GREEN LIGHT TEST QUESTIONS AND
ANSWERS ALL CORRECT
A home health nurse is assessing a client who reports a headache and appears
confused and drowsy. The client has a kerosene space heater in use. Which of the
following actions should the nurse take first?
a) Take the client outdoors.
b) Wrap blankets around the client.
c) Loosen the client's clothing.
d) Open the client's windows. - Answer- a) Take the client outdoors.
A nurse on a labor and delivery unit is assessing four newly admitted clients. Which of
the following clients should the nurse see first?
a) A client who is at 38 weeks of gestation and reports irregular uterine contractions
b) A client who is at 39 weeks of gestation and is scheduled for a weekly no stress test
(NST)
c) A client who is at 40 weeks of gestation and is scheduled for an induction of labor
d) A client who is at 36 weeks of gestation and reports decreased fetal movement for 2
days - Answer- d) A client who is at 36 weeks of gestation and reports decreased fetal
movement for 2 days
A nurse is caring for a group of clients. Which of the following tasks should the nurse
delegate to an assistive personnel? (Select all that apply.)
a) Changing a dressing for a client who has a stage 3 pressure injury
b) Measuring I&O for a client who is receiving parenteral nutrition
c) Transferring a client from a bed to a chair with a mechanical lift
d) Providing postmortem care for a client who experienced cardiac arrest
e) Obtaining a signed consent from a client for a screening colonoscopy - Answer- b)
Measuring I&O for a client who is receiving parenteral nutrition
c) Transferring a client from a bed to a chair with a mechanical lift
d) Providing postmortem care for a client who experienced cardiac arrest
A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the
following interventions should the nurse include in the plan? a) Encourage the client to
gain 2.3 kg (5 lb) per week.
b) Weigh the client once per week throughout hospitalization.
c) Monitor the client for 1 hr after meals.
d) Allow the client to choose meal times. - Answer- c) Monitor the client for 1 hr after
meals.
, A nurse plans to ambulate a client on the third day after cardiac surgery. Which of the
following interventions should the nurse take so that the client will best tolerate
ambulation?
a) Provide the client with a walker.
b) Premedicate the client with the prescribed analgesic.
c) Obtain the client's vital signs and oximetry prior to ambulation.
d) Reinforce the client's surgical dressing - Answer- b) Premedicate the client with the
prescribed analgesic.
A client has just returned to the nursing unit following cardiac catheterization. In the
immediate post procedure period, which of the following is the priority nursing action?
a) Monitoring the insertion site for infection
b) Checking for orthostatic hypotension
c) Forcing fluids
d) Immobilizing the affected extremity - Answer- d) Immobilizing the affected extremity
A charge nurse is teaching a group of unit nurses about the policy for clients who have
a history of methicillin-resistant Staphylococcus aureus (MRSA). Which of the following
information should the nurse include?
a) A client who has a history of MRSA will need antibiotics.
b) A client who has a history of MRSA can develop immunity to the infection.
c) A client who has a history of MRSA requires a protective environment.
d) A client who has a history of MRSA can still transmit the infection. - Answer- d) A
client who has a history of MRSA can still transmit the infection.
A nurse is assessing a client's internal eye structures with an ophthalmoscope. Which of
the following actions should the nurse take?
a) Position the examination light toward the client's face.
b) Stand on the right side of the client when examining the left eye.
c) Dim the lights in the room prior to the examination.
d) Place the ophthalmoscope directly against the client's forehead. - Answer- c) Dim the
lights in the room prior to the examination.
a nurse in the recovery room is assessing a client who has a new chest tube. The nurse
finds that the water seal is no longer tidaling. The nurse should identify the finding as
resulting from whcih of the following?
a) an air leak noted at the insertion site
b) the tubing may be kinked
c) water needs to be added to the suction-control chamber
d) the section is set too low - Answer- b) the tubing may be kinked
A nurse in a residential mental health facility is planning care for a new client who has
obsessive compulsive disorder (OCD). Which of the following is appropriate for the
nurse to include in the plan of care?
a) Work with the client to create a flexible daily schedule.
