answers 100% correct 2025/2026
The nurse is caring for an elderly patient admitted with nausea, vomiting, and diarrhea. Upon
completing the health history, which priority concern would require collaboration with social services to
address the patients health care needs?
a.
The electricity was turned off 2 days ago.
b.
The water comes from the county water supply.
c.
A son and family recently moved into the home.
d.
The home is not furnished with a microwave oven. - correct answer ✔a. the electricity was turned off 2
days ago
Electricity is needed for refrigeration of food, and lack of electricity could have contributed to the
nausea, vomiting, and diarrheapotential food poisoning. This discussion about the patients electrical
needs can be referred to social services.
A home health nurse is performing a home assessment for safety. Which of the following comments by
the patient would indicate a need for further education?
a.
I will schedule an appointment with a chimney inspector next week.
b.
Daylight savings is the time to change batteries on the carbon monoxide detector.
c.
If I feel dizzy when using the heater, I need to have it inspected.
,d.
When it is cold outside in the winter, I can warm my car up in the garage. - correct answer ✔d. when its
cold int he winter i warm the car in the garage
Allowing a car to run in the garage introduces carbon monoxide into the environment and decreases the
available oxygen for human consumption. Garages should be opened and not just cracked to allow fresh
air into the space and allay this concern.
CHAPTER 27 - correct answer ✔
The patient has been diagnosed with a respiratory illness and complains of shortness of breath. The
nurse adjusts the temperature to facilitate the comfort of the patient. What is the usual comfort range
for most patients?
a.
65 F to 75 F
b.
60 F to 75 F
c.
15 C to 17 C
d.
25 C to 28 C - correct answer ✔a. 65-75F
A homeless adult patient presents to the emergency department. The nurse obtains the following vital
signs: temperature 94.8 F, blood pressure 100/56, apical pulse 56, respiratory rate 12. Which of the vital
signs should be addressed immediately?
a.
Respiratory rate
b.
,Temperature
c.
Apical pulse
d.
Blood pressure - correct answer ✔b. temperature
Hypothermia is defined as a core body temperature of 95 F or below. Homeless individuals are more at
risk for hypothermia owing to exposure to the elements.
The nurse is caring for a patient with a urinary catheter. After the nurse empties the collection bag and
disposes of the urine, the next step is to
a.
Use alcohol-based gel on hands.
b.
Wash hands with soap and water.
c.
Remove eye protection and dispose of in garbage.
d.
Remove gloves and dispose of in garbage. - correct answer ✔d. remove gloves and dispose
The nurse is preparing a patient for surgery. The nurse explains that the reason for writing in indelible
ink on the surgical site the word correct is to
a.
Distinguish the correct surgical site.
b.
Label the correct patient.
c.
, Comply with the surgeons preference.
d.
Adhere to the correct regulatory standard. - correct answer ✔a. distinguish the correct surgical site
The purpose of writing on the surgical site as part of the Universal Protocol from the Joint Commission is
to distinguish the correct site on the correct patient and match with the correct surgeon for patient
safety and prevention of wrong site surgery
The nurse identifies that a patient has received Mylanta (simethicone) instead of the prescribed Pepto-
Bismol (bismuth subsalicylate) for the problem of indigestion. The nurses next intervention is to
a.
Do nothing, no harm has occurred.
b.
Assess and monitor the patient.
c.
Notify the physician, treat and document.
d.
Complete an incident report. - correct answer ✔b. assess and monitor the pt
After providing an incorrect medication, assessing and monitoring the patient to determine the effects
of the medication is the first step. Notifying the physician and providing treatment would be the best
next step. After the patient has stabilized, completing an incident report would be the last step in the
process.
The nurse preceptor recognizes the new nurses ability to determine patient safety risks when which
behavior is observed?
a.
Checking patient identification once every shift