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1. 1. The nurse working in the ED has received the follow- Potassium
ing prescriptions for a newly admitted client, which
prescriptions should the nurse implement FIRST?: Ini-
tiate IV sodium and potassium for a client admit-
ted with diarrhea and dehydration who has a serum
_____________level of 2.9.
2. 2. A nurse is caring for a male client who has a deep Urinary
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.
3. 3. The nurse is assessing clients at the scene of a mass Chest
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
4. 4. The charge nurse in the ED is reviewing the care pro- Droplet
vided for recently admitted clients; which of the fol-
lowing reflects implementation of an accepted stan-
dard of care?: Placing the client who has suspected
Haemophilus influenza on ____________precautions.
5. 5. The nurse is working on a crisis hotline speaking Ambulance
with a client who states "I just took an entire bot-
tle of amitriptyline" which of the following responses
should the nurse INITIALLY make to the client?: I'm
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glad you called, and I want to send an ____________to
help you.
6. 6. The nurse is monitoring a client following a thora- Heart rate
centesis 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.
7. 7. A nurse is caring for a client receiving chemothera- Chicken
py, 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.
8. 8. Which med should be given for the pt in Vtach? Amiodarone
(Rhythm strip)
9. 9. The nurse is talking with a pt who has MS what hot showers
would need follow up by the nurse
10. 10. Pt had colostomy created 6 hours ago. Stoma ap- Call the provider.
pears dark red dry flaccid w a small amount of mucous
drained in the bag. What is the first priority?
11. 11. Lumbar surgery w/headache and clear drainage: lower the head of the bed
_____
12. 12. An adverse effect of magnesium sulfate is a Respiratory rate
__________of 10
13. 13. Health fair screening: Scoliosis screening for ages Annually
10-14
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14. 14. Pt taking antacids is at risk for which acid base Metabolic Alkalosis
imbalance
15. 15. Pt w NG tube is at risk for acid based imbalance Metabolic Alkalosis
16. Which finding in the kidney transplant requires f/u? Temperature increase
17. 17. Bipolar pt.: set clear boundaries and limits
18. 18. TPN: Only given through central line, only hang D-10 if out
NOT D50
19. 19 Catheter further teaching: Inflate balloon as soon Urine
as you see
20. 20 LPN delegation: LPN can Reinforce teaching
21. 21. Pt most at risk for colorectal cancer 55 yo male w Crohns
whose FATHER has poly-
posis
22. 22. Mom is Rh ___________. Give rubella vacc. after de- NEGATIVE
livery
23. Pt w hepatic encephalopathy you should call the Urinary output of 450 ml
provider when in 24 hours, it should be at
least 720
24. 23. Hearing Aid teaching: Do not use alcohol wipes, lowest
use on ____________ setting to avoid feedback
25. 24. Which situation should an incident report be used Staff member witnesses
for? Visitor falls in the cafeteria