Nuas 130 Adult Health Nursing 1 (Examplify) Proctored Exam

A nurse is assessing a patient with a Jackson-Pratt drain. The drainage has changed from red to pink over the past 24 hours. Which type of drainage is the patient exhibiting?

A clinical instructor is discussing pressure injuries during post-conference. Which statement by the student nurse indicates understanding of a pressure injury?

During a routine office visit, a patient takes off their sock and says "this awful sore won't heal." On inspection, the nurse notes the following:

The nurse is assessing extraocular eye movements (EOM). Which action describes the correct assessment technique?

The nursing student performs a skin assessment on a 85-year-old client. Which finding is most concerning?

A client is ordered Lovenox for DVT prophylaxis. The physician orders 1.2 mg/kg subcutaneously once daily to be administered. The client weighs 185 pounds. Available is Lovenox 80 mg/0.8 mL. How many

The hospital nurse is preparing to administer a dose of penicillin antibiotic when the patient says, "The last time I took penicillin I got a very itchy rash and started wheezing." Which action should

A nurse is preparing to administer acetaminophen 320 mg PD every 4 hr PRN for pain. The amount available is acetaminophen liquid 160 mg/5 mL. How many mL should the nurse administer per dose? Round to

A nurse is caring for a patient who reports severe chest pain rated "8" on a scale of 0-10. The patient states, "I don't like to complain about pain. What is the nurse's priority action to ensure pati

Which patient would the nurse assess as being the greatest risk for sensory deprivation?

The nurse is caring for a patient that has multiple monitoring systems constantly beeping and making noise. The patient is becoming agitated and frustrated over the inability to sleep. Which action by

A physician orders 1000 mL of 0.9% NSS to be infused over 11 hours. How many mL per hour should the nurse set the IV pump? nearest tenth and label your answer.

The nurse is assessing the abdominal wound of an obese patient. The nurse discovers the following finding:

The nurse observes the following injury. What does the nurse classify it as?

A nurse is developing a plan of care for a 68 year-old. Which information will the nurse consider?

The nurse is planning to administer a tuberculin test to a client with a 27-gauge, 5/8-inch needle. What angle will the nurse insert the needle?

A nurse is planning a presentation for a group of adults greater than 70 years of age about health promotion and disease prevention. Which of the following would the nurse give the highest priority to

A nurse preceptor is working with a student nurse. Which behavior by the student nurse prompts the preceptor to intervene?

A patient is ordered an ophthalmic solution 1 drop tid daily to both eyes. The nurse understands that the eye drops will be administered:

Place the following steps for mixing NPH and Regular insulin in the correct order:

A nurse is documenting on a client reporting chest pain. What assessment information is most important for the nurse to document?

A nurse is following safety principles to reduce the risk of needlestick injury. Which actions will the nurse take? SELECT ALL THAT APPLY.

What statement would best define stage 2 pressure injury?

A nurse is caring for a client admitted for stroke. The nurse begins discharge planning at what time?

A nursing student is performing a skin assessment on admission in a long term care facility. Which finding is of most concern?