Description
NSG 4060 RN Comprehensive Online Practice
- Patient refused a newly open fentanyl patch. Which of the following actions should the nurse take?
- Client receiving heparin continuous IV infusion and warfarin 5 mg PO daily. Lab values are aPTT 98 seconds and INR 1.8
- A nurse at an urgent care clinic is assessing a client who reports impaired vision in one eye . Which indicates the client has a detached retina
- infant with hydrocephalus 6 hr post-op following ventriculoperitoneal shunt placement. finding to report to the provider
- Assessing a newborn heart rate follows actions the nurse should take
- Caring for a client who has a fecal impaction actions to be taken when digitally evacuating the stool
- Dietary teaching for a new prescription of phenelzine
- Nurse administers an incorrect dose of medication. Which facts related to incident report should the nurse document in the client’s medical record?
- Nurse on the pediatric unit received shift report on 4 children. Which should the nurse assess first?
- Community health nurse providing teaching on home safety for older adults
- School age child with scald burns on both hands and wrists suspected abuse
- Client who has acute blood loss following trauma refuses potentially life-saving blood transfusion
- Discussing common prenatal discomfort 20 weeks gestational
- Discharge instructions to client to received home oxygen therapy
- Preparing an educational session about advocacy to a group of nurses
- Continuous bladder irrigation following transurethral resection of prostate. Bladder spasms and decreased urinary output
- Child with sickle cell anemia and is having a vaso-occlusive crisis
- Client teaching about the basal body temp method for birth control
- Caring for a client who is unconscious and requires emergency medical procedures. Unable to locate family to obtain consent
- Client who has fluid volume overload. Which tasks can nurse delegate to UAP
- Checking for Chvostek’s sign
- Reviewing urinalysis report of client with acute glomerulonephritis expected findings
- Newly admitted child. Which of the following actions should the nurse include in the plan
- Client with cancer deciding between two treatment plans
- Caring for a client receiving hemodalysis with AV fistula
- Oncology unit nurse is administering doxorubicin to breast cancer patient
- Hospice nurse consulting about receiving home services
- Client with major depressive disorder has signed informed consetn for ECT. Client states I’m not sure about this now I’m afraid it’s too risky
- Discharge instructions about newborn care to a client 2 days postpartum
- Assigning task roles for group of clients in community mental health clinic. Which should be assigned to group functioning the orienter
- Nurse must recommend clients for discharge in order to make room for several critically injured clients from a local disaster
- Developing a client education program about osteoporosis for older adult clients
- Charge is providing educational session about infection control for a group of staff on isolation precautions
- Preparing to assist with a thoracentesis for a client who has pleurisy
- Caring for a school age child taking valporic acid. Diagnostic tests
- Inpatient mental health unit is monitoring a visit between client with aggressive behavior and the client’s partner
- Home health nurse evaluating a school age child with cystic fibrosis initiates a request for high frequency chest compression vest
- Planning care for a client with left sided weakness following a stroke
- Caring for a child with a fever and fluid filled vesicles on trunk and extremities. Identify priority
- Assessing client for compartment syndrome expected findings
- Just received change of shift report on 4 clients. Which should the nurse assess first
- Assessing a client after administering epinephrine for anaphylactic reactions. Identify adverse effect of this med
- Provide teaching to client 24 wks gestation scheduled for glucose tolerance test
- Assessing older adult client with pneumonia
- Teaching for client about right to confidentiality
- Caring for a client reporting nausea and vomiting the past 2 days
- Caring for a client postop after receiving moderate conscious sedation suddenly becomes restless and reports feeling lightheaded
- Assessing client who is 11 wks gestation and reports drinking ginger tea. signs of it’s effectiveness
- Teaching a client who newly diagnosed with DM. Instructions on manifestations of hypoglycemia
- caring for a client with DVT
- Providing info to a client immediately before Romberg test
- Providing teaching to parents of child with autism spectrum disorder
- Teaching a client undergoing ECT about adverse effects
- Caring for a client with active TB about disease transmission
- Assess 1 wk old for palmer grasp reflex
- Conducting a mental status examination on newly admitted client. Priority assesment
- Caring for a client with a prescription of chlorpromazine indications of effectiveness
- Assessing a client whose partner recently died. States I don’t know what to do without my partner. Life is not worth living
- Developing discharge plan for school age child with thrombocytopenia. What should the child avoid
- Reviewing lab report for client in end stage kidney disease who received hemodialysis 24 hr ago. Findings to report to provider
- Caring for a client with a magnesium level of 2.5 mEq/l
- Outpatient mental health clinic clients which of the following clients is effectively using sublimation as a defense mechanism
- Caring for a group of clients which one should the nurse see first
- Preparing to teach about dietary management to a client with Crohn’s disease with aenteroenteric fistula. Which of the following nutrients should the nurse instruct the client to decrease in his diet
- Caring for a client who is in resuscitation phase of burn injury
- Teaching self-administration of insulin to a client with short acting and intermediate acting insulin
- Teaching a client 26 wks gestation about a glucose tolerance test.
