A nurse is caring for a client who is to receive a transfusion of packed RBCs.
Which of the following actions should the nurse take?
A. Prime IV tubing with 0.9% sodium chloride.
B. Use a 24-gauge IV catheter - should be 18g
C. Obtain filter less IV tubing.
D. Place blood in the warmer for 1 hr. - ANSWER--A. Prime IV tubing with 0.9%
sodium chloride.
A nurse is admitting a client who has diabetic ketoacidosis. Which of the following
types of continuous infusions should the nurse initiate?
A. 0.9% normal saline.
B. NPH insulin.
C. Glargine insulin.-long acting
D. 0.45% saline. - ANSWER--C. Increase exercise activity
A nurse is teaching about preventative measures to a female client who has chronic
urinary tract infections. Which of the following interventions should the nurse
include in the teaching?
A. "Drink 2 liters of warm water per day".
,B. "Empty your bladder every 6 weeks.".
C. "Soak in a warm bath everyday".
D. "Take an oral estrogen tablet". - ANSWER--A. "Drink 2 liters of warm water
per day".
A nurse is receiving change-of-shift report for a group of clients. Which of the
following clients should the nurse plan to assess first?
A. A client who has sinus arrhythmia and is receiving monitoring
B. A client who has a hip fracture and a new onset of tachypnea
C. A client who has epidural analgesia and weakness in the lower extremities
D. A client who has diabetes and a hemoglobin A1C of 6.8% - ANSWER--B. A
client who has a hip fracture and a new onset of tachypnea
A nurse is admitting a client who has diabetic ketoacidosis. Which of the following
types of continuous infusions should the nurse initiate?
A. 0.9% normal saline.
B. NPH insulin.
C. Glargine insulin.-long acting
D. 0.45% saline. - ANSWER--A. 0.9% normal saline.
,A nurse is providing dietary teaching to a client who has a new diagnosis of
irritable bowel syndrome. Which of the following recommendations should the
nurse include?
A. Consume food high in bran fiber
B. Increase intake of milk products
C. Sweeten foods with fructose corn syrup
D. Increase foods high in gluten - ANSWER--A. Consume food high in bran fiber
A nurse is caring for a 1-day-old newborns who has jaundice and is receiving
phototherapy. Which of the following actions should the nurse take?
A. the infant 30 ml (1 oz) glucose water every 2 hr.
B. Keep the infants head covered with a cap.
C. Ensure that the newborn wears a diaper.
D. Apply lotion to the newborn every 4 hr. - ANSWER--C. Ensure that the
newborn wears a diaper.
A nurse is teaching a group of newly licensed nurses about client advocacy. Which
of the following statements by a newly licensed nurse indicates an understanding
of the teaching?
A. "I feel to be in his best health care decision"
, B. "I will intervene if there is conflict between a client and his provider"
C. "I should not advocate for a client unless he is able to ask me himself"
D. "I will inform a client that his family should help make his health care
decisions." - ANSWER--B. "I will intervene if there is conflict between a client
and his provider"
A nurse is preparing to reposition a client who had a stroke. Which of the
following actions should the nurse take?
A. Raise the side rails on both sides of the client's bed during repositioning.
B. Reposition the client without assistive devices.
C. Discuss the client's preferences for determining a reposition schedule.
D. Evaluate the client's ability to help with repositioning. - ANSWER--D. Evaluate
the client's ability to help with repositioning.
A nurse is orientation a newly licensed nurse who is caring for a client who is
receiving mechanical ventilation and is on pressure support ventilation (PSV)
mode. Which of the following statements by the newly licensed nurse indicates and
understanding of PSV?
A. "It keeps the alveoli open and prevents atelectasis."
B. "It allows preset pressure delivered during spontaneous ventilation."
C. "It guarantees minimal minute ventilator."
Which of the following actions should the nurse take?
A. Prime IV tubing with 0.9% sodium chloride.
B. Use a 24-gauge IV catheter - should be 18g
C. Obtain filter less IV tubing.
D. Place blood in the warmer for 1 hr. - ANSWER--A. Prime IV tubing with 0.9%
sodium chloride.
A nurse is admitting a client who has diabetic ketoacidosis. Which of the following
types of continuous infusions should the nurse initiate?
A. 0.9% normal saline.
B. NPH insulin.
C. Glargine insulin.-long acting
D. 0.45% saline. - ANSWER--C. Increase exercise activity
A nurse is teaching about preventative measures to a female client who has chronic
urinary tract infections. Which of the following interventions should the nurse
include in the teaching?
A. "Drink 2 liters of warm water per day".
,B. "Empty your bladder every 6 weeks.".
C. "Soak in a warm bath everyday".
D. "Take an oral estrogen tablet". - ANSWER--A. "Drink 2 liters of warm water
per day".
A nurse is receiving change-of-shift report for a group of clients. Which of the
following clients should the nurse plan to assess first?
A. A client who has sinus arrhythmia and is receiving monitoring
B. A client who has a hip fracture and a new onset of tachypnea
C. A client who has epidural analgesia and weakness in the lower extremities
D. A client who has diabetes and a hemoglobin A1C of 6.8% - ANSWER--B. A
client who has a hip fracture and a new onset of tachypnea
A nurse is admitting a client who has diabetic ketoacidosis. Which of the following
types of continuous infusions should the nurse initiate?
A. 0.9% normal saline.
B. NPH insulin.
C. Glargine insulin.-long acting
D. 0.45% saline. - ANSWER--A. 0.9% normal saline.
,A nurse is providing dietary teaching to a client who has a new diagnosis of
irritable bowel syndrome. Which of the following recommendations should the
nurse include?
A. Consume food high in bran fiber
B. Increase intake of milk products
C. Sweeten foods with fructose corn syrup
D. Increase foods high in gluten - ANSWER--A. Consume food high in bran fiber
A nurse is caring for a 1-day-old newborns who has jaundice and is receiving
phototherapy. Which of the following actions should the nurse take?
A. the infant 30 ml (1 oz) glucose water every 2 hr.
B. Keep the infants head covered with a cap.
C. Ensure that the newborn wears a diaper.
D. Apply lotion to the newborn every 4 hr. - ANSWER--C. Ensure that the
newborn wears a diaper.
A nurse is teaching a group of newly licensed nurses about client advocacy. Which
of the following statements by a newly licensed nurse indicates an understanding
of the teaching?
A. "I feel to be in his best health care decision"
, B. "I will intervene if there is conflict between a client and his provider"
C. "I should not advocate for a client unless he is able to ask me himself"
D. "I will inform a client that his family should help make his health care
decisions." - ANSWER--B. "I will intervene if there is conflict between a client
and his provider"
A nurse is preparing to reposition a client who had a stroke. Which of the
following actions should the nurse take?
A. Raise the side rails on both sides of the client's bed during repositioning.
B. Reposition the client without assistive devices.
C. Discuss the client's preferences for determining a reposition schedule.
D. Evaluate the client's ability to help with repositioning. - ANSWER--D. Evaluate
the client's ability to help with repositioning.
A nurse is orientation a newly licensed nurse who is caring for a client who is
receiving mechanical ventilation and is on pressure support ventilation (PSV)
mode. Which of the following statements by the newly licensed nurse indicates and
understanding of PSV?
A. "It keeps the alveoli open and prevents atelectasis."
B. "It allows preset pressure delivered during spontaneous ventilation."
C. "It guarantees minimal minute ventilator."
