ACTUAL EXAM COMPLETE 150 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+
The nurse is reviewing medical prescription for the newly admitted clients. It would
be a PRIORITY for the nurse to flow up with the physician if a client with - ANSWER: a
K level of 4.0 and has kayexalate prescribed
The nurse should intervene if the nurse suspects a staff member - ANSWER: Obtain a
client consent prior to receiving Ativan
The community health nurse is caring for the following clients. It would be a priority
for the nurse to initiate a multidisciplinary conference for the client who is -
ANSWER: 17 years old, has DM type 1, unemployed, and recent A1C is 13%
The Nurse from the postpartum unit has been temporarily assigned to a med surg
floor. It would be most appropriate to assign the nurse to the client who - ANSWER:
had surgery two hours ago, appendectomy
The nurse in a well baby clinic has assigned several children today. It would be
appropriate to suggest follow up for the child who is - ANSWER: 18 months old and
needs support to ambulate
The nurse is caring for a mechanically ventilated client who was declared brain dead.
An Advance Directive is not documented in the medical record. It would be most
appropriate to obtain consent for organ donation from the - ANSWER: Clients closest
family member
The nurse has received report on 4 clients, who should the nurse assess first -
ANSWER: been admitted with Guillian Barre syndrome and has begun
plasmapheresis therapy
It would be appropriate to assign which of these task to the CNA - ANSWER: one - on
- one client observation for safety
The nurse should intervene is a staff member - ANSWER: discussing a client's DX with
visiting family member
The nurse is preparing a staff presentation on legal and ethical issues in nursing. The
nurse would be correct to include which of the following examples. - ANSWER:
Putting a client in a geriatric chair with the lap tray in front of the client in the day
room to watch TV... Example of false imprisonment
, The nurse from the pediatric unit has been temp assigned to the ED. It would be
most appropriate to assign the nurse to the client who - ANSWER: Is HIV + reporting
nausea and vomiting
Four clients recently returned to the unit following invasive diagnostic testing. The
nurse should immediately intervene if one of the clients: - ANSWER: Is observed
flexing and extending the legs two hours post cardiac cath
The nurse is made aware for the following situations. The nurse should first check
the client who - ANSWER: Has a history of partial seizures and is sitting in the bed
picking at the clothing and smacking lips
The nurse in a community health clinic is talking with the parent of a child with celiac
disease. Which statement would require follow up by the nurse - ANSWER: "I can
feed my child oatmeal and eggs for breakfast."
The charge nurse is observing a LPN preforming patient care. Follow up would be
required if - ANSWER: The LPN dons clean gloves on the dominant hand before trach
suctioning
The nurse at a health promotion fair has taught a group of parents about car seat
safety. Which of the following statement, if made by the parents, would indicate a
correct understanding of the information given? - ANSWER: "I will place my newborn
infant in a rear facing car seat in the middle of the rear seat."
The nurse is caring for a client with VRE. The nurse should place the client on -
ANSWER: Contact precaution
The nurse should initiate protective precaution for a client who has - ANSWER: WBC
2500 mm3
The nurse has provided health teaching for a group of clients who recently DX with
HIV. Which statement made by the clients will require further teaching - ANSWER: "I
will miss not being able to work in my garden."
The nurse in the ED is caring for clients admitted following a rescue from the burning
bus. You would first see the client - ANSWER: Who has soot on face and the nares
and is coughing
A nurse is observing a new hire nurse provide care for assigned clients. The nurse
should intervene if the new hire nurse is observed - ANSWER: Cleansing the wound
from the outer surface to the inner surface for the client how wound is infected with
MRSA
The nurse is caring for a client who has been DX with RA. The nurse should anticipate
the PT to be prescribed - ANSWER: NSAID