- Caring for a client who has hyperthyroidism
- Caring for a newborn with herpes simplex virus which precautions should be initiated
- Postpartum nurse is caring for 4 clients which one should be on seizure precautions.
- Assessing an adolescent who has been taking ibuprofen for 6 months to treat juvenile idiopathic arthritis. Assess for adverse effects
- Caring for older adult who is experiencing chronic anorexia and receiving tube feedings. Lab values that indicate additional nutrients are needed
- Teaching to school age child with asthma using albuterol dose inhaler instructions
- Assessing a client with decreased visual acuity due to cataracts. Identify physiological changes
- Mental health clinic caring for clients. Which of the following clients is using dissociation as a defense mechanism?
- Assessing a 2 wk old newborn with a birth weight of 3.64 kg being breastfed. Indicators of effective breastfeeding
- Preparing to administer a blood transfusion to a client . Ensure proper client identification
- Reviewing client’s right with the nurses on the unit. Informed consent promotes which of the following ethical principles
- Teaching about lithium to client who has bipolar disorder
- Change of shift report informs of newly admitted client with disoriented and combative during the night. Actions the day shift nurse should take
- Caring for an 18-month old toddler who has a blood lead level of 3mcb/dL. Which of the following actions should the nurse take
- Assessing a client who has bipolar. Which of the following alterations in speech is the client using
- Working in ED triaging 4 clients. Which of the following clients should the nurse recommend for treatment first?
- Admission assessment on a client who had a recent positive pregnancy test. First day of her last menstrual period was May 8 . Nagel’s rule EDB
- Assessing a client who received 2 units of packed RBCs 48 hr ago. Findings that indicate the therapy is effective?
- Caring for a client who recently signed informed consent to donate a kidney to her sibling in ERF. States “I don’t want my brother to die, but what if I need this kidney one day?”
- A nurse is preparing to administer an IM injection to a client who is obese
- Providing education to the parent of school age child with asthma. Indicates understanding?
- Admitting a client who has pneumonia. Should initiate which type of isolation precautions?
- Assessing a client who has COPD
- Providing teaching for teaching for a client who has a fracture of the right fibula with a short leg cast in place. Client is non weight bearing for 6 weeks.
- Caring for a child who has hypotonic dehydration and is receiving an oral re-hydration solution. Lab results indicates treatment effective
- Assessing a client who has pulmonary edema. Finding to expect
- Received change of shift report on 4 clients. Which one should the nurse intervene to prevent food and medication interaction?
- Assessing a client following vaginal delivery and notes heavy lochia and a boggy fundus. Which med should be administered
- Caring for a client with a new diagnosis of terminal cancer. Client states he would like to go home to be with family and loved ones.
- Caring for a client who is taking valproic acid for seizure control. Adverse effect to monitor and report
- Manager planning to use a democratic leadership style. Which of the actions demonstrates a democratic leadership style?
- Assessing a client with history of seeking counseling for relationship problems. Shows the nurse multiple superficial self-inflicted lacerations on her forearms. This behavior should be identified as a characteristic of which personality disorder
- Nurse preceptor is evaluating the performance of newly licensed nurse. which action should the preceptor intervene on
- Providing teaching about advance directives to a middle adult client. Which response indicates understanding?
