A school nurse is teaching a parent about absence seizures. Which of the following
information should the nurse include?
~ This type of seizure can be mistaken for daydreaming
A charge nurse is teaching a newly licensed nurse about the facility's computerized
documentation system. Which of th...
A home health nurse is caring for a child who has Lyme disease. Which of the
following is an appropriate action for the nurse to take?
✓✓~ Ensure the state health department has been notified
A nurse is caring for a client who has a vented NG tube set to low intermittent
suction and has vomited. Which of the following actions should the nurse perform
first?
✓✓~ Evaluate functioning of the suction device
While performing a routine assessment, a nurse notices fraying on the electrical cord
of a client's continuous passive motion device. Which of the following actions should
the nurse take first?
✓✓~ Remove the device from the room
A nurse is setting up a sterile field to perform wound irrigation for a client. Which of
the following actions should the nurse take when pouring the sterile solution?
✓✓~ Remove the cap and place it sterile side up on a CLEAN surface
A nurse is creating a plan of care for a female client who has recurrent UTIs. Which
of the following interventions should the nurse include in the plan?
, ✓✓~ Wear loose fitting underwear
A nurse is caring for an infant who has gastroenteritis. Which of the following
assessment findings should the nurse report to the provider?
✓✓~ Sunken fontanels and dry mucous membranes
A nurse is conducting health promotion education regarding contraindications to
combination oral contraceptives use to a group of women. Which of the following
conditions should the nurse include in the teaching?
✓✓~ Hypertension
A nurse is providing teaching to a client who has a depressive disorder and a new
prescription for amitriptyline. Which of the following statements by the client indicates
an understanding of the teaching?
✓✓~ "I know it will be a couple of weeks before the medication helps me feel better."
A nurse is caring for a client who is immobile. Which of the following interventions is
appropriate to prevent contracture?
✓✓~ Apply an orthotic to the client's foot.
A nurse is assessing a client who is postoperative following abdominal surgery and
has an indwelling urinary catheter that is draining dark yellow urine at 25mL/hr.
Which of the following interventions should the nurse anticipate?
, ✓✓~ Obtain a urine specimen for culture and sensitivity
A nurse is reporting a client's laboratory tests to the provider to obtain a prescription
for the client's daily warfarin. Which of the following laboratory tests should the nurse
plan to report to obtain the prescriptions for the warfarin?
✓✓~ INR
A nurse is assessing a client who is taking haloperidol and is experiencing pseudo
parkinsonism. Which of the following findings should the nurse document as a
manifestation of pseudo parkinsonism?
✓✓~ Shuffling gait
A nurse is caring for a client who is experiencing expressive aphasia and right
hemiparesis following a stroke. Which of the following actions by the nurse best
promotes communication among staff caring for the client?
✓✓~ Having interdisciplinary team meetings for the client on a regular basis.
A nurse is caring for a 2 year old toddler. Which of the following food choices should
the nurse recommend to promote independence in eating?
✓✓~ Banana slices
A nurse on a medical-surgical unit is notified that a mass casualty event has
occurred in the community. Which of the following actions should the nurse plan to
take?
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