STUDY GUIDE
QUESTIONS WITH CORRECT ANSWERS, AND TEST
PREPARATION MATERIAL
A nurse is talking with a client whose son died in a motor- vehicle crash 2
weeks ago. The client states, "I really thought I'd be back to my usual routines
by now, but I can't think of anything else except that my son is gone." Which of
the following responses should the nurse make?
"Grieving for your son is hard work. It will take as muchtime as you need to
come to terms with your loss."
A nurse in a long-term care facility is reviewing information about health care-
associated infections with anewly licensed nurse. Which of the following
information should the nurse include?
Prolonged use of corticosteroids is a risk factor for
infection
A charge nurse on a long-term care unit is preparing to delegate tasks to a
licensed practical nurse (LPN) and anAP. Which of the following tasks should
the nurse delegate to the LPN?
Administering an initial NG tube feeding to a client whohad a stroke
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,A nurse is preparing to administer purified protein derivative (PPD) to a client
who has suspected tuberculosis.
Which of the following actions should thenurse plan to take?
Ensure the injection produces a wheal on the skin
A nurse is reinforcing teaching with a female client who requests information
about how to lose weight. Which ofthe following statements should the nurse
make?
Keep fat intake to no more than 30 percent of your daily caloric intake
A nurse in a long-term care facility is assisting with an in- service for newly
hired AP about legal issues within the facility. Which of the following should
the nurse include asan example of assault?
Informing a client that the nurse is going to administer an injection even though
the client refuses
A nurse is caring for a female client who has an indwelling urinary catheter.
Which of the following actionsshould the nurse take?
Wipe the drainage port with an antiseptic wipe after emptying urine from the
bag
A nurse is reinforcing teaching with a client who has left-
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,sided weakness and is learning how to ambulate with a cane. The nurse should
identify that the client understands the teaching when the client places the
canein which of the following positions when advancing forward?
right side
A nurse in a long-term care facility is contributing to the plan of care for a client
who has a new ostomy. Which of the following interventions should the nurse
include?
Change the appliance two times each week
A nurse is contributing to the plan of care for a client whois receiving
mechanical ventilation. Which of the following interventions should the nurse
recommend?
Position the head of the bed at a 30 degree angle
A nurse is receiving report on four clients. Which of the following clients
should the nurse plan to see first?
A client who has pneumonia and a new onset of confusion
A nurse in a provider's office is collecting data from a preschooler. Which of the
following findings should thenurse report to the provider?
Heart rate 146/min
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, A nurse is reinforcing teaching with a client about cancer prevention. The nurse
should include that frequent consumption of which of the following foods
increases therisk for developing cancer?
Lamb
A nurse notices an assistive personnel (AP) taking a nap in the break room
during meal time. The nurse also notesthat the AP is drowsy while performing
routine tasks.
Which of the following actions should the nurse take?
Report the observations about the AP to the unit's nurse manager
A nurse on a pediatric unit is collecting data from fournewly admitted clients.
Which of the following clientsshould the nurse identify as being at risk for
urinary retention?
A school-age child who has allergic rhinitis and is taking diphenhydramine
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