TERMINAL CERTIFICATION EVALUATION
COMPLETE QUESTIONS WITH FULL
SOLUTION ALREADY PASSED
⩥ A newly licensed nurse working at an HIV clinic is reviewing the
responsibilities of her position at the clinic. Which of the following tasks
should the nurse identify as tertiary prevention?
a. Helping clients understand health screenings covered by their
insurance plans
b. Using an electronic messaging system to remind clients when to take
medications
c. Educating clients about contraindications to specific immunizations
d. Providing clients with information about the benefits of exercise.
Answer: b. Using an electronic messaging system to remind clients
when to take medications
⩥ A nurse in a long-term care facility is managing the care of an older
adult client who has difficulty swallowing and occasional choking
during meals. The nurse should initiating a referral to which of the
following members of the interprofessional care team?
A. Occupational therapist
B. Respiratory therapist
C. Social worker
,D. Speech-language pathologist.
Answer: D. Speech-language pathologist
⩥ A nurse is performing a preoperative assessment for a client who
reports having an allergy to several goods. Which of the following food
allergies indicates a risk factor for a latex allergy?
a. Peanuts b. Eggs c. Bananas d. Shrimp.
Answer: c. Bananas
⩥ A nurse is planning care for a client who is scheduled to receive a
peripherally inserted central catheter in the arm. Which of the following
interventions is appropriate for the nurse to include in the plan care?
A. Measure the arm circumference above the insertion site daily
B. Schedule an MRI post procedure to verify placement (Xray) X
C. Administer sedation for the procedure X - local anesthetic
D. Use gauze to secure an arm board to involved extremity- used for
midline.
Answer: A. Measure the arm circumference above the insertion site daily
⩥ A nurse is caring for a group of clients. Which of the following
wounds should the nurse expect to heal by primary intention?
PRIMARY FASTEST TYPE ON ITS OWN, SECONDARY
REQUIRES GRANULATION TISSUES AND CREATES SCAR
TISSUES, AND TETRIARY IS DELAYED WOUND CLOSURE.
,A. Approximated surgical incision
B. Infected laceration- TERTIARY
C. Stage II pressure ulcer -SECONDARY
D. Partial-thickness burn- SECONDARY.
Answer: A. Approximated surgical incision
⩥ A nurse is performing a change-of-shift assessment. Which of the
following clients has
the priority finding?
A. A client who has a first-degree heart block and a heart rate of 62/min
B. A client who is 2 hr post cast placement and has a 2+ pitting edema
and pallor
C. A client who has pneumonia with a productive cough and a fever of
38.8 C (101.8 F)
D. A client who has type 2 diabetes mellitus and a blood glucose of 250
mg/dL.
Answer: B. A client who is 2 hr post cast placement and has a 2+ pitting
edema and pallor
⩥ A nurse on a medical-surgical unit delegating tasks to an assistive
personnel (AP). Which of the following client care tasks is within the
scope of practice for the AP?
a. Interpreting blood glucose values
b. Performing postmortem care
, c. Explaining the steps for a 24-hr urine collection d. Assisting with low-
carbohydrate diet selections.
Answer: b. Performing postmortem care
⩥ A nurse in a mental health clinic receives a request from a client who
is undergoing psychotherapy to obtain a copy of the therapist's notes.
Which of the following responses should the nurse make?
A. "We can provide a copy of your records, but the therapist's notes
aren't included"
B. "I don't think you will benefit from reviewing your therapist's notes
right now"
C. "Why are you interested in seeing your therapist's notes?"
D. "Are you not happy with your treatment?".
Answer: A. "We can provide a copy of your records, but the therapist's
notes aren't included"
⩥ A nurse is providing teaching to a client who has thrombocytopenia
following chemotherapy. Which of the following statements indicates an
understanding of the teaching?
A. "I will wipe my nose instead of blowing it"
B. "I will remove my shoes when I'm inside my house"
C. "I will floss between my teeth every time I brush"
D. "I will use an enema to manage my constipation".
Answer: A. "I will wipe my nose instead of blowing it"