Galen NUR 242 Exam 1 Review
A patient with severe burn has been receiving hydromorphone through PCA for 1 week.
The nurse caring for the patient during the previous shift reports that the patient wakes
up frequently during the night reporting pain. What action by the nurse is appropriate?
Consult with the HCP about using a different treatment protocol to control the
patient's pain
To prevent complications of immobility, which activities would help the nurse plan for
the first post-op day after colon resection?
Get client out of bed and ambulate to a bedside chair
Which statement by a patient indicates good understanding of the nurse's teaching
about preventing sickle cell crisis?
Risk for a crisis is decreased by having an annual influenza vaccination
A nurse assess client on med-surg unit. Which client is at greater risk for pressure ulcer
development?
68 year old with left sided paralysis
A nurse is caring for a client who has a pressure ulcer on the right heel. Which action
should the nurse take first?
Assess the patient's leg pulses and cap refill
The nurse is performing a skin assessment on a client with a facial lesion. It appears as a
well-defined, red, scaling, thick bump.
Squamous Cell Carcinoma
What is the best instruction by the nurse to reduce the risk factors for melanoma?
Avoid exposure to the sun and protective measure when exposure occur
, The home health nurse is performing an assessment on one of her new clients. Which of
the following assessment findings should the nurse recognize as possible scabies?
Wavy thread-like lines on the body and pruritus
Which infections require STANDARD precautions?
MRSA and Pediculosis
Which infections require AIRBORNE precautions?
TB, Measles, and Varicella
Which infections require DROPLET precautions?
Influenza, Pneumonia, and Meningitis
A patient with MRSA on contact precautions needs to get a CT scan. What action by the
nurse is most appropriate?
Call Radiology and make them aware of the isolation precaution
A client has a wound infection to the right arm. What comfort measure can the nurse
delegate to the unlicensed assistive personal?
Elevate the arm above the heart
A nurse on the med-surg unit has received a hand-off report. Which client should the
nurse see first?
Client with new-onset abdominal pain, rated as a 6 on a 0 to 10 scale
A client who had surgery has extreme post operative pain that is worsened when trying
to participate in PT. What intervention for pain management does the nurse include in
the client's care plan?
Round the clock analgesic with PRN analgesics
A patient with severe burn has been receiving hydromorphone through PCA for 1 week.
The nurse caring for the patient during the previous shift reports that the patient wakes
up frequently during the night reporting pain. What action by the nurse is appropriate?
Consult with the HCP about using a different treatment protocol to control the
patient's pain
To prevent complications of immobility, which activities would help the nurse plan for
the first post-op day after colon resection?
Get client out of bed and ambulate to a bedside chair
Which statement by a patient indicates good understanding of the nurse's teaching
about preventing sickle cell crisis?
Risk for a crisis is decreased by having an annual influenza vaccination
A nurse assess client on med-surg unit. Which client is at greater risk for pressure ulcer
development?
68 year old with left sided paralysis
A nurse is caring for a client who has a pressure ulcer on the right heel. Which action
should the nurse take first?
Assess the patient's leg pulses and cap refill
The nurse is performing a skin assessment on a client with a facial lesion. It appears as a
well-defined, red, scaling, thick bump.
Squamous Cell Carcinoma
What is the best instruction by the nurse to reduce the risk factors for melanoma?
Avoid exposure to the sun and protective measure when exposure occur
, The home health nurse is performing an assessment on one of her new clients. Which of
the following assessment findings should the nurse recognize as possible scabies?
Wavy thread-like lines on the body and pruritus
Which infections require STANDARD precautions?
MRSA and Pediculosis
Which infections require AIRBORNE precautions?
TB, Measles, and Varicella
Which infections require DROPLET precautions?
Influenza, Pneumonia, and Meningitis
A patient with MRSA on contact precautions needs to get a CT scan. What action by the
nurse is most appropriate?
Call Radiology and make them aware of the isolation precaution
A client has a wound infection to the right arm. What comfort measure can the nurse
delegate to the unlicensed assistive personal?
Elevate the arm above the heart
A nurse on the med-surg unit has received a hand-off report. Which client should the
nurse see first?
Client with new-onset abdominal pain, rated as a 6 on a 0 to 10 scale
A client who had surgery has extreme post operative pain that is worsened when trying
to participate in PT. What intervention for pain management does the nurse include in
the client's care plan?
Round the clock analgesic with PRN analgesics
