Nursing Documentation and Client Care, Exams of Nursing

A variety of nursing scenarios and client care situations, including electronic health record security, client monitoring, medication administration, and nursing interventions. It touches on topics such as client safety, infection control, vital signs, medication management, and client education. Insights into the nurse's role in assessing, planning, and implementing appropriate nursing care to meet the needs of diverse clients across different healthcare settings, including acute care, long-term care, and home health. By analyzing the information in this document, students can gain a better understanding of the critical thinking and decision-making skills required of nurses in providing safe, effective, and evidence-based care to clients.

Typology: Exams

2024/2025

Available from 10/01/2024

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MED SURG RN EXIT EXAM NEWEST 2024
VERSION 2 ACTUAL EXAM 355 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) ALREADY
GRADED A+ BRAND NEW!!
1. A male client with stomach cancer returns to the unit following a total
gastrectomy. He has a nasogastric tube to suction and is receiving
Lactated Ringer's solution at 75 mL/hour IV. One hour after admission to
the unit, the nurse notes 300 mL of blood in the suction canister, the client's
heart rate is 155 beats/minute, and his blood pressure is 78/48 mmHg. In
addition to reporting the finding to the surgeon. Which action should the
nurse implement first? - ANSWER>>d. Increase the infusion rate of
Lactated Ringer's solution.
2. an adult male who fell 20 feet from the roof of this home has multiple
injuries, including a right pneumothorax. Chest tubes were inserted in the
emergency department prior to his transfer to the intensive care unit (ICU).
the nurse notes that the suction control chamber is bubbling at the
- 10 cm H2O mark, with fluctuation in the water seal, and over the past
hour 75 ml of bright red blood is measured in the collection chamber.
Which intervention should the nurse implement? - ANSWER>>a. Add
sterile water to the suction control chamber.
3. A client who received hemodialysis yesterday is experiencing a blood
pressure of 200/100 mmHg, heart rate 110 beats/minute, and respiratory
rate 36 breaths/minute. The client is manifesting shortness of breath,
bilateral 2+ pedal edema, and an oxygen saturation on room air of 89%.
Which action should the nurse take first? - ANSWER>>c. Begin
supplemental oxygen.
4. A client with Addison's crisis is admitted for treatment with adrenal
cortical supplementation. Based on the client's admitting diagnosis, which
findings require immediate action by the nurse? (Select all that apply) -
ANSWER>>Headache and tremors
Irregular heart rate
pallor and diaphoresis
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MED SURG RN EXIT EXAM NEWEST 2024

VERSION 2 ACTUAL EXAM 3 55 QUESTIONS

AND CORRECT DETAILED ANSWERS WITH

RATIONALES (VERIFIED ANSWERS) ALREADY

GRADED A+ BRAND NEW!!

