QUESTIONS & ANSWERS BEST EXAM SOLUTION
LATEST UPDATE 2022/2023 RATED A+
A nurse is assisting with the care of a client who has a terminal illness. The client
practices Orthodox Judaism. Which of the following actions should the nurse take?
ANS: Assure the client that a family member will stay with the body after death
RAT: The nurse should assure the client that a family member will remain with
the body until burial
A nurse is caring for a client who is receiving telemetry. which of the
following ECG findings should the nurse report to the charge nurse?
PR interval 0.24 seconds.
A nurse in an urgent care clinic is collecting data from four clients. which of the
following clients should the nurse recommend for treatment?
a client who is experiencing shortness of breath after taking amoxicillin.
A nurse is assisting with the transfer of a client to a long-term care facility. the
nurse should review which of the following sections of the electronic medical
record to locate information about the client’s personal health insurance?
admission sheet.
A nurse is collecting data from a client who is at 30 weeks of gestation and
has gestational diabetes. Which of the following findings should the nurse
,report to the provider as an indication of hyperglycemia?
ANS: Polyuria
RAT: The nurse should identify polyuria as an expected finding of hyperglycemia
and report this finding to the provider
A nurse is discussing home safety with a group of clients who have type 1
diabetes mellitus. Which of the following client statements indicates an
understanding of the teaching?
ANS: "I will dispose of my needles in a plastic laundry detergent container."
RAT: The nurse should instruct the client to dispose of needles in a puncture- proof
container, such as a plastic laundry detergent container.
,A nurse is caring for a client who has Alzheimer's disease. Which of the
following actions should the nurse take?
ANS: Encourage the client to reminisce about the past
RAT: The client who has Alzheimer's disease has progressive loss of short- term
memory and might not be able to recall recent happenings and events. This can
lead to increased frustration. However, remote memory remains in place for a
longer period of time and can elicit feelings of happiness
A nurse is monitoring a client who is receiving telemetry. Which of the following
ECG findings should the nurse report to the provider?
ANS: PR interval 0.24 seconds
RAT: An expected PR interval is 0.12 to 0.20 seconds. A prolonged PR interval can
indicate a heart block; therefore, the nurse should report this finding provider
A nurse on a medical unit is reviewing a client's medical record. Which of the
following procedures should the nurse identify requires the client to sign a separate
informed consent form?
ANS: Lumbar puncture
RAT: The nurse should identify that a client needs to provide consent for general
treatment as well as a separate written informed consent for any treatment that
has an element of risk, such as a lumbar puncture
A nurse is reviewing the techniques for transferring a client from a bed to a chair
with a group of assistive personnel (AP). Which of the following instructions
should the nurse include?
ANS: Use lower-body strength
, RAT: The nurse should instruct the AP to use lower-body strength when lifting a
client to reduce stress on the back
A nurse is participating in a quality improvement study about the effectiveness of
client pain management on the unit. Which of the following strategies should the
nurse use to collect data?