1. A confused client with carbon monoxide poisoning experiences
dizziness when ambulating to the bathroom. The nurse should:
A. Put all four side rails up on the bed
B. Ask the unlicensed assistive personnel to place restraints on
the client’s upper
extremities
C. Request that the client’s roommate put the call light on when
the client is attempting to get out of bed
D. Check on the client at regular intervals to ascertain the need
to use the bathrooms
2. The nurse should use which type of precautions for a client being
admitted to the hospital with suspected tuberculosis?
A. Hand hygiene
B. Contact precautions
C. Droplet precautions
D. Airborne precautions
3. The nurse is teaching a client with stomatitis about mouth care. Which
instruction is most
appropriate?
A. Drink hot tea at frequent intervals
B. Gargle with antiseptic mouthwash
C. Use an electric toothbrush
D. Eat a soft, bland diet
4. A client with cancer of the stomach had a total gastrectomy 2 days
earlier. Which indicates the client is ready to try a liquid diet? The
client:
A. Is hungry
B. Has not requested pain medication for 8 hours
C. Has frequent bowel sounds
D. Has had a bowel movement
5. A client has returned from surgery during which the jaws were wired as
treatment for a fractured mandible. The client is in stable condition.
The nurse in instructing the unlicensed assistive personnel (UAP) on
how to properly position the client. Which instructions about positioning
would be appropriate for the nurse to give to the UAP?
A. Keep the client in a side-lying position with the head slightly elevated
B. Do not reposition the client without the assistance of a registered
nurse
C. The client can assume any position that is comfortable
D. Keep the client’s head elevated on two pillows at all times
,6. The nurse’s best explanation for why the severely neutropenic client
is placed in reverse isolation is that reverse isolation helps prevent
the spread of organisms:
A. To the client from sources outside the client’s environment
B. From the client to healthcare personnel, visitors and other clients
C. By using special techniques to handle the client’s linens and
personal items
D. By using special techniques to dispose of contaminated materials
7. Which statement indicated to the nurse that a client has understood
the discharge instructions provided after nasal surgery?
A. “I should not shower until my packing is removed.”
B. “I will take stool softeners and modify my diet to prevent
constipation.”
C. “Coughing every 2 hours is important to prevent respiratory
complications.”
D. “It is important to blow my nose each day to remove the dried
secretions.”
8. The nurse is suctioning a client who had a laryngectomy. What is the
maximum amount of time the nurse should suction the client?
A. 10 seconds B. 20 seconds C. 25 seconds
D. 30 seconds
9. A client with a history of asthma is admitted to the emergency
department. The nurse notes that the client is dyspneic, with a
respiratory rate of 35 breaths/min, nasal flaring, and use of accessory
muscles. Auscultation of the lung fields reveals greatly diminished
breath sounds. What should the nurse do first?
A. Initiate oxygen therapy as prescribed, and reassess the
client in 10 mintues
B. Draw blood for arterial blood gas
C. Encourage the client to relax and breath slowly through the mouth
D. Administer bronchodilators as prescribed
10. A confused client with carbon monoxide poisoning experiences
dizziness when ambulating to the bathroom. The nurse should:
A. Put all four side rails up on the bed
B. Ask the unlicensed assistive personnel to place restraints on
the client’s upper extremities
C. Request that the client’s roommate put the call light on when
the client is attempting to get out of bed
D. Check on the client at regular intervals to ascertain the need
to use the bathrooms
11. The nurse should use which type of precautions for a client being
, admitted to the hospital with suspected tuberculosis?