A nurse is preparing to administer diphenhydramine 20 mg
orally to a 6-year-old child who has difficulty swallowing
pills. Available is diphenhydramine 12.5mg/5ml oral syrup.
Which of the following images indicates the correct
number of mL the nurse should administer? (round answer
to the nearest whole number.)
DOSAGE CALCULATION - answer8ml
A nurse is admitting a client who is malnourished. The
client states, "My wedding ring is loose and I'm worried I
will lose it if it falls off."Which of the following is an
appropriate response by the nurse?
a. " I will place it in your drawer so it won't get lost."
b. I can pin it to your hospital gown so you won't lose it."
c. "I will hold onto it until a family member can take it
home."
d. I can put it in a locked storage unit for you - answerd
A charge nurse is teaching a group of newly licensed
nurses about the use of restraints. In which of the
,following clinical situations should the nurse apply
restraints?
a. If the client is pacing in the hallway
b. As a part of a fall prevention program
c. At the request of the client's family
d. When the client poses a threat to self - answerd
To ensure client safety, a nurse manager is planning to
observe a newly licensed nurse perform a straight
catheterization on a client. In which of the following roles is
the nurse manager functioning?
a. Case manager
b. Client educator
c. Client care provider
d. Client advocate - answerd
A charge nurse in a long-term care facility is preparing an
educational program about delirium for newly hired
nurses. Which of the following statements should the
nurse plan to include?
a. "Delirium does not affect a client's perception of her
environment."
b. "Delirium does not affect a client's sleep cycle."
c. "Delirium has an abrupt onset."
d. "Delirium has a slow progression." - answerc
A nurse is speaking with a client who has recently
received a diagnosis of a chronic illness. The client states,
" The doctor must be wrong. I can't be that sick". The
nurse should inform the client that their reaction is an
example of which of the following expected responses to
grief?
a. Acceptance
b. Denial
,c. Anger
d. Depression - answerb
A Nurse on a medical-surgical unit is providing care for
four clients. The nurse should identify which of the
following situations as an ethical dilemma?
a. A surgeon who removed the wrong kidney during a
surgical procedure refuses to take responsibility for her
actions
b. A client who has Crohn's disease reports that his
prescription drug plan will not pay for his medications.
c. A client who has a new colostomy refuses to take
instructions from the ostomy therapist because she
"doesn't like him."
d. the family of a client who has a terminal illness asks the
provider not to tell the client the diagnosis - answerd
A nurse is teaching a client about performing breast self-
examinations. Which of the following statements by the
clients indicates an understanding of the teaching?
a. "I should perform my self-exam the week that my period
starts"
b. "I should make different patterns on each breast when I
do my self-exam."
c. "I should use the palm of my hand to apply pressure to
each breast."
d. "I should make circular motions with my fingertips under
my arms." - answerd
A nurse is preparing to transfer a client who is partially
weight bearing from the bed to the chair. Which of the
following actions should the nurse take?
a. Keep his knees straight when moving the client
b. Position the chair next to the bed as a 90 degree angle
, c. Stand with his feet together when lifting the client
d. Have the client bear weight on her stronger leg -
answerd
A nurse is caring for a client following a laparoscopic
cholecystectomy. The client has a prescription for
ondansetron 4mg IV bolus every 6hr PRN for nausea and
vomiting. Identify the sequence of steps the nurse should
follow to administer the medication. ( Move the steps into
the box on the right, placing them in the order of
performance. Use all the steps.)
- Select the injection port of the IV tubing closest to the
client.
- Cleanse the injection port with an antiseptic swab.
- Aspirate for blood return.
- Inject the medication.
- perform hand hygiene - answer1. perform hand hygiene
2. select the injection port of the IV tubing closest to the
client
3. cleanse the injection port with an antiseptic swab
4. aspirate for blood return
5. inject the medication
A nurse is teaching a client who has diabetes mellitus
about mixing regular and NPH insulin.
Which of the following statements but the client indicates
an understanding of the teaching
a. I should wait 3 minutes after mixing the insulin to inject
it
b. I should draw up the NPH insulin before regular insulin
c. I should inject air into the vial of regular insulin first
d. I should roll the vial of NPH insulin between my hands
before drawing it up - answerd
orally to a 6-year-old child who has difficulty swallowing
pills. Available is diphenhydramine 12.5mg/5ml oral syrup.
