A nurse is reviewing the laboratory results of a client who is taking
cyclosporine following a kidney transplant. Which of the following
findings should the nurse report?
a. Urine specific gravity
1.023 b. Serium
creatinine 1.6 mg/dL
c. Urine pH 6.2
d. BUN 18 mg/Dl
e. A nurse is providing teaching to a client about the adverse effects of
sertraline. Which of the following adverse effects should the nurse
include?
• Increased urinary frequency
• Dry cough
• Excessive sweating
• Metallic taste in the mouth
f. A nurse is caring for a client who is postoperative and has a chest
tube drainage system. For which of the following findings should
the nurse notify the provider?
• Tidaling occurs when the client is breathing
• Continuous bubbling in the water seal chamber
• Oxygen saturation of 92% on room air
• Presence of 50 mL/hr in the drainage chamber
g. A nurse is preparing to administer vancomycin IV to an adult. The
client asks the nurse if the medication can be given 2 hr earlier.
Which of the following statements should the nurse make?
• “I can infuse the medication at a faster rate.”
, • “I have up to 2 hours after the usual schedule time to give you
this medication.”
• “I can adjust the time and schedule for when
it’s convenient for you.” d. “I can start the
medication 30 min earlier.”
h. 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?
• Determine a clients current anxiety level
• Initiate a referral for client counseling
• Request the clients permission to contact a family member
• Report the clients assault to the authorities
i. A nurse is caring for a client who gestational hypertension and is
experiencing toxic effects due to magnesium sulfate therapy. The
nurse should anticipate administering which of the following
medications?
• Sodium bicarbonate
• Potassi
um
chlorid
e c.
Calciu
m
glucona
te
d. Magnesium sulfate
, j. A nurse is caring for a client who has end-stage kidney disease. The
client’s adult child asks the nurse about becoming a living kidney
donor for their parent. Which of the following conditions in the
child’s medical history should the nurse identify as a contraindication
to the procedure?
• Hypertension
• Osteoarthritis
• Primary glaucoma
• Amputation
k. A nurse has identified tasks to delegate to a group of assistive
personnel (AP) after receiving change-of-shift report. Identify the
sequence of steps the nurse should follow when delegating tasks to
the Aps. Put in order
-Review the skill level and qualifications of each AO
-Monitor progress of tasks completion with each
AP
-Evaluate the APs’ performance of each task
-Communicate appropriate tasks to the Aps with specific expectations
A nurse is providing discharge instructions about a newborn safety to a
client who is 2 days postpartum. Which of the following instructions
should the nurse include?
a. Use a car seat when traveling by airplane.
b. Lay the baby on his stomach to nap during the daytime.
c. Change smoke detector batteries every other year
d. Place a plastic waterproof sheet over the crib bedding
Math question
A nurse is caring for a client who has major depressive disorder. The
, client tells the nurse, “No one cares about me. I’m completely alone”.
Which of the following responses should the nurse make?
a. “What makes you think that”?
b. “Can you give me an example of how others are making you feel this
way?”
c. “You should join a community support group.”
d. “Don’t worry. You should be feeling better in a couple weeks.”
A nurse on a medical-surgical unit is caring for a client who states that
she plans to leave the facility against medical advice. For which of the
following actions by the nurse should the charge nurse intervene?
a. Asks the client to sign a form releasing the hospital from
legal responsibility b. Asks security to detain the client until
the provider is notified
c. Show the client for abnormal laboratory results
d. Asks the client what her plans are for follow-up care
A nurse is a prenatal teaching to a client who is at 12 weeks of
gestation. The nurse should tell the client she will undergo which of
the following screening tests at 16 weeks of gestation?
a. Maternal serum alpha-fetoprotein
b. Nonstress test
c. Cervical cultures for chlamydia
d. Chorionic villus sampling
A nurse is admitting a client who has schizophrenia and experiences
occasional auditory hallucinations. The client states, “It’s hard not to
listen to the voices.” Which of the following questions should the nurse
ask the client?
a. “Have you tried going to a private place when this occurs?”
cyclosporine following a kidney transplant. Which of the following
findings should the nurse report?
a. Urine specific gravity
1.023 b. Serium
creatinine 1.6 mg/dL
c. Urine pH 6.2
d. BUN 18 mg/Dl
e. A nurse is providing teaching to a client about the adverse effects of
sertraline. Which of the following adverse effects should the nurse
include?
