1. The nurse is caring for a client who is medicated for an 1 hour ago.

The
client is stating that the medication is not working and she is still in pain.
What is the first action that the nurse will take?
a. Believe the client’s report of pain
2. When is the nurse correct in decreasing the dose of medication in a clie
nt with end-stage cancer?
a. The client wants to remain alert during the visit of a long time friend
3. A client with chronic pain is being discharged from the hospital. When p
lanning the client’s pain relief regimen for home, it is most important for the nu
rse to communicate with which member of the healthcare team?
a. Home health
4. X
5. What instruction should the nurse in
6. Why does the nurse always ask the client his or her pain level after tak
ing routine vital signs?
a. To ensure that pain assessment happens on a regular basis
7. A client with cholecystitis has pain in the right shoulder area and asks
, “what is happening to me? What did I do to my shoulder?” what is the nurs’s best res
ponse?
a. “sometimes pain from a certain organ is referred elsewhere in the body.”
8. A nurse is assigned to care for the following four clients who have the
potential for having pain. Which client is most likely not to be treated adequat
ely for pain?
a. Older client with arthritis
9. The physician orders a dose of medication that does not resolve the cl
ient’s chronic pain. When the nurse questions the order, the physician explains th
at he fears that the client will develop an addiction with higher drug dosages.
What is the nurses best response?
a. Consult with the pain control specialist
10. The client asks why the nurse signs the operative consent form under her
signature as a witness. What is the nurse’s best response?
a. “it confirms that you voluntarily signed the form.”
11. The nurse is caring for an older client with a history of emphysema who
will be undergoing surgery the following day. Which nursing diagnosis is the hig
hest priority fir this client?
a. Risk for impaired gas exchange
12. The nurse is completing preoperative teaching for a patient, and it beco
mes apparent that the client does not understand the surgery that will be perfor
med. What is the priority action for the nurse?
a. Notify the surgeon and note the finding in in the client’s chart
13. During the preoperative assessment, the clienttels the nur
14. responds “I don’t n eed that. I had a good night’s sleep last night.” What is
the nurse’s best response?
a. The medication will help prevent some complications during surgery
15. When the nurse brin
16. X
17. X
18. The scrub nurse is overseeing a nursing student who will be shadowing in
the operating room. Which observed action indicates that the nursing student is
performing the surgical scrub correctsy?
a. The soap is rinsed off so that the water rund down to the hands
19. The nruse anesthetist is caring for a client who is under general anesth
esia. The nurse notes that the client is becoming tachycardic and the client’s oxy
gen saturation is dropping. Which medications should the nurse anesthetist prepa
re to administer?
a. Epinephrine and diphenydramine (benedryl)
20. The client is having epidural anesthesia for knee
21. X
22. X
23. Before the client’s surgery begins, the circulating nurse notes that the n
urse anesthetist did not perform a surgical scrub before coming into the operati
ng room. Which is the best action of the circulating nruse at this time?
a. Proceeds with positioning the client on the operating bed
24. The client asks the nurse why it is better to have spinal anesthesia for
knwee surgery rather than being put to sleep. Which is the nurse’s best response?
a. “you will have less risk of developing pneumonia after surgery.”
25. The client is to have a surgical procedure under conscious dsedation. Th
e client is anxious and asks the nurse what to expect. What is the nurse’s best re
sponse?
a. “you will be very sleepy and we will monitor you closely”