Style Questions & Answers | Latest Review
1. If a nurse notices that the reservoir bag is not inflating properly during a
client's expiration, what should be the nurse's immediate action?
Adjust the oxygen flow rate to ensure proper bag inflation.
Remove the mask and switch to nasal cannula.
Notify the physician immediately.
Increase the client's fluid intake.
2. Why is it important for a nurse to gather supplies before removing staples
from an incision?
It is required by hospital policy.
It allows the nurse to assess the patient's pain level.
Gathering supplies ensures the procedure is performed safely and
efficiently.
It helps in documenting the patient's medical history.
3. The nurse is preparing to test a patient for postvoid residual with a bladder
scan. Which action will the nurse take?
Measure bladder before the patient voids.
Measure bladder within 10 minutes after the patient voids.
Measure bladder with head of bed raised to 90 degrees.
Measure bladder with head of bed raised to 60 degrees.
,4. In a clinical scenario, if a patient presents with pale, scaly skin and a body
mass index of 23, what should the nurse's priority action be?
Refer the patient to a dermatologist
Increase the patient's fluid intake
Conduct a nutritional assessment
Administer a topical moisturizer
5. Which condition requires airborne precautions according to nursing
guidelines?
Pneumonia
MRSA
Measles
Pertussis
6. A nurse is caring for a client who has impaired renal function. For which of the
following findings should the nurse notify the provider?
urine output of 2,200 mL in the past 24hr
first-voided urine in the morning has a strong odor
urine output of 175 mL in the past 8hr
urine is cloudy after sitting in the urinal for 6hr
7. If a nurse discovers that a client has limited knowledge about nutrition, what
would be the most appropriate next step in meal planning?
Only provide sample menus without further explanation.
Provide educational resources about nutrition and meal planning.
, Assume the client will learn through experience.
Involve the family without addressing the client's knowledge gap.
8. What is one recommended intervention for involving a client's family in the
care plan for a dying client?
tell the family to avoid discussing the client's condition
ask the family to encourage the client to eat
suggest the family members return home at night to allow the client to
rest
keep the family updated about the client's status
9. What is the rationale behind allowing a physical therapist to access a client's
health information without written consent?
Employers have the right to access any health information for pre-
employment screenings.
Family members are always entitled to know the client's health
information.
Insurance agencies require health information for all policies
regardless of consent.
A physical therapist is part of the client's healthcare team and needs
the information to provide appropriate care.
10. During a surgical procedure, a nurse must set up a sterile field. If the nurse
accidentally touches the nonsterile surface with a sterile item, what should
be the next step?
Inform the surgeon but continue with the procedure.
Attempt to clean the contaminated item before using it.
, Continue using the contaminated item as long as it looks clean.
Discard the contaminated item and replace it with a new sterile
item.
11. Which of the following best completes the sentence? Wound irrigation
.
can be delivered with pressurized canisters, syringes, or pulsatile
lavage
is most effective at pressures <4 psi
should occur at a pressure of 10-20 psi
should never be performed prior to debridement
12. When performing the Romberg test the nurse should:
ask the client to walk heel to toe.
ask the client to touch fingers to nose with eyes closed.
ask the client to hop on one foot.
ask the client to stand erect with arms at side and feet together.
13. In a scenario where a Muslim patient requires a blood transfusion but has
previously stated opposition to it, what should the nurse do to address the
situation?
Ignore the patient's preferences and follow standard procedures.
Discuss the situation with the patient to understand their beliefs
and explore alternatives.
Inform the physician to override the patient's wishes.
Proceed with the transfusion as it is a medical necessity.