Answer Key
Question 1 See full question Report this Question 2s
A physician orders diazepam, 10 mg I.V., for a client experiencing status epilepticus. Which statement
about I.V. diazepam is true?
You Selected:
It may be mixed with other drugs in an infusion.
Correct response:
It should be administered no faster than 5 mg/minute in an adult.
Explanation:
Remediation:
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Question 2 See full question Report this Question 2s
A nurse caring for a group of clients on the neurological floor is working with a nursing assistant and a
licensed practical nurse (LPN). Their client care assignment consists of a client with new-onset seizure
activity, a client with Alzheimer's disease, and a client who experienced a stroke. While administering
medications, the registered nurse receives a call from the intensive care unit (ICU), saying a client who
underwent a craniotomy 24 hours ago must be transferred to make room for a new admission. The
ancillary staff is providing morning care and assisting clients with breakfast. How should the nurse
direct the staff to facilitate a timely transfer?
You Selected:
Ask the nursing assistant to finish providing care to the clients and the LPN to administer the
remaining medications so the registered nurse can accept the client from the ICU.
Correct response:
Ask the nursing assistant to finish providing care to the clients and the LPN to administer the
remaining medications so the registered nurse can accept the client from the ICU.
Explanation:
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Question 3 See full question Report this Question 2s
A registered nurse (RN) and licensed practical nurse (LPN) are administering medications on the
neurologic floor. The LPN prepares to administer phenytoin to a client with a history of seizures. The
LPN walks into the room and hands the medication to a nursing assistant. The LPN asks the nursing
assistant to give the client the medication after completing the client's morning care. What should the
registered nurse do?
You Selected:
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Allow the nursing assistant to administer this dose and tell the LPN later that it's the LPN's
responsibility to administer the medication.
Correct response:
Remind the LPN that it is the LPN's duty to administer the medications.
Explanation:
Remediation:
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Question4 See full question 2s
According to hospital policy, a nurse in charge of a neurologic floor must facilitate discharges during a
disaster event so clients involved in the disaster can be admitted promptly. After quickly reviewing the
client census, the nurse identifies five postoperative clients who may be ready for discharge. What
should the nurse do next?
You Selected:
Assess each client, call the physician, and ask for discharge orders if appropriate.
Correct response:
Assess each client, call the physician, and ask for discharge orders if appropriate.
Explanation:
Remediation:
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Question5 See full question 2s
The nurse is administering eye drops to a client with glaucoma. Which technique is correct for instilling
the eye drops? The eye drops are placed:
You Selected:
on the cornea.
Correct response:
in the lower conjunctival sac.
Explanation:
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Question6 See full question 1s
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The nurse is instructing the client about postoperative care following cataract removal. What position
should the nurse teach the client to use?
You Selected:
Remain in a semi-Fowler's position.
Correct response:
Remain in a semi-Fowler's position.
Explanation:
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Question7 See full question 2s
A client has chronic open-angle glaucoma. What should the nurse ask the client about when
conducting a focused assessment?
You Selected:
excessive lacrimation
Correct response:
decreasing peripheral vision
Explanation:
Remediation:
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Question8 See full question 2s
As a first step in teaching a woman with a spinal cord injury and quadriplegia about her sexual health,
the nurse assesses her understanding of her current sexual functioning. Which statement by the client
indicates she understands her current ability?
You Selected:
“I won’t be able to have sexual intercourse until the urinary catheter is removed.”
Correct response:
"I can participate in sexual activity but might not experience orgasm."
Explanation:
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