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1. A nurse in a long-term care facility is performing an admission assessment
on a client who reports that they are currently observing lent. Which of the
following questions should the nurse ask the client to identify ways to
accommodate their religious practices in their plan of care? - ANSWER
"Would you like to abstain from meat on Fridays?"
2. A nurse is providing teaching to a group of newly licensed nurses about the
legal scope of practice of nurses. Which of the following statements by a
newly licensed nurse indicates an understanding of the teaching? -
ANSWER "I can reposition a client who has tetraplegia without a provider's
prescription."
3. A nurse is teaching a client about carbon monoxide and home safety. The
nurse should instruct the client that which of the following is a manifestation
of carbon monoxide exposure? - ANSWER Blurred vision
4. A home health nurse is making an initial visit to a client who reports fecal
incontinence. Which of the following actions should the nurse take first? -
ANSWER Ask questions about the client's typical dietary intake
5. A nurse is assessing a 10-month-old infant who has a urinary tract infection
(UTI). which of the following findings should the nurse expect? -
ANSWER Decreased appetite
,6. A nurse is providing teaching about infant nutrition to the guardian of a 1-
month-old infant who is formula fed. Which of the following statements
should the nurse include? - ANSWER "Your baby should be consuming 18
to 21 ounces of formula per day."
7. A nurse is teaching an assistive personnel (AP) about manifestations of
dysphagia. Which of the following manifestations should the nurse include?
- ANSWER Storing food in the mouth after swallowing
8. A nurse in a provider's office is caring for a client who has a new
prescription for an opioid analgesic. the client states that they are concerned
about developing constipation. Which of the following should the nurse take
first? - ANSWER Identify the client's usual bowel elimination pattern.
9. A nurse is care for a client who has a history of depressive disorder. The
client states, "It feels pointless to get up in the morning." Which of the
following responses should the nurse make? - ANSWER "It sounds as if life
seems meaningless to you now."
10.An operating room nurse is teaching an in-service about standardized
procedures to reduce the risk for client injury during surgery. Which of the
following information should the nurse include? - ANSWER Mark the
operative site prior to surgical procedure.
11.A nurse is planning care for a client who has dementia and continues to get
out of bed without assistance. Which of the following actions should the
nurse plan to take? - ANSWER Apply the electronic safety device to the
bed
12.An employee health nurse is providing an in-service on infection control
procedures. Which of the following infections should the nurse identify as
, requiring contact isolation precautions? - ANSWER Vancinycin-resistant
enterococci (VRE)
Methicillin-resistant Staphyloccus aureus (MRSA)
Clostridium difficile
13.A nurse is teaching a group of newly licensed nurses about providing
emotional support to a client who has experienced a loss. Which of the
following information should the nurse include in the teaching? - ANSWER
Allow the client to express a negative response
14.A nurse in a provider's office is planning medications teaching for a client
who has a urinary tract infection. The nurse should prepare teaching for
which of the following medications? - ANSWER Nitrofurantoin
15.A nurse is updating the plan of care for a client who is experiencing
chemotherapy-induced nausea and vomiting. Which of the following
interventions should the nurse include? - ANSWER Provide the client with
room-temperature foods
16.A nurse is caring for a client who has a pressure ulcer and a prescription for
a culture to evaluate the effect of antibiotic therapy on wound healing.
Which of the following actions should the nurse take first when obtaining
the culture? - ANSWER Remove dressings covering the wound
17.A nurse is providing teaching to the guardians of a of a preschooler about
preventing contact dermatitis. Which of the following guardian statements
indicted an understanding of the teaching? - ANSWER Plants are among
the most common cause of contact dermatitis.
, 18.A nurse is teaching a client who has left-sided weakness and a history of
falls to use a quad cane. In what order should the nurse provide the
following instructions? - ANSWER Place the cane on right side of the body.
Keep weight in both legs as you mire the cane forward.
Advance the can 6 to 12 inches forward.
Move your left leg forward until it is even with the cane
19.A nurse is providing handoff report on a client. Which of the following
information should the nurse include in the report? - ANSWER "The client
is scheduled for a chest x-ray on the next shift."
20.a nurse is teaching the parents of a 5-month-old infant who is breastfed
about introduction of complementary foods. Which of the following
statements should the nurse make? - ANSWER "Give your baby iron-
fortified infant rice cereals before starting other foods."
21.A home health nurse is teaching a client about fire extinguishers. Which of
the following instructions should the nurse include in the teaching? -
ANSWER Call the fire department before using a fire extinguisher.
22.A nurse is providing teaching to the parent of a school-age child who has
Juvenile idiopathic arthritis about pain management. Which of the following
statements should the nurse include? - ANSWER Encourage the child to
participate in physical play activities
23.A nurse is submitting dietary requests for a client who devoutly follows
mormon dietary practices. The nurse should ask the client if they would like
which of the following foods or beverages excluded from meals? -
ANSWER Coffee