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After application of a cast in the upper extremity, the patient complains of severe pain in the affected site. Which of the following would the nurse initiate?

A.

Administer analgesics as ordered

B.

Assess neurovascular status

C.

Notify his physician

D.

Pad the edges of the cast

When preparing to administer a medication the nurse should first:

A.

Ensure that the medication is on the medication cart

B.

Determine the expiry date of the medication

C.

Check the patient's identification armband

D.

Verify the physician order for accuracy

A patient has been taking Aluminum Hydroxide daily for 3 weeks. The nurse should be alert for which of the following side effects?

A.

Constipation

B.

Flatulence

C.

Nausea

D.

Vomiting

A patient who sustained a chest injury has a chest tube inserted which is connected to an under water seal drainage system. When caring for this patient the nurse will:

A.

Instruct the patient to limit movement of the affected shoulder

B.

Observe for fluctuation of the water level

C.

Clamp the tube when needed

D.

Administer hourly analgesia

The priority nursing diagnosis for a hospitalized patient with a Stage IV pressure ulcer on the hip would be:

A.

Altered body image

B.

Acute pain

C.

Risk for infection

D.

Altered nutrition

A 13 year old girl with manifestations of rheumatic heart disease is admitted to hospital. Which of the following laboratory blood findings would confirm that she likely has had a streptococcal infection within the past two weeks?

A.

Decreased leukocyte count

B.

Elevated hemoglobin count

C.

Elevated ASO titer

D.

Decreased ESR

A patient has had a total hip joint replacement. Which of the following actions should the nurse consider for the patient's daily recommended exercise program?

A.

Administering an analgesic before exercising

B.

Discontinuing the program if the patient dislikes it

C.

Continuing exercises inspire of severe pain

D.

Evaluating effectiveness of exercise based on pain scale

While assessing a patient, the nurse learns that he has a history of allergic rhinitis, asthma, and multiple food allergies. The nurse must:

A.

Be alert to hypersensitivity response to the prescribed medications

B.

Encourages the patient to carry an epinephrine kit in case of an allergic reaction

C.

Advise the patient to use aspirin in case of febrile illnesses

D.

Admit the patient to a single room with limited exposure to health care personnel

A registered nurse delegates care to a practical nurse. The person most responsible for the safe performance of the care is the:

A.

Head nurse who is in-charge of the unit

B.

The practical nurse assigned to provide the care

C.

The registered nurse who delegated the care to the practical nurse

D.

The nursing care coordinator who is the supervisor of the unit

A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal?

A.

11 year old male – 90 b.p.m, 22 resp/min. , 100/70 mm Hg

B.

13 year old female – 105 b.p.m., 22 resp/min., 105/60 mm Hg

C.

5 year old male- 102 b.p.m, 24 resp/min., 90/65 mm Hg

D.

6 year old female- 100 b.p.m., 26 resp/min., 90/70mm Hg