LATEST 2023-2024 WITH 180 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES( 100% CORRECT AND VERIFIED
ANSWERS) |GRADED A
A nurse at a long-term care facility is caring for a patient who requires oral suctioning. Which of
the following supplies should the nurse plan to use for this task? –CORRECT Answer
yankeurs catheter
rationale: A Yankauer catheter is a clean suction catheter used when performing oral and
oropharyngeal suctioning to remove secretions from the patient'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
patient care dilemma. Which of the following strategies will facilitate resolving the dilemma?
(Select all that apply.) -CORRECT Answer [1] determine the facts related to the dilemma.
[2] identify possible
solution [3]consider the
patient wishes
A nurse is talking with a patient whose son died in a motor-vehicle crash 2 weeks ago. The
patient 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? - CORRECT 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 patient about cancer prevention. The nurse should
include that frequent consumption of which of the following foods increases the risk for
developing cancer? –CORRECT 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? –CORRECT 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 patients. Which of the
following patients should the nurse identify as being at risk for urinary retention? -answer A
schoolage child who has allergic rhinitis and is taking diphenhydramine.
A nurse is caring for a patient following a bronchoscopy. Which of the following actions should
thenurse take first? –CORRECT Answer check for gag reflex
A nurse is assisting with the admission of a patient who has a latex allergy. The nurse
should
identify that which of the following supplies has the potential to contain latex? –CORRECT Answer
Indwelling urinary catheter
A nurse is performing postmortem care for a patient prior to the arrival Of the patient's family
for viewing Of the body. Which Of the following actions should the nurse take? –CORRECT
AnswerGently close the patient's eyelids
A nurse is reinforcing teaching with a patient who has dumping syndrome about measures to
reduce manifestations. Which of the following instructions should the nurse include in the
teaching? –CORRECT Answer avoid foods high in sugar content.
rationale: The nurse should instruct the patient to avoid sweet foods, which often increase the
manifestations of dumping syndrome. These manifestations include nausea, sweating,
abdominalpain, diarrhea, and weakness.
A nurse is collecting data from a patient who is experiencing a situational crisis following the
lossof a job. The patient states, "l don't think I can go through this again." Which of the following
actions
, is the nurse's priority? –CORRECT Answer Determine if the patient is experiencing
psychotic
thinking.
A nurse is contributing to the plan of care for a patient following a transurethral resection of
the
prostate (TURP). Which of the following interventions should the nurse include? –
CORRECTAnswer Irrigate the bladder using sterile technique
A nurse is caring for an infant who is receiving IV fluids for dehydration. Which of the following
should the nurse recognize as a positive response to the therapy? –CORRECT Answer
Moist mucus membranes.
A nurse is assisting with the admission of a patient who is experiencing alcohol withdrawal.
Which
of the following medications should the nurse expect the provider to prescribe for the
patient? – CORRECT Answer Chlordiazepoxide
rationale: The nurse should expect to administer chlordiazepoxide to decrease anxiety and the
risk for seizures associated with alcohol withdrawal.
A nurse is caring for a patient who is scheduled for surgery in the morning. The nurse learns
that
the patient has decided not to have surgery even though they have already signed the
informed consent form. Which of the following actions should the nurse take? –CORRECT
Answer report the situation to the provider who obtained informed consent.
A nurse is collecting data from a patient who is in severe pain. Which of the following
questions
should the nurse ask first? -answer where is your pain located
A nurse in a provider's office is reinforcing teaching with a patient who has a new prescription
for
ferrous sulfate elixir. Which of the following statements by the patient should indicate to the
nurse an understanding of the teaching? –CORRECT Answer i will rinse my mouth after
taking this medication