1. A nurse is performing tracheostomy care for a client who is postoperative

following a laryngectomy. Which of the following actions should the

nurse take when suctioning the client's airway?

Withdraw the catheter if the client begins coughing.

Apply suction for 10 seconds.

Advance the catheter 2 cm (0.8 in) after resistance is met.

Use medical asepsis when performing the procedure.

2. A nurse is preparing to administer a long-acting insulin to a client who has

diabetes mellitus. Which of the following actions should the nurse plan to

take first?

Teach the client reportable adverse effects from the medication.

Check the insulin dose with another licensed nurse

Administer the insulin at a 90° angle.

Clean the insertion site.

3. A nurse is caring for an older adult client in the PACU following general

anesthesia. Which of the following findings should the nurse report to

the provider?

Urine output 120 mL in 4 hr

Systolic blood pressure 12 mm Hg lower than the preoperative level

Audible stridor

Normal sinus rhythm with an occasional premature ventricular contraction

4. A nurse is preparing to administer diazepam 0.3 mg/kg IV bolus to a toddler

who weighs 22 lb and is experiencing a grand mal seizure. Available is

diazepam solution for injection 5 mg/mL. How many mL should the nurse

administer? (Round the answer to the nearest tenth. Use a leading zero if it

applies. Do not use a trailing zero.) 0.6

5. A charge nurse is planning an educational session for staff nurses about

working with parents whose terminally ill children are candidates for

donating their organs. Which of the following information should the

nurse plan to include?

Choosing to donate organs can delay the timing of the child's funeral.

The family can have the child an open casket without fearing that the organ donation

might disfigure the childs body