- Teaching a group of newly licensed nurses about the need to complete an incident report. Which of the following is an example of a reportable incident and an indication for completing a report
- Caring for a newborn immediately after delivery. Which interventions should be implemented to prevent heat loss by conduction?
- Caring for a client in stage 4 of labor who is receiving oxytocin via continuous IV. Priority assessment
- Preparing to transfer a client from ICU to the medical floor. Client was recently weaned from mechanical ventilation follow a pneumonectomy. Information to include in a change of shift report
- Charge nurse notices one of the nurses on the shift frequently violates unit policies by taking an extended amount of time on break. A statement that addresses the conflict
- Providing discharge teaching about disease management for a client who has a new diagnosis of DM. Priority activities
- Caring for a client who has gastrointestinal bleeding and an NG tube in place. Action that should be taken while performing gastric lavage.
- Planning to delegate client care tasks to assistive personnel. Which task can be delegated?
- Providing teaching to client with peripheral arterial disease. Indications of understanding
- Providing discharge teaching for a preschool-age child with a new prescription for Amoxicillin/clavulanate suspension.
- Caring for a client with COPD and becomes extremely short of breath. Interventions by the nurse require the completion of an incident report
- Assessing correct placement of a client’s NG feeding tube prior to administering a bolus feeding.
- Preparing to transfer a client to a rehab facility who had a stroke Family is concerned about the level of care the client will receive?
- Caring for a client receiving a continuous heparin infusion. Lab test to review prior to adjusting the client’s heparin?
- Providing care for a client with a colostomy
- Preparing to mix haloperidol lactate 5 mg/mL and diphenhydramine 25 mg/1.5 mL to administer IM to an agitated client
- Talking with a client with stage IV breast cancer. Which statement is a constructive use of a defense mechanism
- Preparing a sterile field for a sterile dressing change.
- Preparing to teach a group of newly licensed nurses about effective time management. Include as priority
- Reviewing ABG values of a client. The client has a pH of 7.20, PaCO2 of 60 mmHg, and HCO 3 of 25 mEq/l
- Client receiving IV fluids of 150 mL/h which indicates fluid overload
- Caring for 4 clients. Which task should be delegated to assistive personnel
- Caring for a client who is 2 days postpartum. Which behaviors should indicate the client is bonding with a newborn
- Assessing a preschooler with a facial laceration. Identify potential indications of sexual abuse
- Enters a client’s room and sees smoke coming from a small fire in the trash can. Action to take first.
- Rural community health nurse developing a plan to improve health care delivery for migrant farmworkers.
- Assessing a newborn following vaginal birth. Findings to report to the provider
- The manager in long-term care having difficulty with staffing weekend shifts is planning to implement changes to the scheduling procedure.
- Assessing a client who has depressive disorder by taking amitriptyline. Identify adverse effects.
- School nurse is notified of an emergency in which several children were injured following the collapse of playground equipment.
- Manager preparing an educational session for staff about how to provide cost-effective care
- Creating a plan of care for a child with acute lymphoid leukemia and an absolute neutrophil count of 400/mm3
- Providing teaching to a client who speaks a different language than the nurse about an upcoming diagnostic procedure.
- Caring for a client with a prescription for a continuous passive motion machine following total knee arthroplasty
- Caring for a client who is receiving positive end-expiratory pressure via mechanical ventilation. Adverse effects of PEEP
- Performing an abdominal assessment on a client Sequence of actions
- Caring for a client with a new prescription of Clonidine. Adverse side effects
- Reviewing lab results of a toddler with hemophilia A. Which aPTT values should the nurse expect?
- Updating the plan of care for a client who is 48 hr post-op following laryngectomy and unable to speak. Plan to take first
- Caring for a client who asks about taking ginseng to improve her appetite. Identify that ginseng can decrease the effectiveness of which medication.Timolol
- Preparing client for paracentesis. Action to take
- Rn observing a LPN and a AP move a client up in bed. When should the nurse intervene
- Assessing a client who has had a stroke. For which should the nurse initiate a referral for occupational therapy
- Assessing a client taking propranolol. Indication of adverse reaction
- Conducting visual acuity testing using the Snellen letter chart for a school-age child with eyeglasses
- Caring for a multiparous client following a vacuum-assisted birth. Assess for which possible complication.