ANSWERS ALL CORRECT
A home health nurse is assessing a client who reports a headache and appears
confused and drowsy. The client has a kerosene space heater in use. Which of the
following actions should the nurse take first?
a) Take the client outdoors.
b) Wrap blankets around the client.
c) Loosen the client's clothing.
d) Open the client's windows. - Answer- a) Take the client outdoors.
A nurse on a labor and delivery unit is assessing four newly admitted clients. Which of
the following clients should the nurse see first?
a) A client who is at 38 weeks of gestation and reports irregular uterine contractions
b) A client who is at 39 weeks of gestation and is scheduled for a weekly no stress test
(NST)
c) A client who is at 40 weeks of gestation and is scheduled for an induction of labor
d) A client who is at 36 weeks of gestation and reports decreased fetal movement for 2
days - Answer- d) A client who is at 36 weeks of gestation and reports decreased fetal
movement for 2 days
A nurse is caring for a group of clients. Which of the following tasks should the nurse
delegate to an assistive personnel? (Select all that apply.)
a) Changing a dressing for a client who has a stage 3 pressure injury
b) Measuring I&O for a client who is receiving parenteral nutrition
c) Transferring a client from a bed to a chair with a mechanical lift
d) Providing postmortem care for a client who experienced cardiac arrest
e) Obtaining a signed consent from a client for a screening colonoscopy - Answer- b)
Measuring I&O for a client who is receiving parenteral nutrition
c) Transferring a client from a bed to a chair with a mechanical lift
d) Providing postmortem care for a client who experienced cardiac arrest
A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the
following interventions should the nurse include in the plan? a) Encourage the client to
gain 2.3 kg (5 lb) per week.
b) Weigh the client once per week throughout hospitalization.
c) Monitor the client for 1 hr after meals.
d) Allow the client to choose meal times. - Answer- c) Monitor the client for 1 hr after
meals.
, A nurse plans to ambulate a client on the third day after cardiac surgery. Which of the
following interventions should the nurse take so that the client will best tolerate
ambulation?
a) Provide the client with a walker.
b) Premedicate the client with the prescribed analgesic.
c) Obtain the client's vital signs and oximetry prior to ambulation.
d) Reinforce the client's surgical dressing - Answer- b) Premedicate the client with the
prescribed analgesic.
A client has just returned to the nursing unit following cardiac catheterization. In the
immediate post procedure period, which of the following is the priority nursing action?
a) Monitoring the insertion site for infection
b) Checking for orthostatic hypotension
c) Forcing fluids
d) Immobilizing the affected extremity - Answer- d) Immobilizing the affected extremity
A charge nurse is teaching a group of unit nurses about the policy for clients who have
a history of methicillin-resistant Staphylococcus aureus (MRSA). Which of the following
information should the nurse include?
a) A client who has a history of MRSA will need antibiotics.
b) A client who has a history of MRSA can develop immunity to the infection.
c) A client who has a history of MRSA requires a protective environment.
d) A client who has a history of MRSA can still transmit the infection. - Answer- d) A
client who has a history of MRSA can still transmit the infection.
A nurse is assessing a client's internal eye structures with an ophthalmoscope. Which of
the following actions should the nurse take?
a) Position the examination light toward the client's face.
b) Stand on the right side of the client when examining the left eye.
c) Dim the lights in the room prior to the examination.
d) Place the ophthalmoscope directly against the client's forehead. - Answer- c) Dim the
lights in the room prior to the examination.
a nurse in the recovery room is assessing a client who has a new chest tube. The nurse
finds that the water seal is no longer tidaling. The nurse should identify the finding as
resulting from whcih of the following?
a) an air leak noted at the insertion site
b) the tubing may be kinked
c) water needs to be added to the suction-control chamber
d) the section is set too low - Answer- b) the tubing may be kinked
A nurse in a residential mental health facility is planning care for a new client who has
obsessive compulsive disorder (OCD). Which of the following is appropriate for the
nurse to include in the plan of care?
a) Work with the client to create a flexible daily schedule.
