1. A nurse is caring for a client who has a new RX for antihypertensive
med- ication. Prior to administering the medication, the nurse uses an
electronic database to gather information about the medication and the
effects it might have on this client. Which of the following components of
critical thinking is the nurse using when he reviews the medication
information?
A) Knowledge
B) Experience
C) Intuition
D) Competence: A) Knowledge
2. A client who has an indwelling catheter reports a need to urinate. Which
of the following actions should the nurse take?
A) Check to see whether the catheter is patent.
B) Reassure the client that it is not possible for her to urinate.
C) Recatheterize the bladder with a larger-gauge catheter.
D) Collect a urine specimen for analysis: A) Check to see whether the
,catheter is patent.
3. A nurse is caring for a client who has a RX for a 24-hr urine collection.
Which of the following actions should the nurse take?
A) Discard the first voiding
B) Keep the urine in a singe container at room temp
C) Ask the client to urinate and pour the urine into a specimen container
D) Ask the client to urinate into the toilet, stop midstream, and finish
urinating into the specimen container.: A) Discard the first voiding
4. A newly licensed nurse is reporting to the charge nurse about the care
she gave to a client. She states, "The client said his leg pain was back, so I
checked his medical record, and he last received his pain med 6 hr ago. The
prescription reads every 4 hours PRN for pain, so I decided he needs it. I
asked the unit nurse to observe me preparing and administering it. I
checked with the client 40 minutes later, and he said his pain is going away."
The charge nurse should inform the newly licensed nurse that she left out
which of the following steps of the nursing process?
A. Assessment
,B. Planning
C. Intervention
D. Evaluation: A. Assessment
, 5. A nurse is contributing to the plan of care for a client who is being
admitted to the facility with a
suspected diagnosis of pertussis. Which of the following should the nurse
include in the plan of care? (SATA)
A. Place the client in a room that has negative air pressure of at least
six exchanges per hour.
B. Wear a mask when providing care within 3 ft of the client.
C. Place a surgical mask on the client if transportation to another
department is unavoidable.
D. Use sterile gloves when handling soiled linens.
E. Wear a gown when performing care that may result in contamination
from secretions.: B. Wear a mask when providing care within 3 ft of the
client.
C. Place a surgical mask on the client if transportation to another
department is unavoidable
E. Wear a gown when performing care that may result in contamination
from secretions.
6. A nurse is caring for a client who had an amphetamine overdose and