A) preparing for carotid Doppler ultrasonography.
B) administering tissue plasminogen activator.
D) obtaining a computed tomography scan of the head without contrast.
should be:
A. 10 pounds
B. 12 pounds
C. 21 pounds
D. 25 pounds
Answer: C. 21 pounds
A) experiencing no dyspnea on exertion.
B) agreeing to discontinue smoking.
C) ambulating 50 feet without experiencing dyspnea.
Answer: C) ambulating 50 feet without experiencing dyspnea.
4. A client with an abdominal aortic aneurysm is admitted in preparation
for surgery. Which of the following should be reported to the
doctor?
A. A negative Babinski reflex
B. An abdominal bruit
C. An elevated white blood cell count
D. Pupils that are equal and reactive to light
Answer: C. An elevated white blood cell count
5. Which action best describes a sentinel event alert?
A) Signaling the need for immediate investigation and response
B) Indicating that a community or institution is unsafe
C) Documenting the breakdown in communication during a shift report
D) Recording the harm done when a medication error occurs
Answer: A) Signaling the need for immediate investigation and response
6. Before administering Methytrexate orally to the client with cancer,
the nurse should check the:
A. IV site
B. Vital signs
C. Blood gases
D.Electrolytes
Answer: B. Vital signs
7. A patient’s family does not know the patient’s end-of-life care preferences, but assumes that they know what is best for the patient under the circumstances. This assumption reflects:
A) justice.
B) pragmatism.
C) paternalism.
D) veracity.
Answer: C) paternalism.
8. Which assignment should not be performed by the licensed practical
nurse?
A. Initiating a blood transfusion
B. Discontinuing a nasogastric tube
C. Inserting a Foley catheter
D. Obtaining a sputum specimen
Answer: A. Initiating a blood transfusion
9. During an assessment of a patient who sustained a head injury 24 hours ago, the medical-surgical nurse notes the development of slurred speech and disorientation to time and place. The nurse’s initial action is to:
A) recheck the patient’s neurologic status in 15 minutes.
B) continue the hourly neurologic assessments.
C) prepare the patient for emergency surgery.
D) inform the neurosurgeon of the patient’s status.
Answer: D) inform the neurosurgeon of the patient’s status.
10. The nurse is making assignments for the day. Which client should
be assigned to the nursing assistant?
A.A client with pneumonia
B. A client with appendicitis
C. A client with Alzheimer’s disease
D. A client with thrombophebitis
Answer; C. A client with Alzheimer’s disease
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