  1. A male client with stomach cancer returns to the unit following a total gastrectomy. He has a nasogastric tube to suction and is receiving Lactated Ringer's solution at 75 mL/hour IV. One hour after admission to the unit, the nurse notes 300 mL of blood in the suction canister, the client's heart rate is 155 beats/minute, and his blood pressure is 78/48 mmHg. In addition to reporting the finding to the surgeon. Which action should the nurse implement first? - ANSWER>>d. Increase the infusion rate of Lactated Ringer's solution.
  2. an adult male who fell 20 feet from the roof of this home has multiple injuries, including a right pneumothorax. Chest tubes were inserted in the emergency department prior to his transfer to the intensive care unit (ICU). the nurse notes that the suction control chamber is bubbling at the
  • 10 cm H2O mark, with fluctuation in the water seal, and over the past hour 75 ml of bright red blood is measured in the collection chamber. Which intervention should the nurse implement? - ANSWER>>a. Add sterile water to the suction control chamber.
  1. A client who received hemodialysis yesterday is experiencing a blood pressure of 200/100 mmHg, heart rate 110 beats/minute, and respiratory rate 36 breaths/minute. The client is manifesting shortness of breath, bilateral 2+ pedal edema, and an oxygen saturation on room air of 89%. Which action should the nurse take first? - ANSWER>>c. Begin supplemental oxygen.
  2. A client with Addison's crisis is admitted for treatment with adrenal cortical supplementation. Based on the client's admitting diagnosis, which findings require immediate action by the nurse? (Select all that apply) - ANSWER>>Headache and tremors Irregular heart rate pallor and diaphoresis
  1. An older client is admitted with fluid volume deficit and dehydration. Which assessment finding is the best indicator of hydration that the nurse should report to the healthcare provider? - ANSWER>>d. Skin tenting occurs when the client's forearm is pinched.
  2. After an inservice about electronic health record (EHR) security and safeguarding client information, the nurse observes a colleague going home with printed copies of client information in a uniform pocket. Which action should the nurse take? - ANSWER>>a. File a detailed incident report with the specific hiring facility.
  3. The nurse is evaluating a tertiary prevention program for clients with cardiovascular disease implemented in a rural health clinic. Which outcome indicate the program is effective? - ANSWER>>c. Clients who incurred disease complications promptly received rehabilitation.
  4. The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who uses oxygen at 2 L/minute per nasal cannula continuously. The nurse observes that the client is having increased shortness of breath with respirations at 23 breaths/minute. Which action should the nurse implement first? - ANSWER>>d. Assess the delivery mechanism of the oxygen tank, tubing, and cannula.
  5. Which statement by a client who is 24 hours post-subtotal thyroidectomy requires an immediate investigation by the nurse? - ANSWER>>When I get out of bed quickly, I feel a little dizzy."
  6. An older adult male who is in his early 70's is admitted to the emergency department because of a COPD exacerbation. This client is struggling to breathe and the healthcare team is preparing for endotracheal intubation. The spouse's wife, who is 30 years younger than the client, asks the nurse to stop the procedure and provide the nurse a copy of the client's living will. Which action should the nurse take? - ANSWER>>b. Notify the healthcare provider of the client's wishes.
  7. An unlicensed assistive personnel (UAP) is assigned to provide personal care for a client whose prescribed activity is bedrest with bedside commode use. The UAP reports to the nurse that the client is so obese that the UAP feels unable to safely assist the client in transferring from the bed
  1. A new mother on the postpartum unit runs out of the room screaming that her newborn infant's crib is empty and the baby is missing. What action should the nurse take first? - ANSWER>>d. Match ID bands of all infants and mothers on the unit.
  2. While providing a health history, a female client tells the clinic nurse that she frequently thinks about hurting herself. Which question is most important for the nurse to ask? - ANSWER>>c. "Have you thought about taking your life?"
  3. A college student brings a dorm roommate to the campus clinic because the roommate has been talking to someone who is not present. The client tells the nurse that the voices are saying, "kill, kill." What question should the nurse ask the client next? - ANSWER>>c. "Are you planning to obey the voices?"
  4. The nurse is developing a plan of care for a client who reports tingling of the feet and who is newly diagnosed with peripheral vascular disease. Which outcome should the nurse include in the plan of care for this client? - ANSWER>>d. The client's skin on the lower legs will be intact at the next clinical visit.
  5. When conducting diet teaching for a client who was diagnosed with hypertension, which food should the nurse encourage the client to eat? (select all that apply.) - ANSWER>>a.. Fruits without sauce c. Fresh or frozen vegetables without sauce.
  6. A client with bacterial meningitis is receiving phenytoin. Which assessment finding indication to the nurse that the client is experiencing a therapeutic response to the phenytoin? - ANSWER>>c. Absence of seizure activity for the duration of treatment.
  7. The nurse observes a client prepare a meal in the kitchen of a rehabilitation facility prior to discharge. Which behaviors indicate the client understands how to maintain balance safely? (Select all that apply) - ANSWER>>a. Brings a heavy can close to body before lifting. b. Locks knees while preparing food on the counter.
  8. An older client is admitted to the hospital because of recurring transient ischemic attacks. Neurological serial assessments for the past 24 hours

were within normal limits. One day after admission, the client suddenly becomes confused and combative indicating impaired mental status (IMS). What intervention should the nurse implement first? - ANSWER>>b. Reduce environmental stimuli.

