,6. Anurseiscaringforaclientwhoisinactivelaborandrequestspainmanagement.3fWhichof3fthe3
f following3factions3fshould3fthe3fnurse3ftake?
A. Administerondansetron.
3fB.
C. Applyfundal3fpressure3fduringcontractions.
D. Assist3fthe3fclientto3fa3fsupine3fposition.
7. a3fnurse3fin3fan3femergency3fdepartment3fis3fperforming3ftriage3ffor3fmultiple3fclients3ffollowin
g3fa3fdisasterinthecommunity.3fTo3fwhichofthefollowingtypesofinjuriesshouldthenurseassign
3fthe3fhighest3fpriority?
A. Below-
B. Fracturedtibia
C. 95%3ffull-thickness3fbodyburn
D. 10cm(4in)3flaceration3fto3ftheforearm
8. anursemanagerisupdatingprotocolsfortheuseofbeltrestraints.3fWhich ofthe3ffollowing3 f
,f
guidelines3fshould3fthe3fnurse3finclude?
A. Removetheclient’s3frestraint3fevery4h
r3fB.
C. Attachtherestrain3ftothebed’s3fsiderails
D. Requesta3fPRNrestrain3fprescriptionforclients 3fwhoareaggressive
9. Anurseisteachinganin-
,f
serviceabout3fnursingleadership.3fWhichofthefollowing information3fshould3fthe3fnurse3finclud
,f
e3fabout3fan3feffective3fleader?
A.
B. (Unable3ftoread)3fforthe3funit
C. Prioritiesstaffrequest3foverclient3fneeds.
D. Providesroutineclient3fcareand3fdocumentation.
10. Anurseisreviewingthelaboratoryfindingsofaclientwhohasdiabetesmellitusandreports3fthat3fs
he3fhas3fbeen3ffollowing3fher3f(unable3fto3fread)3fcare.3fThe3fnurse3fshould3fidentify3fwhich3fof3fthe3ffol
lowing3ffindings3findicates3fa3fneed3fto3frevise3fthe3fclient’s3fplan3fof3fcare.
A. Serumsodium3f1443fmEq/
B. (Unabletoread)3
fC.
D.3 f Randomserumglucose3f1903fmg/dl.
,11. A3fnurse3fin3fa3fprovider’s3foffice3fis3freviewing3fthe3flaboratory3fresults3fof3fa3fgroup3fof3fclients
.3fThe3fnurseshouldidentifythat3fwhich of thefollowingsexuallytransmitted infections3fisanatio
,f
nally3 f notifiable3finfectious3fdisease3fthat3fshould3fbe3freported3fto3fthe3fstate3fhealth3fdepartm
ent?
A. Chlamydia
B. Humanpapillomavirus
C. Candidiasis
D. Herpssimplex3fvirus
12. A3fnurse3fis3fteaching3fa3fnewly3flicensed3fnurse3fabout3ftherapeutic3ftechniques3fto3fuse3fwhen3flea
ding3fa3fgroup3fon3fa3fmental3fhealth3funit.3fWhich3fofthe3ffollowing3fgroup3ffacilitation3ftechniques3fsh
ould3fthe3fnurse3finclude3fin3fthe3fteaching?
A. Sharepersonal3fopinionsto3fhelpinfluencethe3fgroup’s3fvalues
B. Measuretheaccomplishments3fofthegroup3fagainst3faprevious3fgroup
C. Yield in3fsituationsofconflictstomaintain3fgroupharmony
,f
3fD.
13. A3fnurse3fis3fplanning3ffor3fa3fclient3fwho3fpractices3fOrthodox3fJudaism.3fThe3fclient3ftells3fthe3fnur
se3fthat3f(Unabletoread)3fPassoverholiday.3fWhich ofthefollowing actionshould3fthenurseincludein3f
,f
the3fplan3fof3fcare?
A. Providechicken3fwith3fcreamsauce.
B. Avoid3fservingfish3fwith3ffins3fand3fscale
s.3fC.
D.3 f Avoidservingfoods3fcontaininglamb.
14. Anurseis caringfora client3fwho has3fapulmonaryembolism.3fThenurseshouldidentifythe3
,f ,f
f effectiveness3fof3fthe3ftreatment
A. Achest3fx-
rayreveals3fincreased3fdensityin3fall3ffields.3fB.
C. Diminishedbreath3fsoundsareauscultatedbilaterally
D. ABGresults3finclude3fPh3f7.483fPaO23f773fmm3fHg and3fPaCO23f473fmm3fHg.
,f
15. A3fnurse3fin3fan3femergency3fdepartment3fis3fassessing3fa3fclient3fwho3freports3fingesting3fthirty3fdiaze
pam3ftablets(Unable3ftoread)3farespiratoryrateof10/min.3fAftersecuring the3fclient’s3fairwayand3fin
,f
itiating3fan3fIV,3fwhich3fof3fthe3ffollowing3factions3fshould3fthe3fnurse3fdo3fnext.
