TEST 1- FUND
A nurse is preparing to dispose of a needle after administering an intramuscular injection to a client who has hepatitis C. Which of the following actions should the nurse take?
Dispose of the needle uncapped (B)
A nurse is caring for a client who is postoperative and has a prescription for a clear liquid diet. The nurse enters the clients room to find he has just received a dietary tray. Which of the following items on the tray should the nurse remove?
Yogurt
A nurse is administering an IM injection using a passive needle-safely device. After injection, which of the following actions should the nurse take?
(C)
A nurse is preparing to administer penicillin IM to an adult client. Which of the following angles should the nurse use for injection into the client's ventrogluteal muscle?
90 degrees (C)
A nurse is monitoring a client who is receiving a tube feeding. Which of the following findings should the nurse identify as the priority?
A
A nurse is reinforcing teaching to transition from breastfeeding to whole mild with the parents of an infant. Which of the following months of age should the nurse recommend for transitioning the infant to whole milk?
A
A nurse is checking the apical pulse of a client who taking several cardiovascular medications. Which of the following actions should the nurse take?
Apical for 1 min between the 5th and 6th intercoastal place (D)
Before administering client medications, the nurse must identify the client. Which of the following methods of identification should the nurse use?
Ask the client's full name and date of birth.
A client received the wrong medication in error. The nurse who made the medication error should do which of the following first
Assess the client (A)
A nurse is caring for a client who is receiving total parenteral nutrition (TPN) via an infusion pump. When collecting data about the client receiving this therapy, which of the following factors should the nurse monitor?
D
A nurse is caring for a client who requires a clear liquid diet. Which of the following foods should the nurse allow the client to have?
Grape Juice
A nurse is reinforcing discharge teaching with a client following an episode of status asthmatics. The client has a prescription for two inhalations from an albuterol metered dose inhaler. Which of the following statements by the client indicates an understanding of teaching?
I will hold my breath at least 10 seconds after inhaling the medication (B)
A nurse is preparing to administer a subcutaneous injection to a client. Which of the following actions should the nurse plan to take?
If the client has allergies to the medication (B)
A nurse suspects that another nurse on the unit is removing a small amount of morphine from the syringe before administering the medication to the client. Which of the following actions should the nurse take?
Inform the nurse manager about her suspicions. (B)
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The nurse should monitor the client for which of the following conditions as a complication TPN?
Injection , Hyperglycemia, electrolyte ( C, A , D, B)
A nurse is reinforcing teaching with a client who has constipation about a high-fiber diet. Which of the following foods should be included as sources of fiber? (SELECT ALL THAT APPLY)
Kidney beans, strawberries & whole wheat bread
A nurse is preparing an injection using a single dose glass ampule. Which of the following actions should the nurse take?
Tap the top of the ampule, place a gauze pad or unwrapped alcohol swab around the ampule neck, and break off the top with a forward motion away from the hands.(A)
A nurse is preparing an injection using a single dose glass ampule. Which of the following actions should the nurse take?
Tap the top of the ampule, place a gauze pad or unwrapped alcohol swab around the ampule neck, and break off the top with a forward motion away from the hands.(C)
A nurse has accidentally punctured his finger with a needle he used to give and IM injection to a client. Which of the following actions should the nurse take?
Wash the puncture site with soap and water (D)
A nurse is caring for a client who is postoperative and has a prescription for a full liquid diet. The nurse enters the client's room to find he has just received a dietary. Which of the following items on the tray should the nurse remove?
custard
A nurse is caring for a client who has end-stage renal disease and must limit protein intake. Which of the following foods should the nurse plan to include in the client's diet?
eggs
A nurse if reinforcing teaching for client who has diabetes mellitus and has a prescription for insulin detemir injections once daily. Which of the following statements by the client indicates an understanding of the teaching?
i can inject my insulin, levemir(detemir) in the evening before bedtime (A)
A nurse is reinforcing teaching with an older adult client who is on bed rest about foods high on dietary fiber. Which of the following food items should the nurse indicate is the best source of fiber?
pears with skin
A nurse is caring for an older adult client who is Chinese and is recovering from a bowel obstruction. The client is prescribed a clear-liquid diet and asks the nurse for a cup of hot ginger tea. The nurse should identify that this request is for which of the following purposes?
to promote digestion
