1. The nurse cares for the child diagnosed with a closed head injury. It is most
important for the nurse to assess which finding?
1. The child’s response to the environment.
2. The child’s intake and output.
3. The c
...
1. The nurse cares for the child diagnosed with a closed head injury. It is most
important for the nurse to assess which finding?
1. The child’s response to the environment.
2. The child’s intake and output.
3. The child’s vital signs.
4. The child’s motor
activity. Answer#1 (level of
consciousness)
2. The staff nurse asks for the goals of the Quality Assurance Committee.
Which is an example of a goal?
1. Use of an alternate laundry service.
2. Explore an increase of handicap parking spaces.
3. Survey documentation of follow-up after administration of pain medication.
4. Determine the cause for employee’s tardiness.
Answer#3
1.
3. The nurse cares for a client diagnosed with superficial partial thickness burn.
The nurse should assign the client to a room with which client?
1. A client diagnosed with Cushing’s Syndrome.
2. A client Diagnosed with cellulitis of the left leg.
3. A Client diagnosed with acute peritonsillar abscess.
4. A client diagnosed with acute pelvic inflammatory
disease. Answer: A
4. The nurse observes client care on a geriatric unit. The nurse should
intervene in which situation?
a. A student nurse assist the client out of bed toward the clients strong side.
b. A student nurse assist the client to sit on the side of the bed by lifting the
client’s shoulders and swinging the client’s legs over the edge of the bed.
c. A student nurse assists the client to stand from a sitting position by
grasping the client’s elbows.
d. Two student nurses use a draw sheet to turn a client in the
bed. Answer: C
5. The nurse evaluates the results of the client’s purified protein derivative
(PPD) 2 ½ days after the injection. The nurse noted the induration is 4 mm. which
action by the nurse is most appropriate?
a. Inform the client the results are negative
b. Obtain the names of the client’s closest contacts.
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