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a nurse is giving change-of-shift report about a client they admitted earlier that day who has
pneumonia. which of the following pieces of information is the priority for the nurse to provide?
a. admitting diagnosis
b. breath sounds
c. body temperature
d. diagnostic test results - CORRECT ANSWERS breath sounds
A nurse is planning teaching for a group of adolescents who each recently had surgical placement of
an ostomy. Which of the following methods should the nurse use as a psychomotor approach to
learning?A) Role play
B) Group discussions
C) Question-answer meetings
D) Practice sessions - CORRECT ANSWERS practice sessions
a nurse is caring for a client who reports difficulty falling asleep. which of the following
recommendations should the nurse make?
a. drink a cup of hot cocoa before bedtime
b. maintain a consistent time to wake up each day
c. exercise 1 hour before going to bed
d. watch a television program in bed before going to sleep - CORRECT ANSWERS maintain a
consistent time to wake up each day
a nurse is admitting a client who has rubella. which of the following types of transmission-based
precautions should the nurse initiate?
a. droplet
b. airborne
c. contact
d. protective environment - CORRECT ANSWERS droplet
A nurse is administering IV fluid to an older adult client. The nurse should perform which priority
assessment to monitor for adverse effects?
,Rn Fundamentals Online Practice 2019 Test B Questions And
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A) Auscultate lung sounds.
B) Measure urine output.
C) Monitor blood pressure readings.
D) Monitor serum electrolyte levels. - CORRECT ANSWERS auscultate lung sounds
Auscultate lung sounds.MY ANSWERThe priority assessment the nurse should make when using the
airway, breathing, circulation approach to client care is auscultating lung sounds to monitor for fluid
volume excess, a complication of IV therapy. Manifestations of fluid volume excess include moist
crackles in lung fields, dyspnea, and shortness of breath.
Measure urine output.The nurse should measure urine output to monitor the renal function of a
client who is receiving IV fluid; however, it is not the priority assessment.
Monitor blood pressure readings.The nurse should monitor blood pressure readings to evaluate the
hemodynamic stability of a client who is receiving IV fluids; however, it is not the priority
assessment.
Monitor electrolyte levels.The nurse should monitor electrolyte levels, especially sodium, to guide
the planning of interventions to correct any imbalances in a client who is receiving IV fluids; however,
it is not the priority assessment.
A charge nurse is discussing the responsibility of nurses caring for clients who have a Clostridium
difficile infection. Which of the following information should the nurse include in the teaching?
A) Assign the client to a room with a negative air-flow system.
B) Use alcohol-based hand sanitizer when leaving the client's room.
C) Clean contaminated surfaces in the client's room with a phenol solution.
D) Have family members wear a gown and gloves when visiting. - CORRECT ANSWERS have family
members wear a gown and gloves when visiting
c.rational:The nurse should use a phenol solution to clean surfaces contaminated with bacteria and
fungi. However, phenol does not kill Clostridium difficile spores. Chlorine bleach is an example of a
disinfectant that kills spores.
a. Droplet precautions are a requirement for clients who have infections that spread via droplet nuclei
that are larger than 5 microns in diameter, including influenza, rubella, meningococcal pneumonia,
and streptococcal pharyngitis.
b. Airborne precautions are a requirement for clients who have infections that spread via droplet
nuclei that are smaller than 5 microns in diameter, including varicella, tuberculosis, and measles.
, Rn Fundamentals Online Practice 2019 Test B Questions And
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c. Contact precautions are a requirement for clients who have infections that spread via direct contact
with another person or contact with the environment, including vancomycin-resistant enterococci,
methicillin-resistant Staphylococcus aureus, and scabies.
d. Clients who have a compromised immune system, such as those who have had an allogeneic
hematopoietic stem cell transplant, require a protective environment.
a nurse is caring for a client who has recently started using a behind-the-ear hearing aid. which of the
following statements should the nurse identify as an indication that the client understands the use of
this assistive device?
a. this type of hearing aid does not allow for fine tuning of volume
b. I shouldn't have trouble keeping the hearing aid in place during exercise
c. I expect to hear a whistling sound when I first insert the hearing aid
d. I will be sure to remove my hearing aid before taking a shower - CORRECT ANSWERS I will be sure
to remove my hearing aid before taking a shower
A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through an
open system. Which of the following actions should the nurse take first?A) Rinse the feeding bag
with water between feedings.
B) Tell the client to keep the head of the bed elevated at least 30°.
C) Make sure the enteral formula is at room temperature.
D) Wipe the top of the formula can with alcohol. - CORRECT ANSWERS tell the client to keep the
head of the bed elevated at least 30°
a nurse is planning care for a client who has tuberculosis. the nurse should use which of the following
pieces of personal protective equipment when providing care for the client?
a. gown
b. N95 respirator
c. shoe covers
d. surgical cap - CORRECT ANSWERS N95 respirator
A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. Which of
the following actions should the nurse take?
A) Gently shake the container of medication prior to administration.
B) Transfer the medication to a medicine cup.