,A nurse is preparing to administer diphenhydramine 20 mg orally
to a 6-year-old child who has difficulty swallowing pills. Available
is diphenhydramine 12.5mg/5ml oral syrup. Which of the following
images indicates the correct number of mL the nurse should
administer? (round answer to the nearest whole number.)
DOSAGE CALCULATION
8ml
A nurse is admitting a client who is malnourished. The client states,
"My wedding ring is loose and I'm worried I will lose it if it falls
off."Which of the following is an appropriate response by the nurse?
a. " I will place it in your drawer so it won't get lost."
b. I can pin it to your hospital gown so you won't lose it."
c. "I will hold onto it until a family member can take it home."
d. I can put it in a locked storage unit for you
d
A charge nurse is teaching a group of newly licensed nurses about
the use of restraints. In which of the following clinical situations
should the nurse apply restraints?
a. If the client is pacing in the hallway
b. As a part of a fall prevention program
c. At the request of the client's family
d. When the client poses a threat to self
d
certified nurse
To ensure client safety, a nurse manager is planning to observe a
newly licensed nurse perform a straight catheterization on a client.
In which of the following roles is the nurse manager functioning?
a. Case manager
b. Client educator
c. Client care provider
d. Client advocate
,d
A charge nurse in a long-term care facility is preparing an
educational program about delirium for newly hired nurses. Which
of the following statements should the nurse plan to include?
a. "Delirium does not affect a client's perception of her
environment."
b. "Delirium does not affect a client's sleep cycle."
c. "Delirium has an abrupt onset."
d. "Delirium has a slow progression."
c
A nurse is speaking with a client who has recently received a
diagnosis of a chronic illness. The client states, " The doctor must be
wrong. I can't be that sick". The nurse should inform the client that
their reaction is an example of which of the following expected
responses to grief?
a. Acceptance
b. Denial
c. Anger
d. Depression
b
A Nurse on a medical-surgical unit is providing care for four clients.
The nurse should identify which of the following situations as an
ethical dilemma?
a. A surgeon who removed the wrong kidney during a surgical
procedure refuses to take responsibility for her actions
b. A client who has Crohn's disease reports that his prescription
drug plan will not pay for his medications.
c. A client who has a new colostomy refuses to take instructions
from the ostomy therapist because she "doesn't like him."
d. the family of a client who has a terminal illness asks the provider
not to tell the client the diagnosis
d
, A nurse is teaching a client about performing breast self-
examinations. Which of the following statements by the clients
indicates an understanding of the teaching?
a. "I should perform my self-exam the week that my period starts"
b. "I should make different patterns on each breast when I do my
self-exam."
c. "I should use the palm of my hand to apply pressure to each
breast."
d. "I should make circular motions with my fingertips under my
arms."
d
A nurse is preparing to transfer a client who is partially weight
bearing from the bed to the chair. Which of the following actions
should the nurse take?
a. Keep his knees straight when moving the client
b. Position the chair next to the bed as a 90 degree angle
c. Stand with his feet together when lifting the client
d. Have the client bear weight on her stronger leg
d
certified nurse
A nurse is caring for a client following a laparoscopic
cholecystectomy. The client has a prescription for ondansetron 4mg
IV bolus every 6hr PRN for nausea and vomiting. Identify the
sequence of steps the nurse should follow to administer the
medication. ( Move the steps into the box on the right, placing
them in the order of performance. Use all the steps.)
- Select the injection port of the IV tubing closest to the client.
- Cleanse the injection port with an antiseptic swab.
- Aspirate for blood return.
- Inject the medication.
- perform hand hygiene
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