Professional Nursing Practice
Latest Questions & Verified Answers -
Galen college of nursing
The nurse working at a well-child clinic is assessing the vital signs of a two year old
client. The nurse obtains the following: T: 99.0˚F, P: 126, RR: 26, BP: 100/62. Which of the
following actions should the nurse take?
A. Immediately notify the healtcare provider
B. Ask the parents if they know the child's usual heart rate
C. Wait five minutes and recheck the client's blood pressure
D. Document the findings in the client's medical record - Correct answer D. Document
the findings in the client's medical records
Normal toddler vitals:
HR: 98-140
RR: 22-37
BP: S: 86-106, D: 42-63
T: 98.6˚F
,The nurse working in the emergency department is caring for a newly admitted client
with a history of peptic ulcer disease. Initial assessment findings include: BP 110/70, P:
96, coffee ground emesis, HgB: 10.8. It is a priority for the nurse to:
A. Type and cross for a packed red blood cell transfusion
B. Determine if the client has any stressors
C. Insert a nasogastric tube
D. Administer an intravenous antiemetic - Correct answer C. Insert a nasogastric tube
Coffee ground emesis indicates a GI bleed, which the proper intervention is the
insertion of a NG tube.
The nurse is caring for an older client who had surgery for an intestinal obstruction
and has a nasogastric tube to low wall section. Which should the nurse include in the
plan of care?
1. Discontinue suction when assessing for peristalsis
2. Encourage the use of an incentive spirometer every two hours while awake 3.
Maintain sequential compression devices to bilateral lower extremities
, 4. Irrigate the NG tube with a sterile normal saline as prescribed
5. Turn and reposition the client every two hours
6. Place a sign at the head of the bed that says "do not manipulate the NG tube"
A. 1, 3, 4, 5
B. 2, 3, 5
C. 3, 4, 5, 6
D. 1, 2, 3 - Correct answer A. 1, 3, 4, 5
The nurse is teaching a class on health promotion and illness prevention. Which of the
following actions by the nurse is an example of secondary prevention?
A. Teaching foot care to a client who has diabetes
B. Providing a community program on stress reduction
C. Instructing women how to perform monthly breast self examinations
D. Referring to a client who recently lost a spouse to a support group - Correct answer
C. Instructing women how to perform monthly breast self examinations