NACE PN TO RN
Study online at https://quizlet.com/_9snrje
1. To evaluate a client's Correct Answer: Organs
reason for seeking The purpose of deep palpation, in which the nurse indents the client's
care, the nurse per- skin approximately 1-1/2", is to assess underlying organs and structures
forms deep palpation. such as the kidneys and spleen. Skin turgor, hydration, and temperature
The purpose of deep can be assessed using light touch or light palpation.
palpation is to assess
which of the following?
2. A client is brought to The Correct answer is: assessment of vital signs Vital sign assessment
the emergency depart- would be the priority nursing intervention. This would provide an indi-
ment and the physician cation of the amount of blood loss that has occurred and also provide
determines he has gas- a baseline by which to monitor the progress of treatment. The other
trointestinal (GI) bleed- answers (b, c, and d) are important but not priority actions.
ing. In planning for his
care, which of the fol-
lowing would be first
priority?
3. When providing in- Correct Answer: Discuss the importance of avoiding social events in order
structions to the to stay out of trouble.
adolescent regarding Socialization is very important to teenagers and is a normal part of their
physical development development. The other answers (b, c, and d) are all accurate instructions
of her body, the RN and discussions for the adolescent regarding development.
should do all of the fol-
lowing EXCEPT
4. The nurse is devel- Correct answer: A referral. A referral is recommending home care services
oping discharge plans or giving information to an home care service regarding the client and
for a 65-year-old client. the client's needs. Typically the sources of referral to a home care agency
The discharge plans in- are family members, nurses, physicians, social workers, discharge plan-
dicate the client will be ners or therapists.
discharged home with
, NACE PN TO RN
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home health nursing
care. The nurse pro-
vides the home health
agency with details re-
garding the needs of
the patient. The nurse
made which of the fol-
lowing to the home
health agency?
5. Which of the following Correct answer: 1.6 to 2.4 mEq/L
is the normal serum
electrolyte level for
magnesium?
6. The school nurse is ap- The Correct answer is: in the morning, when the child awakens Visualiza-
proached by a moth- tion of pinworms by means of a tape test is necessary for the diagnosis.
er who explains that Transparent tape is lightly touched to the anus and then applied to a slide
her kindergarten child for microscopic examination. The best specimen is obtained as the child
is constantly scratch- awakens, before toileting or bathing.
ing the perianal area
and that the area is ir-
ritated. The RN under-
stands that she should
instruct the mother to
obtain a rectal spec-
imen by a tape test
and that the mother
should obtain the spec-
imen when?
7.
, NACE PN TO RN
Study online at https://quizlet.com/_9snrje
A 20-year-old patient is Correct Answer: Suction the lungs
admitted to the hos- The first priority is to make sure the client's airways are clear and that
pital with respiratory he can breathe. The other choices can be addressed after ensuring the
failure. He's intubated, client can breathe.
given oxygen, and is
coughing with copious
secretions in his lungs.
What should be done
first?
8. A high school stu- Correct Answer: The student accepts a referral to a substance abuse
dent is referred to counselor. All of the outcomes stated are desirable; however, the best
the school nurse outcome is that the student would agree to seek the assistance of a
for suspected sub- professional substance abuse counselor.
stance abuse. Follow-
ing the nurse's assess-
ment and intervention,
what would be the
MOST desirable out-
come?
9. The RN is preparing Normal saline (0.9%) solution. Phenytoin (Dilantin) should be adminis-
an intravenous infu- tered by injection into a large vein by intermittent intravenous infusion.
sion of phenytoin (Di- Normal saline (0.9%) solution is the preferred solution. Dextrose should
lantin) as prescribed be avoided because of medication precipitation.
by the physician for
the client with seizures.
Which of the following
solutions will the nurse
use to dilute this med-
ication?
Study online at https://quizlet.com/_9snrje
1. To evaluate a client's Correct Answer: Organs
reason for seeking The purpose of deep palpation, in which the nurse indents the client's
care, the nurse per- skin approximately 1-1/2", is to assess underlying organs and structures
forms deep palpation. such as the kidneys and spleen. Skin turgor, hydration, and temperature
The purpose of deep can be assessed using light touch or light palpation.
palpation is to assess
which of the following?
2. A client is brought to The Correct answer is: assessment of vital signs Vital sign assessment
the emergency depart- would be the priority nursing intervention. This would provide an indi-
ment and the physician cation of the amount of blood loss that has occurred and also provide
determines he has gas- a baseline by which to monitor the progress of treatment. The other
trointestinal (GI) bleed- answers (b, c, and d) are important but not priority actions.
ing. In planning for his
care, which of the fol-
lowing would be first
priority?
3. When providing in- Correct Answer: Discuss the importance of avoiding social events in order
structions to the to stay out of trouble.
adolescent regarding Socialization is very important to teenagers and is a normal part of their
physical development development. The other answers (b, c, and d) are all accurate instructions
of her body, the RN and discussions for the adolescent regarding development.
should do all of the fol-
lowing EXCEPT
4. The nurse is devel- Correct answer: A referral. A referral is recommending home care services
oping discharge plans or giving information to an home care service regarding the client and
for a 65-year-old client. the client's needs. Typically the sources of referral to a home care agency
The discharge plans in- are family members, nurses, physicians, social workers, discharge plan-
dicate the client will be ners or therapists.
discharged home with
, NACE PN TO RN
Study online at https://quizlet.com/_9snrje
home health nursing
care. The nurse pro-
vides the home health
agency with details re-
garding the needs of
the patient. The nurse
made which of the fol-
lowing to the home
health agency?
5. Which of the following Correct answer: 1.6 to 2.4 mEq/L
is the normal serum
electrolyte level for
magnesium?
6. The school nurse is ap- The Correct answer is: in the morning, when the child awakens Visualiza-
proached by a moth- tion of pinworms by means of a tape test is necessary for the diagnosis.
er who explains that Transparent tape is lightly touched to the anus and then applied to a slide
her kindergarten child for microscopic examination. The best specimen is obtained as the child
is constantly scratch- awakens, before toileting or bathing.
ing the perianal area
and that the area is ir-
ritated. The RN under-
stands that she should
instruct the mother to
obtain a rectal spec-
imen by a tape test
and that the mother
should obtain the spec-
imen when?
7.
, NACE PN TO RN
Study online at https://quizlet.com/_9snrje
A 20-year-old patient is Correct Answer: Suction the lungs
admitted to the hos- The first priority is to make sure the client's airways are clear and that
pital with respiratory he can breathe. The other choices can be addressed after ensuring the
failure. He's intubated, client can breathe.
given oxygen, and is
coughing with copious
secretions in his lungs.
What should be done
first?
8. A high school stu- Correct Answer: The student accepts a referral to a substance abuse
dent is referred to counselor. All of the outcomes stated are desirable; however, the best
the school nurse outcome is that the student would agree to seek the assistance of a
for suspected sub- professional substance abuse counselor.
stance abuse. Follow-
ing the nurse's assess-
ment and intervention,
what would be the
MOST desirable out-
come?
9. The RN is preparing Normal saline (0.9%) solution. Phenytoin (Dilantin) should be adminis-
an intravenous infu- tered by injection into a large vein by intermittent intravenous infusion.
sion of phenytoin (Di- Normal saline (0.9%) solution is the preferred solution. Dextrose should
lantin) as prescribed be avoided because of medication precipitation.
by the physician for
the client with seizures.
Which of the following
solutions will the nurse
use to dilute this med-
ication?
