COMPLETE QUESTIONS AND ANSWERS
◉ 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?
Answer: 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?
Answer: 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?
Answer: 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)
Answer: -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?
Answer: The client has a symmetrical smile
◉ 14. a nurse in an emergency department is assessing a client who
reports a right lower quadrant pain, nausea and vomiting for the
past 48 hours? Which of the following actions should the nurse take
first?
Answer: Auscultate bowel sounds
◉ 15. a nurse is caring for a client who recently received a diagnosis
of terminal cancer. Which of the following statements by the clients
partner indicates maladaptive coping?
Answer: I am going to ask my daughter to come and stay for a week