1. A nurse is caring for a client who has bipolar disorder and is experiencing

acute mania. The nurse obtained a verbal prescription for restraints. Which

of the following should the actions the nurse take?: Document the client's

condition every 15 minutes

2. A nursing planning care for a school-age child who is 4 hr postoperative

following perforated appendicitis.Which of the following actions should the

nurse include in the plan of care?: Administer analgesics on a scheduled basis

for the first 24 hr

3. A nurse is receiving change-of-shift report for a group of clients. Which of

the following clients should the nurse plan to assess first?: A client who has

a hip fracture and a new onset of tachypnea

4. A nurse is preparing to apply a transdermal nicotine patch for a client.

Which of the following actions should the nurse take?: Wear gloves to apply

the patch to the client's skin

5. A nurse has just received change-of-shift report for four clients. Which of

the following clients should the nurse assess first?: A client who was just given

a glass of orange juice for a low blood glucose level

6. A nurse is caring for a client who is receiving intermittent enteral tube

feedings.Which of the following places the client at risk for aspiration?: A

history of gastroesophageal reflux disease

7. A nurse is reviewing the laboratory results for a client who has Cushing's

disease. The nurse should expect the client to have an increase in which of

the following laboratory values?: Serum glucose level- increased

8. A nurse is caring for a client who has severe preeclampsia and is receiving

magnesium sulfate intravenously. The nurse discontinues the magnesium

sulfate after the client displaces toxicity. Which of the following actions

should the nurse take?: Administer calcium gluconate IV

Rationale: Calcium gluconate is given for magnesium sulfate toxicity. Always have

an injectable form of

calcium gluconate available when administering magnesium sulfate by IV.

9. A charge nurse is teaching new staff members about factors that increase

a client's risk to become violent. Which of the following risk factors should

the nurse include as the best predictor of future violence?: Previous violent

behavior