Terms in this set (110)
C
An 8-year old is placed in 90-90 traction
for a fractured femur that resulted from a
motor vehicle collision. Which finding
requires further action by the PN?
A. No BM for two days
B. Mother helps child change positions
C. Weights are touching the foot of the
bed
D. Child moves the toes freely when
tickled
, B
A 12-year-old child is receiving a blood
transfusion per infusion pump and
begins to complain of "itchy" skin 15
minutes after the unit of blood is started.
The child appears flushed. What action
should the practical nurse take first?
A. Apply lotion to the skin
B. Stop the transfusion
C. Inspect the infusion site
D. Obtain the vital signs
, D
An adult client is undergoing weekly
external radiation treatments for breast
cancer. Upon arrival at the outpatient
clinic for a scheduled treatment, the
client reports increasing fatigue to the
PN who is taking the client's vital signs.
What action should the PN implement?
A. Notify the HCP or charge nurse
immediately
B. Offer to reschedule the treatment for
the following week
C. Plan to monitor the client's vital signs
every 30 minutes
D. Reinforce the need for extra rest
periods and plenty of sleep
, D
An adult client who weighs 150 pounds
has partial-thickness and full-thickness
burns over 40% of the body from a
house fire. After admission, which
observation is most important for the
practical nurse to report immediately?
A. Poor appetite and refusing to eat
B. Systolic blood pressure at 102
C. Painful moaning and crying
D. Urinary Output of 20ml/hr
C
An 8-year old is placed in 90-90 traction
for a fractured femur that resulted from a
motor vehicle collision. Which finding
requires further action by the PN?
A. No BM for two days
B. Mother helps child change positions
C. Weights are touching the foot of the
bed
D. Child moves the toes freely when
tickled
, B
A 12-year-old child is receiving a blood
transfusion per infusion pump and
begins to complain of "itchy" skin 15
minutes after the unit of blood is started.
The child appears flushed. What action
should the practical nurse take first?
A. Apply lotion to the skin
B. Stop the transfusion
C. Inspect the infusion site
D. Obtain the vital signs
, D
An adult client is undergoing weekly
external radiation treatments for breast
cancer. Upon arrival at the outpatient
clinic for a scheduled treatment, the
client reports increasing fatigue to the
PN who is taking the client's vital signs.
What action should the PN implement?
A. Notify the HCP or charge nurse
immediately
B. Offer to reschedule the treatment for
the following week
C. Plan to monitor the client's vital signs
every 30 minutes
D. Reinforce the need for extra rest
periods and plenty of sleep
, D
An adult client who weighs 150 pounds
has partial-thickness and full-thickness
burns over 40% of the body from a
house fire. After admission, which
observation is most important for the
practical nurse to report immediately?
A. Poor appetite and refusing to eat
B. Systolic blood pressure at 102
C. Painful moaning and crying
D. Urinary Output of 20ml/hr
