Download COMP Galen College of nursing Questions With Complete Solutions and more Exams Nursing in PDF only on Docsity!
COMP Galen College of nursing Questions
With Complete Solutions
The nurse is reviewing medical prescription for the newly admitted clients. It would be a PRIORITY for the nurse to flow up with the physician if a client with correct answer: a K level of 4.0 and has kayexalate prescribed The nurse should intervene if the nurse suspects a staff member correct answer: Obtain a client consent prior to receiving Ativan The community health nurse is caring for the following clients. It would be a priority for the nurse to initiate a multidisciplinary conference for the client who is correct answer: 17 years old, has DM type 1, unemployed, and recent A1C is 13% The Nurse from the postpartum unit has been temporarily assigned to a med surg floor. It would be most appropriate to assign the nurse to the client who correct answer: had surgery two hours ago, appendectomy The nurse in a well baby clinic has assigned several children today. It would be appropriate to suggest follow up for the child who is correct answer: 18 months old and needs support to ambulate The nurse is caring for a mechanically ventilated client who was declared brain dead. An Advance Directive is not documented in the medical record. It would be most appropriate to obtain
consent for organ donation from the correct answer: Clients closest family member The nurse has received report on 4 clients, who should the nurse assess first correct answer: been admitted with Guillian Barre syndrome and has begun plasmapheresis therapy It would be appropriate to assign which of these task to the CNA correct answer: one - on - one client observation for safety The nurse should intervene is a staff member correct answer: discussing a client's DX with visiting family member The nurse is preparing a staff presentation on legal and ethical issues in nursing. The nurse would be correct to include which of the following examples. correct answer: Putting a client in a geriatric chair with the lap tray in front of the client in the day room to watch TV... Example of false imprisonment The nurse from the pediatric unit has been temp assigned to the ED. It would be most appropriate to assign the nurse to the client who correct answer: Is HIV + reporting nausea and vomiting Four clients recently returned to the unit following invasive diagnostic testing. The nurse should immediately intervene if one of the clients: correct answer: Is observed flexing and extending the legs two hours post cardiac cath The nurse is made aware for the following situations. The nurse should first check the client who correct answer: Has a history
The nurse in the ED is caring for clients admitted following a rescue from the burning bus. You would first see the client correct answer: Who has soot on face and the nares and is coughing A nurse is observing a new hire nurse provide care for assigned clients. The nurse should intervene if the new hire nurse is observed correct answer: Cleansing the wound from the outer surface to the inner surface for the client how wound is infected with MRSA The nurse is caring for a client who has been DX with RA. The nurse should anticipate the PT to be prescribed correct answer: NSAID The nurse is assessing a 2 month old. The nurse should anticipate the infant should correct answer: smile socially The nurse is teaching a class on infant nutrition. The nurse should instruct the parents to introduce correct answer: Pureed chicken at 7 months The nurse is caring for a 7 year old with thrombocytopenia and is on protective precaution. Which would b a appropriate toy for the nurse to provide correct answer: A board game The following pediatric unit has been informed the following clients are being admitted. The nurse should first plan to assess the client who is correct answer: 2 year old, 100.8 temp, BP 68/
The nurse is providing DC instructions to the parents of a patient with a cleft lip. The nurse should instruct the clients too correct answer: Encourage the parents to provide the infant rest periods during feedings The nurse is assessing a 3 year old during a well baby visit. During the visit the boy states to his mother, "Mommy, I love you. I am going to marry you." The nurse should correct answer: Tell the mother that the statement is appropriate for his stage of development. What are some expected findings when caring for a client with a cyanotic heart defect correct answer: Tachycardia, increased respiration rate, delayed growth and development The nurse is teaching a group of parents about the expected growth and development of 3 year old children. The nurse should include that a 3 year old should correct answer: play in a group of 2-3 with one being the leader The Nurse and the nurse assistant are caring for a group of clients. Which of the following client care activity should the nurse assign to the nursing assistant correct answer: Placing a AKA patient 24 hours post op in prone position Assisting a client who had a colon resection 36 hours ago to ambulate The nurse is caring for a client with AIDS who started Zidovidine ATZ. It would be important to assess correct answer: CBC
which of the following foods in the diet correct answer: Apricots Teaching instructions for a client with ulcerative colitis correct answer: occurs in Jewish men 30-50 years Prednisone may be prescribed for exacerbations Flagyl, Cipro, and commonly prescribed during acute exacerbations The nurse is precepting a new hire nurse who is caring for a client receiving a continuous NG feeding. The nurse should intervene if correct answer: Installs 30cc of NS into the feeding tube while auscultating the stomach for bowel sounds The nurse is observing a staff member caring for clients. It would require immediate intervention if the nurse observes correct answer: giving OJ to a client who has a clear liquid diet The nurse is preparing a class for parents of children DX with sickle cell. The nurse should instruct the parents that children should avoid correct answer: Other children who are sick The nurse is assessing a 5 month old. what is an expected finding correct answer: roll from ABD to back The home health care nurse is assigned to see four clients who all live within three miles of each other. The nurse should first see the client correct answer: who has cancer of the esophagus and given away his favorite shirt
A student nurse is admin Maalox. The nurse should intervene if the student plans to admin the antacid correct answer: at the same time as Iron he nurse in the ED is assessing a toddler who has swallowed bleach, The toddler is crying. It would be a priority if the patient parents says correct answer: "I gave my toddler a tablespoon of Ipecac syrup." Reason for high pressure alarm on a ventilator correct answer: Increase bronchial secretions kink in tubing acute bronchospasms tubing is disconnected The nurse is caring for a client who has a new colostomy. The colostomy stoma is red moist and raised. The nurse should correct answer: Document as normal finding The nurse is attending a staff development conference on medical treatment for various neurologic disorders. Which of the following statement would require follow up correct answer: "Clients with MS often receive immunoglobulin G (IVIG)." The nurse has attended a staff development conference on Meniere's disease. Which of the following statements, if made by the nurse would require a follow up correct answer: "Assistive listening devices are required for these clients." The nurse is admitting a client to the ED who is reporting progressive visual impairment and loss of peripheral vision.
