Answers.
1. A registered nurse is providing teaching about the gastrostomy tube feedings to the parents
of a school age child.
Which of the following instructions should the registered nurse take?
A. Administer the feeding over 30 min.
B. Place the child in as supine position after the feeding.
C. Charge the feeding bag and tubing every 3 days.
D. Warm the formula in the microwave prior to administration.
2. A registered nurse is administering digoxin 0.125 mg Po to an adult client. For which of
the following findings should the registered nurse report to the provider? A. Potassium level
4.2 mEq/L. B. Apical pulse 58/min.
C. Digoxin level 1 ng/ml.
D. Constipation for 2 days.
3. A registered nurse is caring for a patientwho is comatose and has advance directives that
indicate the patientdoes not want life-sustaining measures. The client’s family want the
patientto have life-sustaining measures. Which of the following action should the
registered nurse take?
A. Arrange for an ethics committee meeting to address the family’s concerns.
B. Support the family’s decision and initiate life-sustaining measures.
C. Complete an incident report.
D. Encourage the family to contact an attorney.
4. A registered nurse is caring for a patientwho wears glasses. Which of the following
actions should the registered nurse take? A. Store the glasses in a labeled case.
B. Clean the glasses with hot water.
C. Clean the glasses with a paper towel.
D. Store the glasses on the bedside table.
,5. A registered nurse is teaching a group of newly licensed registered nurse s about measures to
take when caring for a patientwho is on contact precautions. Which of the following should the
registered nurse include in the teaching?
A. Remove the protective gown after the client’s room.
B. Place the patientin a room with negative pressure.
C. Wear gloves when providing care to the client.
D. Wear a mask when changing the linens in the client’s room.
6. A registered nurse is planning on care for a patientwho is recovering from an acute
myocardial infarction that occurred 3 days ago. Which of the following instructions
should the registered nurse include? A. Perform an ECG every 12 hr. B. Place the
patientin a supine position while resting.
C. Draw a troponin level every 4hr.
D. Obtain a cardiac rehabilitation consultation.
7. The registered nurse is reviewing the medical record of a patientwho is requesting
combination oral contraceptives.
Which of the following conditions in the client’s history is a contradiction to the use of oral
contraceptives? A.
Hyperthyroidism.
B. Thrombophlebitis.
C. Diverticulosis.
D. Hypocalcemia.
,8 A registered nurse is caring for a patientwho request the creation of a living will. Which of the
following actions should the registered nurse take?
A. Schedule a meeting between the hospital ethics committee and the client.
B. Evaluate the client’s understanding of life-sustaining measures.
C. Determine the client’s preferences about post mortem care.
D. Request a conference with the client’s family.
9.A registered nurse is caring for an adolescent who has sickle-cell anemia. Which of
the following manifestations indicates acute chest syndrome and should be immediately
reported to the provider? A. Substernal retractions.
B. Hematuria.
C. Temperature 37.9 C (100.2 F).
D. Sneezing.
10.A registered nurse is preforming a gastric lavage for a patientwho has upper gastrointestinal
bleeding. Which of the .following action should the registered nurse take?
A. Instill 500 ml of solution through the NG tube.
B. Insert a large-bore NG tube.
C. Use a cold irrigation solution.
D. Instruct the patientto lie on his right side.
11. A registered nurse is providing care for a patientwho is in the advance stage of
amyotrophic lateral sclerosis. (ALS).
Which of the following referrals is the
registered nurse ’s priority? A.
Psychologist.
B. Social worker.
C. Occupational therapist.
, D. Speech-language pathologist.
12. A registered nurse is reviewing the laboratory results of a patientwho has
rheumatoid arthritis. Which of the following findings should the registered nurse
report to the provider? A. WBC count 8,000/mm3. B. Platelets 150,000/mm3.
C. Aspartate aminotransferase 10 units/L.
D. Erythrocyte sedimentation rate 75 mm/hr
13. A registered nurse is caring for a patientwho has generalized petechiae and
ecchymoses. The registered nurse should expect a prescription for which of the following
laboratory tests? A. Platelet count.
B. Potassium level.
C. Creatine clearance.
D. Prealbumin.
14. A registered nurse is caring for a patientfollowing application of a cast. Which of the
following actions should the registered nurse take first?
A. Place an ice pack over the cast.
B. Palpate the pulse distal to the cast.
C. Teach the patientto keep the cast clean and dry.
D. Position the casted extremity on a pillow.
15. A registered nurse is caring for a patientwho has vision loss. Which of the following
actions should the registered nurse take?
(Select all that apply)
A. Keep objects in the client’s room in the same place.
B. Ensure there is high-wattage lighting in the client’s room.