chest pain. After ensuring that oxygen support is patent, w
hich of the following interventions should the nurse anticipate taking next?
Assess for S3 heart sounds.
Administer a prescribed antiemetic.
Notify the primary care provider. [Show Less]