A nurse is providing teaching about the gastrostomy tube feedings to the
parents of a school age child. Which of the following instructions should the
nurse take?
A. Administer the feeding over 30 min.
B.Place the child in as supine position after the feeding.
C. Charge the feeding bag and tubing every 3 days.
D.Warm the formula in the microwave prior to administration.
A nurse is administering digoxin 0.125 mg Po to an adult client. For which of
the following findings should the nurse report to the provider?
A. Potassium level 4.2 mEq/L.
B. Apical pulse 58/min.
C. D igoxin level 1 ng/ml.
D. Constipation for 2 days.
A nurse is caring for a client who is comatose and has advance directives
that indicate the client does not want life-sustaining measures. The client's
family want the client to have life-sustaining measures. Which of the
following action should the nurse take?
A . Arrange for an ethics committee meeting to address the family's
concerns. B . Support the family's decision and initiate life-
sustaining measures.
C. . Complete an incident report.
D. . Encourage the family to contact an attorney.
A . Arrange for an ethics committee meeting to address the family's concerns.
A nurse is caring for a client who wears glasses. Which of the following
actions should the nurse take?
A. S tore the glasses in a labeled case.
B. Clean the glasses with hot water.
C. Clean the glasses with a paper towel.
D. Store the glasses on the bedside table.
A. S tore the glasses in a labeled case.
A nurse is teaching a group of newly licensed nurses about measures to take
when caring for a client who is on contact precautions. Which of the
,following should the
,nurse include in the teaching?
A. Remove the protective gown after the client's room.
B. Place the client in a room with negative pressure.
C. W ear gloves when providing care to the client.
D. Wear a mask when changing the linens in the client's room.
C. W ear gloves when providing care to the client.
A nurse is planning on care for a client who is recovering from an acute
myocardial infarction that occurred 3 days ago. Which of the following
instructions should the nurse include?
A. Perform an ECG every 12 hr.
B. Place the client in a supine position while resting.
C. Draw a troponin level every 4hr.
D. Obtain a cardiac rehabilitation consultation.
D. Obtain a cardiac rehabilitation consultation.
The nurse is reviewing the medical record of a client who is requesting
combination oral contraceptives. Which of the following conditions in the
client's history is a contradiction to the use of oral contraceptives?
A. Hyperthyroidism.
B. Thrombophlebitis.
C. Diverticulosis.
D. Hypocalcemia.
B. Thrombophlebitis.
A nurse is caring for a client who request the creation of a living will. Which
of the following actions should the nurse take?
A. Schedule a meeting between the hospital ethics committee and the client.
B. E valuate the client's understanding of life-sustaining measures.
C. Determine the client's preferences about post mortem care.
D. Request a conference with the client's family.
B. E valuate the client's understanding of life-sustaining measures.
A nurse is caring for an adolescent who has sickle-cell anemia. Which of the
following manifestations indicates acute chest syndrome and should be
immediately reported to
, the provider?
A. Substernalr etractions.
B. Hematuria.
C. Temperature 37.9 C (100.2 F).
D. Sneezing.
A. Substernalr etractions.
A nurse is preforming a gastric lavage for a client who has upper
gastrointestinal bleeding. Which of the following action should the nurse
take?
A. Instill 500 ml of solution through the NG tube.
B. I nsert a large-bore NG tube.
C. Use a cold irrigation solution.
D. Instruct the client to lie on his right side.
B. I nsert a large-bore NG tube.
A nurse is providing care for a client who is in the advance stage of
amyotrophic lateral sclerosis. (ALS). Which of the following referrals is the
nurse's priority?
A. Psychologist.
B. Social worker.
C. Occupational therapist.
D. Speech-language pathologist.
D. Speech-language pathologist.
A nurse is reviewing the laboratory results of a client who has rheumatoid
arthritis. Which of the following findings should the nurse report to the
provider?
A. WBC count 8,000/mm3.
B. Platelets 150,000/mm3.
C. Aspartate aminotransferase 10 units/L.
D. E rythrocyte sedimentation rate 75 mm/hr
D. E rythrocyte sedimentation rate 75
A nurse is caring for a client who has generalized petechiae and
ecchymoses. The nurse should expect a prescription for which of the
following laboratory tests?
parents of a school age child. Which of the following instructions should the
nurse take?
