PRACTICE B QUESTIONS AND ANSWERS
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a nurse is caring for a client who has recently started using a behind-the-ear
hearing aid. which of the following statements should the nurse identify as an
indication that the client understands the use of this assistive device?
a. this type of hearing aid does not allow for fine tuning of volume
b. I shouldn't have trouble keeping the hearing aid in place during exercise
c. I expect to hear a whistling sound when I first insert the hearing aid
d. I will be sure to remove my hearing aid before taking a shower ---
CORRECT ANSWER-- I will be sure to remove my hearing aid before taking a
show er
A nurse is caring for a client who has an NG tube and is receiving intermittent
feedings through an open system. Which of the following actions should the
nurse take first? A) Rinse the feeding bag with water between feedings.
B) Tell the client to keep the head of the bed elevated at least 30°.
C) Make sure the enteral formula is at room temperature.
D) Wipe the top of the formula can with alcohol. ---CORRECT ANSWER--
tell the client to keep the head of the bed elevated at least 30°
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,a nurse is planning care for a client who has tuberculosis. the nurse should use
which of
the following pieces of personal protective equipment when providing care for
the client? a. gown
b. N95 respirator
c. shoe covers
d. surgical cap ---CORRECT ANSWER-- N95 respirator
A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication
to a client. Which of the following actions should the nurse take?
A) Gently shake the container of medication prior to administration.
B) Transfer the medication to a medicine cup.
C) Place the client in a semi-Fowler's position prior to medication
administration.
D) Verify the dosage by measuring the liquid before administering it. ---
CORRECT ANSWER-- gently shake the container of medication prior to
administration
A nurse is performing a peripheral vascular assessment for a client. When
placing the bell of the stethoscope on the client's neck, she hears the following
sound. This sound indicates which of the following? (Click on the audio button
to listen to the clip.)
A) Narrowed arterial lumen
B) Distended jugular veins
C) Impaired ventricular contraction
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,D) Asynchronous closure of the aortic and pulmonic valves ---CORRECT
ANSWER-- narrowed arterial lumen
a nurse is caring for a group of clients on a medical-surgical unit. in which of
the following situations does the nurse demonstrate the ethical principle of
veracity?
a. A client who is unaware of her recent cancer diagnosis asks the nurse if
she has
cancer, and the nurse responds affirmatively.
b. A client who has a prescription for a nasogastric tube refuses it, and the
nurse
complies with the client's wishes.
c. A client who has a do-not-resuscitate (DNR) order has a cardiac arrest,
and the nurse does not perform CPR despite requests from the client's family.
d. A client who is about to undergo a painful procedure receives pain
medication 30 min before the procedure that the nurse previously promised to
administer. --- CORRECT ANSWER-- a client who is unaware of her
recent cancer diagnosis asks the nurse if she has cancer, and the nurse responds
affirmatively
A nurse in a clinic is caring for a middle adult client who states, "The doctor
says that, since I am at an average risk for colon cancer, I should have a routine
screening. What does that involve?" Which of the following responses should
the nurse make?
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, A) "I'll get a blood sample from you and send it for a screening test."
B) "Beginning at age 60, you should have a colonoscopy."
C) "You should have a fecal occult blood test every year."
D) "The recommendation is to have a sigmoidoscopy every 10 years." ---
CORRECT ANSWER-- you should have a fecal occult blood test every year
A nurse is administering IV fluid to an older adult client. The nurse should
perform which priority assessment to monitor for adverse effects? A) Auscultate
lung sounds.
B) Measure urine output.
C) Monitor blood pressure readings.
D) Monitor serum electrolyte levels. ---CORRECT ANSWER-- auscultate
lung sounds
A charge nurse is discussing the responsibility of nurses caring for clients who
have a Clostridium difficile infection. Which of the following information
should the nurse include in the teaching?
A) Assign the client to a room with a negative air-flow system.
B) Use alcohol-based hand sanitizer when leaving the client's room.
C) Clean contaminated surfaces in the client's room with a phenol solution.
D) Have family members wear a gown and gloves when visiting. ---
CORRECT ANSWER-- have family members wear a gown and gloves when
visiti ng
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