The nurse should visit which of the following clients first? A. The client with diabetes with a blood glucose of 95mg/dL B. The client with hypertension being maintained on Lisinopril C. The client with chest pain and a history of angina D. The client with Raynaud’s disease Correct… Read More »
Which patient should be assigned to the traveling nurse, new to neurologic nursing care, who has been in the neurologic unit for 1 week? A. A 34-year-old patient newly diagnosed with multiple sclerosis (MS). B. A 68-year-old patient with chronic amyotrophic lateral sclerosis (ALS). C. A 56-year-old patient with Guillain-Barre syndrome (GBS)… Read More »
As the manager in a long-term-care (LTC) facility, you are in charge of developing a standard plan of care for residents with Alzheimer’s disease. Which of these nursing tasks is best to delegate to the LPN team leaders working in the facility? A. Check for improvement in resident memory after medication therapy is initiated. B.… Read More »
A 70-year-old alcoholic patient with acute lethargy, confusion, and incontinence is admitted to the hospital ED. His wife tells you that he fell down the stairs about a month ago, but “he didn’t have a scratch afterward.” She feels that he has become gradually less active and sleepier over the last 10 days or so.… Read More »
Which task should be assigned to the nursing assistant? A. Placing the client in seclusion B. Emptying the Foley catheter of the preeclamptic client C. Feeding the client with dementia D. Ambulating the client with a fractured hip Correct Answer: C. Feeding the client with dementia Of… Read More »
Which of these patients in the neurologic ICU will be best to assign to an RN who has floated from the medical unit? A. A 26-year-old patient with a basilar skull structure who has clear drainage coming out of the nose. B. A 42-year-old patient admitted several hours ago with a headache and… Read More »
A registered nurse who usually works in a spinal rehabilitation unit is floated to the emergency department. Which of these clients should the charge nurse assign to this RN? A. A middle-aged client who says “I took too many diet pills” and “my heart feels like it is racing out of my chest.” … Read More »
You are supervising a senior nursing student who is caring for a patient with a right hemisphere stroke. Which action by the student nurse requires that you intervene? A. The student instructs the patient to sit up straight, resulting in the patient’s puzzled expression. B. The student moves the patient’s tray to the… Read More »
A newly admitted client diagnosed with Hodgkin’s disease undergoes an excisional cervical lymph node biopsy under local anesthesia. What does the nurse assess first after the procedure? A. Vital signs B. Incision site C. Airway D. Level of consciousness Correct Answer: C. Airway Assessing for an open airway is… Read More »
During the administration of chemotherapy agents, Nurse Oliver observed that the IV site is red and swollen when the IV is touched Stacy shouts in pain. The first nursing action to take is: A. Notify the physician. B. Flush the IV line with saline solution. C. Immediately discontinue the infusion. D. Apply an… Read More »