Question: Pressure injuries can occur to the skin and underlying tissues due to pressure, shear, or friction. Which of the following can reduce the incidence of pressure injuries in hospitalized clients?
Answer Options:
Maintaining the head of the bed at a 45-degree angle
Frequent turning and positioning
Frequent skin assessments
Inspect the sacrum for blanching
Optimizing nutrition
Answer: Frequent turning and positioning
Frequent skin assessments
Inspect the sacrum for blanching
Optimizing nutrition
Question: A nurse is interviewing a pre-operative patient scheduled for a total hip replacement. Which of the following findings would require the nurse to collaborate with the surgeon immediately before sending the patient to the operating room?
Answer Options:
The client took half their morning dose of insulin at 6 a.m.
The client took metoprolol 25mg with a sip of water at 6 a.m.
The client took warfarin 2.5mg with a sip of water at 6 a.m.
The client took phenytoin 100mg with a sip of water at 6 a.m.
Answer: The client took warfarin 2.5mg with a sip of water at 6 a.m.
Question: How should the nurse prioritize the provider orders for a patient with sepsis?
Answer Options:
Obtain lactate level and blood cultures
Administer rapid infusion of IV fluid
Administer broad-spectrum antibiotics
Administer vasopressors
Answer: 1st Priority: Obtain lactate level and blood cultures
2nd Priority: Administer rapid infusion of IV fluid
3rd Priority: Administer broad-spectrum antibiotics
4th Priority: Administer vasopressors
Question: A nurse is caring for a client who has HIV-1 infection and is prescribed zidovudine as part of antiretroviral therapy. The nurse should monitor the client for which of the following adverse effects of this medication?
Answer Options:
Cardiac dysrhythmia
Metabolic alkalosis
Renal failure
Aplastic anemia
Answer: Aplastic anemia
Question: A nurse is planning care for a client who is to receive a competitive neuromuscular blocking agent. Which of the following items should the nurse plan to have at the client’s bedside?
Answer Options:
Temporary pacemaker
Urinary catheter insertion tray
Central venous catheterization tray
Bag-valve-mask device
Answer: Bag-valve-mask device
Question: A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?
Answer Options:
Heart rate
Urine output
Weight
BP
Answer: Heart rate
Question: A provider tells the nurse that a patient with a peptic ulcer is being placed on a proton pump inhibitor. Which medication would the nurse anticipate the provider ordering?
Answer Options:
Famotidine
Cimetidine
Ranitidine
Pantoprazole
Answer: Pantoprazole
Question: An occupation health nurse provides education on the risk factors for peptic ulcer disease. Which risk factors should the nurse include in the educational session?
Answer Options:
Eating spicy foods and laid-back attitude
Occasional alcohol and cocaine use
Six-month history of H. Pylori
Alcohol abuse and smoking
Active lifestyle and smoking
Answer: Six-month history of H. Pylori
Alcohol abuse and smoking
Question: A nurse is caring for a client with the diagnosis of Clostridium difficile. After removing soiled gloves, what is the priority action by the nurse?
Answer Options:
Wash hands with alcohol-based hand sanitizer
Don a clean pair of nonsterile gloves
Wash hands with soap and water
Wash hands with a bleach wipe from a nearby container
Answer: Wash hands with soap and water