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Question 1 of 5

The nurse who is caring for a client with cancer notes a WBC of 500 on the laboratory results. Which intervention would be most appropriate to include in the client's plan of care?

Correct Answer: B

Rationale: A WBC of 500 indicates severe neutropenia, increasing infection risk. Avoiding crowds and sick people is critical to prevent infections. The other interventions are less specific.

Question 2 of 5

The physician has ordered Vancocin (vancomycin) 500 mg IV every 6 hours for a client with MRSA. The medication should be administered:

Correct Answer: D

Rationale: Vancomycin should be infused over at least 60 minutes to prevent adverse reactions such as red man syndrome.

Question 3 of 5

A client admitted with hepatic encephalopathy continues to attempt ambulation without assistance despite repeated instruction. Which intervention should the nurse take to promote safety?

Correct Answer: D

Rationale: Moving the client closer to the nurses’ station allows frequent monitoring, promoting safety without restraints or sedation, which are less appropriate.

Question 4 of 5

The mother of a 2-year-old asks the nurse when she should schedule her son's first dental visit. The nurse's response is based on the knowledge that most children have all their deciduous teeth by:

Correct Answer: D

Rationale: Most children have all 20 deciduous teeth by 30 months, guiding the timing of the first dental visit.

Question 5 of 5

A nurse is at a local swimming pool, and a man collapses with a cardiac arrest after exiting the pool. The man is still wet when the nurse begins cardiopulmonary resuscitation (CPR), and another person brings the automated external defibrillator (AED). Which of the following should the nurse do next?

Correct Answer: B

Rationale: Wiping the chest dry (
B) ensures AED pads adhere properly and deliver an effective shock. Applying pads on a wet chest (
A) risks ineffective defibrillation, continuing CPR (
C) delays defibrillation, and alcohol wipes (
D) are inappropriate.

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