  1. The charge nurse in an extended care facility is organizing unit activities for the day. Which action may be safely delegated to the practical nurse (PN)? - ANSWER>>Establish blood pressure parameters for client monitoring
  2. During shift report, the charge nurse receives notice of several problems. Which problem should the nurse address first? - ANSWER>>d. A bucket of water was spilled in the hallway.
  3. An older adult client with chronic emphysema is admitted to the emergency room from home with acute onset of weakness, palpitations, and vomiting. Which information is most important for the nurse to obtain during the initial interview? - ANSWER>>Recent compliance with prescribed medications
  4. The nurse is feeding an older adult who was admitted with aspiration pneumonia. The client is weak and begins coughing while attempting to drink through a straw. Which intervention should the nurse implement? - ANSWER>>b. Monitor the client when using a straw for liquids.
  5. A male client with right-sided weakness calls for assistance with ambulating to the bathroom. What action should the nurse implement? - ANSWER>>b. Stand on the client's right side as he walks.
  6. An older client is admitted to the psychiatric unit for assessment of a recent onset of dementia. The nurse notes that in the evening this client often becomes restless, confused, and agitated. Which intervention is most important for the nurse to implement? - ANSWER>>b. Ensure that the client is assigned to a room close to the nurses' station.
  7. The nurse is caring for a client who is having a sickle cell crisis. What intervention should the nurse include in this client's plan of care? - ANSWER>>Ensure adequate IV and oral fluid intake.
  1. A client admitted with a liver abscess is scheduled for surgical evacuation and drainage of the abscess tomorrow morning. Nursing assess .... Client's abdominal pain has increased from 4 to 8 on a 10-point scale in the last four hours. What is priority nursing action? - ANSWER>>Notify the surgeon of increasing abdominal pain.
  2. A female client with chronic kidney disease and renal failure has an indwelling peritoneal catheter in ..... used for peritoneal dialysis. While bathing, the her abdominal dressing becomes wet. What action should the nurse take? - ANSWER>>Change the dressing.
  3. The nurse is developing a plan of care for an older male client with type 2 diabetes who reports blurred vision. Which outcome shows a plan of care for this client? - ANSWER>>c. The nurse will demonstrate the procedure for accurate eye care.
  4. The nurse identifies an electrolyte imbalance, an elevated pulse rate, and a weight gain of 4.4 lbs (2 kg) in 24 hours for a client with chronic kidney disease. What intervention should the nurse include in the plan of care? - ANSWER>>Monitor serum electrolytes daily.
  5. A client with postpartum depression, who is admitted to the behavioral health unit, refuses to leave her room or eat meals. In addition to patient's safety, which short-term goal should the nurse include in the plan of care? - ANSWER>>d. Consumes 3 meals and 1500 mL of fluid per day.
  6. Which information is a priority for the RN to reinforce to an older client after intravenous pyelogram? - ANSWER>>Measure the urine output for the next day and immediately notify the health care provider if it should decrease.
  7. A client has altered renal function and is being treated at home. The nurse recognizes that the most accurate indicator of fluid balance during the weekly visits is - ANSWER>>d. Weekly weight
  8. A client has been diagnosed with Zollinger-Ellison syndrome.Which information is most important for the nurse to reinforce with the client? - ANSWER>>b. It is critical to report promptly to your health care provider any findings of peptic ulcers
