While assessing a patient, the nurse learns that he has a history of allergic rhinitis, asthma, and multiple food allergies. The nurse must:

A. Be alert to hypersensitivity response to the prescribed medications

B. Encourages the patient to carry an epinephrine kit in case of an allergic reaction

C. Advise the patient to use aspirin in case of febrile illnesses

D. Admit the patient to a single room with limited exposure to health care personnel

Thirty minutes after starting a blood transfusion a patient develops tachycardia and tachypnea and complains of chills and low back pain. The nurse recognizes these symptoms as characteristic of:

A. Circulatory overload

B. Mild allergy

C. Febrile response

D. Hemolytic reaction

To prevent post-operative thrombophlebitis, which one of the following measures is effective?

A. Elevation of the leg on two pillows

B. Using of compression stocking at night

C. Massage the calf muscle frequently

D. Performing leg exercises

To promote accuracy of self-monitoring blood glucose by patients the nurse should:

A. Retrain patients periodically

B. Direct patients to rotate testing sites

C. Advise patients to buy new strips routinely

D. Compare results from patient's meter against lab results

A patient with deep partial-thickness and full-thickness burns of the face and chest is admitted to the emergency department. The nurse must be particularly alert for:

A. Paralytic ileus

B. Respiratory distress

C. Severity of pain

D. Strong burn odor

The administration of which of the following types of parenteral fluids would result in a lowering of the osmotic pressure and cause the fluid to move into the cells?

A. Hypotonic

B. Isotonic

C. Hypertonic

D. Colloid

Whilst recovering from surgery a patient develops deep vein thrombosis. The sign that would indicate this complication to the nurse would be:

A. Intermittent claudication

B. Pitting edema of the area

C. Severe pain when raising the legs

D. Localized warmth and tenderness of the site

The nurse manager has just prepared a medication for a patient and she asked you to give the medication. Which of the following is the best response to the nurse manager's request?

A. Give the patient his medication and record it on the chart

B. Ask another nursing colleague to give and record the medication

C. Explain that you cannot give a medication that you did not prepare

D. Give the medication and ask the nurse manager to record it on the chart

The patient is to receive 100 ml/hr of D5W through a micro drip. How many drops per minute should the patient receive?

A. 25 gtts/min

B. 30 gtts/min

C. 100 gtts/min

D. 200 gtts/min

Which of the following is the most appropriate first action for the nurse to take for a pre- schooler who has fallen and has a hematoma formed on the temporal bone?

A. Encourage a nap

B. Give pain medication

C. Apply ice and monitor vital signs

D. Allow the child to continue activities