AND ANSWERS 2025 GRADED A+
While a nurse is assisting a client to ambulate, the client reports
lightheadedness and begins to fall. Which of the following
nursing actions demonstrates a correct understanding by the
nurse about ergonomic principles? - CORRECT ANSWER -
Spread feet apart and extend one leg for the client to slide
down while lowering the client to the floor
A nurse is caring for an older adult client who appears lethargic
and somnolent. The nurse reviews the client's medications
prior to contacting the provider. Which of the following
medication is the likely cause of the increased sedation? -
CORRECT ANSWER -Lorazepam (Ativan)
Some assistive personnel tell the charge nurse that her
assignment is too demanding. She angrily tells the nurse to
reassign one of her tasks to another AP. Which of the following
actions should the nurse take to resolve the conflict? -
CORRECT ANSWER -Ask the AP to discuss the issue in a
private area
,A nurse is supervising an assistive personnel (AP) obtain
supplies for a client who is on seizure precautions. Which of the
following materials should the AP place in the client's room? -
CORRECT ANSWER -Oral Suction Equipment
A charge nurse on a mental health unit is supervising a newly
licensed nurse. For which of the following actions by the newly
licensed nurse should the supervising nurse intervene? -
CORRECT ANSWER -Tells a client he will lose his phone
privileges if he does not take his medication
A nurse is caring for a client who follows a kosher diet. Which of
the following menu items should the nurse include in the meal
tray? - CORRECT ANSWER -Roasted Salmon
A nurse is reviewing information about advance directives with
a newly admitted client. Which of the following statements by
the client indicates an understanding of the information? -
CORRECT ANSWER "Advance directives include a living will"
A nurse is collecting data from the caregiver of a client who has
Alzheimer's disease. The caregiver reports the client has
,difficulty sleeping at night and wanders throughout the house.
Which of the following interventions should the nurse
recommend? - CORRECT ANSWER -Encourage the client to
take frequent walks during the day
A nurse is assisting in the care of a client who is 8hr postpartum
and has uterine atony with increased bleeding. Which of the
following actions should the nurse take? (Select all that apply) -
CORRECT
ANSWER -Assist the client to empty her bladder
A nurse is reinforcing teaching with the support person of a
client who is in the first stage of labor.
Which of the following instructions should the nurse include
regarding effleurage? - CORRECT ANSWER "Gently stroke her
abdomen during contractions"
A nurse is caring for an older adult client who is postoperative
following a total hip arthroplasty. The client is incontinent of
stool and urine. Which of the following actions should the
nurse take to prevent skin breakdown? - CORRECT ANSWER -
Use a moisture barrier on the client's skin
, A nurse is caring for a client who has terminal cancer. Which of
the following actions should the nurse take to promote the
client's autonomy? - CORRECT ANSWER -Allow the client to
choose treatment times
A nurse in a clinic is caring for a client who is at 40 weeks of
gestation and experiences a sudden gush of vaginal fluids.
Which of the following findings is evidence of an obstetric
complication? - CORRECT ANSWER -Appears greenish-brown
in color
A nurse is assisting with the care of an adolescent client
immediately following a lumbar puncture. Which of the
following actions should the nurse take? - CORRECT ANSWER
-Inform the adolescent that he might experience a headache
A nurse is reinforcing teaching about advance directives with a
client who has end-stage heart failure.
Which of the following statements by the client indicates an
understanding of the teaching? - CORRECT
ANSWER -"I should discuss this document with my family after
I sign it"