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Nurse questions and answers 2024
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A nurse has four clients to assess. Which of the following clients should the nurse assess FIRST? A. A client who has just received intravenous morphine B. A client with a diagnosis of lung cancer who is experiencing thrombocytopenia C. A client who has an inflamed IV site while receiving packed red blood cells D. A client who experiences relief of dyspnea after receiving a small volume nebulizer (SVN) - A. A client who has just received intravenous morphine The nurse caring for a client who dystocia (difficult labor) determines that the priority is which action? A. Position changes and providing comfort measures B. Explanations to the family members about what is happening to the client C. Monitor for changes in the physical condition of the mother and fetus D. Reinforcement of breathing techniques learned in childbirth classes - C. Monitor for changes in the physical condition of the mother and fetus A client who had an application of a right arm cast complains of pain at the wrist when the arm is passively moved. What action should the nurse take FIRST? A. Elevate the arm B. Document the findings C. Medicate with an additional dose of an opioid D. Check for paresthesia and paralysis of the right arm - D. Check for paresthesia and paralysis of the right arm The nurse is assigned to care for four clients. In planning client rounds, which client should the nurse assess FIRST? A. A postoperative client preparing for discharge with a new medication B. A client who requires daily dressing changes of a recent surgical incision C. A client scheduled for a chest x-ray after insertion of a nasogastric tube
D. A client with asthma who requested a breathing treatment during the shift - D. A client with asthma who requested a breathing treatment during the shift The nurse employed in an emergency department (ED) is assigned to triage clients coming to the ED for treatment. The nurse should assign PRIORITY to which client? A. A client complains a muscle aches, a headache, and history of seizures B. A client who twisted her ankle when rollerblading and is requesting medication for pain C. A client with chest pain who states that he just ate pizza that was made with a very spicy sauce D. A client with a minor laceration on the index finger sustained while cutting an eggplant - C. A client with chest pain who states that he just ate pizza that was made with a very spicy sauce For a cognitively impaired client who cannot accurately report pain, what is the FIRST action that you should take? A. Closely monitor for nonverbal signs such as grimacing or rocking B. Obtain baseline behavioral indicators from family members C. Look at the MAR and chart, to know the time of the last dose and response D. Give the maximum PRN dose within the minimum time frame for relief - B. Obtain baseline behavioral indicators from family members What is the best way to schedule medication for a client with constant pain? A. PRN at the client's request B. Prior to painful procedure C. IV bonus after pain assessment D. Around the clock - D. Around the clock Each nurse is responsible for becoming familiar with the nurse practice acts of the state in which he or she practices because these acts do which of the following? A. Protect the nurse from malpractice suits B. Contain national standards and responsibilities C. Contain job descriptions for all nurses
C. Teaching a client about the effects of prescribed drugs D. Administering emergency drugs during a code situations - C. Teaching a client about the effects of prescribed drugs Which client(s) are appropriate to assign to the LPN who will function under the supervision of the RN? (Select all that apply.) A. A client who needs pre-op teaching for the use of a PCA pump B. A client with a leg cast who needs neurological checks and PRN hydrocodone C. A client post-op toe amputation with diabetic neuropathic pain D. A client with terminal cancer and severe pain who is refusing medication - B, C Which client would be appropriate to assign to a newly graduated RN, who has recently completed orientation? A. An anxious, chronic pain client who frequently uses the call button B. A client second day post-op who needs pain medication prior to dressing changes C. A client with HIV who reports headache and abdominal pain and pleuritic chest pain D. A client who is being discharged with a surgically implanted catheter - B. A client second day post-op who needs pain medication prior to dressing changes The nurse administers a medication to the wrong client. What are the appropriate nursing actions required? (Select all that apply.) A. Monitor the client for adverse reactions B. Document the error if the client has an adverse reaction C. Report the error to the healthcare provider D. Notify the hospital legal department of the error E. Document the error in a critical incident/occurrence report - A, C, E Following administration of a selective alpha-adrenergic agonist nasal spray, the nurse would assess for which of the following adverse drug effects? A. Insomnia, nervousness, and hypertension B. Nausea, vomiting, and hypotension
C. Dry mouth, drowsiness, and dyspnea D. Increased bronchial secretions, hypotension, and bradycardia - A. Insomnia, nervousness, and hypertension Older adult clients taking Bethanechol need to be assessed more frequently because of which of the following adverse effects? A. Tachycardia B. Hypertension C. Dizziness D. Urinary retention - C. Dizziness