#41.
The physician inserts a chest tube into a female client to treat a pneumothorax. The tube is connected to water-seal drainage. The nurse in-charge can prevent chest tube air leaks by:
A
Keeping the chest drainage system below the level of the chest.
B
Keeping the head of the bed slightly elevated.
C
Checking patency of the chest tube.
D
Checking and taping all connections.
Answer: Checking and taping all connections.
#42.
Nurse Trish must verify the client’s identity before administering medication. She is aware that the safest way to verify identity is to:
A
Check the room number and the client’s name on the bed.
B
State the client’s name out loud and wait a client to repeat it.
C
Check the client’s identification band.
D
Ask the client to state his name.
Answer: Check the client’s identification band.
#43.
The physician orders dextrose 5 % in water, 1,000 ml to be infused over 8 hours. The I.V. tubing delivers 15 drops/ml. Nurse John should run the I.V. infusion at a rate of:
A
Clamp the catheter
B
Apply a dry sterile dressing to the site.
C
Call the physician
D
Call another nurse
Answer: Call another nurse
#44.
A female client was recently admitted. She has fever, weight loss, and watery diarrhea is being admitted to the facility. While assessing the client, Nurse Hazel inspects the client’s abdomen and notice that it is slightly concave. Additional assessment should proceed in which order:
A
Palpation, auscultation, and percussion.
B
Percussion, palpation, and auscultation.
C
Auscultation, percussion, and palpation.
D
Palpation, percussion, and auscultation.
Answer: Auscultation, percussion, and palpation.
#45.
Nurse Betty is assessing tactile fremitus in a client with pneumonia. For this examination, nurse Betty should use the:
A
Ulnar surface of the hand
B
Dorsal surface of the hand
C
Finger pads
D
Fingertips
Answer: Ulnar surface of the hand
#46.
Which type of evaluation occurs continuously throughout the teaching and learning process?
A
Informative
B
Summative
C
Retrospective
D
Formative
Answer: Formative
#47.
A 45 year old client, has no family history of breast cancer or other risk factors for this disease. Nurse John should instruct her to have mammogram how often?
A
Twice per year
B
Once, to establish baseline
C
Every 2 years
D
Once per year
Answer: Once per year
#48.
A male client has the following arterial blood gas values: pH 7.30; Pao2 89 mmHg; Paco2 50 mmHg; and HCO3 26mEq/L. Based on these values, Nurse Patricia should expect which condition?
A
Metabolic alkalosis
B
Respiratory acidosis
C
Respiratory alkalosis
D
Metabolic acidosis
Answer: Respiratory acidosis
#49.
Nurse Len refers a female client with terminal cancer to a local hospice. What is the goal of this referral?
A
To teach the client and family about cancer and its treatment.
B
To ensure that the client gets counseling regarding health care costs.
C
To help the client find appropriate treatment options.
D
To provide support for the client and family in coping with terminal illness.
Answer: To provide support for the client and family in coping with terminal illness.
#50.
The registered nurse is planning to delegate tasks to unlicensed assistive personnel (UAP). Which of the following task could the registered nurse safely assigned to a UAP?
A
Check the IV of a preschooler with Kawasaki disease
B
Monitor the I&O of a comatose toddler client with salicylate poisoning
C
Perform a complete bed bath on a 2-year-old with multiple injuries from a serious fall
D
Give an outmeal bath to an infant with eczema
Answer: Give an outmeal bath to an infant with eczema
#51.
A nurse manager assigned a registered nurse from telemetry unit to the pediatrics unit. There were three patients assigned to the RN. Which of the following patients should not be assigned to the floated nurse?
A
A 9-year-old child diagnosed with rheumatic fever
B
A 4-year-old with VSD following cardiac catheterization
C
A young infant after pyloromyotomy
D
A 5-month-old with Kawasaki disease
Answer: A young infant after pyloromyotomy
#52.
A nurse in charge in the pediatric unit is absent. The nurse manager decided to assign the nurse in the obstetrics unit to the pediatrics unit. Which of the following patients could the nurse manager safely assign to the float nurse?
