ACTUAL PROCTORED COMPLETE EXAM WITH COMPLETE
LATEST QUESTIONS AND ANSWERS//GRADED A+//VERIFIED/
A nurse is teaching a client who has rheumatoid arthritis
about chronic pain management. Which of the following
statements by the client indicates an understanding of the
teaching?
"I should use a warm paraffin dip for my hands and feet."
(The nurse should instruct the client to dip her hands and feet
in warm paraffin to alleviate pain and stiffness. The client can
more easily perform hand and finger exercises following the
treatment.)
A community health nurse is planning prevention strategies
for hypertension among members of her community. The
nurse should identify that which of the following ethnic groups
in the community is at greatest risk of developing
hypertension?
African American
(Evidence-based practice indicates that individuals of AA
ethnicity have the highest prevalence of hypertension.
Therefore, the nurse should identify community members of
this ethnicity are at greatest risk of developing hypertension.)
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,A nurse is preparing to extinguish a small fire in a clients
room. Which of the following actions should the nurse take
when using the fire extinguisher?
Slide the pin on top of the fire extinguisher straight out.
(The nurse should pull the pin on top of the fire extinguisher to
allow for use to extinguish the fire.)
A nurse is preparing to administer intermittent external
nutrition via a clients NG tube. In which order should the nurse
take the following actions?
1. Assist the client to an upright position.
2. Aspirate 5 mL of gastric contents.
3. Test the pH of gastric aspirate.
4. Measure gastric residual volume.
5. Flush the NG tube with 30 mL of water.
(First, the nurse should assist the client into high Fowler's
position or raise the HOB at least 30 degrees to help prevent
aspiration. Then, the nurse should verify the tubes placement
by aspirating 5 mL of gastric contents and then testing the pH.
Then, the nurse should check for gastric residual volume.
Excessive GRV is an indication of delayed gastric emptying,
which places the client at risk of aspiration if additional
formula is given. Finally, the nurse should flush the tubing with
30 mL of water to ensure the tube is clear and patent.)
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,A nurse is caring for a 47-year-old female client who had
urinary incontinence. Which of the following actions should the
nurse take first?
Obtain a specimen from the client for culture.
(The first action the nurse should take when using the nursing
process is assessment. The nurse should obtain a urine
specimen from the client to rule out a UTI. If it is a determined
the client has RBC's and WBC's in the urine, the specimen will
require a culture. If it is determined that the client has a UTI,
this will require treatment before any further assessment of
incontinence would be indicated.)
A nurse is talking with a client who has a major depressive
disorder. The client states, "Nobody cares if I'm around or not."
Which of the following responses should the nurse make?
"It sounds as though you're feeling hopeless."
(This statement by the nurse is an example of restraining,
which is a therapeutic response. This technique restates the
main idea the client has expressed and allows the client to
clarify any misunderstanding.)
A charge nurse is teaching a group of newly licensed nurses
how to prevent errors during administration of blood
transfusions. Which of the following actions should the nurse
include?
Use a new blood administration tubing set for each blood bag
infused.
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, (The nurse should use a new blood infusion tubing set for each
component of blood. A blood infusion set should not be reused,
even for the same client.)
A nurse is caring for a client who has C. diff infection and is
incontinent of stool following a long-term antibiotic therapy.
Which of the following actions should the nurse take?
Wear a gown when providing care for the client.
(The nurse should wear a gown when providing care for a
client who has C. diff infection and is incontinent of stool.
Applying a clean, water-resistant gown prior to entering the
clients room prevents the nurses clothing from becoming
contaminated while caring for the client. The nurse should
remove the gown prior to exiting the clients room.)
A nurse is providing discharge teaching about nutrition
management to a client who has COPD. Which of the following
instructions should the nurse include in the teaching?
Have a high-calorie protein drink between meals.
(The nurse should encourage a client who has COPD to drink a
high-calorie protein drink between meals. Anorexia is a
manifestation of COPD and this added nutritional intake
promotes weight gain.)
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