Question: An older adult client asks which foods help prevent osteoporosis.
Answer Choices:
A Water and herbal teas
B Low fat dairy products
C Fresh fruits and vegetables
D Iron-rich meats
Answer: B. Low fat dairy products
Question: Infant post-op for esophageal atresia given enteral feedings. What promotes growth/development?
Answer Choices:
A Offer pacifier
B Recommend physical therapy
C Use sterile technique
D Confirm tube with x-ray
Answer: A. Offer pacifier
Question: At 1330, the nurse draws blood for the laboratory orders and calls for a STAT chest x-ray. What does the nurse need to document at 1330?
Answer Choices:
A Oxygen saturation
B Pain
C Flow rate of oxygen
D Respiratory rate
E Temperature
F Urine output
G Blood pressure
Answer: A. Oxygen saturation; C. Flow rate of oxygen; D. Respiratory rate; E. Temperature; G. Blood pressure
Question: TENS unit client reports tingling. What should nurse do?
Answer Choices:
A Decrease electrical strength
B Remove electrodes
C Check gel coating
D Ask if sensation is uncomfortable
Answer: D. Ask if sensation is uncomfortable
Question: ALS client coughs during meal. What action should the nurse take?
Answer Choices:
A Use assistive feeding tools
B Recommend liquid feedings
C Tuck chin while eating
D Lie down and turn to side
Answer: C. Tuck chin while eating
Question: A client with an acute MI is given thrombolytics, aspirin, and IV heparin. Which finding indicates a satisfactory response?
Answer Choices:
A Cardiac tracing shows 1.2 mm wide Q waves
B Guaiac test positive
C aPTT is 2× control value
D S3 heart sounds present
Answer: C. aPTT is 2× control value
Question: Client with HTN/DM admitted with a-fib and prescribed dronedarone. Which finding warrants intervention?
Answer Choices:
A MAP elevated
B PVCs
C Paroxysmal a-fib
D Third degree heart block
Answer: D. Third degree heart block
Question: Difference between ulcerative colitis and Crohn’s disease.
Answer Choices:
A Rectal bleeding predominant in UC
B Anal abscess/fistula rare in Crohn’s
C Both affect entire GI tract
D Constipation common in Crohn’s
Answer: A. Rectal bleeding predominant in UC
Question: OCD client is washing table repeatedly. What intervention?
Answer Choices:
A Teach thought stopping
B Allow behavior, then redirect
C Encourage client to relax
D Identify precipitating stimuli
Answer: B. Allow behavior, then redirect
Question: Client has purulent wound drainage. What is most important?
Answer Choices:
A Clean wound
B Monitor WBC
C Check odor
D Request culture & sensitivity
Answer: D. Request culture & sensitivity
Question: Client with heart failure is SOB with pink frothy sputum. Morphine sulfate prescribed. What action should nurse take?
Answer Choices:
A Review the need with HCP
B Administer as prescribed
C Withhold morphine
D Consult charge nurse
Answer: B. Administer as prescribed
Question: Delegating to UAP—Which task?
Answer Choices:
A Evaluate catheter drainage
B Observe gait
C Call pharmacy
D Bring chest drainage unit
Answer: D. Bring chest drainage unit
Question: Match the activity with the most appropriate person to do the activity. (Assess respiratory status, change gauze, etc.)
Answer Choices:
Unlicensed assistive
Registered nurse/respiratory therapist
Provider
Answer: Assess respiratory status – Registered nurse/respiratory therapist
Change gauze – Unlicensed assistive
Document changes – Registered nurse
Determine method – Provider
Determine dose – Provider
Provide mouth care – Unlicensed assistive
Set up oxygen – Registered nurse/respiratory therapist