1.  The nurse knows that which statement by the mother indicates that the motherunderstandssafetyprecautionswithherfourmonth-oldinfantandher4year-oldchild?

A)  "Istraptheinfantcarseatonthe frontseattofacebackwards."

B)  "Iplacemyinfantinthemiddleofthe livingroomflooronablankettoplaywithmy4yearoldwhileImakesupperinthekitchen."

C)  "Mysleepingbabyliessocuteinthecribwiththelittlebuttocksstuckupintheairwhilethefouryearoldnapsonthesofa."

D)  "I have the 4 year-old hold and help feed the four month-old a bottle in the kitchenwhileImakesupper."

The correct answer is D: "I have the four year-old hold and help feed the four month-oldabottleinthekitchen

2.  Uponcompletingtheadmissiondocuments,thenurselearnsthatthe87year-oldclientdoesnothaveanadvancedirective.Whatactionshouldthenursetake?

A)  Recordtheinformationonthechart

B)  Giveinformation aboutadvancedirectives

C)  Assumethatthisclientwishesa fullcode

D)  Referthisissuetotheunitsecretary

ThecorrectanswerisB:Giveinformationaboutadvancedirectives

3.  Anurseadministerstheinfluenzavaccinetoaclientinaclinic.Within15minutesafterthe immunization was given, the client complains of itchy and watery eyes, increasedanxiety, and difficulty breathing. The nurse expects that the first action in the sequence ofcareforthisclientwillbeto

A)  Maintaintheairway

B)  Administerepinephrine1:1000asordered

C)  Monitorforhypotensionwithshock

D)  Administerdiphenhydramineasordered

ThecorrectanswerisB:Administerepinephrine1:1000asordered.

4.  Whichofthesechildrenatthesiteofa disaster ata childdaycare centerwouldthetriagenurseputin the"treatlast"category?

A)  Aninfantwithintermittentbulginganteriorfontanelbetweencryingepisodes

B)  Atoddlerwithseveredeepabrasionsover98%ofthebody

C)  Apreschoolerwith1lowerlegfractureandtheotherlegwithanupperlegfracture

D)  Aschool-agechildwithsingedeyebrowsandhaironthearms

The correctanswerisB:Atoddlerwithseveredeepabrasionsover98%ofthebody.

5.  Whenadmittinga clienttoanacutecare facility,anidentificationbraceletissentupwiththeadmissionform.Intheeventthesedonotmatch,thenurse’sbestactionisto

A)  Changewhicheveritemisincorrecttothe correctinformation

B)  Usethebraceletandadmissionformuntilareplacementissupplied

C)  Notifythe admissionsofficeandwaittoapplythebracelet

D)  Makeacorrectedidentificationbracelet fortheclient

ThecorrectanswerisC:notifytheadmissionsofficeandwaittoapplythebracelet

6.  Thenurseishavingdifficultyreadingthehealthcareprovider'swrittenorderthatwaswrittenrightbeforetheshiftchange.Whatactionshouldbetaken?

A)  Leavetheorderfortheoncomingstafftofollow-up

B)  Contactthechargenurseforaninterpretation

C)  Askthepharmacyforassistanceintheinterpretation

D)  Calltheproviderforclarification

ThecorrectanswerisD:Calltheproviderforclarification

7.  An adult client is found to be unresponsive on morning rounds. After checking forresponsivenessandcallingforhelp,thenextactionthatshouldbetakenbythenurseisto:

A)  checkthe carotidpulse

B)  deliver5abdominalthrusts

C)  give2rescuebreaths

D)  opentheclient'sairway

Thecorrect answerisD:opentheclient''s airway