NC1 Practice Mode

A client with chronic kidney disease is prescribed epoetin alfa. Which laboratory value is the most important for the nurse to monitor to evaluate the effectiveness of therapy?

• Hemoglobin

• Creatinine

• Potassium

• Ferritin

A client with COPD is receiving oxygen at 6 L/min via nasal cannula. The client becomes increasingly somnolent. What is the priority nursing action?

• Increase oxygen to 10 L/min

• Notify the healthcare provider immediately

• Decrease oxygen flow rate

• Place client in high Fowler’s position

A post-op client develops sudden chest pain and dyspnea. The nurse suspects pulmonary embolism. What is the priority action?

• Notify Rapid Response Team

• Administer morphine for pain

• Encourage coughing and deep breathing

• Elevate the head of the bed

During a measles outbreak, which group should the nurse prioritize for vaccination?

• Healthcare workers without documented immunity

• Elderly clients in long-term care

• Children under 6 months

• Adults over 50

A home health nurse visits a client with uncontrolled type 2 diabetes. Which finding indicates the need for immediate intervention?

• The client does not rotate insulin injection sites

• The client reports blurred vision

• The client walks barefoot in the house

• The client eats high-carbohydrate snacks before bedtime

A nurse is teaching food safety to a community group. Which statements indicate the need for further teaching?

• I will thaw frozen chicken in the refrigerator.

• I will use separate cutting boards for raw meat and vegetables.

• I will wash my hands after handling raw eggs.

• I will cook ground beef until it looks brown inside.

• I will store leftovers at room temperature for several hours before refrigerating.

A nurse assesses a laboring client receiving oxytocin. The fetal monitor shows late decelerations. What is the priority action?

• Increase the oxytocin infusion rate

• Reposition the client on her left side

• Prepare for immediate delivery

• Administer oxygen via nasal cannula

A postpartum client complains of severe perineal pain unrelieved by analgesics. The nurse notes a firm, midline fundus and a perineal area that is swollen and bluish. What should the nurse suspect?

• Endometritis

• Perineal hematoma

• Vaginal laceration

• Uterine inversion

A client at 32 weeks gestation reports sudden painless vaginal bleeding. What condition should the nurse suspect first?

• Placenta previa

• Placental abruption

• Uterine rupture

• Vasa previa

A 3-year-old with croup is admitted. Which intervention should the nurse anticipate?

• IV antibiotics

• Racemic epinephrine nebulization

• Incentive spirometry

• Chest physiotherapy