Exam (elaborations)
NUR 283 Transition To Registered Nursing Practice Comprehensive Exam 1 Review
- Institution
- Galen College Of Nursing
NUR 283 Transition To Registered Nursing Practice
[Show more]
Content preview
Comp 1 Exam Recording1. Medications should be given through a central line
2. The nurse working on a medical surgical unit is delegating
tasks to unlicensed personnel which of the following delegated
task would REQUIRE FOLLOW UP by the charge nurse?
A - Assisting a client who had a paracentesis 2 hours ago to get out of
bed for the first time
Rationale – anytime a client is doing something for the first time the RN
needs to do it
3. The nurse is prioritizing patient care after a change of shift
report the nurse should first plan to see the patient who:
B – Had an endoscopic retrograde cholangiopancreatography 30
minutes ago and is reporting difficulty swallowing
Rationale – Difficulty swallowing – ABC’s!
4. The nurse working on the mom/baby unit has become aware of
the following client situations, which of the following clients
should the nurse INITIALLY assess?
C – a neonate who is 4 hours old, whose resting HR is 95 BPM.
Rationale – Normal HR for a newborn is 120-140 BPM – 95 is a LOW BPM
5. A nurse working on a medical surgical unit has just received a
hand-off report on the following clients, the nurse should
FIRST plan to assess the client who has:
D –Acute pancreatitis and is reporting the development of pain on
deep inspiration
Rationale – “acute” if not caught early, will possible burst and patient will
become septic
, 6. The nurse working on a pediatric unit is caring for the
following children who have been admitted in the past 12 hours
- it would be a priority goal for the nurse to initiate an
interdisciplinary conference for the child who:
A – 5 yr old with diagnosed cystic fibrosis at birth and has been
hospitalized 4 times in the past 2 months
Rationale – This is conferencing everyone!!! PT, dietary, spiritual guidance,
everyone should be conferenced for this patient. This question is asking –
WHO / WHICH child is requiring the MOST help and resources???
7. The nurse working in the ED has received the following
prescriptions for a newly admitted client, which prescriptions
should the nurse implement FIRST?
D – Initiate IV sodium and potassium for a client admitted with
diarrhea and dehydration who has a serum potassium level of 2.9.
Rationale – serum potassium of 2.9 is CRITICAL - this is a critical lab value
and should be addressed first!
8. A nurse is working in a community health clinic is assessing
clients who are waiting to be seen, which client should the
nurse have the primary health care provider see FIRST?
A – a 57-year-old with graves disease with a temperature of 100.5
Rationale – Thyroid issue
9. A nurse is working on a pediatric cardiac unit is reviewing the
telemetry monitors for assigned clients, which client should the
nurse INITIALLY plan to assess?
A – 2-year-old toddler who is walking in the hallway and has a HR of
160 BPM
Rationale – Abnormal HR – all the other choices were normal for the child
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller YourAssignmentHandlers. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
