1. A nurse is initiating a prescription for a dopamine continuous iv infusion for a
client who has heart failure. Which of the following actions should the nurse
take?
o Titrate the dose to achieve desired effects
2. A nurse is caring for a client who has a major burn injury. Which of the
following is the nurse’s priority to prevent wound infections?
o Maintain consistent handwashing by the staff
3. A nurse is providing discharge teaching for a client who has a new diagnosis of
multiple sclerosis. Which of the following client statements indicates an
understanding of the teaching?
o I should participate in aerobic exercise daily
,COMP ATI Q & A WELL RATED 100%
4. A nurse is reviewing the medication administration record of a client. Which of
the following prescriptions should the nurse clarify?
o Digoxin
5. A nurse is teaching a newly licensed nurse about postpartum hemorrhage.
Which of the folloing statements by the newly licensed nurse indicates an
understandings of the teaching?
o Inversion of the uterus is the leading cause of postpartum hemorrhage
6. A nurse is preparing to discharge a client who lives alone and expresses
needing help administering their medications. The nurse should investigate
which of the following services with the client prior to discharge?
o Assisted living
7. A nurse is providing teaching to the parents of a newborn who is been
circumcised. Which of the following instructions should the nurses include in
the teaching?
o Apply petroleum jelly to the glans with diaper changes
8. A nurse on a pediatric unit is preparing to insert an iv catheter for a 7year old
who is dehydrated. Which of the following actions should the nurses take?
o Tell the client there will be discomfort during the catheter insertion
9. A nurse is performing gastric lavage for a client who has upper gastrointestinal
bleeding. Which of the following actions should the nurse take?
o Insert a large bore NG tube
10. A nurse is caring for a client who is at 38 weeks gestation is in active labor.
Which of the following actions should the nurse take?
o Apply a fetal heart rate monitor
11. A community health nurse is reviewing lab reports for a group of clients. The
nurses should identify that which of the following disorders is on the CDCs
nationally notifiable conditions list?
o Lyme disease
12. A nurse is assessing an older adult client who had a left sided stroke. Which of
the following findings should the nurse expect?
o Loss of depth perception
13. A nurse is preparing to insert an indwelling urinary catheter for a client.
Which of the following actions should the nurse plan to take?
o Secure the urinary catheter to the client’s thigh
14. A charge nurse is preparing to lead negotiations among nursing staff due to a
conflict about overtime requirements. Which of the following strategies
should the charge nurse use to promote effective negotiation?
o Attempt to understand both sides of the issue
15. A nurse is caring for a client whose partner recently died. The nurse sits with
the client to provide comfort. Which of the following ethical principles is the
nurse demonstrating?
o Beneficence
16. A nurse is caring for a client who has respiratory depression from an opioid
administration. After administering naloxone to the client, which of the
following findings should the nurse expect?
o Hypoventilation
, COMP ATI Q & A WELL RATED 100%
17. A nurse in the emergency department is interviewing a client immediately
following a sexual assault. Which of the following actions should the nurse
take first?
o Report the client’s assault to the authorities
18. A nurse is flushing a client’s intermittent infusion device. The client states “why
do you have to do that if you s\are not giving me medicine?” which of the
following statements should the nurse make?
o This clears blood from the tubing and the catheter”
19. A nurse is assisting with food selection for a client who follows kosher
dietary traditions. Which of the following food choices should the nurse
include on the client’s food tray?
o Scrambled eggs and toast with milk
20. A nurse is assessing a client who is receiving morphine IV for pain. Which of
the following findings should the nurse report to the provider first?
o BP 80/40
21. A director of nursing in a rehab facility is planning to measure the quality of
care provided. Which of the following audits should the director plan to use
after clients are discharged to gather about quality of care?
o Outcome audit
22. A nurse is caring for an infant who has RSV. Which of the following
interventions should the nurse take?
o Administer palivzumab intravenously
23. A nurse is preparing to administer ranitidine 50 mg IV over 15 mins to a
client. Available is ranitidine 50 mg in 0.9% sodium chloride solution
100ml. the nurse should set the IV pump to deliver how many ml/hr?
o 400
24. a nurse is caring for a client who has preeclampsia and is experiencing a
postpartum hemorrhage. The nurse should expect the provider to prescribe
which of the following medications?
Oxytocin
25. A nurse has identified tasks to delegate to a group of Aps after receiving
change of shift report.
o Review the skill level and qualification of each AP
o Communicate appropriate tasks to the Aps with specific expectations
Monitor progress of task completion with each AP
o Evaluate the AP’s performance of each task
26. A nurse is assessing a new born 2 hr following birth. Which of the followings
finding should the nurse expect?
o HR 190/min
27. A nurse is providing teaching to a client who is on glucocorticoid therapy.
Which of the following statements by the client indicates an understanding of
the teaching?
o I consistently take my medication between 8 and 9 each evening
28. A nurse is caring for a client who has depression and reports taking st. johns
wart along with citalopram
o Serotonin syndrome
29. A nurse is assessing a clients coccyx area for a pressure ulcer. The nurse
notes that superficial subcutaneous fat is visible and tunneling is present.