prescribed. It would be a priority for the nurse to review the result for an elevated correct answer: fasting blood glucose The nurse at a health clinic is screening male clients to testicular cancer. It would be priority for the nurse to teach self exams for what age group correct answer: 17- The nurse is caring for a 72 year old client who was recently DX with breast cancer. The client is expressing feelings of depression and is asking the nurse, "Why me." According to Erikson, which developmental stage is the client experiencing correct answer: Ego integrity VS despair The nurse is caring for several clients who have been prescribed diuretics. The nurse should teach about increasing the consumption of citrus fruit and bananas to the client taking correct answer: Torsemide (demedex) The nurse in a health clinic is reviewing prescriptions medications with several clients. It would be a priority for the nurse to follow up with the client who states correct answer: " I crush my verapamil (calan sr) to make it easier to swallow The nurse is developing a plan of care for a client DX with fibromyalgia. Which nursing DX should the nurse include correct answer: Sleep pattern disturbance The nurse in the community health setting is assessing the following clients. It would be a priority for the nurse to utilize a multidisciplinary approach for the client who is correct answer: 21 years old, pregnant, unemployed, and has active TB
The nurse is working in the labor and delivery room has become aware of the following situations. The nurse should first assess the client who is correct answer: In the first phase of labor, FHR is consistently beating 132 BPM The nurse is caring for a postpartum clients who had vaginal deliveries with in the last eight hours. The nurse should first assess the client who correct answer: Reports swelling in her right calf The nurse has become aware of the following client situations. It would be priority for the nurse to follow up if a client who correct answer: Is scheduled for a myleogram in 4 hours and states "I can not drink and liquids until after the procedure is finished." The nurse is teaching a client about crutch walking. Which of the following statements if made by the client indicates a need for the further teaching correct answer: When I climb up the stairs I advance my affected leg first, with my crutches." The nurse on an orthopedic unit has become aware of the following situations. It would be a priority for the nurse to follow up if a client who correct answer: Had an ORIF of a fracture femur 12 hours ago has developed a small rash on the cheat and neck. The nurse is caring for a client with w soft tissue injury. The client reports using herbal remedy for 3 weeks prior to seeking health care but can not remember what was taken. The nurse
While performing an assessment of a 3 year old client, the nurse notes bruises in various stages of healing on the concealed surfaces of the body. What action should the nurse take next correct answer: Contact the local reporting agency for suspected child abuse The nurse in the ED is admitting a client who is hallucinating and reports "insects crawling on skin." The client pulse is 124, RR is 10, the nurse notes muscle twitching in the lower extremities. It would be a priority to determine if the client has correct answer: recently ingested cocaine The nurse is developing a care plan for a client who is the manic phase of bipolar disorder. Which intervention should the nurse include in the plan of care correct answer: Provide the client with finger foods The PCP has prescribed Elavil - Amitriptyline 150 mg daily for a client with major depression. Name some nursing considerations correct answer: admin meds with meals instruct the client that medication may cause dry mouth medications may cause photosensitivity A 45 year old client who was recently DX with terminal cancer says to the nurse "If God could only let me live long enough to put my daughter through college, I wouldn't mind dealing with the illness." The nurse caring for this client recognizes this statement as reflecting of what stage of grieving correct answer: Bargaining
The nurse on a psychiatric unit is caring for a client with a paranoid schizophrenia who has lost 15 pounds within the past three weeks. The client accuses the staff of trying to poison all of the clients on the unit. Which of the following nursing interventions would be a priority for the nurse to include in the clients plan of care correct answer: provide the client with pre package foods that the client likes The nurse is admitting a 20 year old with anorexia. The nurse should assess the client for correct answer: Lanugo type hair on body The nurse is admitting a client with major depression. It would be a priority for the nurse to correct answer: Have the clients possessions searched for sharps The nurse is developing a teaching plan for a client with pulmonary TB who has been prescribed Rifampin, Isoniazid INH, pyrazinamide Tebrazid, and ethambutol Myambutol. The nurse should include in the teaching plan that correct answer: The combination of drugs prescribed is necessary to decrease the risk of drug resistance The nurse is caring for a client with VRE wound infection. Which of the following actions would be appropriate for the nurse to take correct answer: wear a disposable gown and glove when changing clients dressing The nurse is assessing a child with coarctation of the aorta, which would be an assessment finding correct answer: absence of femoral pulse
