Updated
Page 1 of 111
,Question 1
Mrs. A 88 yrs old is the 4th day post op hip replacement. She is the main care
giver for her husband who has dementia. This morning for the first time she was
able to walk to the bathroom using a walker, her surgical wound is still draining.
The physician has written an order for her to be discharged today. What should
the nurse do 1st
Correct Answer
Tell the nurse manager she cannot be discharged
Question 2
Why would the nurse advocate for changes in the indwelling catheter process in
the hospital?
Correct Answer
To reduce infections pertaining to catheter
Question 3
What is an important lifestyle health topic for a client experiencing anxiety
disorder
Correct Answer
Exercise
Question 4
A post of abdominal surgery patient who is NPO has an IV of ringer lactate at
124mL/hr via gravity, you have had a busy start to your shift and when you assess
this pt at 0100 you find 150ml has been infused since 0700. What is your initial
course of action
Correct Answer
Check tubing and infusion for obstruction
Page 2 of 111
,Question 5
If a nurse goes back and enters a late entry denoting it as a "late entry" is this
correct
Correct Answer
Yes this is correct. Chart a late entry by stating late entry with the time you were
putting it in and then the time it happens
Question 6
The nurse is talking loudly, visitors can hear the conversation
Correct Answer
Call his attention and point to the visitors
Question 7
Which of the following method is most appropriate to a cognitively impaired
older adult with bladder training
Correct Answer
Promoted voiding
Question 8
A nurse works on a unit where the client is often given fractional dose of
medication. The nurse is not confident in her math skills, what is her best action?
Correct Answer
Always have a colleague check the calculations until confidence is achieved
Question 9
The nurse is taking mr. H for a walk and is using a transfer walking belt for safety
and support mr.h became weak and begins to fall. What is the safest action for
the nurse to take
Correct Answer
Keep him close to the nurses body and lower him to the floor using the transfer
walking belt
Page 3 of 111
, Question 10
After birth, the newborn is quickly dried and wrapped in a blanket to prevent heat
loss. By which mechanism
Correct Answer
Evaporation
Question 11
Which of the following characteristics is associated with acute grief
Correct Answer
Wave of grief and distressing
Question 12
Which statement indicates to the nurse on a post partum home visit that the
patient understands the signs of late postpartum hemorrhage?
Correct Answer
My discharge would change to red after it has been pink or white
Question 13
The pt is post op following a knee replacement. What should the nurse teach the
pt the safest way to use his walker
Correct Answer
Stand from a sitting position on the bed, push up on the bed not the walker
Question 14
The RPN explains to patient William the benefits of taking his prescribe
medication's. William understands the benefits and risks but still refuses to take
it. He believes the side effects outweigh the benefits of the medication. How can
the RPN serve this situation
Correct Answer
Document Williams refusal to take the medication
Page 4 of 111