PREPARATION PACK KEY PATIENT CARE SAFETY
PHARMACOLOGY AND CLINICAL REASONING
WITH SAMPLE QUESTIONS
◉ A nurse is reinforcing teaching with the parents of a toddler who
has strabismus. Which of the following treatments should the nurse
plan to include in the teaching?
A. corrective biconcave lenses
B. laser surgery
C. eye patch
D. artificial tears. Answer: eye patch
◉ A nurse is assisting with the care of a school-age child who has
congestive heart failure and is receiving digoxin. Which of the
following manifestations should the nurse report to the provider?
A. potassium 3 mEq/L
B. decreased edema
C. heart rate 90/min
D. peripheral pulses 3+. Answer: potassium 3 mEq/L
,◉ A nurse is reinforcing teaching about home safety with the parent
of a toddler. Which of the following parent statements indicates an
understanding of the teaching?
A. "I will keep my hearing aid batteries in my bedside table."
B. "I will place a screen in front of the fireplace."
C. "I will keep my medication in my purse."
D. "I will use a steam vaporizer when my child has a cold.". Answer:
"I will place a screen in front of the fireplace."
◉ A nurse is reviewing the laboratory report of a school-age child
who is receiving prednisone. Which of the following laboratory
results should the nurse report to the provider?
A. Fasting blood glucose 74 mg/dL
B. Sodium 150 mEq/L
C. Potassium 4.2 mEq/L
D. WBC count 9,400/mm3. Answer: Sodium 150 mEq/L
◉ A nurse is caring for a child who has a fractured tibia and is in
Buck's traction. Which of the following actions should the nurse
take?
,A. ensure the weights are hanging freely
B. allow the child to change positions frequently
C. use palms of hands when handling the traction boot
D. check the pin site every 8 hr. Answer: ensure the weights are
hanging freely
◉ A nurse is reinforcing teaching with the guardian of an infant who
has Down syndrome. Which of the following instructions should the
nurse include to decrease the child's risk of an upper respiratory
infection?
A. rinse the infant's mouth with water before feeding
B. limit the infant's fluid intake
C. use a cool mist vaporizer in the infant's room
D. avoid applying lip balm to the infant's lips. Answer: use a cool
mist vaporizer in the infant's room
◉ A nurse is reinforcing discharge teaching with the guardian of a
school-age child who has a new prescription for home oxygen
therapy. Which of the following statements by the guardian indicates
an understanding of the teaching?
A. "I will restrict the length of the oxygen tubing to no longer than 3
feet."
, B. "I will place the extra oxygen tanks in a horizontal position for
storage."
C. "I will check the oxygen delivery equipment once every week."
D. "I will make sure that electrical devices in the house are
grounded.". Answer: "I will make sure that electrical devices in the
house are grounded."
◉ A nurse is collecting data from a 12 month old infant during a well
child visit. Which of the following findings should the nurse report
to the provider?
A. heart rate 130/min
B. respiratory rate 30/min
C. BP 155/70 mm Hg
D. temperature 37.5 C (99.5 F). Answer: BP 155/70 mm Hg
◉ A nurse in a pediatric clinic is collecting data from an infant who
recently started taking digoxin. Which of the following
manifestations should the nurse identify as an indication of digoxin
toxicity and report to the provider?
A. irritability
B. diaphoresis
C. vomiting