1. A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age

child. Which of the following instructions should the nurse take?

A. Administer the feeding over 30 min.

B. Place the child in as supine position after the feeding.

C. Charge the feeding bag and tubing every 3 days.

D. Warm the formula in the microwave prior to administration.

2. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following findings

should the nurse report to the provider? A. Potassium level 4.2 mEq/L.

B. Apical pulse 58/min. C.

Digoxin level 1 ng/ml. D.

Constipation for 2 days.

3. A nurse is caring for a client who is comatose and has advance directives that indicate the client does not

want life-sustaining measures. The client’s family want the client to have life-sustaining measures. Which

of the following action should the nurse take?

A. Arrange for an ethics committee meeting to address the family’s concerns.

B. Support the family’s decision and initiate life-sustaining measures.

C. Complete an incident report.

D. Encourage the family to contact an attorney.

4. A nurse is caring for a client who wears glasses. Which of the following actions should the nurse take?

A. Store the glasses in a labeled case.

B. Clean the glasses with hot water.

C. Clean the glasses with a paper towel.

D. Store the glasses on the bedside table.

5. A nurse is teaching a group of newly licensed nurses about measures to take when caring for a client who

is on contact precautions. Which of the following should the nurse include in the teaching?

B. Place the client in a room with negative pressure.

C. Wear gloves when providing care to the client.

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