Which of the following images indicates the correct
number of mL the nurse should administer? (round answer
to the nearest whole number.)
DOSAGE CALCULATION - answer8ml
A nurse is admitting a client who is malnourished. The
client states, "My wedding ring is loose and I'm worried I
will lose it if it falls off."Which of the following is an
appropriate response by the nurse?
a. " I will place it in your drawer so it won't get lost."
b. I can pin it to your hospital gown so you won't lose it."
c. "I will hold onto it until a family member can take it
home."
d. I can put it in a locked storage unit for you - answerd
A charge nurse is teaching a group of newly licensed
nurses about the use of restraints. In which of the
,following clinical situations should the nurse apply
restraints?
a. If the client is pacing in the hallway
b. As a part of a fall prevention program
c. At the request of the client's family
d. When the client poses a threat to self - answerd
To ensure client safety, a nurse manager is planning to
observe a newly licensed nurse perform a straight
catheterization on a client. In which of the following roles is
the nurse manager functioning?
a. Case manager
b. Client educator
c. Client care provider
d. Client advocate - answerd
A charge nurse in a long-term care facility is preparing an
educational program about delirium for newly hired
nurses. Which of the following statements should the
nurse plan to include?
a. "Delirium does not affect a client's perception of her
environment."
b. "Delirium does not affect a client's sleep cycle."
c. "Delirium has an abrupt onset."
d. "Delirium has a slow progression." - answerc
A nurse is speaking with a client who has recently
received a diagnosis of a chronic illness. The client states,
" The doctor must be wrong. I can't be that sick". The
nurse should inform the client that their reaction is an
example of which of the following expected responses to
grief?
a. Acceptance
b. Denial
,c. Anger
d. Depression - answerb
A Nurse on a medical-surgical unit is providing care for
four clients. The nurse should identify which of the
following situations as an ethical dilemma?
a. A surgeon who removed the wrong kidney during a
surgical procedure refuses to take responsibility for her
actions
b. A client who has Crohn's disease reports that his
prescription drug plan will not pay for his medications.
c. A client who has a new colostomy refuses to take
instructions from the ostomy therapist because she
"doesn't like him."
d. the family of a client who has a terminal illness asks the
provider not to tell the client the diagnosis - answerd
A nurse is teaching a client about performing breast self-
examinations. Which of the following statements by the
clients indicates an understanding of the teaching?
a. "I should perform my self-exam the week that my period
starts"
b. "I should make different patterns on each breast when I
do my self-exam."
c. "I should use the palm of my hand to apply pressure to
each breast."
d. "I should make circular motions with my fingertips under
my arms." - answerd
A nurse is preparing to transfer a client who is partially
weight bearing from the bed to the chair. Which of the
following actions should the nurse take?
a. Keep his knees straight when moving the client
b. Position the chair next to the bed as a 90 degree angle
, c. Stand with his feet together when lifting the client
d. Have the client bear weight on her stronger leg -
answerd
A nurse is caring for a client following a laparoscopic
cholecystectomy. The client has a prescription for
ondansetron 4mg IV bolus every 6hr PRN for nausea and
vomiting. Identify the sequence of steps the nurse should
follow to administer the medication. ( Move the steps into
the box on the right, placing them in the order of
performance. Use all the steps.)
- Select the injection port of the IV tubing closest to the
client.
- Cleanse the injection port with an antiseptic swab.
- Aspirate for blood return.
- Inject the medication.
- perform hand hygiene - answer1. perform hand hygiene
2. select the injection port of the IV tubing closest to the
client
3. cleanse the injection port with an antiseptic swab
4. aspirate for blood return
5. inject the medication
A nurse is teaching a client who has diabetes mellitus
about mixing regular and NPH insulin.
Which of the following statements but the client indicates
an understanding of the teaching
a. I should wait 3 minutes after mixing the insulin to inject
it
b. I should draw up the NPH insulin before regular insulin
c. I should inject air into the vial of regular insulin first
d. I should roll the vial of NPH insulin between my hands
before drawing it up - answerd