  1. A primigravida in the third trimester is hospitalized for preeclampsia. The nurse determines that the client's blood pressure is increasing. Which action should the nurse take first? - ANSWER>>b. Have the client turn to the left side
  2. The nurse is caring for a client in atrial fibrillation. The atrial heart rate is 250 and the ventricular rate is controlled at 75. Which of the following findings is cause for the most concern? - ANSWER>>A cold, pale lower leg
  3. The client with infective endocarditis must be assessed frequently by the home health nurse. Which finding suggests that antibiotic therapy is not effective, and must be reported by the nurse immediately to the healthcare provider? - ANSWER>>B) Fever of 103 degrees Fahrenheit (39.5 degrees Celsius)
  4. A client who had a vasectomy is in the post recovery unit at an outpatient clinic. Which of these points is most important to be reinforced by the nurse? - ANSWER>>A) Until the health care provider has determined that your ejaculate doesn't contain sperm, continue to use another form of contraception.
  5. A client who is to have antineoplastic chemotherapy tells the nurses of a fear of being sick all the time and wishes to try acupuncture. Which of these beliefs stated by the client would be incorrect about acupuncture? - ANSWER>>C) The flow of life is believed to flow through major pathways or nerve clusters in your body.
  6. The nurse is discussing with a group of students the disease Kawasaki. What statement made by a student about Kawasaki disease is incorrect? - ANSWER>>C) Kawasaki disease occurs most often in boys, children younger than age 5 and children of Hispanic descent
  7. A client has viral pneumonia affecting 2/3 of the right lung. What would be the best position to teach the client to lie in every other hour during first 12 hours after admission? - ANSWER>>A) Side-lying on the left with the head elevated 10 degrees
  8. A client has an indwelling catheter with continuous bladder irrigation after undergoing a transurethral resection of the prostate (TURP) 12 hours
  1. The nurse is about to assess a 6 month-old child with nonorganic failure-to thrive (NOFTT). Upon entering the room, the nurse would expect the baby to be - ANSWER>>D) Pale, thin arms and legs, uninterested in surroundings
  2. As the nurse is speaking with a group of teens which of these side effects of chemotherapy for cancer would the nurse expect this group to be more interested in during the discussion? - ANSWER>>D) Hair loss
  3. While caring for a client who was admitted with myocardial infarction (MI) 2 days ago, the nurse notes today's temperature is 101.1 degrees Fahrenheit (38.5 degrees Celsius). The appropriate nursing intervention is to - ANSWER>>Administer acetaminophen as ordered as this is normal at this time
  4. A client is admitted for first and second degree burns on the face, neck, anterior chest and hands. The nurse's priority should be - ANSWER>>B) Assess for dyspnea or stridor
  5. Which of these clients who call the community health clinic would the nurse ask to come in that day to be seen by the health care provider? - ANSWER>>I went to the bathroom and my urine looked very red and it didn't hurt when I went.
  6. A middle aged woman talks to the nurse in the health care provider's office about uterine fibroids also called leiomyomas or myomas. What statement by the woman indicates more education is needed? - ANSWER>>Fibroids that cause no problems still need to be taken out.
  7. An elderly client admitted after a fall begins to seize and loses consciousness. What action by the nurse is appropriate to do next? - ANSWER>>A) Stay with client and observe for airway obstruction
  8. A nurse is providing care to a primigravida whose membranes spontaneously ruptured (ROM) 4 hours ago. Labor is to be induced. At the time of the ROM the vital signs were T-99.8 degrees F, P-84, R-20, BP-130/78, and fetal heart tones (FHT) 148 beats/min. Which assessment findings taken now may be an early

