Most litigation in the hospital comes from the: A. Nurse abandoning the clients when going to lunch. B. Nurse following an order that is incomplete or incorrect. C. Nurse documenting blame on the physician when a mistake is made. D. Supervisor watching a new employee check his or her skills level.… Read More »
To ensure homogenization when diluting powdered medication in a vial, the nurse should: A. Shake the vial vigorously. B. Roll the vial gently between the palms. C. Invert the vial and let it stand for 1 minute. D. Do nothing after adding the solution to the vial. … Read More »
A male client on prolonged bed rest has developed a pressure ulcer. The wound shows no signs of healing even though the client has received skin care and has been turned every 2 hours. Which factor is most likely responsible for the failure to heal? A. Inadequate vitamin D intake. B. Inadequate protein intake. … Read More »
The charge nurse on the medical-surgical floor assigns vital signs to the nursing assistive personnel (NAP) and medication administration to the licensed vocational nurse (LVN). Which nursing model of care is this floor following? A. Team nursing B. Case method nursing C. Functional nursing D. Primary nursing … Read More »
Examples of patients suffering from impaired awareness include all of the following except: A. A semiconscious or over fatigued patient. B. A disoriented or confused patient. C. A patient who cannot care for himself at home. D. A patient demonstrating symptoms of drugs or alcohol withdrawal. Correct Answer:… Read More »
Which of the following nursing interventions are written correctly? A. Apply continuous passive motion machines during the day. B. Perform neurovascular checks. C. Elevate head of bed 30 degrees before meals. D. Change dressing once a shift. Correct Answer: C. Elevate head of bed 30 degrees before… Read More »
An 85-year-old male patient has been bedridden for two weeks. Which of the following complaints by the patient indicates to the nurse that he is developing a complication of immobility? A. Stiffness of the right ankle joint. B. Soreness of the gums. C. Short-term memory loss. D. Decreased appetite. … Read More »
A client is brought to the emergency department and states that he has accidentally been taking two times his prescribed dose of Warfarin (Coumadin). After observing that the client has no evidence of any obvious bleeding, the nurse should do which of the following? A. Draw a sample for activated partial thromboplastin time (aPTT)… Read More »
The nurse places an aquathermia pad on a client with a muscle sprain. The nurse informs the client the pad should be removed in 30 minutes. Why will the nurse return in 30 minutes to remove the pad? A. Reflex vasoconstriction occurs. B. Reflex vasodilation occurs. C. Systemic response occurs. D.… Read More »
The nurse is teaching a patient to prepare a syringe with 40 units of U-100 NPH insulin for self-injection. The patient’s first priority concerning self-injection in this situation is to: A. Assess the injection site. B. Select the appropriate injection site. C. Check the syringe to verify that the nurse has removed the prescribed… Read More »