Question

1) The nurse has just started her morning shift, when entering the client's room, she notices the wrong IV drip is administering to the client. The nurse quickly stop the IV drip, assess the client's condition, and collect vital signs. What should the nurse do next?

A. Document the medication error

B. Do nothing as the client condition is normal

C. Report this to the nurse supervisor

D. Report this to the prescribing physician

2) The nurse is assessing a 4 months old child whose mother is present and notice severe bruises on the bottom and abdomen. What should the nurse do?

A. Report this to the police immediately

B. Determine by asking the mother to explain the bruises

C. Report this to the nurse supervisor immediately

D. Report this to the child protective services immediately

3) The nurse is doing a routine assessment on 14 years old client with a diagnose of anorexia. What statement by the client should cause the nurse to do a follow-up?

A. I am not responsible for the parent's behavior

B. My parents weight me every day after school

Answer 1

1) The nurse has just started her morning shift, when entering the client's room, she notices the wrong IV drip is administering to the client. The nurse quickly stop the IV drip, assess the client's condition, and collect vital signs. What should the nurse do next?

Answer : C. Report this to the nurse supervisor

2) The nurse is assessing a 4 months old child whose mother is present and notice severe bruises on the bottom and abdomen. What should the nurse do?

Answer :  D. Report this to the child protective services immediately

3) The nurse is doing a routine assessment on 14 years old client with a diagnose of anorexia. What statement by the client should cause the nurse to do a follow-up?

Answer :  B. My parents weight me every day after school