PACK WITH DETAILED ANSWER KEY
◉A nurse is teaching about applying the national safety patient
goals to reduce healthcare associated infections in clients. Which of
the following information should the nurse include in the teaching?
Answer: Bathe clients using a chlorhexidine solution.
◉A nurse is caring for a client who has a new diagnosis of diabetes
Melitis us and states that they cannot afford the prescribed insulin.
The nurse offers to refer the client to the facility social worker.
Which of the following principles is the nurse demonstrating?
Answer: Advocacy.
◉A nurse is assessing a client who has an infection of the upper
urinary tract. In which of the following locations sure the nurse
expect the client to be experiencing pain? Answer: A (kidney
location)
◉A nurse on a mental health unit is planning an in-service for newly
hired staff about the use of restraints. Which of the following
,information should the nurse include? Answer: Document a clients
condition every 15 minutes while in restraints.
◉A nurse is talking with the parents of a school aged child about
managing enuresis. Which of the following parents statements
indicates an understanding of the information? Answer: We will
have him help change the bed linens after he has an accident.
◉A nurse is irrigating a clients infected surgical wound to promote
wound healing. Which of the following actions should the nurse
take? Answer: Continue irrigating until clear solution drains from
the wound.
◉A nurse is preparing to administer acetaminophen drops 60 mg
PO to an infant who has a fever. The amount available is 160 mg/5
mL. How many milliliters should the nurse administer? Answer:
1.9mL
◉A nurse is teaching a class about documenting client care in paper
charts. Which of the following instructions should the nurse include
in the teaching? Answer: Correct charting errors as they occur
◉a nurse is discussing the healthy people 2020 initiative with a
group of newly licensed nurses. The nurse should identify that
which of the following nursing interventions meet one of the healthy
, people 2020 objectives? Answer: Organizing an exercise program
for a group of older adults in an independent living facility.
◉In operating room nurse is teaching an in-service about
standardize 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
procedures.
◉A nurse is providing teaching about negative pressure wound
therapy (NPWT) to a client who has a chronic pressure ulcer. Which
of the following information should the nurse include? Answer:
NPWT promote drainage of infectious materials from the wound.
◉A nurse is discussing a wellness approach to preventing excessive
nutrition intake with a group of clients. Which of the following
statements should the nurse make? Answer: Keep a record of cues
that trigger a desire to eat.
◉A nurse is applying a bed safety monitoring device for a client.
Which of the following actions should the nurse take? Answer:
Connect the sensor pad to call the system.
◉A nurse is teaching a client about carbon monoxide in home safety.
The nurse should instruct the client that which of the following is a