Nurse John is caring for clients in the outpatient clinic. Which of the following phone calls should the nurse return first? A. A client with hepatitis A who states, “My arms and legs are itching.” B. A client with a cast on the right leg who states, “I have a funny feeling in my… Read More »
Nurse Sarah is caring for clients on the surgical floor and has just received a report from the previous shift. Which of the following clients should the nurse see first? A. A 35-year-old admitted three hours ago with a gunshot wound; 1.5 cm area of dark drainage noted on the dressing. B. A 43-year-old… Read More »
When prioritizing care, which of the following clients should the nurse Olivia assess first? A. A 17-year-old client 24-hours post appendectomy. B. A 33-year-old client with a recent diagnosis of Guillain-Barre syndrome. C. A 50-year-old client 3 days post myocardial infarction. D. A 50-year-old client with diverticulitis. Correct… Read More »
A nurse is caring for an elderly Vietnamese patient in the terminal stages of lung cancer. Many family members are in the room around the clock performing unusual rituals and bringing ethnic foods. Which of the following actions should the nurse take? A. Restrict visiting hours and ask the family to limit visitors to… Read More »
The charge nurse on the cardiac unit is planning assignments for the day. Which of the following is the most appropriate assignment for the float nurse that has been reassigned from labor and delivery? A. A one-week postoperative coronary bypass patient, who is being evaluated for placement of a pacemaker prior to discharge. B. A… Read More »
Which patient should you, as charge nurse, assign to a new graduate RN who is orienting to the neurologic unit? A. A 28-year-old newly admitted patient with spinal cord injury. B. A 67-year-old patient with stroke 3 days ago and left-sided weakness. C. An 85-year-old dementia patient to be transferred to long-term… Read More »
You are mentoring a student nurse in the intensive care unit (ICU) while caring for a patient with meningococcal meningitis. Which action by the student requires that you intervene immediately? A. The student enters the room without putting on a mask and gown. B. The student instructs the family that visits are restricted to… Read More »
The nurse is assigned to care for the client with a Steinmann pin. During pin care, she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time? A. Assisting the LPN with opening sterile packages and peroxide. B. Telling the LPN… Read More »
A 23-year-old patient with a recent history of encephalitis is admitted to the medical unit with new-onset generalized tonic-clonic seizures. Which nursing activities included in the patient’s care will be best to delegate to an LPN/LVN whom you are supervising? Select all that apply. A. Document the onset time, nature of seizure activity, and postictal… Read More »
A 6-year-old client is admitted to the unit with a hemoglobin of 6g/dL. The physician has written an order to transfuse 2 units of whole blood. When discussing the treatment, the child’s mother tells the nurse that she does not believe in having blood transfusions and that she will not allow her child to have… Read More »