The nurse is conducting a poison prevention class for parents of toddlers. Which
statement by a parent indicates correct understanding of the teaching? Select all that
apply
1
"I will place a lock on the cabinet where my medications are stored."
2
"I know my child is safe because I keep my cleaning supplies in an upstairs closet."
3
"I cannot assume my child is protected by the child-resistant lids on cleaning
supplies."
4
,"My child will not touch any cleaning supplies under my sink because of the fear of
punishment."
5
"I put my medicines in the top shelf of the medicine cabinet where my child can't
reach them."
Give this one a try later!
"I will place a lock on the cabinet where my medications are stored."
"I cannot assume my child is protected by the child-resistant lids on
cleaning supplies."
The nurse is assessing a client with a C4 spinal cord injury. Assessment findings
includes coarse breath sounds with labored breathing, and blood pressure 90/68,
pulse 50 beats/minute, and respiration 24 breaths/minute. What is the nurse's first
priority?
1
Administer atropine.
2
Prepare the client for intubation.
3
Obtain arterial blood gases (ABG's).
4
Initiate intravenous fluid replacement.
Give this one a try later!
Obtain arterial blood gases (ABG's).
Administer atropine. Administer for bradycardia after respiratory status is
stabilized
Prepare the client for intubation. Further assessment required before
intubation
Obtain arterial blood gases (ABG's). Correct - Obtaining ABGs initially
determines oxygenation status and indicates if intubation is needed.
, Initiate intravenous fluid replacement. Initiate after respiratory status is
stable for low BP
The nurse is performing endotracheal suctioning. In what order should these steps be
conducted?
Wash hands and don protective eyewear.
Assesses crackles and mucous in trachea.
Open sterile tray while maintain sterility.
Hyperoxygenate until oxygen saturation is between 95 to 100%.
Adjust the suction source 90mmHg.
Preoxygenate with 100% O2 before inserting suction catheter
Insert the catheter in the trachea until resistance is met
Withdraw catheter and apply suction
Give this one a try later!
Assesses crackles and mucous in trachea.
Wash hands and don protective eyewear.
Adjust the suction source 90mmHg.
Open sterile tray while maintain sterility.
Preoxygenate with 100% O2 before inserting suction catheter
Insert the catheter in the trachea until resistance is met
Withdraw catheter and apply suction
Hyperoxygenate until oxygen saturation is between 95 to 100%.
The nurse is performing discharge education for a client who is going home with
continuous oxygen therapy. Which statement by the client requires further teaching?
1
"I can continue smoking as long as I smoke outside."
2
"I should make sure cleaning supplies are not flammable."
3
, "I'm so glad I can travel out of town to visit my grandkids."
4
"I will make sure my oxygen tank is always standing upright."
Give this one a try later!
"I can continue smoking as long as I smoke outside."
The nurse is teaching a group of college students at a community health fair about
HIV prevention. Which statement by a client indicates a need for further teaching?
Give this one a try later!
"I stopped wearing a condom because I have been with my partner for
over a year."
"I stopped wearing a condom because I have been with my partner for
over a year." - Correct - Condoms should be worn at all times to protect
against transmission
The charge nurse is observing a newly hired nurse on the medical-surgical unit. Which
client situation should the nurse address first to demonstrate the ability to safely
prioritize care?
1
Attempt to calm a patient with anxiety before inserting a Foley catheter.
2
Administer medication for nausea before assessing a client who is complaining of
chest pain.
3
Assess a client who reports severe pain before administering routine medications.
4
statement by a parent indicates correct understanding of the teaching? Select all that
apply
1
"I will place a lock on the cabinet where my medications are stored."
2
"I know my child is safe because I keep my cleaning supplies in an upstairs closet."
3
"I cannot assume my child is protected by the child-resistant lids on cleaning
supplies."
4
,"My child will not touch any cleaning supplies under my sink because of the fear of
punishment."
5
"I put my medicines in the top shelf of the medicine cabinet where my child can't
reach them."
Give this one a try later!
"I will place a lock on the cabinet where my medications are stored."
"I cannot assume my child is protected by the child-resistant lids on
cleaning supplies."
The nurse is assessing a client with a C4 spinal cord injury. Assessment findings
includes coarse breath sounds with labored breathing, and blood pressure 90/68,
pulse 50 beats/minute, and respiration 24 breaths/minute. What is the nurse's first
priority?
1
Administer atropine.
2
Prepare the client for intubation.
3
Obtain arterial blood gases (ABG's).
4
Initiate intravenous fluid replacement.
Give this one a try later!
Obtain arterial blood gases (ABG's).
Administer atropine. Administer for bradycardia after respiratory status is
stabilized
Prepare the client for intubation. Further assessment required before
intubation
Obtain arterial blood gases (ABG's). Correct - Obtaining ABGs initially
determines oxygenation status and indicates if intubation is needed.
, Initiate intravenous fluid replacement. Initiate after respiratory status is
stable for low BP
The nurse is performing endotracheal suctioning. In what order should these steps be
conducted?
Wash hands and don protective eyewear.
Assesses crackles and mucous in trachea.
Open sterile tray while maintain sterility.
Hyperoxygenate until oxygen saturation is between 95 to 100%.
Adjust the suction source 90mmHg.
Preoxygenate with 100% O2 before inserting suction catheter
Insert the catheter in the trachea until resistance is met
Withdraw catheter and apply suction
Give this one a try later!
Assesses crackles and mucous in trachea.
Wash hands and don protective eyewear.
Adjust the suction source 90mmHg.
Open sterile tray while maintain sterility.
Preoxygenate with 100% O2 before inserting suction catheter
Insert the catheter in the trachea until resistance is met
Withdraw catheter and apply suction
Hyperoxygenate until oxygen saturation is between 95 to 100%.
The nurse is performing discharge education for a client who is going home with
continuous oxygen therapy. Which statement by the client requires further teaching?
1
"I can continue smoking as long as I smoke outside."
2
"I should make sure cleaning supplies are not flammable."
3
, "I'm so glad I can travel out of town to visit my grandkids."
4
"I will make sure my oxygen tank is always standing upright."
Give this one a try later!
"I can continue smoking as long as I smoke outside."
The nurse is teaching a group of college students at a community health fair about
HIV prevention. Which statement by a client indicates a need for further teaching?
Give this one a try later!
"I stopped wearing a condom because I have been with my partner for
over a year."
"I stopped wearing a condom because I have been with my partner for
over a year." - Correct - Condoms should be worn at all times to protect
against transmission
The charge nurse is observing a newly hired nurse on the medical-surgical unit. Which
client situation should the nurse address first to demonstrate the ability to safely
prioritize care?
1
Attempt to calm a patient with anxiety before inserting a Foley catheter.
2
Administer medication for nausea before assessing a client who is complaining of
chest pain.
3
Assess a client who reports severe pain before administering routine medications.
4
