The health care provider gives the preoperative nurse a signed consent

1.The health care provider (HCP) explains the risks and benefits of a procedure to the client through an interpreter. The HCP leaves after asking the nurse to witness the client's signature on the consent. The interpreter and client now have a lengthy discussion in the foreign language. The nurse should take which action at this time? 选项： A:

Ask the interpreter to explain the discussion

B:

Confirm the client's consent with the interpreter, using gestures

C:

Have the interpreter witness the signature

D:

Indicate that the interpreter was used when witnessing the client's signature

2.Upon arrival in the post-anesthesia care unit, the nurse performs the initial assessment of a client who had surgery under general anesthesia. Which assessment finding prompts the nurse to notify the health care provider immediately? 选项： A:

Difficult to arouse

B:

Muscle stiffness

C:

Pinpoint pupils

D:

Temperature 94 F (34.4 C)

3.The nurse is caring for a client diagnosed with influenza who has had high fever, muscle aches, headache, and sore throat for 36 hours. The health care provider prescribes ibuprofen and oseltamivir. Which of the following actions by the nurse are appropriate? Select all that apply. 选项： A:

Clarify the prescription for oseltamivir with the health care provider

B:

Instruct the client to cover the mouth and nose while coughing or sneezing

C:

Place a mask on the client when transporting the client through the halls

D:

Plan discharge teaching about the importance of annual influenza vaccination

E:

Use contact precautions when providing care for the client

4.A nurse accidentaly gives a patient the medications that were ordered for the patient’s roommate. What is the nurse’s first priority? （）选项： A:Complete an occurrence report. B:Notify the health care provider. C:Inform the charge nurse of the error. D:Assess the patient for adverse effects

5.A client is admitted to the intensive care unit with suspected pheochromocytoma. The client's vital

signs are temperature of 99.6 F (37.5 C), blood pressure (BP) of 200/110 mm Hg, heart rate of

110/min, and respirations of 20/min. The client is sweating profusely and reports a severe

headache. Which prescription should the nurse implement first?

选项： A:

Draw labs to assess

electrolyte panel

B:

Give acetaminophen 650 mg

by mouth as needed for

headache

C:

Place a fan in the client's

room

D:

Start nitroprusside infusion

at 0.5 mcg/kg/min

6.After receiving an IM injection at the deltoid site, a patient states, “My arm really hurts. It’s burning and tingling where I got my injection.“What should the nurse do next? （）选项： A:Assess the injection site B:Administer an oral medication for pain C:Notify the patient’s health care provider of assessment findings D:Document assessment findings and related interventions in the patient’s medical record.

Need for discharge to a skilled nursing facility

B:

Nutritional consult with instructions on a high-calorie diet

C:

Option of palliative care

D:

Physical therapy prescription to promote activity

">7.An 84-year-old client with oxygen-dependent chronic obstructive pulmonary disease is admitted with an exacerbation and steady weight loss. The client has been in the hospital 4 times over the last several months and is "tired of being poked and prodded." Which topic would be most important for the nurse to discuss with this client's health care team? 选项： A:

Need for discharge to a skilled nursing facility

B:

Nutritional consult with instructions on a high-calorie diet

C:

Option of palliative care

D:

Physical therapy prescription to promote activity

8.A correct understanding by the nurse of the client’s informed consent before surgery is that_______. 选项： A:Consent is required by law to protect the client’s rights. ; B:The nurse is responsible for providing information about the surgical procedure. ; C:The nurse’s signature as a witness indicates that the client fully understands the procedure.; D:Consent is obtained immediately before surgery and after the preoperative medication is given.

9.The nurse working in a detoxification unit is admitting a client for alcohol withdrawal . The client's spouse states, "I don't know why I don't get out of this rotten situation ." Which response by the nurse addresses the spouse's concerns?None 选项： A:"This is not a good time to make that decision ." B:"What would your spouse think about your decision?" C:"What aspects of this situation are the most difficult for you?" D:"You seem to have a good grip on this situation . You probably need to get out ."

10.231. The nurse is monitoring a client in active labor and notes that the client is having contractions every 3 minutes that last 45 seconds. The nurse notes that the fetal heart rate between contractions is 100 beats per minute. Which nursing action is most appropriate? 选项：A. Notify the primary health care provider (PHCP). B. Continue monitoring the fetal heart rate. C. Encourage the client to continue pushing with each contraction. D. Instruct the client’s coach to continue to encourage breathing techniques.

"Always ask the health care provider or pharmacist before taking OTC medications."

B:

"Ingredients in some OTC medications may interact with prescription medications."

C:

"It is best to avoid OTC medications, but herbal and supplement products are usually safe."

D:

"Remember to discuss all medications, herbs, and supplements you take with your health care providers."

E:

"Taking OTC medications can sometimes hide symptoms of a serious disease or illness."

">11.A client who has been prescribed several medications asks, "Can I take over-the-counter (OTC) medications with my prescriptions?" Which of the following statements by the nurse is appropriate? Select all that apply 选项： A:

"Always ask the health care provider or pharmacist before taking OTC medications."

B:

"Ingredients in some OTC medications may interact with prescription medications."

C:

"It is best to avoid OTC medications, but herbal and supplement products are usually safe."

D:

"Remember to discuss all medications, herbs, and supplements you take with your health care providers."

E:

"Taking OTC medications can sometimes hide symptoms of a serious disease or illness."

12.What are the students going to do? 选项： A:

They are going to clean the school’s art room.

B:

They are going to paint the school’s art room.

C:

They are going to paint the school’s classroom

13.he nurse is providing care to an aged client who is terminally ill. Numerous family members are present most of the time and many of the family members are very emotional. What is the most appropriate nursing action for this client? 选项： A: Restrict the number of family members visiting at one time B: Inform the family that emotional outbursts are to be avoided C: Make the necessary arrangements so that family members can visit D: Contact the health care provider to speak to the family regarding their behaviors

14. Priority Decision: When caring for a patient with an acute exacerbation of a peptic ulcer, the nurse finds the patient doubled up in bed with shallow, grunting respirations. Which action should the nurse take first? 选项： A:a. Irrigate the patient's NG tube.; B:b. Notify the health care provider.; C:c. Place the patient in high-Fowler's position.; D:d. Assess the patient's abdomen and vital signs.