EXAM
, NUR 3805 Transition Exam
The nurse on a medical unit is making rounds after receiving the shift report.
Which client should the nurse see first? Rank in order of priority.
1. The 45-year-old client who complained of having chest pain at midnight
last night and received NTG sublingually.
2. The 62-year-old client who is complaining that no one answered the call light
for 2 hours yesterday.
3. The 29-year-client diagnosed with septicemia who called to request
more blankets because of being cold.
4. The 78-year-old client diagnosed with dementia whose daughter is
concerned because the client is more confused today.
5. The 37-year-old client who has a Stage 4 pressure sore and the dressing
needs to be changed this morningSelect one:
a. 1,2,4,3,5
b. 2,3,1,2,5
c. 3,4,5,1,2
d. 3,4,1,2,5
.
37-Which nursing problem is the highest priority for the client diagnosed with
gastroenteritis from staphylococcal food poisoning?
Select one:
a. Oral mucous membrane, altered.
b. Alteration in bowel elimination.
c. Nutrition, altered: less than body requirements.
d. Fluid and electrolyte imbalance.
Which tasks are appropriate to assign to the unlicensed assistive personnel
(UAP)? Select all that apply.
Select one or more:
a. Apply oxygen via nasal cannula to the client.
b. Empty the trashcans in the clients' rooms.
c. Teach the client how to ambulate on the walker.
d. Perform mouth care on the client with pneumonia.
e. Take the empty blood bag back to the laboratory.
Erythromycin (E-Mycin) has been prescribed for a client with a respiratory
infection . The nurse tells the client that which frequent side effect can occur
from this medication?
Select one:
a. Severe diarrhea.
b. Yellow discoloration on the black part of the eyes.
c. Abdominal cramping.
d. Yellow-colored skin.
A woman with type 1 Diabetes M is returned to the recovery room one hour after
an uneventful delivery of a 9 lb. 8 oz, baby boy. The nurse would expect the
woman's blood sugar to do which of the following?
Select one: