After receiving a report from the night nurse, which of the following clients should the nurse see FIRST?
NCLEX PN

Quiz
•
Mathematics
•
10th - 12th Grade
•
Hard
Charles Martinez
Used 2+ times
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10 questions
Show all answers
1.
MULTIPLE CHOICE QUESTION
5 mins • 1 pt
A 31-year-old woman refusing sucralfate before breakfast
A 40-year-old man with left-sided weakness asking for assistance to the commode
A 52-year-old woman complaining of chills who is scheduled for a cholecystectomy
A 65-year-old man with a nasogastric tube who had a bowel resection yesterday
2.
MULTIPLE CHOICE QUESTION
5 mins • 1 pt
A client tells the nurse that she is allergic to eggs, dogs, rabbits, and chicken feathers. Which order should the nurse question?
TB skin test
Rubella vaccine
ELISA test
Chest X-ray
3.
MULTIPLE CHOICE QUESTION
5 mins • 1 pt
Which of these assessment findings should the healthcare provider expect to identify as an early clinical characteristic of multiple sclerosis (MS)?
Vision loss
Dementia
Muscle atrophy
Clonus
4.
MULTIPLE SELECT QUESTION
5 mins • 1 pt
Which interventions are most likely to promote maximum self-care for a patient recovering from a stroke? Select all that apply.
Encourage participation in activities of daily living
Educate patient on risks of repeat stroke
Assess neurological function every shift.
Assist patient to track motor function and mobility levels
Provide adaptive equipment as indicated
5.
MULTIPLE CHOICE QUESTION
5 mins • 1 pt
The physician orders tobramycin sulfate 3 mg/kg IV every 8 hours for a 3-year-old boy. The nurse enters the client’s room to administer the medication and discovers that the boy does not have an identification bracelet. Which of the following should the nurse do?
Ask the parents at the child’s bedside to state their child’s name.
Ask the child to say his first and last name
Have a coworker identify the child before giving the medication
Hold the medication until an identification bracelet can be obtained
6.
MULTIPLE CHOICE QUESTION
5 mins • 1 pt
A 50-year-old male client comes to the nurses’ station and asks the nurse if he can go to the cafeteria to get something to eat. When told that his privileges do not include visiting the cafeteria, the client becomes verbally abusive. Which of the following approaches by the nurse would be MOST effective?
Tell the client to lower his voice, because he is disturbing the other clients
Ask the client what he wants from the cafeteria and have it delivered to his room
Calmly but firmly escort the client back to his room
Assign the nursing assistive personnel (NAP) to accompany the client to the cafeteria
7.
MULTIPLE CHOICE QUESTION
5 mins • 1 pt
The nurse delivers external cardiac compressions to a client while performing cardiopulmonary resuscitation (CPR). Which of the following actions by the nurse is BEST?
Maintain a position close to the client’s side with the nurse’s knees apart.
Maintain vertical pressure on the client’s chest through the heel of the nurse’s hand.
Re-check the nurse’s hand position after every 10 chest compressions.
Check for a return of the client’s pulse after every 8 breaths by the nurse.
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