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1. The nurse working in the ED has received the following prescriptions for a newly
admitted client, which prescriptions should the nurse implement FIRST?: Initiate IV
sodium and potassium for a client admitted with diarrhea and dehydration who has a
serum _____________level of 2.9. ---✔✔ Answer---Potassium
2. A nurse is caring for a male client who has a deep partial thickness and a full thickness
burn to 45 % of the lower body, it would be a PRIORITY for the nurse to notify the
provider if the client has: A _________output of 45 ml over the past two hours. ---✔✔
Answer---Urinary
3. The nurse is assessing clients at the scene of a mass casualty disaster and is prioritizing
care based on the disaster triage tag system which of the following clients should be
transported to the health care facility FIRST? Chest The client who has multiple
compound fractures and is reporting ________ pain ---✔✔ Answer---Chest
4. The charge nurse in the ED is reviewing the care provided for recently admitted clients;
which of the following reflects implementation of an accepted standard of care?: Placing
the client who has suspected Haemophilus influenza on ____________precautions. ---✔✔
Answer---Droplet
5. The nurse is working on a crisis hotline speaking with a client who states "I just took an
entire bottle of amitriptyline" which of the following responses should the nurse
INITIALLY make to the client?: I'm glad you called, and I want to send an
____________to help you. ---✔✔ Answer---Ambulance
1 GOOD LUCK!!!
, 6. The nurse is monitoring a client following a thoracentesis would be a priority for the
nurse to notify the primary health care provider if the client develops: A
_____________that has increased from 95 to 110BPM. ---✔✔ Answer---Heart rate
7. A nurse is caring for a client receiving chemotherapy, the client is not eating well but
denies any nausea or vomiting which of the following would be best for the nurse to suggest
to the client?: ___________, green beans and cottage cheese. ---✔✔ Answer---Chicken
8. Which med should be given for the pt in Vtach? (Rhythm strip) ---✔✔ Answer---
Amiodarone
9. The nurse is talking with a pt who has MS what would need follow up by the nurse ---
✔✔ Answer---hot showers
10. Pt had colostomy created 6 hours ago. Stoma appears dark red dry flaccid w a small
amount of mucous drained in the bag. What is the first priority? ---✔✔ Answer---Call
the provider.
11. Lumbar surgery w/headache and clear drainage: _____ ---✔✔ Answer---lower the
head of the bed
12. An adverse effect of magnesium sulfate is a __________of 10 ---✔✔ Answer---
Respiratory rate
2 GOOD LUCK!!!
, 13. Health fair screening: Scoliosis screening for ages 10-14 ---✔✔ Answer---Annually
14. Pt taking antacids is at risk for which acid base imbalance ---✔✔ Answer---
Metabolic Alkalosis
15. Pt w NG tube is at risk for acid based imbalance ---✔✔ Answer---Metabolic Alkalosis
Which finding in the kidney transplant requires f/u? ---✔✔ Answer---Temperature
increase
17. Bipolar pt.: set clear ---✔✔ Answer---boundaries and limits
18. TPN: Only given through central line, only hang ---✔✔ Answer---D-10 if out
NOT D50
Catheter further teaching: Inflate balloon as soon as you see ---✔✔ Answer---Urine
20 LPN delegation: LPN can ---✔✔ Answer---Reinforce teaching
21. Pt most at risk for colorectal cancer ---✔✔ Answer---55 yo male w Crohns whose
FATHER has polyposis
22. Mom is Rh ___________. Give rubella vacc. after delivery ---✔✔ Answer---
NEGATIVE
3 GOOD LUCK!!!
, Pt w hepatic encephalopathy you should call the provider when ---✔✔ Answer---Urinary
output of 450 ml in 24 hours, it should be at least 720
23. Hearing Aid teaching: Do not use alcohol wipes, use on ____________ setting to avoid
feedback ---✔✔ Answer---lowest
24. Which situation should an incident report be used for? ---✔✔ Answer---Staff
member witnesses Visitor falls in the cafeteria
Therapeutic effect of desmopressin? ---✔✔ Answer---UO decrease form 2500 ml to 1200
ml
26. What should the RN do after pt has had a bronchoscopy ---✔✔ Answer---hemoptysis
Pain and redness at IV site, what should the nurse do next? ---✔✔ Answer---insert a new
IV at a different site
29. What should the nurse do after receiving pt from PACU and identifying the pt? ---
✔✔ Answer---Assess breath sounds and vitals
Nurse is providing discharge teaching to a pt w fiberglass cast and crutches which
statement indicates a correct understanding of the follow up teaching ---✔✔ Answer---I
will apply ice to my lower leg for 2-3 days
31. Determine which pt needs OT ---✔✔ Answer---Parkinsons that cannot bathe
themselves.
32. A med error has been made, pt has already been assessed, what should the nurse do
next? ---✔✔ Answer---Notify the provider
34. When should peak/trough be drawn? ---✔✔ Answer---Trough: Immediately before
admin
Peak: 30 min after dose
34. Dumping syndrome ---✔✔ Answer---Increase protein
4 GOOD LUCK!!!