1. A nurse is caring for a client who has left lower atelectasis. in which of the following positions should the nurse

place the client for postural drainage?

a. Supine and low-Fowler's position

b. Right lateral in Trendelenburg position

c. Side lying with the right side of the chest elevated

d. Prone with pillows under the extremities

2. A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The

client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse?

a. “This test will indicate if you are at risk for developing blood clots

b. “This test will determine if your heart is performing properly”

c. “This test will provide information about the function of your liver”

 Rationale: ALT test measures amount of enzyme in blood. ALT mainly found in liver

 Rationale: Leadership 7.0. ALT and AST measure you liver function. Creatinine and BUN measure your

kidney function

d. “This test is used to check how your kidneys are working”

.

3. A nurse is caring for a client who has a prescription for morphine 5mg IM accidentally administers the whole 10

mg from the single-dose vial. Which of the following actions should the nurse take first?

a. Notify the client‟s provider.

b. Report the incident to the pharmacy.

c. Complete an incident report.

d. Measure the client’s respiratory rate.

 Rationale: morphine OD = pulmonary edema → fills lungs w/ fluid → leading cause of death for OD

 Rationale: Morphine can cause respiratory depression if given too much. Also you should ALWAYS

ASSESS the patient first when a med error is performed to make sure med error doesn‟t put the client‟s

health in risk.