A nurse is reinforcing teaching with a client about prevention of stress injuries. Which of the following
instructions should the nurse include?
"When lifting a heavy object, keep it close to your body."
A nurse is caring for a client who is alert and in a long term care facility. Which of the following actions
should the nurse take to protect the client's privacy?
Ask the client before discussing his condition when his family is present.
A nurse is planning to perform wound irrigation for a client who has a large abdominal wound. Which of
the following actions should the nurse plan to take?
Administer an analgesic 30 min before starting procedure
A client who had a recent below the knee amputation says,"I don't know how i can continue to live my
life without my leg." Which of the following responses should the nurse make?
"Tell me what concerns you have about your future."
A nurse has delegated various client care tasks to the assistive personnel (AP) on the care team. Which of
the following actions by the AP should the nurse identify as correct?
Donning a mask to measure the vital signs of a client who has pertussis
A nurse writes client information on a piece of paper while receiving report. Which of the following
actions should the nurse take to dispose of the paper?
Shred the paper in a secure container
A nurse reinforcing teaching with am older adult client who reports an inability to sleep. Which of the
following information should the nurse include when teaching the client about aging and sleep?
Sleep patterns change with age
A nurse is reinforcing teaching about health promotion with a group of young adult clients. Which of the
following information should the nurse include?
Young adults should receive a dental assessment every 6 months
, A nurse is caring for a client who has a prescription for potassium supplement. The client tells the nurse
that the pill is too large to swallow and refuses to take it. The nurse offers to break the pill into two
smaller pieces. The nurse is demonstrating which of the following ethical principles?
Beneficence (acting in the pts best interest)
A nurse is collecting data from an older adult client. Which of the following findings should the nurse
report to the provider?
The client report urinary incontinence
A nurse in long term care facility is contributing to the plan of care for a client who is at risk for a
pressure ulcer. Which of the following recommendations should the nurse include in the plan of care?
Perform a thorough skin inspection each day
A nurse is reinforcing teaching with a group of clients about carbon monoxide poisoning. Which of the
following information should the nurse include in the teaching?
a headache is a manifestation of carbon monoxide poisoning
A nurse is assisting with a plan of care for a client who has a bacterial infection and is a persistent oral
temperature of 38.9C (102F). Which of the following interventions should the nurse include in the plan
of care to treat the fever?
Administer Acetaminophen
A nurse is assisting with a presentation to a group of older adults at a community center about
hypothermia and hyperthermia. Which of the following information should the nurse include about age
related changes?
Circulation becomes less efficient with age
A nurse is caring for a client who has an NG tube and is receiving a continuous enternal feeding. Which
of the following actions should the nurse take?
Hold the feeding for two consecutive gastric residuals greater than 250 ml
A nurse is collecting data from a client who has an NG tube set to low intermittent suction. Which of the
following findings indicates hypomagnesemia ?
instructions should the nurse include?
"When lifting a heavy object, keep it close to your body."
A nurse is caring for a client who is alert and in a long term care facility. Which of the following actions
should the nurse take to protect the client's privacy?
Ask the client before discussing his condition when his family is present.
A nurse is planning to perform wound irrigation for a client who has a large abdominal wound. Which of
the following actions should the nurse plan to take?
Administer an analgesic 30 min before starting procedure
A client who had a recent below the knee amputation says,"I don't know how i can continue to live my
life without my leg." Which of the following responses should the nurse make?
"Tell me what concerns you have about your future."
A nurse has delegated various client care tasks to the assistive personnel (AP) on the care team. Which of
the following actions by the AP should the nurse identify as correct?
Donning a mask to measure the vital signs of a client who has pertussis
A nurse writes client information on a piece of paper while receiving report. Which of the following
actions should the nurse take to dispose of the paper?
Shred the paper in a secure container
A nurse reinforcing teaching with am older adult client who reports an inability to sleep. Which of the
following information should the nurse include when teaching the client about aging and sleep?
Sleep patterns change with age
A nurse is reinforcing teaching about health promotion with a group of young adult clients. Which of the
following information should the nurse include?
Young adults should receive a dental assessment every 6 months
, A nurse is caring for a client who has a prescription for potassium supplement. The client tells the nurse
that the pill is too large to swallow and refuses to take it. The nurse offers to break the pill into two
smaller pieces. The nurse is demonstrating which of the following ethical principles?
Beneficence (acting in the pts best interest)
A nurse is collecting data from an older adult client. Which of the following findings should the nurse
report to the provider?
The client report urinary incontinence
A nurse in long term care facility is contributing to the plan of care for a client who is at risk for a
pressure ulcer. Which of the following recommendations should the nurse include in the plan of care?
Perform a thorough skin inspection each day
A nurse is reinforcing teaching with a group of clients about carbon monoxide poisoning. Which of the
following information should the nurse include in the teaching?
a headache is a manifestation of carbon monoxide poisoning
A nurse is assisting with a plan of care for a client who has a bacterial infection and is a persistent oral
temperature of 38.9C (102F). Which of the following interventions should the nurse include in the plan
of care to treat the fever?
Administer Acetaminophen
A nurse is assisting with a presentation to a group of older adults at a community center about
hypothermia and hyperthermia. Which of the following information should the nurse include about age
related changes?
Circulation becomes less efficient with age
A nurse is caring for a client who has an NG tube and is receiving a continuous enternal feeding. Which
of the following actions should the nurse take?
Hold the feeding for two consecutive gastric residuals greater than 250 ml
A nurse is collecting data from a client who has an NG tube set to low intermittent suction. Which of the
following findings indicates hypomagnesemia ?
