Question: What is the correct injection site for an IM injection in an infant?
Answer Choices:\n\nDeltoid Vastus lateralis Dorsogluteal Ventrogluteal
Answer:\nVastus lateralis
Question: A patient is having a tonic-clonic seizure. What is the nurse’s priority action?
Answer Choices:\n\nPlace a tongue blade in the mouth Restrain the patient Turn the patient on their side Elevate the head of the bed
Answer:\nTurn the patient on their side
Question: Which client should the nurse see first?
Answer Choices:\n\nA client with blood glucose of 250 mg/dL A client with chest pain and shortness of breath A client with a fever of 100.2°F A client scheduled for surgery in 2 hours
Answer:\nA client with chest pain and shortness of breath
Question: Which finding in a newborn should be reported immediately?
Answer Choices:\n\nBluish hands and feet Respirations of 60/min Nasal flaring Positive Babinski reflex
Answer:\nNasal flaring
Question: Which intervention is appropriate for a client in restraints?
Answer Choices:\n\nTie the restraint to the side rail Remove restraints every 4 hours Document circulation checks every 2 hours Use a quick-release knot
Answer:\nUse a quick-release knot
Question: The nurse is providing discharge teaching to the client. Which of the following information should the nurse include when educating the client about relapse prevention? Select all that apply.
Answer Choices:\n\nA. Limit alcohol consumption to no more than two drinks per week. B. Report any adverse effects of the medication to the provider immediately. C. Take a dose of the medication as soon as delusions or hallucinations begin. D. Go for a walk to decrease anxiety during times of increased stress. E. Ask a trusted person to watch for manifestations of illness. F. Notify your provider within 48 hr of manifestations of a relapse.
Answer:\nB. Report any adverse effects of the medication to the provider immediately. D. Go for a walk to decrease anxiety during times of increased stress. E. Ask a trusted person to watch for manifestations of illness.
Question: What is the antidote for acetaminophen overdose?
Answer Choices:\n\nAtropine N-acetylcysteine Naloxone Flumazenil
Answer:\nN-acetylcysteine
Question: Which vaccine is safe to administer during pregnancy?
Answer Choices:\n\nMMR Varicella Influenza (inactivated) HPV
Answer:\nInfluenza (inactivated)
Question: A nurse is caring for a client who had a thyroidectomy. What is the priority assessment?
Answer Choices:\n\nMonitor temperature Assess for hoarseness or stridor Evaluate bowel sounds Monitor weight
Answer:\nAssess for hoarseness or stridor
Question: Which sign indicates a potential hip fracture?
Answer Choices:\n\nLeg internally rotated Shortened leg and external rotation Bruising on both knees Swelling of the calf
Answer:\nShortened leg and external rotation
Question: Which position should the nurse place a client in after a lumbar puncture?
Answer Choices:\n\nHigh Fowler’s Side-lying Flat supine Prone
Answer:\nFlat supine
Question: A patient is diagnosed with DKA. Which is the priority nursing action?
Answer Choices:\n\nAdminister insulin Monitor potassium Provide IV fluids Check blood glucose
Answer:\nProvide IV fluids
Question: Which finding indicates effective CPR in an adult?
Answer Choices:\n\nBreathing resumes Pulse returns Chest visibly rises with compressions Pupils dilate
Answer:\nPulse returns
Question: Which client statement indicates understanding of how to prevent osteoporosis?
Answer Choices:\n\n“I’ll increase my caffeine intake.” “I’ll do weight-bearing exercises regularly.” “I’ll avoid all dairy products.” “I’ll limit my time in the sun.”
Answer:\nI’ll do weight-bearing exercises regularly
Question: Which lab result indicates a potential bleeding risk?
Answer Choices:\n\nINR 1.0 Platelets 50,000/mm³ Hemoglobin 14 g/dL WBC 6,000/mm³
Answer:\nPlatelets 50,000/mm³