1A client receives a wrong medication. The nurse who made the...

1A client receives a wrong medication. The nurse who made the medication error should take which of the following actions first?

●       Complete nincident report

●       Call the client's provider

●       Assess the client

●       Notify the nurse manager

2.A nurse is caring for four postoperative clients. The nurse can delegate obtaining vital signs to unlicensed assistive personnel (UAP) for which of the following clients?

●       A client that is 2 hr postoperative following an abdominal hysterectomy

●       A client that is 1 hr postoperative following a thyroidectomy

●       A client that is 2 days postoperative following a craniotomy

●       A client that is 2 days postoperative following gastric bypass surgery

3. A nurse in a long-term care facility is caring for an older adult client that had a stoke 4 weeks ago and who is unable to move independently. Which of the following findings indicates a complication of immobility?

●       A reddened area over the sacrum

●       Pale yellow urine

●       Pain sensation intact

●       Decreased fatigue

4A nurse is caring for a client who has the following artificial blood gas results: The nurse recognizes the client is experiencing which of the following acid base imbalances?

●       Metabolic alkalosis

●       Respiratory alkalosis

●       Respiratory acidosis

5.A nurse is assessing a client who is 48 hrs postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?

●       Straw-colored urine from an including catheter

●       Yellow green drainage on the surgical incision

●       Respiratory rate 20 breaths/min

●       Blood pressure 102/66 mmHg

6.A nurse is giving a presentation about client confidentially to a group of newly licensed nurses. Which of the following actions is an example of a violation of confidentiality?

●       Discussing a client's surgical procedure with the nurse manager

●       Identifying the client by name when making a referral for home health services

●       Notifying the provider of physical examination findings

●       Reporting laboratory findings to a member of the client's family

7.A nurse is completing a client's history and physical examinations. Which of the following information should the nurse consider subjective data?

●       Blood pressure

●       Petechiae

●       Cyanosis

●       Nausea

8.A nurse is caring for a client with a hip fracture that requires surgical repair. Which of the following heath care professionals is responsible for obtaining informed consent from the client for the procedure?

●       Nurse

●       Unit secretary

●       Hospital client's representative

●       Surgeon

9.A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to promote thinning of respiratory secretion?

●       Encourage coughing and deep breathing

●       Encourage the client to increase fluid intake

●       Encourage the client to ambulate frequently

●       Encourage regular use of the incentive spirometer

10.A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

●       "The supervisor will be coming to explain the situation"

●       "As a nurse, I am requested by law to report suspected child abuse"

●       "I am unable to discuss this, but I can contact my supervisor to speak with you"

●       "I reported the incident to my supervisor who decided to contact the authorities"

11. nurse is planning care for a group of clients at the beginning of the shift, which of the following tasks should the nurse assign to the licensed practical nurse (LPN)?

●       Developing of the plan of care for a client with an amputation

●       Analyzing data to identify issues for a client who has uncontrolled diabetes mellitus

●       Performing an assessment on a new postoperative client

●       Assisting a client with crutch walking following knee replacement surgery

12) and an experienced licensed practical nurse (LPN) are caring for a group of clients. Which of the following tasks should the nurse determine to the LPN? (select all that apply)

●       Administer a non-steroidal anti-inflammatory drug (NSAID)

●       Administer an insulin subcutaneous injection

●       Obtain vital signs from a client that is 6 hr postoperative

●       Initiate a plan of care for a client that is postoperative from an appendectomy

●       Provide discharge instructions to a confused client's spouse

13.The nurse is planning care for an older adult with an infectious and communicable disease. The nurse should identify which as the primary goal?

●       The older adult will not spread the infection to others

●       The older adult will experience mild discomfort

●       The public health department will be notified

●       The older adult will experience only minor complications

14.A nurse is providing discharge instructions for a client requiring home oxygen therapy. Which of the following statements should the nurse identify as an indication that the client needs further instruction?

●       "I will be able to tell how much oxygen I'm getting by looking at the flowmeter"

●       "I will wear synthetic clothing and wool socks when using my oxygen"

●       "I should call my health care provider (HCP) if I find it harder to concentrate"

●       "I will make sure my visitors smoke outside"

15.A nurse caring for a client is using active listening skills. Which of the following actions should the nurse take?

●       Use intermittent eye contact

●       Have a pen and paper handy

●       Sit side by side with the client

●       Lean back in the chair