Score:
Percentage:
Duration:
Date Taken:
10 out of 10 points
100%
1 mins 44 secs
Fri 22nd Apr 2011
Key: A tick or cross will show next to the chosen answers.
- Correct chosen answer
- Incorrect chosen answer
- Correct chosen answer - Incorrect chosen answerDisplaying all questions.
Question 1 of 10
The following clients present to a walk-in clinic at the same time. Which should the nurse schedule to be seen first?
Chosen answer: c)
| a) | 25 year old with high fever, vomiting and diarrhea | |
| b) | 38 year old with sore throat, fever, and swollen lymph glands | |
 | c) | 40 year old with severe headache, vomiting and stiff neck |
| d) | 44 year old limping on a very swollen bruised ankle |
Points: 1
Question 2 of 10
Of the four clients listed below, which responsibility should the nurse direct the technician to carry out first?
Chosen answer: b)
| a) | 89 year old with COPD resting quietly on 2 liters of o2 needs morning vitals with 02 sat | |
| b) | 77 year old with gastrointestinal bleeding needs bedside commode emptied |
| c) | 55 year old diabetic with fasting blood sugar of 75, at 80% of breakfast and needs morning snack | |
| d) | 49 year old with rheumatoid arthritis needs splints reapplied to both hands |
Points: 1
Question 3 of 10
The LPN is assigned to care for a client who had a total right hip two days ago. Which observation should the LPN report immediately to the nurse?
Chosen answer: c)
| a) | incisional pain rated on 6 on a scale of 0-10 | |
| b) | reddened incision line wiht a temperature of 99.6 F | |
| c) | pain and redness in the left lower leg |
| d) | the client is not tolerating 20lbs of weight bearing on the right leg |
Points: 1
Question 4 of 10
The nurse just received report on the following clients. Who should the nurse see first?
Chosen answer: a)
| a) | 35 year old with suspected acute tubular necrosis, urine output totaled 25cc's for the last two hours. |
| b) | 49 year old with cancer of the breast, 2 days post mastectomy, reported to be having difficulty coping with the diagnosis. | |
| c) | 54 year old with TB in respiratory isolation, requesting pain medication. | |
| d) | 36 year old with chest tube insertion after a spontaneous pneumothorax, respirations 16. |
Points: 1
Question 5 of 10
After receiving report on the following clients, who should the nurse assess first?
Chosen answer: b)
| a) | 25 year old with the hemoglobin level of 15.9 | |
| b) | 36 year old on Coumadin with a prothrombin time of 35. 6 seconds |
| c) | 38 year old with a total calcium level of 9.4 | |
| d) | 45 year old with a BUN of 30 and creatinine of 1.1 |
Points: 1
Question 6 of 10
After completing assessment rounds, which finding would the nurse report to the physician immediately?
Chosen answer: b)
| a) | client who has not had a bowel movement in 4 days abdomen is firm | |
| b) | client who had a pulse of 89 and regular now has pulse of 100 and irregular |
| c) | client who is very depressed and has eaten 10% of meals for the last 2 days | |
| d) | client who has developed a rash around the neck and face who has been on iv penicillin for 2 days |
Points: 1
Question 7 of 10
After receiving report on four clients at 7am, what should the nurse complete first?
Chosen answer: c)
| a) | call physician to report antiemetic for client who has been vomiting | |
| b) | notify family of a clients transfer to ICU for chest pain | |
| c) | call a potassium level of 5.9 to the attention of the physician |
| d) | begin routine assessment rounds, starting with the sickest client |
Points: 1
Question 8 of 10
A 62 year old client has a history of coronary heart disease and is brought into the ER complaining of chest pain. What initial action should be taken by the nurse?
Chosen answer: d)
| a) | give the client ntg gr 1/150 sl now | |
| b) | call the cardiologist about the admission | |
| c) | place the client in a high Fowlers position after loosening the shirt | |
| d) | check blood pressure and note the location and degree of chest pain |
Points: 1
Question 9 of 10
As a nurse working the ER, which cient needs the most immediate attention?
Chosen answer: d)
| a) | a 3 yr old with a barking cough, oxygen sat of 93 in room air, and occasional inspiratory stridor | |
| b) | a 10 month old with a tympanic temperature of 102, green nasal drainage, and pulling at the ears | |
| c) | an 8 month old with a harsh paroxysmal cough, audible expiratory wheeze and mild retractions | |
| d) | a 3 year old with complaints of a sore throat, tongue slightly protruding out his mouth, and drooling |
Points: 1
Question 10 of 10
As the office nurse, you are reviewing client messages for a return call. Which client should the nurse call back first.
Chosen answer: a)
| a) | client 36 weeks gestation complaining of facial edema |
| b) | a client 24 weeks gestation complaining of urinary frequency | |
| c) | a client 12 weeks gestation whose had five episodes of vomiting in 36 hours | |
| d) | a client 20 weeks gestation complaining of white, thick vaginal discharge |
Points: 1
Good girl
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