Updates) Questions and
Answers {Grade A} 100% Correct (Verified
Answers)
A nurse is caring for a group of clients, which of the following can be assigned to an
assistive personnel? - correct answer a. Collecting a stool specimen to test for occult
blood.
A nurse is working on a unit for clients with dementia. Which of the following client
situations requires the nurse to write an incident report? - correct answer c. A client is
found lying on the floor next to a chair
A nurse is discharging a client who was admitted for newly diagnosed type 2 diabetes
mellitus. The client is independent and lives alone. Which of the following should be
included in the discharge plan? - correct answer c. Refer the client to a diabetic
support group.
,A nurse is caring for a client who has type 2 diabetes mellitus and a blood glucose
level of 60 mg/dL. For which of the following findings should the nurse monitor? -
correct answer a. Clammy Skin
A female client who is an abusive marriage has discusses with the nurse strategies to
prevent this abuse. which of the following client statements indicate an understanding
of an appropriate strategy? - correct answer a. "I need to recognize the signs that my
husband is becoming abusive." c. "I need to identify what triggers my husband's anger
to prevent his abuse."
A charge nurse in a long-term care facility is preparing to administer noon insulin to a
client. The nurse observes that the assistive personnel (AP) has no documented the
client's blood glucose level. Which of the following actions should the charge nurse
take first? - correct answer d. Determine if the AP has completed the assignment.
,A nurse is reinforcing teaching with a client about organ donation. Which of the
following client statements indicated a need for further teaching? - correct answer c.
"My doctor should decide if my organs will be donated."
A Client who is prescribed metoprolol (Lopressor) for hypertension tells the nurse, "I
don't want to take this medication because it makes me tired all the time." Which of the
following is the appropriate response? - correct answer c. "Let's talk with your doctor
about other options."
A nurse is preparing to administer an IM injection to a client. To reduce the risk of
neddlestick injury, the nurse should? - correct answer b. dispose of the used needle
immediately in a puncture-proof sharps container.
A nurse is contributing to the discharge plan for a client following surgery. Which of
the following findings indicate the need for an interdisciplinary care conference? -
correct answer d. The client requires assistance to pay for dressing supplies.
, A client who is 24 hours postoperative suddenly develops chest pain, dyspnea, anxiety,
diaphoresis, and cough. Which of the following actions should the nurse take first? -
correct answer c. Elevate the head of the client's bed.
A nurse is caring for a 17-year old client who is admitted for an emergency
appendectomy. Which of the following is an appropriate action by the nurse in
obtaining informed consent? - correct answer a. Obtain verbal consent from the client
while waiting for the parents to arrive. b. Witness the signature of the client's parent
when he arrives. c. Have the client's older sibling give consent if a parent is not
available. d. Delay the procedure if the provider cannot contact the parents.
A nurse has delegated care to an assistive personnel. At the end of the shift, the AP
asks the nurse to enter data for her because the AP has forgotten her password and
needs to leave. Which of the following actions should the nurse take? - correct answer
a. Tell the AP to contact the IT department for charting assistance.