indication that the client is developing a complication of labor? - ANSWER>>A) FHT 168 beats/min

  1. A client with pneumococcal pneumonia had been started on antibiotics 16 hours ago. During the nurse's initial evening rounds the nurse notices a foul smell in the room. The client makes all of these statements during their conversation. Which statement would alert the nurse to a complication? - ANSWER>>B) "I have been coughing up foul-tasting, brown, thick sputum."
  2. The nurse is performing an assessment on a client in congestive heart failure. Auscultation of the heart is most likely to reveal - ANSWER>>S ventricular gallop
  3. Which of these observations made by the nurse during an excretory urogram indicate a complicaton? - ANSWER>>B) The client's entire body turns a bright red color
  4. A client is diagnosed with a spontaneous pneumothorax necessitating the insertion of a chest tube. What is the best explanation for the nurse to provide this client? - ANSWER>>"The tube will remove excess air from your chest."
  5. The nurse is reviewing laboratory results on a client with acute renal failure. Which one of the following should be reported immediately? - ANSWER>>Serum potassium 6 mEq/L
  6. The nurse is caring for a client undergoing the placement of a central venous catheter line. Which of the following would require the nurse's immediate attention? - ANSWER>>C) Dyspnea
  7. The nurse is performing a physical assessment on a client who just had an endotracheal tube inserted. Which finding would call for immediate action by the nurse? - ANSWER>>C) Pulse oximetry of 88
  8. A nurse checks a client who is on a volume-cycled ventilator. Which finding indicates that the client may need suctioning? - ANSWER>>D) restlessness
  1. A client has a chest tube in place following a left lower lobectomy inserted after a stab wound to the chest. When repositioning the client, the nurse notices 200 cc of dark, red fluid flows into the collection chamber of the chest drain. What is the most appropriate nursing action? - ANSWER>>Continue to monitor the rate of drainage
  2. A client has returned from a cardiac catheterization. Which one of the following assessments would indicate the client is experiencing a complication from the procedure? - ANSWER>>Loss of pulse in the extremity
  3. A 60 year-old male client had a hernia repair in an outpatient surgery clinic. He is awake and alert, but has not been able to void since he returned from surgery 6 hours ago. He received 1000 mL of IV fluid. Which action would be most likely to help him void? - ANSWER>>C) Assist him to stand by the side of the bed to void
  4. The nurse is caring for a client who requires a mechanical ventilator for breathing. The high pressure alarm goes off on the ventilator. What is the first action the nurse should perform? - ANSWER>>B) Perform a quick assessment of the client's condition
  5. The health care provider order reads "aspirate nasogastric feeding (NG) tuber every 4 hours and check pH of aspirate." The pH of the aspirate is 10. Which action should the nurse take? - ANSWER>>A) Hold the tube feeding and notify the provider
  6. To prevent unnecessary hypoxia during suctioning of a tracheostomy, the nurse must - ANSWER>>A) Apply suction for no more than 10 seconds
  7. An antibiotic IM injection for a 2 year-old child is ordered. The total volume of the injection equals 2.0 ml The correct action is to - ANSWER>>administer the medication in 2 separate injections
  8. The nurse receives an order to give a client iron by deep injection. The nurse know that the reason for this route is to - ANSWER>>D) prevent the drug from tissue irritation Skip
  1. A client with heart failure has Lanoxin (digoxin) ordered. What would the nurse expect to find when evaluating for the therapeutic effectiveness of this drug? - ANSWER>>improved respiratory status and increased urinary output
  2. While providing home care to a client with congestive heart failure, the nurse is asked how long diuretics must be taken. What is the nurse's best response? - ANSWER>>C) "The medication must be continued so the fluid problem is controlled."
  3. A client is being discharged with a prescription for chlorpromazine (Thorazine). Before leaving for home, which of these findings should the nurse teach the client to report? - ANSWER>>B) Sore throat, fever
  4. A client is recovering from a hip replacement and is taking Tylenol # every 3 hours for pain. In checking the client, which finding suggests a side effect of the analgesic? - ANSWER>>D) No bowel movement for 3 days Skip
  5. A client is being maintained on heparin therapy for deep vein thrombosis. The nurse must closely monitor which of the following laboratory values? - ANSWER>>C) Activated PTT
  6. A client with amyotrophic lateral sclerosis has a percutaneous endoscopic gastrostomy (PEG) tube for the administration of feedings and medications. Which nursing action is appropriate? - ANSWER>>D) Flush adequately with water before and after using the tube
  7. The nurse has given discharge instructions to parents of a child on phenytoin (Dilantin). Which of the following statements suggests that the teaching was effective? - ANSWER>>B) "Our child should brush and floss carefully after every meal."
  8. The nurse is caring for a client with clinical depression who is receiving a MAO inhibitor. When providing instructions about precautions with this medication, which action should the nurse stress to the client as important? - ANSWER>>Avoid chocolate and cheese
  1. An 86 year-old nursing home resident who has decreased mental status is hospitalized with pneumonic infiltrates in the right lower lobe. When the nurse assists the client with a clear liquid diet, the client begins to cough. What should the nurse do next?
  • ANSWER>>B) Check the client's gag reflex
  1. The nurse is planning care for a client with a CVA. Which of the following measures planned by the nurse would be most effective in preventing skin breakdown? - ANSWER>>C) Reposition every two hours
  2. A nurse is assessing several clients in a long term health care facility. Which client is at highest risk for development of decubitus ulcers? - ANSWER>>A 79 year-old malnourished client on bed rest
  3. After a client has an enteral feeding tube inserted, the most accurate method for verification of placement is - ANSWER>>Abdominal x-ray
  4. The nurse is instructing a 65 year-old female client diagnosed with osteoporosis. The most important instruction regarding exercise would be to - ANSWER>>Exercise doing weight bearing activities
  5. Which bed position is preferred for use with a client in an extended care facility on falls risk prevention protocol? - ANSWER>>D) Bed in lowest position, wheels locked, place bed against wall
  6. When administering enteral feeding to a client via a jejunostomy tube, the nurse should administer the formula - ANSWER>>B) Continuously
  7. The nurse is teaching an 87 year-old client methods for maintaining regular bowel movements. The nurse would caution the client to AVOID - ANSWER>>C) Laxatives
  8. A nurse is providing care to a 63 year-old client with pneumonia. Which intervention promotes the client's comfort? - ANSWER>>C) Keep conversations short
  9. The nurse is caring for a 7 year-old with acute glomerulonephritis (AGN). Findings include moderate edema and oliguria. Serum blood urea nitrogen and creatinine are

elevated. What dietary modifications are most appropriate? - ANSWER>>B) Decreased sodium and potassium

