The nurse is caring for a client with a leg ulcer that is infected with vancomycin-resistant S. aureus (VRSA). Which of the following nursing actions can a nurse assign to an LPN/LVN? A. Assess risk for further skin breakdown. B. Collect wound cultures during dressing changes. C. Create methods to improve the… Read More »
After a change of shift, you are assigned to care for the following patients. Which patient should you assess first? A. A 60-year old patient on a ventilator for whom a sterile sputum specimen must be sent to the lab. B. A 55-year old with COPD and a pulse oximetry reading from the previous… Read More »
Nurse Pietro receives an 11-month old child with a fracture of the left femur on the pediatric unit. Which action is important for the nurse to take first? A. Call for a social worker to meet with the family. B. Check the child’s blood pressure, pulse, respiration, and temperature. C. Administer pain medications… Read More »
The newly hired nurse is in his first week on the job in the ED. He used to be a traveling nurse for 5 years. Which area in his present job is the most appropriate assignment for him? A. Fast-track clinic B. Pediatric medicine team C. Trauma team D. Triage … Read More »
The charge nurse from the unit receives a call from the pediatrician wanting to admit an 8-year-old child with rubeola (measles). Which of the following is of most concern in deciding whether to admit the child to the unit? A. The unit is not staffed with the usual number of RNs. B. There are several… Read More »
After the respiratory therapist performs suctioning on a patient who is intubated, the nursing assistant measures vital signs for the patient. Which vital sign value should the nursing assistant report to the registered nurse immediately? A. Heart rate of 98 beats/min B. Respiratory rate of 24 breaths/min C. Blood pressure of 168/90 mm… Read More »
Nurse Skye is assigned to the cardiac unit caring for four clients. He is preparing to do initial rounds. Which client should the nurse assess first? A. A client scheduled for cardiac ultrasound this morning. B. A client with syncope being discharged today. C. A client with chronic bronchitis on nasal oxygen. … Read More »
A 7-year-old girl who has just endured allogeneic stem cell transplantation will need protective environmental stimulation. Which nursing task should the nurse delegate to the nursing assistant? Select all that apply. A. Educating the client to perform careful handwashing after using the bathroom. B. Communicating with the family members about the grounds for isolation.… Read More »
A client with multiple injuries is rushed to the ED after a head-on car collision. Which assessment finding takes priority? A. Irregular apical pulse B. Ecchymosis in the flank area C. A deviated trachea D. Unequal pupils Correct Answer: C. A deviated trachea A deviated trachea is a… Read More »
A nurse enters a room and finds a patient lying face down on the floor and bleeding from a gash in the head. Which action should the nurse perform first? A. Determine the level of consciousness B. Push the call button for help C. Turn the client face up to assess D.… Read More »