Nurse Exam Flashcards
The unit secretary who transcribes the health care provider’s (HCP’s) prescriptions asks the nurse to interpret an illegible prescription. The nurse should:
a. ask the client if they take this medication.
b. tell the unit secretary what the prescription is and to rewrite it clearly.
c. contact the HCP to clarify the prescription.
d. call the pharmacist to see if this is a drug the client takes.
Which finding indicates that a client with bipolar disorder, manic phase, is nearing readiness for discharge?
a. differentiating realistic self-image from grandiosity
b. suddenly telephoning their spouse and asking for a divorce
c. sleeping 4 hours per night
d. demonstrating a labile affect
A registered nurse is overseeing the care of clients in an acute mental health setting. Which task can the nurse delegate to an unlicensed assistive personnel?
a. Encouraging a client with depression to eat
b. Initial assessment of a client admitted with bulimia
c. Teaching a client with schizophrenia about medications
d. Sterile dressing changes to a client’s lacerated wrists
The nurse is teaching a new parent about the feeding patterns of a newborn infant. Which of the following statements by the parent would the nurse recognize as the correct description of a feeding pattern for a formula-fed infant?
a., “Formula-fed infants demand to feed every 1.5 to 3 hours.”
b. “Formula-fed infants digest their milk more rapidly.”
c. “Formula-fed infants usually feed every 3 to 4 hours.”
d. “Formula-fed infants experience shorter periods between feedings.”
A client is evaluated for severe pain in the right upper abdominal quadrant, which is accompanied by nausea and vomiting. The health care provider diagnoses acute cholecystitis and cholelithiasis. For this client, which nursing diagnosis takes top priority?
a. Anxiety related to unknown outcome of hospitalization
b. Imbalanced nutrition: Less than body requirements related to biliary inflammation
c. Acute pain related to biliary spasms
d. Deficient knowledge related to prevention of disease recurrence
A 10-year-old client underwent an appendectomy 24 hours ago. They are awake, alert, and oriented. The client tells the nurse they are experiencing pain. They have a prescription for morphine 1 to 2 mg as needed for pain. What is the priority nursing action in managing the child’s pain?
a. Perform a head-to-toe assessment.
b. Administer 1 mg morphine as prescribed.
c. Change the child’s position in bed.
d. Determine the severity of the pain.
A client recovering from a stroke is prescribed a leg brace and needs to be transferred out of bed to a chair. Which action should the nurse take first before beginning this transfer?
a. Apply the leg splint before beginning the transfer.
b. Roll the client away from the side of the transfer.
c. Lower the head of the bed.
d. Assist the client to a sitting position in bed.
