Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A patient has been transferred to your unit. The transferring nurse has given you a report on the patient's condition and helped you settle them in bed. Your next priority would be to:
A. Check the MAR or eMAR to see what medications they are receiving.
Checking the Medication Administration Record (MAR) or electronic MAR (eMAR) is a priority to ensure continuity of care and administer medications as prescribed in a timely manner.
B. Read all the orders the primary care provider has written.
Reviewing the orders is important but may not be the immediate priority compared to ensuring the patient's medication needs are addressed.
C. Document the transfer in the medical record.
Documenting the transfer in the medical record is essential but may be done after the initial assessment and administration of necessary medications.
D. Perform a head-to-toe assessment.
Performing a head-to-toe assessment is important but typically comes after addressing immediate needs such as medication administration, especially if the patient has specific medication schedules.
This question is an excerpt from Nurse Dive's nursing test bank - LPN ATI Fundamental Proctored Exam - Paredes. Take the full exam now
Full Explanation
A. Checking the Medication Administration Record (MAR) or electronic MAR (eMAR) is a priority to ensure continuity of care and administer medications as prescribed in a timely manner.
B. Reviewing the orders is important but may not be the immediate priority compared to ensuring the patient's medication needs are addressed.
C. Documenting the transfer in the medical record is essential but may be done after the initial assessment and administration of necessary medications.
D. Performing a head-to-toe assessment is important but typically comes after addressing immediate needs such as medication administration, especially if the patient has specific medication schedules.
Similar Questions
Which of the following are water-soluble vitamins?
Select all that apply.
A. B6
B6 (pyridoxine) is a water-soluble vitamin that plays roles in metabolism, red blood cell production, and the nervous system.
B. K
Vitamin K is a fat-soluble vitamin responsible for blood clotting and is not water-soluble.
C. A
Vitamin A is a fat-soluble vitamin important for vision, immune function, and skin health, not water-soluble.
D. E
Vitamin E is a fat-soluble antioxidant vitamin, not water-soluble.
E. C
Vitamin C (ascorbic acid) is a water-soluble vitamin crucial for collagen synthesis, antioxidant function, and immune support.
Full Explanation
A. B6 (pyridoxine) is a water-soluble vitamin that plays roles in metabolism, red blood cell production, and the nervous system.
B. Vitamin K is a fat-soluble vitamin responsible for blood clotting and is not water-soluble.
C. Vitamin A is a fat-soluble vitamin important for vision, immune function, and skin health, not water-soluble.
D. Vitamin E is a fat-soluble antioxidant vitamin, not water-soluble.
E. Vitamin C (ascorbic acid) is a water-soluble vitamin crucial for collagen synthesis, antioxidant function, and immune support.
New orders have been written by the primary care provider for a patient admitted to a skilled nursing facility. After transcription, the orders will be verified by the:
A. director of nurses.
The director of nurses may oversee the nursing staff but might not directly verify orders.
B. LPN/LVN in charge.
While the LPN/LVN may have specific responsibilities, verifying orders typically falls under the role of an RN with administrative responsibilities.
C. administrative RN.
An administrative RN often verifies or reviews newly transcribed orders for accuracy and compliance with facility policies.
D. unit secretary
The unit secretary might assist with clerical tasks, but verifying orders is usually within the nursing scope.
Full Explanation
A. The director of nurses may oversee the nursing staff but might not directly verify orders.
B. While the LPN/LVN may have specific responsibilities, verifying orders typically falls under the role of an RN with administrative responsibilities.
C. An administrative RN often verifies or reviews newly transcribed orders for accuracy and compliance with facility policies.
D. The unit secretary might assist with clerical tasks, but verifying orders is usually within the nursing scope.
A nurse is collecting data from a client who has an inadequate dietary intake of vitamin C. Which of the following findings should the nurse expect?
A. Brittle hair
Brittle hair is more commonly associated with nutritional deficiencies such as protein or biotin, not specifically with vitamin C deficiency.
B. Constipation
Constipation is not typically a direct symptom of vitamin C deficiency.
C. Bleeding gums
Vitamin C deficiency often leads to scurvy, a condition characterized by bleeding gums, easy bruising, and weakness.
D. Memory loss
Memory loss is not a common symptom of vitamin C deficiency.
Full Explanation
A. Brittle hair is more commonly associated with nutritional deficiencies such as protein or biotin, not specifically with vitamin C deficiency.
B. Constipation is not typically a direct symptom of vitamin C deficiency.
C. Vitamin C deficiency often leads to scurvy, a condition characterized by bleeding gums, easy bruising, and weakness.
D. Memory loss is not a common symptom of vitamin C deficiency.