1. A nurse is caring for a client who has just been admitted following surgical evacuation of a subdural hematoma. List one (1) priority nursing assessment to be completed.

Suggested Medical Surgical Learning Activity: Head Injury

2. Following a hernia repair the client is instructed to avoid increasing intra-abdominal pressure. List three (3) things the nurse will educate the client to avoid increasing intra-abdominal pressure.

Suggested Medical Surgical Learning Activity: Inflammatory Bowel Disease

3. A surgeon has explained an upcoming procedure to the client and the client has signed the informed consent form. An hour later the client tells the nurse, Rm not really sure if I should have this operation. It sounds like there are a lot of risks What is the nurseàresponsibility in this situation?

Suggested Adult Med Surg Learning Activity: Preoperative Nursing Care

4. List three (3) teaching points the nurse can provide a client with cholelithiasis on dietary choices for symptom management.

Suggested Adult Med Surg Learning Activity: Cholecystitis

5. A nurse reviews an order for ceftriaxone in combination with vancomycin for a client diagnosed with meningitis. Identify three (3) components of the medication prescriptions that, if missing, would require clarification with the provider.

6. A home health nurse is teaching client with a new prescription for a beta blocker about fall prevention. Identify three (3) safety measures to minimize falls in the home.

7. A preceptor is explaining the plan of care for a client receiving brachytherapy. Identify four (4) nursing actions the novice nurse should understand for this clientàcare.

8. An older client asks a nurse what she can do to minimize the risk of developing osteoporosis. Identify 3 (three) health promotion activities the client should implement.

9. A nurse cares for a client whose family member voices concern that the client may have Alzheimerî List four (4) manifestations associated with mild AlzheimeràDisease.

10. A nurse is caring for a client in skeletal traction. What guidelines should the nurse observe regarding traction?

11. A nurse is caring for a client who has dysphagia following an ischemic stroke. The nurse understands that the client must be kept NPO until being evaluated by what member of the health care team?

12. A 24-year-old client newly diagnosed with seizures is prescribed phenytoin. The client asks the nurse if she will still be able to take her oral contraceptive medication. How should the nurse respond?

13. A client is prescribed a cephalosporin. Identify two (2) potential adverse effects of cephalosporins the nurse should discuss with the client prior to use.

14. A nurse is caring for a client diagnosed with basal cell carcinoma. List two (2) characteristics noted with type of cancerous lesion.

15. The nurse is performing a focused gastrointestinal assessment on a client who complains of fever and abdominal pain for 2 days. What additional assessment findings alert the nurse to the possibility of appendicitis?