RN concept-based assess level 1
which of the following statements shows understanding of the breast self-exam ans: I should expect to
feel a firm ridge along the bottom curve of each breast
Which of the following actions should the nurse take to provide emotional support to the parent ans:
inform the parent that anger is a natural response when dealing with loss
Accessing electronic resources- which should the nurse include ans: websites endin gin .gov are reliable
pt had knee "lock" and is lying on the floor. Which action ans: check the pt. for injuries
RA about chronic pain. Which indicates understanding ans: I should use a warm paraffin dip for the
hands and feet
preventative hypertension. Which ethnic group is at greatest risk ans: African americans
Estinguishing fire, which should the nurse take using the fire extinguisher ans: slide the pin on top of the
fire extinguisher straight out
enteral nutrition in NG tube. Put steps in order ans: 1. high fowler's
2. verify with aspirating 5 ml gastric contents
3. test pH
4. check for gastric residual volume
5. flush with 30 ml water
nurse caring for 47 year old female, urinary incontinence. Why action? ans: obtain a specimen from
client for culture (rule out UTI)
a nurse is talking with a client who has major depressive disorder "nobody cares if I'm around" ans: "it
feels as though you are hopeless"
a charge nurse is teaching a group of newly licensed nurses how to prevent errors during admin of blood
transfusions. which should include? ans: use a new blood admin tubing set for each blood bag infused
C. diff infection and is incontinent of stool. which action do you take ans: wear a gown
a nurse is providing discharge teaching about nutrition manage who has COPD. Which instruction ans:
have a high calorie protein drink after meals b/c anorexia is a manifestation of COPD
nurse has pt. who has dysphagia. which action facilitates safe swallowing ans: delay meal time if he is
tired
toddler home injury prevention. snacks ans: watermelon but remove seeds
invasive procedure. why actions to ensure in scope of practice ans: check the state's nurse practice act
before performing
, leg wound. age related in older adults that impaired wound healing ans: elastin fibers separate and
thicken
long-term care facility small fire. move client and then what? ans: pull alarm
isolation precautions. which actions when removing tied surgical mask ans: remove mask by holding ties
and moving it away from face
electronic data about behavior indicators of pain in infant. which online source should be used to
research infant care issue ans: cumulative index to nursing and allied health lit
a nurse is preparing to administer three medications to a client who has an NG tube: a levothyroxine
tablet, an ibuprofen gel cap, and a delayed release omeprazole capsule. which actions ans: crush the
levo tablet into a powder and dissolve in 30 mL of warm water
indwelling urinary Cath. prevent UTI ans: secure to leg
2 yr old toddler who is post op. which scale to assess pain ans: FLACC scale. 2 months to 7 years
client w cancer and planning discharge with hospice. which indicates spiritual distress ans: I wish God
didn't let cancer happen
breast cancer. nausea and vomiting. which to include? ans: administer ondansetron
long-term care facility in acute care. joint commission national patient safety goals regarding medication
admin. which action ans: compare list of client's medications with the ones he will take in long term care
timed up and go test. tripod cane for ambulation. which action ans: observe client ambulating a distance
of 3 m during TUG test
orthopedic clinic about several clients. which action complies with HIPAA ans: log off when he leaves
parent of a child who is receiving chemo. which action ans: have child rest with head elevated after
meals
joint commission national patient safety goals regarding communication ans: client mediated with
morphine 5 mg for pain
med sure unit. which client should nurse monitor for reflex urinary incontinence ans: spinal cord injury
which abbreviation should nurse clarify ans: SQ
reduce infection drug use. tertiary prevention ans: needle-exchange
chronic pain due to fibromyalgia. which question for quality ans: describe pain
which of the following statements shows understanding of the breast self-exam ans: I should expect to
feel a firm ridge along the bottom curve of each breast
Which of the following actions should the nurse take to provide emotional support to the parent ans:
inform the parent that anger is a natural response when dealing with loss
Accessing electronic resources- which should the nurse include ans: websites endin gin .gov are reliable
pt had knee "lock" and is lying on the floor. Which action ans: check the pt. for injuries
RA about chronic pain. Which indicates understanding ans: I should use a warm paraffin dip for the
hands and feet
preventative hypertension. Which ethnic group is at greatest risk ans: African americans
Estinguishing fire, which should the nurse take using the fire extinguisher ans: slide the pin on top of the
fire extinguisher straight out
enteral nutrition in NG tube. Put steps in order ans: 1. high fowler's
2. verify with aspirating 5 ml gastric contents
3. test pH
4. check for gastric residual volume
5. flush with 30 ml water
nurse caring for 47 year old female, urinary incontinence. Why action? ans: obtain a specimen from
client for culture (rule out UTI)
a nurse is talking with a client who has major depressive disorder "nobody cares if I'm around" ans: "it
feels as though you are hopeless"
a charge nurse is teaching a group of newly licensed nurses how to prevent errors during admin of blood
transfusions. which should include? ans: use a new blood admin tubing set for each blood bag infused
C. diff infection and is incontinent of stool. which action do you take ans: wear a gown
a nurse is providing discharge teaching about nutrition manage who has COPD. Which instruction ans:
have a high calorie protein drink after meals b/c anorexia is a manifestation of COPD
nurse has pt. who has dysphagia. which action facilitates safe swallowing ans: delay meal time if he is
tired
toddler home injury prevention. snacks ans: watermelon but remove seeds
invasive procedure. why actions to ensure in scope of practice ans: check the state's nurse practice act
before performing
, leg wound. age related in older adults that impaired wound healing ans: elastin fibers separate and
thicken
long-term care facility small fire. move client and then what? ans: pull alarm
isolation precautions. which actions when removing tied surgical mask ans: remove mask by holding ties
and moving it away from face
electronic data about behavior indicators of pain in infant. which online source should be used to
research infant care issue ans: cumulative index to nursing and allied health lit
a nurse is preparing to administer three medications to a client who has an NG tube: a levothyroxine
tablet, an ibuprofen gel cap, and a delayed release omeprazole capsule. which actions ans: crush the
levo tablet into a powder and dissolve in 30 mL of warm water
indwelling urinary Cath. prevent UTI ans: secure to leg
2 yr old toddler who is post op. which scale to assess pain ans: FLACC scale. 2 months to 7 years
client w cancer and planning discharge with hospice. which indicates spiritual distress ans: I wish God
didn't let cancer happen
breast cancer. nausea and vomiting. which to include? ans: administer ondansetron
long-term care facility in acute care. joint commission national patient safety goals regarding medication
admin. which action ans: compare list of client's medications with the ones he will take in long term care
timed up and go test. tripod cane for ambulation. which action ans: observe client ambulating a distance
of 3 m during TUG test
orthopedic clinic about several clients. which action complies with HIPAA ans: log off when he leaves
parent of a child who is receiving chemo. which action ans: have child rest with head elevated after
meals
joint commission national patient safety goals regarding communication ans: client mediated with
morphine 5 mg for pain
med sure unit. which client should nurse monitor for reflex urinary incontinence ans: spinal cord injury
which abbreviation should nurse clarify ans: SQ
reduce infection drug use. tertiary prevention ans: needle-exchange
chronic pain due to fibromyalgia. which question for quality ans: describe pain
