Well making rounds, the charge nurse notices that a young adult client with asthma who
has admitted yesterday is sitting on the side of the bed and leaning over the side table.
The client is currently receiving oxygen at 2 L per minute via nasal cannula. The client is
wheezing and is using per slip breathing. Which intervention should the nurse
implement?
A) Increase oxygen to 6 L per minute.
B) Call for an Ambu resuscitation bag.
C) This is the client to lie back in bed.
D) Administer a nebulizer treatment.
Give this one a try later!
D) Administer a nebulizer treatment.
,A client with heart failure become short of breath, anxious, and has audible reasoning
with pink frothy sputum. The nurse sits the client upright and provides oxygen per nasal
cannula. The nurse receives a prescription to administer a one time dose of morphine
sulfate IV. Which action should the nurse take?
A) Administer the dose of morphine sulfate as prescribed.
B) Consult with the charge nurse regarding the morphine prescription.
C) Review the need for the prescription with the healthcare provider.
D) Withhold the morphine until the clients dyspnea resolves.
Give this one a try later!
A) Administer the dose of morphine sulfate as prescribed.
An adult client who is admitted to the mental health unit for treatment of bipolar disorder
has a slightly slurred speech pattern and an unsteady gait. Which assessment finding is
most important for the nurse to report to the healthcare provider?
A) Weight loss of 10 pounds in the past month.
B) Six hours of sleep in the past three days.
C) Blood alcohol level of 0.09%.
D) Serum lithium level of 1.6.
Give this one a try later!
D) Serum lithium level of 1.6.
,The healthcare provider prescribes acarbose, an alpha-glucosidase inhibitor, for a client
with type two diabetes. Which information provides the best indicator of the drugs
effectiveness?
A) Body mass index between 20 and 24.
B) Blood pressure readings less than 120/80.
C) Self-reported glucose levels 120 to 150.
D) Hemoglobin A1c readings less than 7%.
Give this one a try later!
D) Hemoglobin A1c readings less than 7%.
The nurse is caring for a client with pneumonia who now develops initial signs of septic
shock and multi organ failure. The healthcare provider prescribes a sepsis protocol.
Which intervention is most important for the nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
Give this one a try later!
A) Maintain strict intake and output.
A client with an acute myocardial infarction is given a thrombolytic medication, aspirin,
and IV heparin in the emergency department. Which finding indicates the client is having
, a satisfactory response?
A) Activated partial thromboplastin (aPTT) time is two times the control value.
B) Cardiac tracing shows 1.2 MM wide Q waves half the height of the complex.
C) Guiac test of the stools is positive.
D) S3 heart sounds are present with auscultation
Give this one a try later!
A) Activated partial thromboplastin (aPTT) time is two times the control value.
The school nurse is called to the soccer field because a child has epistaxis. In which
position should the nurse place the child?
A) Side-lying with the head slightly elevated.
B) Sitting up and leaning forward.
C) Standing with the head leaning backwards.
D) Supine with the legs raised.
Give this one a try later!
B) Sitting up and leaning forward.
During discharge teaching, and overweight client with heart failure is asked to make a
grocery list for the nurse to review. Which food choices include it on the clients list
should the nurse encouraged? SATA.
A) Cheddar cheese cubes.
B) Canned fruit in heavy syrup.
C) Lightly salted potato chips.
has admitted yesterday is sitting on the side of the bed and leaning over the side table.
The client is currently receiving oxygen at 2 L per minute via nasal cannula. The client is
wheezing and is using per slip breathing. Which intervention should the nurse
implement?
A) Increase oxygen to 6 L per minute.
B) Call for an Ambu resuscitation bag.
C) This is the client to lie back in bed.
D) Administer a nebulizer treatment.
Give this one a try later!
D) Administer a nebulizer treatment.
,A client with heart failure become short of breath, anxious, and has audible reasoning
with pink frothy sputum. The nurse sits the client upright and provides oxygen per nasal
cannula. The nurse receives a prescription to administer a one time dose of morphine
sulfate IV. Which action should the nurse take?
A) Administer the dose of morphine sulfate as prescribed.
B) Consult with the charge nurse regarding the morphine prescription.
C) Review the need for the prescription with the healthcare provider.
D) Withhold the morphine until the clients dyspnea resolves.
Give this one a try later!
A) Administer the dose of morphine sulfate as prescribed.
An adult client who is admitted to the mental health unit for treatment of bipolar disorder
has a slightly slurred speech pattern and an unsteady gait. Which assessment finding is
most important for the nurse to report to the healthcare provider?
A) Weight loss of 10 pounds in the past month.
B) Six hours of sleep in the past three days.
C) Blood alcohol level of 0.09%.
D) Serum lithium level of 1.6.
Give this one a try later!
D) Serum lithium level of 1.6.
,The healthcare provider prescribes acarbose, an alpha-glucosidase inhibitor, for a client
with type two diabetes. Which information provides the best indicator of the drugs
effectiveness?
A) Body mass index between 20 and 24.
B) Blood pressure readings less than 120/80.
C) Self-reported glucose levels 120 to 150.
D) Hemoglobin A1c readings less than 7%.
Give this one a try later!
D) Hemoglobin A1c readings less than 7%.
The nurse is caring for a client with pneumonia who now develops initial signs of septic
shock and multi organ failure. The healthcare provider prescribes a sepsis protocol.
Which intervention is most important for the nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
Give this one a try later!
A) Maintain strict intake and output.
A client with an acute myocardial infarction is given a thrombolytic medication, aspirin,
and IV heparin in the emergency department. Which finding indicates the client is having
, a satisfactory response?
A) Activated partial thromboplastin (aPTT) time is two times the control value.
B) Cardiac tracing shows 1.2 MM wide Q waves half the height of the complex.
C) Guiac test of the stools is positive.
D) S3 heart sounds are present with auscultation
Give this one a try later!
A) Activated partial thromboplastin (aPTT) time is two times the control value.
The school nurse is called to the soccer field because a child has epistaxis. In which
position should the nurse place the child?
A) Side-lying with the head slightly elevated.
B) Sitting up and leaning forward.
C) Standing with the head leaning backwards.
D) Supine with the legs raised.
Give this one a try later!
B) Sitting up and leaning forward.
During discharge teaching, and overweight client with heart failure is asked to make a
grocery list for the nurse to review. Which food choices include it on the clients list
should the nurse encouraged? SATA.
A) Cheddar cheese cubes.
B) Canned fruit in heavy syrup.
C) Lightly salted potato chips.
