A nurse enters the room of a 45-year-old patient newly diagnosed with diabetes. The patient states, “I just don’t understand how I’m supposed to manage all of this at home.” The nurse responds, “Managing diabetes can be overwhelming at first. Tell me what concerns you most about going home.” The patient replies, “Well, my work schedule is crazy, and I’m not sure when I’m supposed to check my blood sugar.” Which response by the nurse best demonstrates active listening?

A nurse is conducting a home visit for a 72-year-old patient with progressive hearing loss. The patient’s daughter reports, “Mom used to love going to church and playing cards with her friends, but now she refuses to leave the house. She says people think she’s stupid because she can’t hear them.” Which nursing diagnosis should the nurse prioritize for this patient?  

A patient reports taking 3,000 mg/day of acetaminophen for the past week and drinking several alcoholic beverages nightly. Which action should the nurse take first?  

A 58-year-old patient was recently diagnosed with stage III lung cancer. The oncologist recommends palliative care in addition to chemotherapy. The patient states, “I don’t understand. Isn’t palliative care just for people who are dying?” Which response by the nurse best demonstrates understanding of palliative care?

A nurse has just completed postmortem care for a patient who died peacefully with family at the bedside. Which action best demonstrates proper postmortem documentation?

A 48-year-old patient tells the nurse, “I used to be able to read the newspaper easily, but now I have to hold it at arm’s length to see the words clearly. Is something wrong with my eyes?” Which response by the nurse is most appropriate?  

A patient who recently lost their spouse states, “I just feel so alone. No one understands what I’m going through.” Which response by the nurse best demonstrates therapeutic communication?  

A nurse is preparing to teach a 68-year-old patient newly diagnosed with diabetes how to check blood glucose at home. Which action by the nurse best demonstrates appropriate patient education principles?  

A nurse discovers that a medication error occurred on the previous shift—a patient received double the prescribed dose of a blood pressure medication. The patient’s current blood pressure is 92/58 mmHg (baseline 128/76 mmHg), and the patient reports feeling dizzy when standing. The nurse who made the error is a close friend. What action best demonstrates accountability?  

The provider orders D5W 500 mL plus calcium chloride 10 mEq at 10 mL per hour IV. Calcium chloride is supplied in a 10-mL ampule containing 13.6 mEq. How may mL of calcium chloride will be added to the 500 mL of D5W?  Round to the nearest tenths place if applicable. ____________________mL