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 shouldthe

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 notwant

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

following action should the nurse take?

A. 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 ison

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

A. Remove the protective gown after the client’s room.

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

C. Wear gloves when providing care to the client.

D. Wear a mask when changing the linens in the client’s room.

6. A nurse is planning on care for a client who is recovering from an acute myocardial infarction that occurred3 days ago.

Which of the following instructions should the nurse include?

A. Perform an ECG every 12 hr.

B. Place the client in a supine position while resting.

C. Draw a troponin level every 4hr.

D. Obtain a cardiac rehabilitation consultation.

7. The nurse is reviewing the medical record of a client who is requesting combination oral contraceptives.

Which of the following conditions in the client’s history is a contradiction to the use of oral contraceptives?

A. Hyperthyroidism.

B. Thrombophlebitis.

C. Diverticulosis.

D. Hypocalcemia.

8. A nurse is caring for a client who request the creation of a living will. Which of the following actions shouldthe nurse

take?

A. Schedule a meeting between the hospital ethics committee and the client.

B. Evaluate the client’s understanding of life-sustaining measures.

C. Determine the client’s preferences about post mortem care.

D. Request a conference with the client’s family.

9. A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following manifestationsindicates acute chest

syndrome and should be immediately reported to the provider?

A. Substernal retractions.

B. Hematuria.

C. Temperature 37.9 C (100.2 F).

D. Sneezing.

>>>A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding. Which of the

following action should the nurse take? Insert a large-bore NG tube.