A. Monitortheclient’s3fIV3fsiteforthrombophlebitis
.3fB.
C. Evaluatetheclient3ffor3ffurthersuicidal3fbehavior.
D. Initiateseizureprecautions3fforthe3fclient.
, 16. Anursein3fan3femergencydepartmentiscaringforaclientwhoreportscocaineuse1hrago.3
f Which3fof3fthe3ffollowing3ffindings3fshould3fthe3fnurse3fexpect?
A. Hypotension
B. Memoryloss
C. Slurredspeech
3fD.
17. Anurseis assessinga3fnewborn whohasablood glucoselevel3fof3f30mg/dl.3fWhichofthe
,f ,f
3 f following3fmanifestations3fshould3fthe3fnurse3fexpect?
A. Loosestools
B. Jitteriness
C. Hypertonia
D. Abdominaldistention
18. Anurseinapediatricclinicisreviewingthelaboratorytestresults3fofaschoolagechild.3
f Which3fof3fthe3ffollowing3ffindings3fshould3fthe3fnurse3freport3fto3fthe3fprovider?
A. Hgb3f12.53fg/dl
B. Platelets3f250,000/mm3
C. Hct3f40
%3fD.
19. A3fcharge3fnurse3fis3fteaching3fa3fnewly3flicensed3fnurse3fabout3fclients3fdesignating3fa3fhealth3fcare3fpro
xyin3fsituationsthat3frequireadurablepowerofattorneyforhealcare(DPSHC).3fWhichofthe3ffollowin
g3 f information3fshould3fthe3fcharge3fnurse3finclude?
A. “Theproxyshouldmakehealthcaredecisionsfortheclientregardlessoftheclient’s3 f 3
f ability3fto3fdo3fso.”
B. “Theproxycan3fmakefinancial3fdecisions3fif3ftheneed3farises
.”3fC.
D.3 f “Theproxyshould3fmanage3flegal3fissues3ffor3fthe3fclient.”
20. Anurseinthe3fPACUiscaringforaclientwhoreportsnausea.3fWhichofthefollowing3
f actions3fshould3fthe3fnurse3ftake3ffirst?
A.
B. Administer3fan3fanalgesic
C. Administerantiemetic
D. Monitortheclient’s3fvital3fsigns.
f following3factions3fshould3fthe3fnurse3ftake?
A. Administerondansetron.
3fB.
C. Applyfundal3fpressure3fduringcontractions.
D. Assist3fthe3fclientto3fa3fsupine3fposition.
7. a3fnurse3fin3fan3femergency3fdepartment3fis3fperforming3ftriage3ffor3fmultiple3fclients3ffollowin
g3fa3fdisasterinthecommunity.3fTo3fwhichofthefollowingtypesofinjuriesshouldthenurseassign
3fthe3fhighest3fpriority?
A. Below-
B. Fracturedtibia
C. 95%3ffull-thickness3fbodyburn
D. 10cm(4in)3flaceration3fto3ftheforearm
8. anursemanagerisupdatingprotocolsfortheuseofbeltrestraints.3fWhich ofthe3ffollowing3 f
,f
guidelines3fshould3fthe3fnurse3finclude?
A. Removetheclient’s3frestraint3fevery4h
r3fB.
C. Attachtherestrain3ftothebed’s3fsiderails
D. Requesta3fPRNrestrain3fprescriptionforclients 3fwhoareaggressive
9. Anurseisteachinganin-
,f
serviceabout3fnursingleadership.3fWhichofthefollowing information3fshould3fthe3fnurse3finclud
,f
e3fabout3fan3feffective3fleader?
A.
B. (Unable3ftoread)3fforthe3funit
C. Prioritiesstaffrequest3foverclient3fneeds.
D. Providesroutineclient3fcareand3fdocumentation.
10. Anurseisreviewingthelaboratoryfindingsofaclientwhohasdiabetesmellitusandreports3fthat3fs
he3fhas3fbeen3ffollowing3fher3f(unable3fto3fread)3fcare.3fThe3fnurse3fshould3fidentify3fwhich3fof3fthe3ffol
lowing3ffindings3findicates3fa3fneed3fto3frevise3fthe3fclient’s3fplan3fof3fcare.
A. Serumsodium3f1443fmEq/
B. (Unabletoread)3
fC.
D.3 f Randomserumglucose3f1903fmg/dl.
,11. A3fnurse3fin3fa3fprovider’s3foffice3fis3freviewing3fthe3flaboratory3fresults3fof3fa3fgroup3fof3fclients
.3fThe3fnurseshouldidentifythat3fwhich of thefollowingsexuallytransmitted infections3fisanatio
,f
nally3 f notifiable3finfectious3fdisease3fthat3fshould3fbe3freported3fto3fthe3fstate3fhealth3fdepartm
ent?
