2023
practice B QUESTIONS/ ANSWERS
AND
RATIONALE
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? - ANSWER yankeurs catheter
rationale: A Yankauer catheter is a clean suction catheter used when
performing oral and oropharyngeal suctioning to remove secretions from
the client's mouth to facilitate breathing or obtain a sample for diagnostic
evaluation.
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 facilitate resolving the dilemma? (Select all that apply.) - ANSWER [1]
determine the facts related to the dilemma.
[2] identify possible solution
[3]consider the client wishes
A nurse is talking with a client whose son died in a motor-vehicle crash 2
weeks ago. The client states, "l 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? - ANSWER
Grieving for your son is hard work. it will take as much time 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 the risk for developing cancer? - ANSWER Lamb
,rationale: including tuna fish reduces risk of developing
cancer. including poultry reduces risk,
A nurse notices an assistive personnel (AP) taking a nap in the break room
during meal time. The nurse also notes that the AP is drowsy while
performing routine tasks. Which of the following actions should the nurse
take? - ANSWER Report the observation about the AP to the Unit nurse
manager
A nurse on a pediatric unit is collecting data from four newly admitted
clients. Which of the following clients should the nurse identify as being at
risk for urinary retention? - ANSWER A school age child who has allergic
rhinitis and is taking diphenhydramine.
A nurse is caring for a client following a bronchoscopy. Which of the
following actions should the nurse take first? - ANSWER check for gag
reflex
A nurse is assisting with the admission of a client who has a latex allergy.
The nurse should identify that which of the following supplies has the
potential to contain latex? - ANSWER 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? - ANSWER Gently close the client's eyelids
A nurse is reinforcing teaching with a client who has dumping syndrome
about measures to reduce manifestations. Which of the following
instructions should the nurse include in the teaching? - ANSWER avoid
foods high in sugar content.
rationale: The nurse should instruct the client to avoid sweet foods, which
often increase the manifestations of dumping syndrome. These
, manifestations include nausea, sweating,