A. Administer the feeding over 30 min.
B.Place the child in as supine position after the feeding.
C. Charge the feeding bag and tubing every 3 days.
D.Warm the formula in the microwave prior to administration.
A nurse is administering digoxin 0.125 mg Po to an adult client. For which of
the following findings should the nurse report to the provider?
A. Potassium level 4.2 mEq/L.
B. Apical pulse 58/min.
C. D igoxin level 1 ng/ml.
D. Constipation for 2 days.
A nurse is caring for a client who is comatose and has advance directives
that indicate the client does not want life-sustaining measures. The client's
family want the client to have life-sustaining measures. Which of the
following action should the nurse take?
A . Arrange for an ethics committee meeting to address the family's
concerns. B . Support the family's decision and initiate life-
sustaining measures.
C. . Complete an incident report.
D. . Encourage the family to contact an attorney.
A . Arrange for an ethics committee meeting to address the family's concerns.
A nurse is caring for a client who wears glasses. Which of the following
actions should the nurse take?
A. S tore the glasses in a labeled case.
B. Clean the glasses with hot water.
C. Clean the glasses with a paper towel.
D. Store the glasses on the bedside table.
A. S tore the glasses in a labeled case.
A nurse is teaching a group of newly licensed nurses about measures to take
when caring for a client who is on contact precautions. Which of the
,following should the
,nurse include in the teaching?
A. Remove the protective gown after the client's room.
B. Place the client in a room with negative pressure.
C. W ear gloves when providing care to the client.
D. Wear a mask when changing the linens in the client's room.
C. W ear gloves when providing care to the client.
A nurse is planning on care for a client who is recovering from an acute
myocardial infarction that occurred 3 days ago. Which of the following
instructions should the nurse include?
A. Perform an ECG every 12 hr.
B. Place the client in a supine position while resting.
C. Draw a troponin level every 4hr.
D. Obtain a cardiac rehabilitation consultation.
D. Obtain a cardiac rehabilitation consultation.
The nurse is reviewing the medical record of a client who is requesting
combination oral contraceptives. Which of the following conditions in the
client's history is a contradiction to the use of oral contraceptives?
A. Hyperthyroidism.
B. Thrombophlebitis.
C. Diverticulosis.
D. Hypocalcemia.
B. Thrombophlebitis.
A nurse is caring for a client who request the creation of a living will. Which
of the following actions should the nurse take?
A. Schedule a meeting between the hospital ethics committee and the client.
B. E valuate the client's understanding of life-sustaining measures.
C. Determine the client's preferences about post mortem care.
D. Request a conference with the client's family.
B. E valuate the client's understanding of life-sustaining measures.
A nurse is caring for an adolescent who has sickle-cell anemia. Which of the
following manifestations indicates acute chest syndrome and should be
immediately reported to
, the provider?
A. Substernalr etractions.
B. Hematuria.
C. Temperature 37.9 C (100.2 F).
D. Sneezing.
A. Substernalr etractions.
A nurse is preforming a gastric lavage for a client who has upper
gastrointestinal bleeding. Which of the following action should the nurse
take?
A. Instill 500 ml of solution through the NG tube.
B. I nsert a large-bore NG tube.
C. Use a cold irrigation solution.
D. Instruct the client to lie on his right side.
B. I nsert a large-bore NG tube.
A nurse is providing care for a client who is in the advance stage of
amyotrophic lateral sclerosis. (ALS). Which of the following referrals is the
nurse's priority?
A. Psychologist.
B. Social worker.
C. Occupational therapist.
D. Speech-language pathologist.
D. Speech-language pathologist.
A nurse is reviewing the laboratory results of a client who has rheumatoid
arthritis. Which of the following findings should the nurse report to the
provider?
A. WBC count 8,000/mm3.
B. Platelets 150,000/mm3.
C. Aspartate aminotransferase 10 units/L.
D. E rythrocyte sedimentation rate 75 mm/hr
D. E rythrocyte sedimentation rate 75
A nurse is caring for a client who has generalized petechiae and
ecchymoses. The nurse should expect a prescription for which of the
following laboratory tests?
