Ready to take a practice exam?
These are the most recently added study guides by users just like you.
Questions most recently added
- A nurse is making rounds after receiving report. The nurse observes the client is receiving the wrong intravenous fluid. What is the nurse’s next action?
- Write an incident report, and submit it to the manager.
- Replace the bag of fluid with the fluid that was ordered.
- Report the incident to the charge nurse and the physician.
- Replace the fluid, and discuss the error with other staff nurses.
- The nurse must assess the temperature and blood pressure of a client on contact precautions every shift. Which is the appropriate nursing action to minimize the spread of microorganisms?
- Keep the equipment in the client’s room.
- Store the equipment in the soiled utility room between uses.
- Cleanse the equipment after each use.
- No special action is required with the equipment.
- The nurse is making a home visit to a 70-year-old client with emphysema. Which assessment finding has the most serious implication for this client's nursing care?
- Increased anterior-posterior diameter of the chest
- Bilateral crackles throughout the lung fields
- Pursed-lip breathing
- Circumoral cyanosis
- While performing an environmental assessment of a 72-year-old client, what hazards should the nurse document and correct?
- Absence of grab bars in the bathroom, and unanchored rugs
- Non-skid tub and shower mats
- Smoke detectors and fire extinguishers
- Night lights in bathrooms and hallways
- A client who is in Stage II of Alzheimer's disease has memory impairment. The nurse should plan to do which of the following at the beginning of the upcoming work shift?
- Check to ensure that the client is wearing an ID badge.
- Place the client in a quiet, calm environment.
- Write a note on the cover of the chart asking for a prn order for restraints.
- Instruct ancillary caregivers to assess the client's level of consciousness hourly.
- Which statement by the client with myasthenia gravis indicates a need for further instruction before discharge?
- "I realize I need to be sure I take my medications at the scheduled times."
- "I won't be drinking anymore gin and tonics!"
- "I am looking forward to taking a really long, hot bubble bath when I get home."
- "I am not going to train for the triathlon this year."
- A client asks the nurse to explain why she is receiving lidocaine (Xylocaine) in her IV when her dentist injects it into her gums to numb the teeth before a filling. The best response by the nurse is:
- "The medication is more effective intravenously, and you will feel no pain anywhere."
- "As an IV medication, it will help you relax and rest, so your heart can heal."
- "When given IV, this medication reduces the irritability of the cells in your heart, and helps reduce dysrhythmias."
- "The medication will increase your urine output, so that you will be less likely to suffer from heart failure."
- A pediatric client who is known to have cancer is being admitted for mild neutropenia and a severe oral monilial infection. The nurse should assign the child to which room?
- A semi-private room with a medical patient
- A semi-private room with a surgical patient
- A private room without further precautions
- A private room with protective isolation
- Which of the following actions by the nurse comply with core principles of surgical asepsis? Select all that apply.
- Wash hands before and after client care.
- Keep the sterile field in view at all times.
- Wear personal protective equipment.
- Add contents to the sterile field holding the package 6 inches above the field.
- Consider the outer 1.5 inches of the sterile field as contaminated.
- The major focus for nursing care of the client with meningitis will be to:
- Enhance coping skills.
- Provide cognitive stimulation.
- Assess risk for injury and prevent complications.
- Increase cardiac output.