SOLUTIONS
1. A nurse manager is developing a facility policy about the use of a fax machine to
communicate information from a client's electronic medical record (EMR). What
should the nurse include in the policy?
- CORRECT ANSWER Use a coversheet when sending a fax from the health care unit
2. A nurse is caring for a client who is 2 days post operative following an above the
knee amputation. The client states he is experiencing a dull, burning pain in the
leg that was amputated. What should the nurse do to treat the patient
neuropathic pain?
- CORRECT ANSWER Administer a beta-blocking medication to the client.
3. A nurse is assessing a client who has fibromyalgia. What treatment modality
prescription should the nurse expect for the clients mixed pain?
- CORRECT ANSWER Pregabalin PO twice daily
4. A nurse is planning a menu for a client who practices Seventh-Day Adventism.
What food selection should the nurse take?
- CORRECT ANSWER Scrambled-eggs
5. A nurse is providing teaching to a client who has chronic-fatigue syndrome, what
should the nurse say?
- CORRECT ANSWER Take NSAIDs for body aches and pains.
6. A nurse is using therapeutic communication to attempt de-escalation with a client
who is yelling at staff members. What statement should the nurse make?
- CORRECT ANSWER Tell me what is causing your anger at this moment.
7. A home health nurse manager is assisting in the implementation of an electronic
medical record (EMR) system for client care. What actions should the nurse
manager take the promote interoperability.
- CORRECT ANSWER Recommend a single coding system for each department to
use.
8. A nurse is planning care for a client who has breast cancer and is scheduled for
chemotherapy. The client reports experiencing chemotherapy-induced nausea
and vomiting (CINV) during her previous round of treatment. What intervention
should the nurse include in the patient's plan of care?
- CORRECT ANSWER Administer ondansetron to the client prior to chemotherapy
administration.
9. A nurse is teaching a client about strategies to prevent constipation. What
instructions should the nurse include?
, - CORRECT ANSWER "Perform moderate exercises daily"
"Add more whole grains to you diet"
"Increase your fluid intake"
10. A nurse is documenting an assessment in a client's electronic health record who
an assistive personnel (AP) asks to enter the morning blood glucose for the
client. What actions should the nurse take?
- CORRECT ANSWER Request that the AP use another computer to enter the data.
11. A nurse is performing a focused assessment on a client who has chronic pain die
to fibromyalgia. What should the nurse ask to assess the quality of the client's
pain?
- CORRECT ANSWER Can you describe what your pain feels like?
12. A nurse is preparing to leave the room of a client who is on isolation precautions.
What action should the nurse take when removing a tied surgical mask?
- CORRECT ANSWER Remove the mask by securely holding the ties and moving it
away from the face.
13. A nurse is assessing for acute pain in a client who is postoperative. The client
has dementia and is nonverbal. What finding should the nurse identify as a need
for administration of a PRN pain medication?
- CORRECT ANSWER Rapid breathing.
14. A nurse is administering ophthalmic solution to a client who has bacterial
conjunctivitis. What action should the nurse take?
- CORRECT ANSWER Have the patient lie supine
15. A nurse is preparing a client for an elective vaginal hysterectomy when the client
states, "My doctor said there are more conservative ways to treat my problem. I
realize now that I don't want this surgery, but I already singed that consent form"
What response should the nurse make?
- CORRECT ANSWER You have the right to refuse this and any other procedure, even
after you have signed the consent form.
16. A nurse in a mental health facility is preparing an educational program for a
group of staff nurses about the proper use of restraints. What information should
the nurse plan to include?
- CORRECT ANSWER An adult client may be in a mechanical restraint for up to 4
hours.
17. A nurse is preparing to administer intermittent enteral nutrition via a client's NG
tube. In what order should the nurse take action?
- CORRECT ANSWER 1.Assist the client to an upright position
2.Aspirate 5mL of gastric content
3.Test the pH of gastric aspirate