Nurse Amanda is caring for a client with severe blood loss who is prescribed multiple transfusions of blood. Nurse Amanda obtains which most essential piece of equipment to prevent the risk of cardiac dysrhythmias? A. Cardiac monitor B. Blood warmer C. ECG machine D. Infusion pump Correct Answer: B.… Read More »
Nurse Spencer is caring for an anorexic client who is having a total parenteral nutrition solution for the first time. Which of the following assessments requires the most immediate attention? A. Dry sticky mouth. B. Temperature of 100° Fahrenheit. C. Blood glucose of 210 mg/dl. D. Fasting blood sugar of 98 mg/dl. … Read More »
The Code of Ethics for nurses is composed and published by: A. The National League for Nursing B. The American Nurses Association C. The Medical American Association D. The National Institutes of Health, Nursing Division Correct Answer: B. The American Nurses Association The ANA has established widely… Read More »
Which pulse should the nurse palpate during rapid assessment of an unconscious male adult? A. Radial B. Brachial C. Femoral D. Carotid Correct Answer: D. Carotid During a rapid assessment, the nurse’s first priority is to check the patient’s vital functions by assessing his airway, breathing, and… Read More »
A client had oral surgery following a motor vehicle accident. The nurse assessing the client finds the skin flushed and warm. Which of the following would be the best method to take the client’s body temperature? A. Oral B. Axillary C. Arterial line D. Rectal Correct Answer: B. Axillary… Read More »
Nurse Stephanie is assessing a client who has an acute respiratory infection that puts her at risk for hypoxemia. Which of the following findings are early indications that should alert the nurse that the client is developing hypoxemia? Select all that apply. A. Restlessness B. Tachypnea C. Bradycardia D. Confusion E.… Read More »
Which of the following conditions may require fluid restriction? A. Fever B. Chronic Obstructive Pulmonary Disease C. Renal Failure D. Dehydration Correct Answer: C. Renal Failure In renal failure, the kidney loses their ability to effectively eliminate wastes and fluids. Because of this, limiting the patient’s intake… Read More »
As the charge nurse, you are reviewing the charts of clients who were assigned to a newly graduated RN. The RN has correctly chartered the dose and time of medication, but there is no documentation regarding non-pharmaceutical measures. What action should you take first? A. Make a note in the nurse’s file and continue to… Read More »
A client is receiving a first-time blood transfusion of packed RBC. How long should the nurse stay and monitor the client to ensure a transfusion reaction will not happen? A. 15 minutes B. 30 minutes C. 45 minutes D. 60 minutes Correct Answer: A. 15 minutes Usually,… Read More »
Nurses agree to be advocates for their patients. The practice of advocacy calls for the nurse to: A. Seek out the nursing supervisor in conflicting situations. B. Work to understand the law as it applies to the client’s clinical condition. C. Assess the client’s point of view and prepare to articulate this… Read More »