A. Chlamydia
B. Humanpapillomavirus
C. Candidiasis
D. Herpssimplex3fvirus
12. A3fnurse3fis3fteaching3fa3fnewly3flicensed3fnurse3fabout3ftherapeutic3ftechniques3fto3fuse3fwhen3flea
ding3fa3fgroup3fon3fa3fmental3fhealth3funit.3fWhich3fofthe3ffollowing3fgroup3ffacilitation3ftechniques3fsh
ould3fthe3fnurse3finclude3fin3fthe3fteaching?
A. Sharepersonal3fopinionsto3fhelpinfluencethe3fgroup’s3fvalues
B. Measuretheaccomplishments3fofthegroup3fagainst3faprevious3fgroup
C. Yield in3fsituationsofconflictstomaintain3fgroupharmony
,f
3fD.
13. A3fnurse3fis3fplanning3ffor3fa3fclient3fwho3fpractices3fOrthodox3fJudaism.3fThe3fclient3ftells3fthe3fnur
se3fthat3f(Unabletoread)3fPassoverholiday.3fWhich ofthefollowing actionshould3fthenurseincludein3f
,f
the3fplan3fof3fcare?
A. Providechicken3fwith3fcreamsauce.
B. Avoid3fservingfish3fwith3ffins3fand3fscale
s.3fC.
D.3 f Avoidservingfoods3fcontaininglamb.
14. Anurseis caringfora client3fwho has3fapulmonaryembolism.3fThenurseshouldidentifythe3
,f ,f
f effectiveness3fof3fthe3ftreatment
A. Achest3fx-
rayreveals3fincreased3fdensityin3fall3ffields.3fB.
C. Diminishedbreath3fsoundsareauscultatedbilaterally
D. ABGresults3finclude3fPh3f7.483fPaO23f773fmm3fHg and3fPaCO23f473fmm3fHg.
,f
15. A3fnurse3fin3fan3femergency3fdepartment3fis3fassessing3fa3fclient3fwho3freports3fingesting3fthirty3fdiaze
pam3ftablets(Unable3ftoread)3farespiratoryrateof10/min.3fAftersecuring the3fclient’s3fairwayand3fin
,f
itiating3fan3fIV,3fwhich3fof3fthe3ffollowing3factions3fshould3fthe3fnurse3fdo3fnext.
A. Monitortheclient’s3fIV3fsiteforthrombophlebitis
.3fB.
C. Evaluatetheclient3ffor3ffurthersuicidal3fbehavior.
D. Initiateseizureprecautions3fforthe3fclient.
, 16. Anursein3fan3femergencydepartmentiscaringforaclientwhoreportscocaineuse1hrago.3
f Which3fof3fthe3ffollowing3ffindings3fshould3fthe3fnurse3fexpect?
A. Hypotension
B. Memoryloss
C. Slurredspeech
3fD.
17. Anurseis assessinga3fnewborn whohasablood glucoselevel3fof3f30mg/dl.3fWhichofthe
,f ,f
3 f following3fmanifestations3fshould3fthe3fnurse3fexpect?
A. Loosestools
B. Jitteriness
C. Hypertonia
D. Abdominaldistention
18. Anurseinapediatricclinicisreviewingthelaboratorytestresults3fofaschoolagechild.3
f Which3fof3fthe3ffollowing3ffindings3fshould3fthe3fnurse3freport3fto3fthe3fprovider?
A. Hgb3f12.53fg/dl
B. Platelets3f250,000/mm3
C. Hct3f40
%3fD.
19. A3fcharge3fnurse3fis3fteaching3fa3fnewly3flicensed3fnurse3fabout3fclients3fdesignating3fa3fhealth3fcare3fpro
xyin3fsituationsthat3frequireadurablepowerofattorneyforhealcare(DPSHC).3fWhichofthe3ffollowin
g3 f information3fshould3fthe3fcharge3fnurse3finclude?
A. “Theproxyshouldmakehealthcaredecisionsfortheclientregardlessoftheclient’s3 f 3
f ability3fto3fdo3fso.”
B. “Theproxycan3fmakefinancial3fdecisions3fif3ftheneed3farises
.”3fC.
D.3 f “Theproxyshould3fmanage3flegal3fissues3ffor3fthe3fclient.”
20. Anurseinthe3fPACUiscaringforaclientwhoreportsnausea.3fWhichofthefollowing3
f actions3fshould3fthe3fnurse3ftake3ffirst?
A.
B. Administer3fan3fanalgesic
C. Administerantiemetic
D. Monitortheclient’s3fvital3fsigns.
