- A nurse is caring for a client who is near the end of life. The client’s partner asks the nurse to ease the client’s breathing difficulty. Which of the following actions should the nurse take?
- Administer a bronchodilator to the client.
- Place the dient in Trendelenburg position.
- Use a fan to increase air circulation in the room.
- Decrease the frequency of intake of oral fluids.
- A nurse is caring for the guardian of an adolescent who was killed in a motor-vehicle crash. The guardian states, “I never should have let them take the car. It’s all my fault!” Which of the following responses should the nurse make?
- “Why do you feel this is your fault?”
- “I know how you feel: I also lost a child.”
- “You had no way of knowing this would happen.”
- “You appear to be feeling overwhelmed.”
- A nurse in a mental health facility is reviewing the medical record of a client who has bipolar disorder and is taking lithium. Which of the following laboratory values should the nurse report to the provider?
- BUN 12 mg/dL
- Lithium level 1.0 mEq/L
- WBC count 8.000/mm
- Thyroid stimulating hormone 0.2 microunits/mL
- An infection control nurse is reviewing the medical records of several clients. Which of the following infections should the nurse report to the Centers for Disease Control and Prevention?
- Syphilis
- Methicillin-resistant Staphylococcus aureus
- Pelvic inflammatory disease
- Candidiasis
- A nurse in a newborn nursery is receiving change-of-shift report for four newborns. Which of the following newborns should the nurse assess first?
- A female who is 24 hr of age and has blood-tinged vaginal discharge
- A male who is 12 hr of age and has not voided
- A female who has visible abdominal peristaltic waves
- A male who has a pulse rate of 160/min while crying
- A nurse is precepting a nursing student who brings the following client observations to the nurse’s attention. Which of the following clients should the nurse assess first?
- A client who is coughing up pink-tinged sputum following a bronchoscopy and lung biopsy 1 hr ago
- A client who is 3 hr post Foley catheter removal and has not voided
- A client who is 3 days postoperative colectomy with a large, loose melena stool
- A client who is 1 day postoperative total hip replacement with a pain level of 7 on a scale of 0 to 10 \
- A nurse is assessing a client who is gravida 2. para 1. The client is at 41 weeks of gestation and is receiving oxytocin for the augmentation of labor. The nurse should decrease the infusion rate for which of the following findings?
- Contractions are strong to palpation.
- Cervix is dilating at 1 cm every 4 hr.
- Contractions occur every 90 seconds.
- Consistent contractions last 80 seconds:
- A nurse is counseling a client whose partner has recently died. The client reports continuing to cook their partner’s favorite meals. The nurse should identify that the client is using which of the following defense mechanisms?
- Dissociation
- Rationalization
- Compensation
- Denial
- Identification
- A home health nurse is teaching the parents of a school-age child who has Legg-Calve-Perthes disease. Which of the following information should the nurse include?
- “Your child will need to increase their daily caloric intake until they gain 5 pounds.”
- “Your child should perform weight-bearing exercises daily.”
- “Your child will be contagious until the first round of antibiotics is complete.”
- “Your child should continue to attend school.”
- A nurse is caring for a client who has a left femur fracture and is in skeletal traction. The client reports pain due to muscle spasms in the affected leg. Which of the following is an appropriate action by the nurse?
- Increase the amount of traction.
- Remove the traction weights
- Allow the weights to rest on the floor
- Realign the extremity in traction.
- A nurse is caring for a client who is postoperative and requires wound irrigation. Which of the following actions should the nurse take?
- Irrigate the wound with a 30-mL syringe
- Irrigate the wound from the center to the outer edges
- Irrigate the wound from the outer edges to the center
- Irrigate the wound with a continuous flow of sterile saline.
- A charge nurse is discussing the guidelines for narcotic medications with a newly licensed nurse. Which of the following information should the charge nurse include?
- Request an AP to witness the disposal of wasted medication.
- Dispose of unused medication in the sharps container
- Verify the narcotic Inventory count every 8 hr.
- Report discrepancies in the narcotic inventory to the nurse manager
- A nurse is caring for an infant who has a prescription for continuous pulse oximetry. Which of the following actions should the nurse take?
- Place a sock over the infant’s foot to secure the sensor.
- Warm the infant’s extremity for 1 min prior to placing the sensor probe
- Keep the infant’s foot immobilized while the sensor is in place.
- Place a sensor on the infant’s index finger.
- A nurse is transcribing a new prescription in a client’s medical record for enoxaparin 30 milligrams, subcutaneously every 12 hours. Which of the following documentation should the nurse use?
- Enoxaparin 30 mg sub q every AM and HS
- Enoxaparin 30 mg subcut every 12 hr
- Enoxaparin 30 mcg SC q12 hour
- Enoxaparin 30 mg SQ q AM and q HS
- A nurse from the State Health Department is instructing a group of nurses regarding reportable infections. Which of the following infections should the nurse report to the Centers for Disease Control and Prevention?
- Candida albicans
- Staphylococcus aureus
- Herpes simplex virus 2
- Lyme disease
- A nurse in a community mental health facility is assessing a group of clients who have eating disorders. Which of the following clients should the nurse refer to the provider?
- A client who has an oral temperature of 35.4″ C (95.8 F)
- A client who has a blood pressure of 100/68 mm Hg
- A client who has a resting heart rate of 60/min
- A client who has a magnesium level of 1.4 mEq/L
- A nurse is caring for a client who has cirrhosis of the liver. Which of the following actions should the nurse take?
- Place warm compresses on areas of pruritus
- Implement a low-carbohydrate diet.
- Monitor for abdominal ascites.
- Review serum amylase levels.
Histograms vs. box plots Compare the two plots below. What…
Histograms vs. box plots Compare the two plots below. What characteristics of the distribution are apparent in the histogram and not in the box plot? What characteristics are apparent in the box plot but not in the histogram?
