1. A nurse is preparing to administer an injection of an opioid medication to a client. the nurse draws out 1ml from a 2ml vile. which of the following actions should the nurse take?
2. A nurse is preparing to administer 0.9% sodium chloride 750ml IV to infuse over 7 hours period. the nurse should set the infusion pump to deliver how many ml/hr?
3. A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. the client asks, “what would happen if i arrived at the emergency department and i had difficulty breathing?” which of the following responses should the nurse make?
4. A nurse is caring for a client who is post-op and refuses to use an incentive spirometer following major abdominal surgery. which of the following is the nurses priority?
5. A nurse on the med-surg unit is caring for a client who has new prescription for wrist restraints. which of the following actions should the nurse take?
6. A nurse is talking to an older adult client who is considering retirement. the client states ” i keep thinking about how much i enjoy my job. im not sure i want to retire” which of the following responses should the nurse make.
7. A nurse is caring for a client who has pharyngeal diphtheria. which of the following transmission precautions should the nurse initiate?
8. A nurse is caring for a group of clients. which of the following actions should the nurse take to prevent the spread of infection?
9. A nurse is assessing an older adult client who is at risk for falls. which of the following assessments should the nurse use to identify the client’s safety needs? select all that apply
10. A nurse in a long-term care facility is caring for a client who dies during a nurse’s shift. identify the sequence in which the nurse should perform the following steps.
11. A client who is post-op is verbalizing pain as a 2 on a pain scale. which of the following statement should the nurse identify as an indication that the client understands the preoperative teaching she received.
12. A Nurse is teaching a client and his family how to care for the client’s tracheostomy at home. which of the following instructions should the nurse include in the teaching?
13. A nurse is admitting a client who is having an exacerbation of heart failure. in planning the client’s care, when should the nurse initiate discharge planning?
14. A nurse is assessing a client who reports increasing pain following pt. which of the following q’s should the nurse ask when assessing the quality of the client’s pain.
15. A nurse is caring for a child who has a prescription for a blood transfusion. the child’s parents have refused the treatment, due to their religious beliefs.
16. a nurse is receiving a client fluid and electrolyte status. which of the following findings should the nurse report to the provider.
17. A nurse is caring for a client who has a respiratory infection, which of the following techniques should the nurse use when performing naso-tracheal suction to the client
18. a nurse is caring for a client who has sodium level of 125meq/l. which of the following findings should she expect.
19. A nurse si assessing a client’s readiness to learn about insulin self-administration. wof statements should the nurse identify that the client is ready to learn
20. a nurse is preparing a change of shift report. wof tools or docs should the nurse use to communicate continuity of care?
21. A nurse is caring for a client who has an aggressive form of prostate cancer. the provider briefly discusses tx options and leaves the client’s room. when the nurse asks the client if they would like to discuss any concerns, they decline. wof should the nurse make?
22. a nurse is caring for a client post-op exhibiting signs of hemorrhagic shock. the nurse notifies the surgeon, who tells the nurse to continue monitoring vital signs every 15 minutes, and report back every 1 hr. wof action should the nurse take next?
23. a nurse is preparing an education program for staff about advocacy. wof information should the nurse include.
24. a nurse is providing discharge instructions to a client who will be using a walker. wof client statements indicate an understanding of the teaching?
25. a nurse is caring for a client who requires ng tube for stomach decompression. wof actions should the nurse take when inserting the ng tube
26. a nurse is caring for a who has diarrhea due to shigella. wof precautions should the nurse implement for the client?
27. a nurse is caring for a client w/ dementia. wof interventions should the nurse take to minimize the risk of injury to the client?
28. a nurse is caring for a client who is post-op. when the nurse prepares to change her dressing she says “every time you change my bandage it hurts so much.” wof interventions is the nurse’s priority action?
29. a nurse is responding to a call light and finds a client lying on the bathroom floor. wof actions should the nurse take first.
30. a nurse is caring for a client who has herpes zoster and asks the nurse about the use of complimentary and alternative therapies for pain control. The nurse should inform the client that this condition is a contraindication for which of the following therapies?
31. a nurse is admitting a new client. wof should the nurse take while performing the med reconciliation.
32. a nurse is admitting a client who has abdominal wound, with a large amount of purulent drainage. wof types of transmission precautions should the nurse initiate.
33. a nurse is caring for a client who is terminally ill and is approaching death. the client is SOB and has noisy respirations with secretions in their airway. wof should the nurse take?
34. a nurse is planning strategies to manage time effectively for client care. wof should the nurse implement
35. a nurse is reviews EBP about administration of o2 therapy with a newly licensed nurse. wof actions should the nurse include?
36. a nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. wof observations should the nurse identify as proper safety protocol
37. a nurse is planning care for a client who has had a stroke, resulting in aphasia and dysphasia. wof tasks should the nurse assign to an assistive personnel (select all the apply)
38. a nurse is