• Increased urinary frequency
• Dry cough
• Excessive sweating
• Metallic taste in the mouth
f. A nurse is caring for a client who is postoperative and has a chest
tube drainage system. For which of the following findings should
the nurse notify the provider?
• Tidaling occurs when the client is breathing
• Continuous bubbling in the water seal chamber
• Oxygen saturation of 92% on room air
• Presence of 50 mL/hr in the drainage chamber
g. A nurse is preparing to administer vancomycin IV to an adult. The
client asks the nurse if the medication can be given 2 hr earlier.
Which of the following statements should the nurse make?
• “I can infuse the medication at a faster rate.”
, • “I have up to 2 hours after the usual schedule time to give you
this medication.”
• “I can adjust the time and schedule for when
it’s convenient for you.” d. “I can start the
medication 30 min earlier.”
h. 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?
• Determine a clients current anxiety level
• Initiate a referral for client counseling
• Request the clients permission to contact a family member
• Report the clients assault to the authorities
i. A nurse is caring for a client who gestational hypertension and is
experiencing toxic effects due to magnesium sulfate therapy. The
nurse should anticipate administering which of the following
medications?
• Sodium bicarbonate
• Potassi
um
chlorid
e c.
Calciu
m
glucona
te
d. Magnesium sulfate
, j. A nurse is caring for a client who has end-stage kidney disease. The
client’s adult child asks the nurse about becoming a living kidney
donor for their parent. Which of the following conditions in the
child’s medical history should the nurse identify as a contraindication
to the procedure?
• Hypertension
• Osteoarthritis
• Primary glaucoma
• Amputation
k. A nurse has identified tasks to delegate to a group of assistive
personnel (AP) after receiving change-of-shift report. Identify the
sequence of steps the nurse should follow when delegating tasks to
the Aps. Put in order
-Review the skill level and qualifications of each AO
-Monitor progress of tasks completion with each
AP
-Evaluate the APs’ performance of each task
-Communicate appropriate tasks to the Aps with specific expectations
A nurse is providing discharge instructions about a newborn safety to a
client who is 2 days postpartum. Which of the following instructions
should the nurse include?
a. Use a car seat when traveling by airplane.
b. Lay the baby on his stomach to nap during the daytime.
c. Change smoke detector batteries every other year
d. Place a plastic waterproof sheet over the crib bedding
Math question
A nurse is caring for a client who has major depressive disorder. The
, client tells the nurse, “No one cares about me. I’m completely alone”.
Which of the following responses should the nurse make?
a. “What makes you think that”?
b. “Can you give me an example of how others are making you feel this
way?”
c. “You should join a community support group.”
d. “Don’t worry. You should be feeling better in a couple weeks.”
A nurse on a medical-surgical unit is caring for a client who states that
she plans to leave the facility against medical advice. For which of the
following actions by the nurse should the charge nurse intervene?
a. Asks the client to sign a form releasing the hospital from
legal responsibility b. Asks security to detain the client until
the provider is notified
c. Show the client for abnormal laboratory results
d. Asks the client what her plans are for follow-up care
A nurse is a prenatal teaching to a client who is at 12 weeks of
gestation. The nurse should tell the client she will undergo which of
the following screening tests at 16 weeks of gestation?
a. Maternal serum alpha-fetoprotein
b. Nonstress test
c. Cervical cultures for chlamydia
d. Chorionic villus sampling
A nurse is admitting a client who has schizophrenia and experiences
occasional auditory hallucinations. The client states, “It’s hard not to
listen to the voices.” Which of the following questions should the nurse
ask the client?
a. “Have you tried going to a private place when this occurs?”
