1. A nurse is teaching an assistive personnel about a upper body mechanics
to prevent injury. Which of the following actions by the AP demonstrate an
understanding of the teaching?:
The AP keeps the object he is lifting close to his body
2. . a nurse is assessing a client who is immobile and notices a red area over the client's
coccyx. Which of the following actions should the nurse take?:
Assess the red area for blanching
3. . a nurse is preparing to insert an iv catheter for a client following a right
mastectomy. Which of the following veins should the nurse select when initiating an IV
therapy?:
The cephalic vein in the left distal forearm
4. a nurse is preparing to administer a medication into a client by the intradermal
route after applying gloves and cleaning the site with an antiseptic swab.
In what order should the nurse take the steps to administer the medication?
(move steps into box 1- 4 priority):
5. . a nurse is providing teaching to a client about colorectal cancer prevention
guidelines. Which of the following recommendations should the nurse include?:
Reduce intake of red meats
6. a nurse is planning care to prevent skin breakdown for a client who is immobile and
is urinary incontinent. Which of the following actions should the nurse
include in the plan of care?:
Request a prescription for an indwelling urinary catheter
7. a nurse is preparing to apply a condom catheter for a client who is uncircumcised
which of the following actions should the nurse plan to take?:
Place adhesive tape directly on the penis
1/8
, 8. a nurse is teaching a client who had an enucleation about care of an artificial eye.
Which of the following information should the include in the teaching?
(select all that apply): -
Apply pressure just below artificial eye to break the suction -Retract the
upper and lower lids to reinsert the artificial eye
9. a nurse is reviewing client confidentiality with a newly licensed nurse.
The nurse should identify which of the following examples as a violation of
HIPPA?:
Discussing the clients transfer to a long-term care facility with a nurse from another unit
10. a nurse is caring for a client who is 2 days postoperative following bowel resection
and reports sudden severe abdominal pain. Which of the following
actions should the nurse take first?:
Expose the clients abdomen to look for changes in appearance
11. a nurse is providing care for a client who is to undergo a total laryngectomy. Which
of the following interventions is the nurses priority?:
For the client explain the techniques of esophageal speech
12. a home care nurse is teaching a client about home safety. Which of the following
statements by the client indicates an understanding of the teaching?
(select all that apply): -I will use the bars when getting in and out of the bathtub
-I need to check my medications for expiration dates
-I need to have a fire escape plan with my family
13. a nurse is assessing a client's cranial nerve VII. Which of the following responses
should the nurse expect?:
The client has a symmetrical smile
2/8