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Guide for Nursing Students
1. A nurse is planning care for a group of clients. Which of
the following tasks should the nurse delegate to an
assistive personnel?
A.Changing the dressing for a client who has a stage 3
pressure injury
B. Determining a client's response to a diuretic
C. Comparing radial pulses for a client who is
postoperative
D. Providing postmortem care to a client Postmortem
care serves several purposes, including: preparing the
patient for viewing by family. ensuring proper
identification of the patient prior to transportation to the
morgue or funeral home. providing appropriate
dispositionof patient's belongings. maintaining vital
organs, if donation is planned.)
2. A nurse is conducting a health assessment for a client
who takes herbal supplements. Which ofthe following
,statements by the client indicates an understanding of the
use of the supplements?
A.I take ginkgo biloba for a headache
B. I take echinacea to control my cholesterol
C. I use ginger when I get car sick
D. I use garlic for my menopausal symptoms
3. A nurse is caring for a client who has influenza and
isolation precautions in place. Which ofthe following
actions should the nurse take to prevent the spread of
infection?
A.Wear a mask when working within 3 feet of the client
B. Administer metronidazole
C. Don protective eyewear before entering the room.
D. Place the client in a negative airflow room.
4. A nurse obtains a prescription for wrist restraints for a
client who is trying to pull out his NG tube. Which of the
following actions should the nurse take?
A.Attach the restraints securely to the side rails of the
client's bed.
B. Apply the restraints to allow as little movement as
possible
, C. Allow room for two fingers to fit between the clients
skin and the restraints
D. Remove the restraints every 4 hr.
5. A nurse is admitting a client who has tuberculosis. Which of
the following types of transmission precautions should the
nurse plan to initiate?
A. Droplet
B. Airbornes
C. Protective environment
D. Contact
6. A nurse in a well-child clinic receives a telephone call from
a parent who states that their child accidentally swallowed
paint thinner. The child is awake and alert. Which of the
following responses should the nurse make?
A. Have your child drink one large glass of water.
B.Hang up and call a poison control center hotline.
C.Bring your child into the clinic later today.
D. Induce vomiting in your child with syrup of ipecac.
7. A nurse is documenting a client's medical record. Which
of the following entries should the nurse record?
A. Oral temperature slightly elevated at 0800
B. Administered pain medication
C. Incision without redness or drainage
, D. Drank adequate amounts of fluid with meals.
8. A nurse is providing oral care for a client who is unconscious.
Which of the following actionsshould the nurse take?
A.Place the client in a side-lying position.
B. Brush the clients teeth daily
C. Apply mineral oil to the client’s lips
D. Rinse the client’s mouth with an alcohol-based
mouthwash
9. A nurse is collaborating with a risk management team
about potential legal issues involvingclient care. The nurse
should identify which of the following situations is an
example of negligence?
A.A nurse administers a medication without first identifying
the client.
B. An assistive personnel discusses client care in the
facility cafeteria with visitorspresent.
C. A nurse begins a blood transfusion without obtaining
consent.
D. An assistive personnel prevents a client from leaving
the facility.
10.A nurse is collecting a sputum specimen for culture from
a client who has a respiratoryinfection. Which of the
following actions should the nurse take?