During a home health assessment the nurse witnesses a school age child fall from a second story window. Which is the priority action? correct answers Tell the child not to move
*Do not rule out spinal cord injury*
A unit manager observes several nurses working throughout the day.. Which action...
During a home health assessment the nurse witnesses a school age child
fall fromstory
second a window. Which is the priority action? correct answers Tell the
child not to
mov
e
*Do not rule out spinal cord
injury*
A unit manager observes several nurses working throughout the day..
Which action
represents a breach in client confidentiality ? correct answers
Posting positive
information about a client on social media
website.
A client who is newly admitted requests information about advanced
directives.
nurse shouldTheinclude which of the following statements in discussion ?
correct answers
I will give you a pamphlet with written information about advanced
directives.
A nurse completes a home health assessment on an older adult who has a
broken
and burnsarmto the chest. Which action is needed at this time? correct
answers
adult Contact
protective
services.
A client arrives to the ED and reports HA, neck stiffness and sensitivity to
light.
the Whichnursing
priority is action? correct answers Implement droplet
precautions-
meningitis possible
(highly contagious if
bacterial)
A bladder irrigation is prescribed for a client who has an occluded
indwelling
Which action cath.
should nurse take when unsure of how to perform this
procedure?
answers Refercorrect
to the policy and procedure
manual
A charge nurse reviews abbreviations in client documentation. Which is
an approved
entry? correct answers Furosemide 60 mg PO
daily
A nurse participates in quality improvement to decrease hospital
readmissions
clients who have for heart failure. .Which action should the nurse expect
to perform?
correct answers Compare performance to current practice
standards
A nurse assigns care for client who has DM to an LPN and a UAP. Which
task
be should
given to the LPN? correct answers Obtain capillary
glucose
A client with a stage IV pancreatic cancer decides to DC all treatment.
Which action
should the nurse take? correct answers Ask client to discuss
decision
A nurse receives a client's medication over the telephone from the
provider.
action should
Which the nurse take? correct answers Repeat the prescription
back
provide to the
r
, A nurse receives end of shift report. Which of the following client
assessment
should nursefindings
address first ? correct answers New onset of confusion in
client with
femur L
fracture ( Fat emboli risk/
Hypoxia)
A nurse should notify public health about which infections? correct answers -
gonorrhea
-hep
C
-
-Chlamydi
a
Meningococca
lA client with a new diagnosis of stage IV lung cancer, when partner
requests from
withheld the dx thebeclient, which action should the nurse take ? correct
answers Request
additional information from
partner
A nurse reviews the plan of care for client who has myasthenia
gravis. Whichrequires a revision? correct answers Assist with daily
intervention
activities
medication prior to
admin
A client who has COPD is prescribed ipatropium. The nurse should instruct
the client
report whichto sx immediately ? correct answers
Eye pain
An older adult client who is receiving a blood transfusion develops an
increasedbilaterally.
crackles BP and Which medication should nurse administer?
correct answers
Furosemide ( fluid
overload)
A nurse provides teaching to a client who is prescribed spironolactone.
Nursethe
limit should
intake of which foods? correct answers
Bananas
Tomatoe
s
Avocado
s
Sweet
potatoes
A client is prescribed acetaminophen 650 mg PO every 4 hours PRN.
which finding
should alert the nurse to question this prescription ? correct answers
reports drinking 6
beers
daily
A school age child with ADHD is observed having increased concentration
and abilitytasks.
complete to Nurse recognizes which medication may contribute to
this? correct
answers
Methylphenidate
An unresponsive client is brought in with a RR of 8 with pinpoint pupils.
Which med
should be given? correct answers
Naloxone
A nurse providing discharge instructions to a client who is newly
prescribed
Which lisinopril.
statement indicates teaching was effective? correct answers -it is an
emergency
if mouth begins to
swell
-if I develop a cough my doctor will be
notified
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