Presentation on theme: "Question 1 Which client should the nurse assess first? a. The client with hyperthyroidism who is complaining of being hot. b. The client with Type 1 diabetes."— Presentation transcript:
Question 1 Which client should the nurse assess first? a. The client with hyperthyroidism who is complaining of being hot. b. The client with Type 1 diabetes who is complaining of being jittery and nervous. c. The client with a full thickness burn who is complaining of pain. d. The client with hypoparathyroidism who is complaining of being tired all the time.
Question 2 The client has a Stage 1 pressure ulcer on the coccyx. Which priority intervention should the nurse implement? a. Notify the client’s HCP. b. Request an air flow mattress. c. Place the client on the side. d. Keep the linens wrinkle free.
Question 3 Which task is most appropriate to delegate to the UAP? a. Take vital signs on the client in myxedema coma. b. Check the blood glucose level on the client who is hyperglycemic. c. Obtain the weight on the client who has prednisone toxicity. d. Change the wound dressing on the client with full thickness burns.
Question 4 Which assignment/delegation is most appropriate for the charge nurse to make on the medical unit? a. The UAP takes vital signs on the clients. b. The LVN provides AM to the clients. c. The RN administers the routine medications. d. The LVN completes the shift assessments.
Question 5 Which client should the nurse assess first? a. The client with Cushing’s disease who has a buffalo hump. b. The client with Type 2 DM who has a glycoslated hemoglobin of 9%. c. The client with Grave’s disease who has exopthalmus. d. The client 2 days postop thyroidectomy who has a positive Chvostek’s sign.
Question 6 The UAP tells the nurse the client has a reddened area on the right heel. Which intervention should the nurse implement first? a. Tell the UAP to place the right foot on a pillow. b. Notify the client’s HCP. c. Assess the client’s right heel. d. Request the wound care nurse to evaluate the client.
Question 7 The client with adrenal hypofunction is admitted to the ER with AP 113 and B/P 88/60. Which intervention should the nurse implement first? a. Administer solumedrol IVP. b. Prepare to transfer the client to ICU. c. Insert a 20 gauge angiocath. d. Place the client on telemetry.
Question 8 Which client should the charge nurse assign the new graduate nurse? a. The client with Cushing’s disease who is scheduled for left knee replacement. b. The client with Type 1 DM who is in diabetic ketoacidosis. c. The client who sustained 20% full thickness burns 12 hours ago. d. The client who is 3 hours postop thyroidectomy who is having difficulty swallowing.
Question 9 Which medication should the nurse question administering? a. The prednisone to the client with Cushing’s disease. b. The oral hypoglycemic to the client with Type 2 DM. c. The synthroid to the client with hypothyroidism. d. The IV antibiotic to the client with a Stage 4 pressure ulcer.
Question 10 Which intervention should the nurse implement first for the client with full thickness burns scheduled for a dressing change? a. Obtain informed consent. b. Premedicate the client. c. Assess the client’s wound. d. Gather the needed supplies.