1. A nurse receives a prescription to administer a stat dose of meperidine100 mg PO to a client. Whi

1. A nurse receives a prescription to administer a stat dose of meperidine100 mg PO to a client. While documenting the medication administration the nurse discovers the client received phenytoin 100 mg PO. Which of the following actions should the nurse take first?A. Check the client’s vital signsB. Complete an incident reportC. Notify the providerD. Administer the meperidine 2. A nurse is caring for a client who is newly diagnosed with type 1 diabetes mellitus. The nurse should recognize that the client needs a referral for diabetic education when the client does which of the following?A. Draws up regular insulin before NPH when demonstrating injection techniqueB. Says that he will see a primary care provider to treat corns on his feetC. States that he will treat hypoglycemia reactions with 15 g of carbohydratesD. Lists sweating, shaking, and palpitations as symptoms of hyperglycemia 3. A nurse is monitoring a client who is 36 hr postoperative following a left knee arthroscopy. Which of the following findings should the nurse report to the provider?A. Discoloration at the postoperative siteB. Urinary output 150 mL/hrC. Client report of pain at the incision siteD. Blood pressure 78/38 mm Hg 4. A nurse is assisting in the development of an in-service for staff members about physical abuse of children. Which of the following children are at an increased risk for physical abuse?A. Children whose parents have college degreesB. Children who were born after 38 weeks of gestationC. Children whose parents are marriedD. Children who live in crowded homes 5. A nurse is collecting data from the guardian of a preschooler during a well-child visit. Which of the following findings is a contraindication for the administration of the measles, mumps, and rubella (MMR) vaccine?A. Family history of allergies to penicillinB. Erythema at injection site with previous immunizationC. Long-term use of immunosuppressantsD. Current use of antimicrobial therapy 6. A nurse is caring for a client who has bipolar disorder and is experiencing mania. Which of the following actions should the nurse take?A. Frequently remind the client of the expectations for her behaviorB. Encourage the client to participate in a group activity in the dayroomC. Allow the client to pick her own choice of clothingD. Encourage the client to increase physical activity during the day 7. A nurse is caring for a client who recently had a stroke and states, “I am having trouble swallowing my food.” To which of the following members of the interprofessional team should the nurse initiate a referral?A. Speech-language pathologistB. Physical therapistC. Social workerD. Occupational therapist 8. A nurse is preparing morning medications for a client who has a potassium level of 3.2 mEq/L. For which of the following medications should the nurse withhold administration and notify the provider?A. AtenololB. AtenololC. FurosemideD. Potassium chloride 9. A nurse is contributing to the plan of care for a client who has bulimia nervosa. Which of the following interventions should the nurse recommend?A. Administer bupropion 1 hr before mealsB. Allow the client access to food throughout the dayC. Weigh the client once weeklyD. Observe the client for 1 hr after meals 10. A nurse is caring for a client and suspects they are experiencing transference. Which of the following client statements should the nurse identify as an indication of transference?A. “I’m going to tell my provider that I want to stop taking my medication.”B. “I don’t want to talk to you about how I’m feeling right now.”C. “I feel really close to you because you remind me of my sibling.”D. “I feel happy about the progress I’ve been making in my life.” 11. A nurse is reinforcing teaching with a client who has a vitamin C deficiency. Which of the following should the nurse include as having the highest vitamin C content?A. 1 cup yogurtB. 1 cup raw broccoliC. 1 large baked potatoD. 1 cup boiled carrots 12. A nurse from a medical-surgical unit is floating to a postpartum unit. Which of the following clients is an appropriate assignment for the nurse to accept?A. A client who had a cesarean delivery 24 hr agoB. A client who is receiving oxytocin for uterine atonyC. A client who will be breastfeeding for the first timeD. A client who underwent removal of a retained placenta 13. A nurse is participating in a performance improvement process to decrease the rate of health care-associated infections within the facility. The nurse should recognize that which of the following is an appropriate performance improvement outcome indicator?A. Staff members complete an in-service about hand hygieneB. Client rooms each have a wall-mounted hand sanitizerC. Client data indicates a decreased rate of infectionD. Client surveys show increased satisfaction 14. A nurse is caring for a client who is nearing the end of life and has concerns about their family. Which of the following actions should the nurse take?A. Encourage the family to bring the client’s favorite foodsB. Have the client write about life experiences in a journalC. Limit family visits to daytime hours for resting purposesD. Tell the nursing staff to provide personal care 15. A nurse is caring for a client who has COPD. The client’s baseline vital signs were: temperature 38.2 C (100.8 F), heart rate 110/min, respiratory rate 32/min, blood pressure 124/82 mm Hg, and oxygen saturation 85%. Which of the following vital signs indicates an improvement in the client’s condition?A. Oxygen saturation 88%B. Blood pressure 118/78 mm HgC. Temperature 38.1 C (100.6 F)D. Respiratory rate 30/min 16. A nurse is reinforcing teaching with a client about the importance of a low-sodium diet. Which of the following foods should the nurse recommend as the best choice to include in a low-sodium diet?A. 1 medium potatoB. 1 oz of cheddar cheeseC. 2 tbsp of peanut butterD. 1 slice of turkey bologna 17. A nurse in a pediatric clinic is reviewing the urine laboratory results for an adolescent. For which of the following results should the nurse notify the provider?A. Nitrites negativeB. Ketones positiveC. Uric acid 475 mg/24 hrD. Specific gravity 1.020 18. A nurse is caring for a client who is in mechanical restraints after becoming violent with a staff member. Which of the following actions should the nurse take?A. Document in the client’s medical record every 15 minB. Offer toileting to the client every 4 hoursC. Remove the restraint when the client falls asleepD. Request that the provider write an as-needed prescription for restraints 19. A nurse is preparing to instill an otic suspension into an adult client’s ear. Which of the following methods should the nurse plan to use?A. Pull the auricle upward and outwardB. Pull the auricle downward and backwardC. Pull the auricle upward and backwardD. Pull the auricle downward and outward 20. A nurse is reinforcing teaching with an adolescent who has a new prescription for cefazolin. For which of the following findings should the nurse instruct the adolescent to monitor and report to the provider?A. ConstipationB. Elevated skin patchesC. Ringing in the earsD. Depression Health Science Science Nursing NURSG LVN Share QuestionEmailCopy link Comments (0)

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