Question 1

Based on the information provided,which client should the nurse see first?

Accepted Answer

A) Infant respirations 38/min 
B) 2-year-old pulse 112/min 
C) 6-year-old axillary temperature 97.5°F 
D) 10-year-old blood pressure 138/88 
A) Infant respirations 38/min 
B) 2-year-old pulse 112/min 
C) 6-year-old axillary temperature 97.5°F 
D) 10-year-old blood pressure 138/88

Question 2

The UAP notifies the nurse of these vital signs for a client on the medical-surgical unit: temperature 97.6°F,respirations 22,pulse 122,and BP 98/72.Which is the best action the nurse should do next?

Accepted Answer

A) Ask the UAP to reassess the client. 
B) Inform the UAP to document these vital signs. 
C) Reassess the client to validate these vital signs. 
D) Notify the healthcare provider of these vital signs. 
A) Ask the UAP to reassess the client. 
B) Inform the UAP to document these vital signs. 
C) Reassess the client to validate these vital signs. 
D) Notify the healthcare provider of these vital signs.

Question 3

The nurse is changing a 2-month-old client's diaper and notes the client feels warm to touch.Which is the best method for checking this baby's temperature?

Accepted Answer

A) Oral 
B) Rectal 
C) Axillary 
D) Tympanic membrane 
A) Oral 
B) Rectal 
C) Axillary 
D) Tympanic membrane

Question 4

A client on the medical/surgical unit complains of sudden chest pains.Which is the first action the nurse will implement?

Accepted Answer

A) Call the health care provider. 
B) Administer pain medication. 
C) Reassess a new set of vital signs. 
D) Turn client from supine to lateral. 
A) Call the health care provider. 
B) Administer pain medication. 
C) Reassess a new set of vital signs. 
D) Turn client from supine to lateral.

Based on the information provided,which client should the nurse see first?

The UAP notifies the nurse of these vital signs for a client on the medical-surgical unit: temperature 97.6°F,respirations 22,pulse 122,and BP 98/72.Which is the best action the nurse should do next?

The nurse is changing a 2-month-old client's diaper and notes the client feels warm to touch.Which is the best method for checking this baby's temperature?

A client on the medical/surgical unit complains of sudden chest pains.Which is the first action the nurse will implement?

Caring Interventions

Comfort

Elimination

Fluids and Electrolytes

Infection

Intracranial Regulation

Metabolism

Mobility

Nutrition

Oxygenation

Perfusion

Perioperative Care

Reproduction

Safety

Tissue Integrity

Filters

Exam 1: Assessment

Based on the information provided,which client should the nurse see first?

The UAP notifies the nurse of these vital signs for a client on the medical-surgical unit: temperature 97.6°F,respirations 22,pulse 122,and BP 98/72.Which is the best action the nurse should do next?

The nurse is changing a 2-month-old client's diaper and notes the client feels warm to touch.Which is the best method for checking this baby's temperature?

A client on the medical/surgical unit complains of sudden chest pains.Which is the first action the nurse will implement?

Caring Interventions

Comfort

Elimination

Fluids and Electrolytes

Infection

Intracranial Regulation

Metabolism

Mobility

Nutrition

Oxygenation

Perfusion

Perioperative Care

Reproduction

Safety

Tissue Integrity

Filters