Consolidation Exam Questions With Complete Solutions
The nurse caring for an older adult understands which of the
following most impacts the client's self-concept?
Adjustment to role change, loss of loved ones, and physical
energy
The nurse is leading a support group for individuals dealing with
loss. Which of the following characteristics should the nurse
include in their teaching regarding acute grief?
Occurs in waves lasting for varying periods of time.
While caring for the client who is experiencing acute alcohol
withdrawal. what actions should the nurse take?
A. Monitor neurological status on a routine basis
B. Administer antiseizure drugs and sedatives to relieve
symptoms during withdrawal
C. Ensure suction equipment is at the bedside
D. Administer medications via the tropical route only
E. Orient the client to environment and person with each contact
Monitor neurological status on a routine basis
Ensure suction equipment is at the bedside
Orient the client to environment and person with each contact
,The nurse applies the following principles of safe medication
administration to decrease medication errors
Ask your client their date of birth and check wristband before
administering medications
Prepare client medication in a quiet, distraction free area.
Your client has been ordered a nasogastric tube for nutritional
replacement. Which of the following is the correct method to
determine the appropriate length of tube insertion for an adult
patient?
Measure from the nose to the earlobe to the xiphoid process
The nurse is caring for a client who is recovering from a
cerebrovascular accident (CVA). When assisting with feeding,
the nurse notices the client coughing after every swallow of
food. What is the nurse's best course of action?
Request a swallowing assessment from a certified health care
professional.
You are the nurse caring for an older adult that was recently
admitted to the rehabilitation setting after having a knee
replacement. The client is very anxious and refuses to get out of
bed, stating that it is too painful. What is the best action for the
nurse?
, Offer and administer pain medication; wait 20 minutes before
getting the client out of bed
The nurse is caring for a client with oral cancer. The client is
experiencing a lack of appetite due to fatigue and sore mouth.
Which instructions from the nurse would encourage adequate
nutrition?
"Try shakes made from frozen liquid supplements or smoothies
with protein powders added
A client on the unit has been diagnosed with impetigo and a
gauze dressing has been applied. What is the most important
measure for the nurse to take to prevent the spread to other
clients on the unit?
Wear gloves during client care and ensure proper hand hygiene
The nurse is caring for a client who is experiencing difficulties
managing their colostomy. The colostomy appliance is leaking
and the clients skin has become excoriated. What is an
appropriate action for the nurse to take
Request a referral for an Enterostomy nurse to visit the client.
A nurse is preparing supplies for a tuberculosis screening clinic.
Which needle size should the nurse have available!
27-gauge, 1/2 inch needle.
A client is being administered a blood transfusion when the
nurse observes that the client has chills, a temperature of 39°C
The nurse caring for an older adult understands which of the
following most impacts the client's self-concept?
Adjustment to role change, loss of loved ones, and physical
energy
The nurse is leading a support group for individuals dealing with
loss. Which of the following characteristics should the nurse
include in their teaching regarding acute grief?
Occurs in waves lasting for varying periods of time.
While caring for the client who is experiencing acute alcohol
withdrawal. what actions should the nurse take?
A. Monitor neurological status on a routine basis
B. Administer antiseizure drugs and sedatives to relieve
symptoms during withdrawal
C. Ensure suction equipment is at the bedside
D. Administer medications via the tropical route only
E. Orient the client to environment and person with each contact
Monitor neurological status on a routine basis
Ensure suction equipment is at the bedside
Orient the client to environment and person with each contact
,The nurse applies the following principles of safe medication
administration to decrease medication errors
Ask your client their date of birth and check wristband before
administering medications
Prepare client medication in a quiet, distraction free area.
Your client has been ordered a nasogastric tube for nutritional
replacement. Which of the following is the correct method to
determine the appropriate length of tube insertion for an adult
patient?
Measure from the nose to the earlobe to the xiphoid process
The nurse is caring for a client who is recovering from a
cerebrovascular accident (CVA). When assisting with feeding,
the nurse notices the client coughing after every swallow of
food. What is the nurse's best course of action?
Request a swallowing assessment from a certified health care
professional.
You are the nurse caring for an older adult that was recently
admitted to the rehabilitation setting after having a knee
replacement. The client is very anxious and refuses to get out of
bed, stating that it is too painful. What is the best action for the
nurse?
, Offer and administer pain medication; wait 20 minutes before
getting the client out of bed
The nurse is caring for a client with oral cancer. The client is
experiencing a lack of appetite due to fatigue and sore mouth.
Which instructions from the nurse would encourage adequate
nutrition?
"Try shakes made from frozen liquid supplements or smoothies
with protein powders added
A client on the unit has been diagnosed with impetigo and a
gauze dressing has been applied. What is the most important
measure for the nurse to take to prevent the spread to other
clients on the unit?
Wear gloves during client care and ensure proper hand hygiene
The nurse is caring for a client who is experiencing difficulties
managing their colostomy. The colostomy appliance is leaking
and the clients skin has become excoriated. What is an
appropriate action for the nurse to take
Request a referral for an Enterostomy nurse to visit the client.
A nurse is preparing supplies for a tuberculosis screening clinic.
Which needle size should the nurse have available!
27-gauge, 1/2 inch needle.
A client is being administered a blood transfusion when the
nurse observes that the client has chills, a temperature of 39°C
