Exam 2 Review Fall 24

A nurse unit is performing a safety huggle to id pts at risk for falling. Select all pts at risk needing follow up...

An experienced RN is orienting a new RN to the unit. Which activity demonstrates the nurse is an effective caregiver?

There are 2 pts with the name John Smith on the unit. The RN must take which action when administering meds?

An RN notes a pt has dyspnea, tachypnea, tachycardia and pallor with circumoral cyanosis. What action will RN do next?

An RN is performing community safety education, who does the nurse identify at highest risk for choking and suffocation?

A new RN and preceptor are administering and intradermal tuberculin test. Which action requires correction?

A RN is administering a hepatitis B vaccination to adult patient. What site will the nurse select for this injection?

A pt. returns after major abdominal surgery to your unit. The nursing priority is to:

Which is an independent (nurse-initiated) action?

A RN enters patient room to assess VS and pt asks RN to do hand hygiene. What is the nurse most appropriate response?

A nurse administers pain med. to a post-operative pt. Which nursing intervention will assist with unrelieved pain?

The nurse receives a written medication order MS. Which nursing action is appropriate?

A fire alarm sounds in the hospital indicating that is your unit. What is the priority for nurses on your unit?

The nursing process is (select all that apply)

A RN administers a med to the wrong pt. What are the appropriate nursing actions required (select all that apply)

RN evaluate pt. prior to d/c from hospital. Which action is the MOST important act of evaluation by RN

Which statement reflects the teach back process of patient education?

Select all findings of resp. assessment that are normal...

Which general teaching will the nurse include with drug education? (select all that apply)

A pt. uses portable O2 at home and tells RN "I still like to smoke every once in awhile" What is the best RN response?

During respiratory assessment the RN notes pt. with decreased resp. expansion. What action should the RN take next?

Select all the examples of subjective data? (select all that apply)

RN can't read the dose as it could be 0.25, 0.125 or 125 mgs. as the decimal may be a 1? The best RN safety action is...

RN is teaching a teen with asthma hot to use a metered-dose inhaler. Which teaching point will the RN include?

A pt reports for f/u diabetic care and reports he has done glucose checks regularly as advised. Select best RN response

A RN documents an intervention for a one person assist of moving client to chair; the nursing intervention represents?

A pt's resp, status is deteriorating and VS are taken every shift. Who is responsible for increasing the frequency?

An RN auscultates an asthmatic pt's lungs. Which lung sound does the RN anticipate during an asthmatic exacerbation?

The MD order is for azithromycin 500 mg q 6 hrs. How many capsules does RN administer if available in 250 mg capsules

A pt shares with the RN that he smokes in bed at night. What health problem is a priority for this patient?

What is the most appropriate example of the assessment phase of the nursing process?

Select the "rights" of medication administration (select all that apply)

An easily exhausted pt is scheduled for multiple test; the RN fears it will tire pt. What is appropriate RN action...

Pharmacokinetics refers to.... (select all that apply)

Which process will the nurse use to provide information to other members of the health care team?

Which is an example of a nurse-initiated intervention?

A pt tells the RN, "I've never seen that blbue pill before". What is the nurses most appropriate action?

A nurse is justified in independently identifying and documenting which is diagnosis is r/t impaired elimination?

Select all the correct actions the nurse performs administering a subcutaneous injection

Which is a psychomotor client goal?

What assessment findings are normal for cardiopulmonary functioning and oxygenation based on developmental variations.

A LTC facility is conducting safety committee meeting focusing on protecting pts from injury. What is the priority?

Which effect is considered an adverse effect of a medication? (select all that apply)

What is the best way for a nurse to obtain a full set of data when performing an assessment of a client?

The RN auscultate a pt finding soft, high-pitch popping breath sounds on inspiration. What is this breath sound called?

A school nurse is teaching parents home and fire safety. What information is included in teaching? Select all.....

The nurse identifies which types of data when performing an assessment?

A RN formulates a care plan for pt. admitted with acute abd. pain. Which nursing diagnosis is the priority for pt?

A nurse administering a subq injection of insulin to a pt. After agreeing on the injection site, which action is next?

The RN is using a standardized plan of care for a pt. Which action would be most important for the nurse to do?

A black box warning is the Food and Drug Administration's strongest warning about drugs

RN administer antihypertensive med as ordered. Which assessment indicates expected pt outcome?

During which step of the nursing process does the nurse determine whether outcomes of care are met?