Exam 100 Questions with 100% Verified Correct
Answers Guaranteed A+
A charge nurse is anticipating the admission of four clients and planning their room
assignments. Which of the following clients should the nurse assign to the room closest
to the station? (The answers where not shown for this one) - CORRECT ANSWER:
Disoriented Patient?
A charge nurse is observing a nurse insert an indwelling urinary catheter into a female
client. For which of the following actions by the nurse should the charge nurse
intervene?
a. The nurse separates the clients labia with her dominant hand
b. The nurse coats the indwelling catheter with lubricant
c. The nurse provides perineal care prior to inserting the urinary catheter
d. The nurse applies the sterile drape prior to inserting the urinary catheter - CORRECT
ANSWER: The nurse separates the clients labia with her dominant hand
A client who has type 1 diabetes mellitus is to have IV fluid that contains 51 units of
Regular insulin (Humulin ..) in 1,000 mL to infuse at 2 units/hr. The nurse should set the
IV pump to deliver how many mL/hr? (round to the nearest whole number) - CORRECT
ANSWER: 39 mL/hr
A client who is having burn debridement states "You are the worst nurse I have ever
seen. All you do is hurt me." which of the following responses should the nurse make? -
CORRECT ANSWER: Pick the most therapeutic response
A hospice nurse is reviewing the prescriptions for a client who is receiving hospice care.
Which of the following prescriptions should the nurse reject? SATA
,a. Provide skin care with a moisture barrier cream
b. Administer artificial tears PRN
c. Obtain vitals every 2 hours
d. Perform mouth care every hour
e. Perform diagnostic testing - CORRECT ANSWER: Obtain Vitals every 2 hours
Perform diagnostic testing
A nurse admits a client to the emergency department who reports nausea and vomiting
that worsens when he lies down. Antacids do not help. The provider inspects acute
pancreatitis. Which of the following laboratory test results should the nurse expect to
see?
a. Decreased aspartate transaminase
b. Increased serum amylase
c. Decreased serum lipase
d. Increased serum calcium - CORRECT ANSWER: Increased serum amylase
A nurse has several tasks to delegate to an assistive personnel (AP). Which of the
following tasks should the nurse ask the AP to perform first?
a. Take an ABG specimen to the lab
b. Transport a client to the radiology department for an x-ray
c. Pass fresh water to clients on the unit
d. Obtain a routine urine sample from a newly admitted client - CORRECT ANSWER:
Take an ABG specimen to the lab
,A nurse in a burn treatment center is caring for a client who is admitted with severe
burns to both lower extremities and is scheduled for an escharotomy . The client's
spouse asks the nurse what happens during the procedure. Which of the following
nursing statements is appropriate?
a. .
b. .
c. .
d. . - CORRECT ANSWER: Blank
A nurse in a dialysis center is caring for a client who has a new-diagnosis of end-stage
kidney disease. When he arrives for his first dialysis treatment, he tells the nurse "I
decided to come today, but I am not sure if I will need to come back again this week. I
am feeling much better since my discharge from the hospital and I think my kidneys are
working again." The nurse should identify that this client is demonstrating which of the
following Kubler Ross stages of grieving?
a. Bargaining
b. Denial
c. Depression
d. Anger - CORRECT ANSWER: Denial
A nurse in an emergency department is caring for a client who has burns on the front
and back of both his legs and arms. Using the rule of nines the nurse should document
burns to which percentage of the client total body surface area (TBSA)?
a. 9%
b. 18%
c. 36%
d. 54% - CORRECT ANSWER: 54%
, A nurse in an emergency department is caring for a client who has deep partial and full
thickness burns to his chest, abdomen, and upper arms. What is the nurse's priority
intervention for this client during the resuscitation phase of injury?
a. .
b. .
c. .
d. . - CORRECT ANSWER: Blank
A nurse in an emergency room is caring for a client who sustained partial-thickness to
both lower legs, chest, face, and both forearms. Which of the following is the priority
actions the nurse should take?
a. Insert an indwelling urinary catheter
b. Inspect the mouth for signs of inhalation injury
c. Administer IV pain meds
d. Draw blood for CBC - CORRECT ANSWER: Inspect the mouth for signs of inhalation
injury
A nurse in the emergency department is assessing a client who has internal injuries
from a car crash. The client is disoriented to time and place, diaphoretic and his lips are
cyanotic. The nurse should anticipate which of the findings as an indication of
hypovolemic shock?
a. Increased heart rate
b. Widening pulse pulse pressure
c. Increased deep tendon reflexes
d. Pulse oximetry 96% - CORRECT ANSWER: Increased Heart Rate