Fundamentals of Nursing Exams

Funda(PreBoard2) Part XV

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1. The nurse-in-charge in labor and delivery unit administered a dose of terbutaline to a client without checking the client’s pulse. The standard that would be used to determine if the nurse was negligent is:

a. The physician’s orders.

b. The action of a clinical nurse specialist who is recognized expert in the field.

c. The statement in the drug literature about administration of terbutaline.

d. The actions of a reasonably prudent nurse with similar education and experience.

2. Nurse Trish is caring for a female client with a history of GI bleeding, sickle cell disease, and a platelet count of 22,000/μl. The female client is dehydrated and receiving dextrose 5% in half-normal saline solution at 150 ml/hr. The client complains of severe bone pain and is scheduled to receive a dose of morphine sulfate. In administering the medication, Nurse Trish should avoid which route?

a. I.V

b. I.M

c. Oral

d. S.C

3. Dr. Garcia writes the following order for the client who has been recently admitted “Digoxin .125 mg P.O. once daily.” To prevent a dosage error, how should the nurse document this order onto the medication administration record?

a. “Digoxin .1250 mg P.O. once daily”

b. “Digoxin 0.1250 mg P.O. once daily”

c. “Digoxin 0.125 mg P.O. once daily”

d. “Digoxin .125 mg P.O. once daily”

4. A newly admitted female client was diagnosed with deep vein thrombosis. Which nursing diagnosis should receive the highest priority?

a. Ineffective peripheral tissue perfusion related to venous congestion.

b. Risk for injury related to edema.

c. Excess fluid volume related to peripheral vascular disease.

d. Impaired gas exchange related to increased blood flow.

5. Nurse Betty is assigned to the following clients. The client that the nurse would see first after endorsement?

a. A 34 year-old postoperative appendectomy client of five hours who is complaining of pain.

b. A 44 year-old myocardial infarction (MI) client who is complaining of nausea.

c. A 26 year-old client admitted for dehydration whose intravenous (IV) has infiltrated.

d. A 63 year-old postoperative abdominal hysterectomy client of three days whose incisional dressing is saturated with serosanguinous fluid.

6. Nurse Gail places a client in a four-point restraint following orders from the physician. The client care plan should include:

a. Assess temperature frequently.

b. Provide diversional activities.

c. Check circulation every 15-30 minutes.

d. Socialize with other patients once a shift.

7. A male client who has severe burns is receiving H2 receptor antagonist therapy. The nurse In-charge knows the purpose of this therapy is to:

a. Prevent stress ulcer

b. Block prostaglandin synthesis

c. Facilitate protein synthesis.