Nursing Practice Quiz

The nurse is caring for a hospitalized client with coronary artery disease who begins to experience chest pain. The nurse administers a nitroglycerin tablet sublingually as prescribed, but the pain is unrelieved. The nurse would take which action next?

• Reposition the client.

• Call the client's family.

• Contact the cardiologist.

• Administer another nitroglycerin tablet

The mother of a 28-year-old client who is taking clozapine (Clozaril) states, "Something is wrong. My son is drooling like a baby." Which of the following responses by the nurse would be most helpful?

• "I wonder if he's having an adverse reaction to the medicine."

• "Excess saliva is common with this drug; here's a paper cup for him to spit into."

• "Don't worry about it; this is only a minor inconvenience compared to its benefits."

• "I've seen this happen to other clients who are taking Clozaril."

A client is ready to be discharged from same-day surgery following an inguinal hernia repair. Which criteria must the client meet before the nurse can discharge the client?

• The client has transportation home via a taxi cab.

• The client has pain no greater than 5 on a scale of 1 to 10.

• The client can walk to the bathroom by himself.

• The client states he will urinate later when he has more fluids.

The nurse notices drops of a liquid on the hallway floor of a health care facility. The nurse should do which of the following first?

• Place paper towels over the drops of liquid.

• Don clean gloves and wipe up the drops of liquid.

• Post "wet floor" signs around the area.

• Call the Environmental Services Department.

The nurse is caring for four clients. Which task is most appropriate to delegate to an experienced unlicensed assistive personnel (UAP)?

• Assessing lung sounds in a client with pneumonia

• Feeding a client with dysphagia after a stroke

• Taking vital signs for a client 2 hours post-blood transfusion

• Assisting a client with Parkinson's disease to ambulate using a walker

The nurse on a cardiac step-down unit has the following clients. Which should be seen first?

• A client with chest pain relieved by nitroglycerin

• A client who had CABG surgery yesterday with a temp of 100.6°F

• A client with a new onset of confusion and restlessness

• A client scheduled for discharge with instructions about medications

The nurse discovers that a colleague documented vital signs for a client without actually assessing the client. What is the nurse's best action?

• Ignore the situation unless it happens again

• Confront the colleague immediately in front of the client

• Report the incident to the nursing supervisor

• Recheck the client's vital signs and chart them correctly

A terminally ill client states, "I don't want any more life-prolonging treatments." Which ethical principle guides the nurse's action?

• Beneficence

• Autonomy

• Justice

• No maleficence

The nurse is caring for a client who confides about experiencing abuse at home but asks the nurse to keep it secret. What should the nurse do?

• Keep the information confidential as requested

• Report the abuse according to mandatory reporting laws

• Ask the family to confirm the situation

• Document the client's statement but take no further action

The nurse discovers that a colleague documented vital signs for a client without actually assessing the client. What is the nurse's best action?

• Ignore the situation unless it happens again

• Confront the colleague immediately in front of the client

• Report the incident to the nursing supervisor

• Recheck the client's vital signs and chart them correctly