PN Comprehensive Online Practice 2020 B
A nurse at a long-term care facility is caring for a client who requires oral suctioning.
Which of the following supplies should the nurse plan to use for this task?
Yankauer catheter
A nurse in a long-term care facility is serving on the ethics committee, which is addressing
a client care dilemma. Which of the following strategies will facilitateresolving the
dilemma? (Select all that apply)
Determine the facts related to the dilemma
Identify possible solutions
Consider the client's wishes
A nurse is talking with a client whose son died in a motor-vehicle crash 2 weeks ago. The
client states, "I really thought I'd be back to my usual routines by now, but I can't think of
anything else except that my son is gone." Which of the following responses should the
nurse make?
"Grieving for your son is hard work. It will take as muchtime as you need to come to terms
with your loss."
A nurse is reinforcing teaching with a client about cancer prevention. The nurse should include
that frequent consumption of which of the following foods increases therisk for developing
cancer?
,PN Comprehensive Online Practice 2020 B
Lamb
A nurse notices an assistive personnel (AP) taking a nap in the break room during meal
time. The nurse also notesthat the AP is drowsy while performing routine tasks.
Which of the following actions should the nurse take?
Report the observations about the AP to the unit's nursemanager
A nurse on a pediatric unit is collecting data from fournewly admitted clients. Which of the
following clientsshould the nurse identify as being at risk for urinary retention?
A school-age child who has allergic rhinitis and is takingdiphenhydramine
A nurse is caring for a client following a bronchoscopy. Which of the following actions should
the nurse take first?
Check for a gag reflex
A nurse is assisting with the admission of a client who has a latex allergy. The nurse should
identify that which of thefollowing supplies has the potential to contain latex?
Indwelling urinary catheter
A nurse is performing postmortem care for a client prior to the arrival of the client's family
for viewing of the body.Which of the following actions should the nurse take?
Gently close the client's eyelids
,PN Comprehensive Online Practice 2020 B
A nurse is reinforcing teaching with a client who has dumping syndrome about measures to
reduce manifestations. Which of the following instructions shouldthe nurse include in the
teaching?
Avoid foods with a high sugar content
A nurse is collecting data from a client who is experiencing a situational crisis following the
loss of a job.The client states, "I don't think I can go through this again." Which of the
following actions is the nurse's priority?
Determine if the client is experiencing psychotic thinking
A nurse is contributing to the plan of care for a client following a transurethral resection of the
prostate (TURP).Which of the following interventions should the nurse include?
Irrigate the bladder using sterile technique
A nurse is caring for an infant who is receiving IV fluids for dehydration. Which of the
following should the nurserecognize as a positive response to therapy?
Moist mucous membranes
A nurse is assisting with the admission of a client who isexperiencing alcohol withdrawal.
Which of the following medications should the nurse expect the provider to prescribe for the
client?
Chlordiazepoxide
, PN Comprehensive Online Practice 2020 B
A nurse is caring for a client who is scheduled for surgeryin the morning. The nurse learns
that the client has decided not to have surgery even though they have already signed the
informed consent form. Which of the following actions should the nurse take?
Report the situation to the provider who obtained theinformed consent
A nurse is collecting data from a client who is in severe pain. Which of the following
questions should the nurse ask first?
"Where is your pain located?"
A nurse in a provider's office is reinforcing teaching with aclient who has a new prescription for
ferrous sulfate elixir.Which of the following statements by the client should indicate to the
nurse an understanding of the teaching?
"I will rinse my mouth after taking this medication"
A nurse is contributing to the plan of care for a client who is postoperative following a
rhinoplasty. Which of the following interventions should the nurse recommend?
Instruct the client to avoid the Valsalva maneuver
A nurse is collecting data from a postpartum client whohad a vaginal birth 2 days ago.
Which of the following findings is the nurse's priority to report to the provider?
Client reports burning with urination