A child with fever has been admitted to the ED for several hours. Cooling measures are ordered by the physician in order for the client’s temperature to come down. Which task would be appropriate to delegate to the nursing assistant? A. Prepare and administer a tepid bath B. Assist the child in removing… Read More »
The nurse just received the client’s morning laboratory results. Which of these results is of most concern? A. Serum sodium level of 134 mEq/L B. Serum potassium level of 5.2 mEq/L C. Serum magnesium level of 0.8 mEq/L D. Serum calcium level of 10.6 mg/dL Correct Answer: C. Serum… Read More »
You are providing nursing care for a newborn infant with respiratory distress syndrome (RDS) who is receiving nasal CPAP ventilation. What complications should you monitor for this infant? A. Pulmonary embolism B. Bronchitis C. Pneumothorax D. Pneumonia Correct Answer: C. Pneumothorax The most common complications after birth… Read More »
The assigned LPN of the unit reports to you that a client’s blood pressure and heart rate have decreased, and when her face is assessed, one side twitches. What is the most appropriate thing to do as a nurse? A. Assess the client’s pupillary reaction to light. B. Obtain a neurologic exam request for the… Read More »
You are acting as a preceptor for a newly graduated RN during her second week of orientation. You would assign the new RN under your supervision to provide care to which patients? Select all that apply. A. A 38-year old with moderate persistent asthma awaiting discharge. B. A 63-year old with a tracheostomy needing… Read More »
You are responsible for the care of a postoperative patient with a thoracotomy. The patient has been given a nursing diagnosis of Activity Intolerance. Which action should you delegate to the nursing assistant? A. Instructing the patient to alternate rest and activity periods B. Encouraging, monitoring, and recording nutritional intake C. Monitoring… Read More »
A client going through intense chemotherapy treatment is admitted to the unit. Which of these would the nurse instruct the nursing assistant to report to prevent an acid-base imbalance? A. Hair loss during the morning bath. B. Complaints of pain associated with exertion. C. Failure to eat all the food on the… Read More »
A patient with a pulmonary embolism is receiving anticoagulation with IV heparin. What instructions would you give the nursing assistant who will help the patient with activities of daily living? Select all that apply. A. Use a lift sheet when moving and positioning the patient in bed. B. Use an electric razor when shaving… Read More »
The nurse is assigned to a client who has been diagnosed with disseminated herpes zoster. Which PPE will the nurse plan to use when preparing to assess the client? Select all that apply. A. Gloves B. Goggles C. Gown D. N95 respirator E. Surgical face mask F. Shoe covers Correct… Read More »
Nurse Janus enters a room and finds a client lying on the floor. Which of the following actions should the nurse perform first? A. Call for help to get the client back in bed B. Establish whether the client is responsive C. Assist the client back to bed D. Ask the client… Read More »