QUESTION NO: 1
A nurse calls a physician regarding an order to administer digoxin (Lanoxin) to a patient with pulse of 58
and a serum potassium level of 2.9mEq/L. The physician says to administer the medication as ordered.
The nurse should best respond by stating:
A nurse calls a physician regarding an order to administer digoxin (Lanoxin) to a patient with pulse of 58
and a serum potassium level of 2.9mEq/L. The physician says to administer the medication as ordered.
The nurse should best respond by stating:
Correct Answer: A
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QUESTION NO: 2
The most accurate method of documenting the physical growth of a three-year-old patient is:
The most accurate method of documenting the physical growth of a three-year-old patient is:
Correct Answer: D
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QUESTION NO: 3
A sixteen-year-old patient with ascending paralysis was intubated and is receiving mechanical ventilation.
The nurse should include what plan of care to help the patient cope with his illness?
A sixteen-year-old patient with ascending paralysis was intubated and is receiving mechanical ventilation.
The nurse should include what plan of care to help the patient cope with his illness?
Correct Answer: D
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QUESTION NO: 4
A child with asthma is being discharged from the hospital on inhaled corticosteroids. The nurse
recognizes that the parents understand the discharge teaching when they tell the nurse that they will
monitor the child for the side effect of:
A child with asthma is being discharged from the hospital on inhaled corticosteroids. The nurse
recognizes that the parents understand the discharge teaching when they tell the nurse that they will
monitor the child for the side effect of:
Correct Answer: A
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QUESTION NO: 5
An adolescent patient who sustained an inhalation injury arrives in the emergency department. On
assessment of the patient, the nurse notes that the patient is very confused and combative. The nurse
determines that the patient is experiencing:
An adolescent patient who sustained an inhalation injury arrives in the emergency department. On
assessment of the patient, the nurse notes that the patient is very confused and combative. The nurse
determines that the patient is experiencing:
Correct Answer: D
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QUESTION NO: 6
The nurse manager notes that the unit atmosphere has become negative and some of the nurses are not
accepting staff. It would be best for the nurse manager to:
The nurse manager notes that the unit atmosphere has become negative and some of the nurses are not
accepting staff. It would be best for the nurse manager to:
Correct Answer: C
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QUESTION NO: 7
A nurse is caring for a pregnant patient and is assessing the fetal heart rate. The nurse notes that the fetal
heart rate is abnormal for the third time; this is made known to the physician to order a fetal scalp pH
sample. The nurse is aware that the fetus may be compromised if the fetal pH is:
A nurse is caring for a pregnant patient and is assessing the fetal heart rate. The nurse notes that the fetal
heart rate is abnormal for the third time; this is made known to the physician to order a fetal scalp pH
sample. The nurse is aware that the fetus may be compromised if the fetal pH is:
Correct Answer: D
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QUESTION NO: 8
A 28-year-old patient was admitted with a diagnosis of Hepatitis A.
The doctor ordered contact precautions. In addition to the standard precautions, what isolation procedures should be strictly
implemented?
A 28-year-old patient was admitted with a diagnosis of Hepatitis A.
The doctor ordered contact precautions. In addition to the standard precautions, what isolation procedures should be strictly
implemented?
Correct Answer: D
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QUESTION NO: 9
When planning teaching for parents of a baby with tetralogy of fallot, who are both employed full time, the
nurse should:
When planning teaching for parents of a baby with tetralogy of fallot, who are both employed full time, the
nurse should:
Correct Answer: A
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QUESTION NO: 10
A nurse is discussing the ordered dietary restrictions with a Chinese patient. During the teaching session,
the patient continuously turns away from the nurse. Which would be the most appropriate nursing action?
A nurse is discussing the ordered dietary restrictions with a Chinese patient. During the teaching session,
the patient continuously turns away from the nurse. Which would be the most appropriate nursing action?
Correct Answer: C
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QUESTION NO: 11
Which of the following cases would be classified as an urgent case in triage nursing?
Which of the following cases would be classified as an urgent case in triage nursing?
Correct Answer: D
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QUESTION NO: 12
A nurse initiates preparation of a six-year-old boy for an infratentorial craniotomy. The nurse plans to:
A nurse initiates preparation of a six-year-old boy for an infratentorial craniotomy. The nurse plans to:
Correct Answer: A
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