A
A child receiving an IV chelating therapy for lead poisoning
B
A child who had multiple injuries from a serious vehicle accident
C
A child diagnosed with Kawasaki disease and with cardiac complications
D
A child who has had a nephrectomy for Wilm’s tumor
Answer: A child who has had a nephrectomy for Wilm’s tumor
#53.
The registered nurse is planning to delegate task to a certified nursing assistant. Which of the following clients should not be assigned to a CAN?
A
A client with chronic venous insufficiency
B
A client with Chronic renal failure
C
A client diagnosed with diabetes and who has an infected toe
D
A client who had a CVA in the past two months
Answer: A client diagnosed with diabetes and who has an infected toe
#54.
The nurse in the medication unit passes the medications for all the clients on the nursing unit. The head nurse is making rounds with the physician and coordinates clients’ activities with other departments. The nurse assistant changes the bed lines and answers call lights. A second nurse is assigned for changing wound dressings; a licensed practitioner nurse takes vital signs and bathes the clients. This illustrates of what method of nursing care?
A
Case management method
B
Primary nursing method
C
Functional method
D
Team method
Answer: Functional method
#55.
A registered nurse has been assigned to six clients on the 12-hour shift. The RN is responsible for every aspect of care such as formulating the care of plan, intervention and evaluating the care during her shift. At the end of her shift, the RN will pass this same task to the next RN in charge. This nursing care illustrates of what kind of method?
A
Functional method
B
Case method
C
Team method
D
Primary nursing method
Answer: Case method
#56.
A newly hired nurse on an adult medicine unit with 3 months experience was asked to float to pediatrics. The nurse hesitates to perform pediatric skills and receive an interesting assignment that feels overwhelming. The nurse should:
A
Ask several other nurses how they feel about pediatrics and find someone else who is willing to accept the assignment
B
Refuse the assignment and leave the unit requesting a vacation a day
C
Resign on the spot from the nursing position and apply for a position that does not require floating
D
Inform the nursing supervisor and the charge nurse on the pediatric floor about the nurse’s lack of skill and feelings of hesitations and request assistance
Answer: Inform the nursing supervisor and the charge nurse on the pediatric floor about the nurse’s lack of skill and feelings of hesitations and request assistance
#57.
An experienced nurse who voluntarily trained a less experienced nurse with the intention of enhancing the skills and knowledge and promoting professional advancement to the nurse is called a _________________.
A
Case manager
B
Change agent
C
Team leader
D
Mentor
Answer: Mentor
#58.
The pediatrics unit is understaffed and the nurse manager informs the nurses in the obstetrics unit that she is going to assign one nurse to float in the pediatric units. Which statement by the designated float nurse may put her job at risk?
A
I do not feel competent to go and work on that area
B
I do not get along with one of the nurses on the pediatrics unit
C
I am afraid I will get the most serious clients in the unit
D
I have a vacation day coming and would like to take that now
Answer: I have a vacation day coming and would like to take that now
#59.
The newly hired staff nurse has been working on a medical unit for 3 weeks. The nurse manager has posted the team leader assignments for the following week. The new staff knows that a major responsibility of the team leader is to ______________.
A
Know the condition and needs of all the patients on the team
B
Document the assessments completed by the team members
C
Supervise direct care by nursing assistants
D
Provide care to the most acutely ill client on the team
Answer: Know the condition and needs of all the patients on the team
#60.
When caring for a male client with a 3-cm stage I pressure ulcer on the coccyx, which of the following actions can the nurse institute independently?
A
Applying an antibiotic cream to the area three times per day.
B
Massaging the area with an astringent every 2 hours.
C
Using a povidone-iodine wash on the ulceration three times per day.
D
Using normal saline solution to clean the ulcer and applying a protective dressing as necessary.
Answer: Using normal saline solution to clean the ulcer and applying a protective dressing as necessary.
Share this resultHelp your batchmates find the official result