  1. What nursing assessment of a paralyzed client would indicate the probable presence of a fecal impaction? - ANSWER>>B) Oozing liquid stool
  2. A 20 year-old client has an infected leg wound from a motorcycle accident, and the client has returned home from the hospital. The client is to keep the affected leg elevated and is on contact precautions. The client wants to know if visitors can come. The appropriate response from the home health nurse is that: - ANSWER>>C) Visitors should wash their hands before and after touching the client
  3. A child is admitted to the pediatric unit with a diagnosis of suspected meningococcal meningitis. Which admission orders should the nurse do first? - ANSWER>>Place in respiratory/secretion precautions
  4. Which of these nursing diagnoses of 4 elderly clients would place 1 client at the greatest risk for falls? - ANSWER>>Altered patterns of urinary elimination related to nocturia
  5. A nurse who is reassigned to the emergency department needs to understand that gastric lavage is a priority in which situation? - ANSWER>>An infant who has been identified to have botulism
  6. A newly admitted adult client has a diagnosis of hepatitis A. The charge nurse should reinforce to the staff members that the most significant routine infection control strategy, in addition to hand washing, to be implemented is which of these? - ANSWER>>D) Have gloves on while handling bedpans with feces
  7. Which of these clients with associated lab reports is a priority for the nurse to report to the public health department within the next 24 hours? - ANSWER>>An elderly factory worker with a lab report that is positive for acid-fast bacillus smear
  1. A client who is hospitalized and recently diagnosed with Addison's disease is now confused and lethargic. Which actions should the nurse implement? (Select all that apply) - ANSWER>>A) Measure capillary glucose level B) Monitor cardiac telemetry pattern E) Initiate fall risk precautions
  2. 61-An older client is admitted for repair of a broken hip. To reduce the risk for infection in the postoperative period, which nursing care interventions should the nurse include in the client's plan of care? (Select all that apply) - ANSWER>>A) Teach client to use incentive spirometer q hours while awake B) Remove urinary catheter as soon as possible and encourage voiding
  3. An older adult client admitted to the stroke unit after recovery from the acute phrase of an ischemic cerebral vascular accident (CVA). Which intervention should the nurse include in the plan of care during convalescence and rehabilitation? (Select all that apply.) - ANSWER>>Measure neurological vital signs every 4 hours D) Encourage family to participate in the client's care E) Play classical music in room while client is awake
  4. To reduce the risk of symptoms exacerbation for a client with multiple sclerosis (MS), which instructions should the nurse include in the client's discharge plan? (Select all that apply). - ANSWER>>A) Practice relaxation exercises C) Space activities to allow for rest periods D) Avoid persons with infections
  5. While assessing a client's chest tube (CT), the nurse discovers bubbling in the water seal chamber of the chest tube collection device. The client's vital signs are: blood pressure of 80/40 mmHg, heart rate 120 beats/minutes, respiratory rate 32 breaths/minutes, oxygen saturation 88%. Which interventions should the nurse implement? (Select all that apply). - ANSWER>>A) Provide supplemental oxygen B) Auscultate bilateral lung fields D) Reinforce occlusive CT dressing
  1. After an explosion at a factory one of the workers approaches the nurse and says "I am an unlicensed assistive personnel (UAP) at the local hospital." Which of these tasks should the nurse assign to this worker who wants to help during the care of the wounded workers? - ANSWER>>C) Palpate pulses
  2. Which of these clients would the nurse recommend to keep in the hospital during an internal disaster at the agency? - ANSWER>>D) A young adult in the second day of treatment for an overdose of acetometaphen
  3. The mother of a toddler who is being treated for pesticide poisoning asks: "Why is activated charcoal used? What does it do?" What is the nurse's best response? - ANSWER>>"The charcoal absorbs the poison and forms a compound that doesn't hurt your child."
  4. The nurse is to administer a new medication to a client. Which actions are in the best interest of the client? Verify the order for the medication. Prior to giving the medication the nurse should say - ANSWER>>B) "What is your name? What allergies do you have?" then check the client's name band and allergy band As the room is entered say
  5. Several clients are admitted to an adult medical unit. The nurse would ensure airborne precautions for a client with which medical condition? - ANSWER>>B) A positive purified protein derivative with an abnormal chest x-ray
  6. After an unsuccessful resuscitation attempt, the nurse calls the family of the deceased. The family wish to see the body before it is taken to the funeral home. Which interventions should the nurse take to prepare the body before the family enters the room? (Select all that apply) - ANSWER>>C) Place a small pillow under the head D) Remove resuscitation equipment from the room E) Gently close the eyes
  7. A client is scheduled to receive an oral solution of radioactive iodine (131I). In order to reduce hazards, the priority information for the nurse to include during the instructions