The ambulance has transported a man with severe chest pain. As the man is being transferred to the emergency stretcher, the nurse assessed the following: unresponsiveness, cessation of breathing, and absence of palpable pulse. Which of the following tasks is proper to assign to the nursing assistant? A. Aiding with oral intubation B.… Read More »
Jenna is a nurse from the medical-surgical unit of a tertiary hospital. She was asked to float on the orthopedic in which she has no prior experience working on. Which client should be assigned to her? A. A client with a cast for a fractured femur and who has numbness and discoloration of the… Read More »
You are supervising a nursing student who is providing care for a patient with thoracotomy with a chest tube. What findings would you clearly instruct the nursing student to notify you about immediately? A. Chest tube drainage of 10 to 15 mL/hr. B. Continuous bubbling in the water seal chamber. C. Complaints of… Read More »
Which task is most appropriate to assign to the nursing assistant when an instantaneous death transpires in the ED? Select all that apply. A. Assisting with postmortem care B. Escorting the family to a place of privacy C. Going with the organ donor specialist to talk to the family D. Helping the… Read More »
The newly hired nurse is assigned by the charge nurse to care for a client with acute renal failure and hypernatremia. Which action can the nurse assign to the nursing assistant? Select all that apply. A. Administer 0.45% saline by IV line B. Assess daily weights for trends C. Check for indications of… Read More »
You are supervising a student nurse who is performing tracheostomy care for a patient. For which action by the student should you intervene? A. Suctioning the tracheostomy tube before performing tracheostomy care B. Removing old dressings and cleaning off excess secretions C. Removing the inner cannula and cleaning using universal precautions … Read More »
The nurse is caring for a client diagnosed with diabetic ketoacidosis. Which action should you delegate to the nursing assistant? Select all that apply. A. Assess for indicators of fluid imbalance. B. Review fingerstick glucose results every hour. C. Measure vital signs every 15 minutes. D. Document intake and output every hour.… Read More »
Which intervention for a patient with a pulmonary embolus could be delegated to the LPN on your patient care team? A. Evaluating the patient’s complaint of chest pain. B. Monitoring laboratory values for changes in oxygenation. C. Assessing for symptoms of respiratory failure. D. Auscultating the lungs for crackles. … Read More »
During the shift of a triage nurse in the Emergency Department (ED), the following clients arrive. Which client needs the most rapid response to protect other clients in the ED from infection? A. A 72-year-old who must undergo tuberculosis (TB) testing after being exposed to TB during a recent international airplane flight. B. A 58-year-old… Read More »
The nurse plans care for a client in the post-anesthesia care unit. Which of the following should the nurse assess first? A. Respiratory status B. Level of consciousness C. Level of pain D. Reflexes and movement of extremities Correct Answer: A. Respiratory status Assessing respiratory status is the… Read More »