VERIFIED CORRECT ANSWERS | LATEST UPDATE 2026/2027 |
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A nurse is caring for a client who has pneumonia. SpO2 is 85%. Which of the following actions
should the nurse take first? - Answer -Raise the head of the bed
A nurse is assisting w/plan-of-care for a client who doesn't speak the same language as the
nurse. Which of the following interventions should the nurse include in the plan? - Answer -Use
pics to reinforce instructions given to the client
A client is about to undergo an elective surgical procedure. Which of the following is the role of
the nurse providing pre-op care regarding informed consent? - Answer -Witness the client's
signature
A charge nurse is assisting a newly-licensed nurse to insert an indwelling urinary catheter for a
male client. Which of the following actions requires the charge nurse to intervene? - Answer -
Lubricate the first 2.5 to 5 cm (1 to 2 in) of the catheter tubing
A nurse caring for a client who has a chest tube to water-seal drainage plans to straighten the
client's bed linens, rub her back & assist her to reposition in bed. For which of the following
purposes should the nurse perform these actions for this client? - Answer -To modify the client's
perception of pain
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, A nurse is caring for a client who has schizophrenia. The client asks the nurse about her
prescribed meds and their effects. The nurse asks the client why she wants to know this info.
Which of the following non-therapeutic communication techniques is the nurse using? - Answer
-Asking for an explanation
A nurse is caring for a client who has a chest tube to water-seal drainage plans to straighten the
client's bed linens, rub her back & assist her to reposition in bed. For which of the following
purposes should the nurse perform these actions for this client? - Answer -To modify the client's
perception of pain
A nurse is preparing a client for ambulation. Which of the following actions should the nurse
take to determine the client's level of strength? - Answer -Ask the client to push her legs & feet
against the nurse's palms
A nurse is collecting data about a client's pulmonary system. While auscultating the client's
lungs, the nurse hears continuous gurgling, low-pitched sounds over the trachea & bronchi.
Which of the following terms should the nurse use to document this finding? - Answer -Rhonchi
A nurse is preparing to administer a soapsuds enema to an adult client. Which of the following
actions should the nurse take? - Answer -Assist the client to the left Sims' position
A nurse is collecting data from a client who is 2 days post-op. The nurse auscultates bilateral
breath sounds but absent breath sounds in the bases. The nurse should suspect which of the
following post-op complications? - Answer -Atelectasis
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