Nursing Fundamentals Proctored Exam (Carolinas College)

During rounds a client is having difficulty telling the nurse what they need. The nurse asks her to show her what she needs. The patient points to the bathroom door, signifying she needs to use the re

A nurse is performing discharge teaching with her patient and going over the information about her Furosemide (Lasix) (loop diuretic). One important teaching point for the nurse to remember is:

A older adult client admitted for dehydration is being discharged. In which way should the nurse instruct the client to maintain proper hydration?

Nurses who assist clients to deal holistically with their health care needs at the end of their lives work primarily in which health care delivery system?

A nurse is reviewing the routes of medication administration. Place the routes in order from fastest to slowest rate of absorption.

A nurse is observing an assistive personnel insert an intermittent urinary catheter. Which of the following observed actions would require intervention and further education?

The nurse takes a client's vital signs and finds the pulse rate to be 120 bpm. What would the nurse do next to interpret and analyze this pulse rate?

When administering a medication, the nurse would identify which of the following clients at risk for toxic effects? (SELECT ALL THAT APPLY)

A nurse is documenting information related to a client's condition. When documenting this information in the paper chart, the nurse makes an error documenting vital signs, entering 86/132. What is the

The nurse begins a task and then realizes that personal protective equipment (PPE) is needed. What is the correct action by the nurse?

A patient has had diarrhea for several days. What assessment will the nurse make to identify risks from the diarrhea?

A nurse is assessing a client who has a wound that is healing by first intention. Which of the following findings should the nurse expect?

The client states, "I hate this place. I want to go home. No one listens to me, and my doctor has not been in to see me today." The client's arms are folded across his chest. His brow is furrowed, and

A nurse is medicating her patient and sees Metoprolol (Toprol XL) (Beta Blocker) on her patient's MAR. The nurse assesses her patient's heart rate and it is 56 beats per minute. What action should the

The nurse is giving sub-Q insulin. A major nursing responsibility prior to administration of this category of drugs is to:

Medications that are taken by mouth (swallowed)

The client who is terminally ill has unrelieved and intractable pain. The nurse is administering hydromorphone intravenously. The client states, "I want you to give me additional medication so I will

A nurse is conducting an interview for a health history. In addition to asking the client about medications being taken, what else should be asked to assess the risk for drug interactions?

A nurse is reviewing the client's serum electrolyte levels which are as follows: Sodium: 138 mEq/L (138 mmol/L) Potassium 3.2 mEq/L (3.2 mmol/L) Calcium 100 mg/dL (2.5 mmol/L) Magnesium 20 mEq/L (1.0

In the delivery of care the nurse acts in accordance with nursing standards and the code of ethics and reports a medication error that the nurse has made. The nurse is most clearly demonstrating which

The wound care clinical nurse specialist has been consulted to evaluate a wound on the leg of a client with diabetes. The wound care nurse determines that damage to the subcutaneous tissues has occurr

A nurse is working with a social worker and a physical therapist in preparing a discharge projection for a client who is postoperative. Which of the following steps of nursing process is the nurse eng

A client who has to undergo a parathyroidectomy is worried about possibly having to wear a scarf around the neck after surgery. What nursing diagnosis should the nurse document in the care plan?

An older adult client with hypokalemia is being discharged to the home of a caregiver. Which information should the nurse include in the family teaching?

A patient is receiving a bolus of IV fluids for dehydration. During administration of the solution, it is most important for the nurse to carefully monitor: