practice B [2020] LATEST
UPDATED 2023/2024
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? - 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 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.) - CORRECT ANSWER [1] determine the
facts related to the dilemma.
[2] identify possible solution
[3]consider the client wishes
A nurse is collecting data from a client who has posttraumatic
stress disorder (PTSD). Which of the following manifestations
should the nurse expect? - CORRECT ANSWER
Hypervigilance
A nurse is reinforcing teaching with the adult children of a client
who is dying. Which of the following statements should the nurse
make? - CORRECT ANSWER you can continue talking to your
prater until they are gone
,A nurse is preparing to discharge a client who is
immunocompromised. Which of the following vaccines should the
nurse plan to administer? - CORRECT ANSWER
Pneumococcal polysaccharide (PPSV)
A nurse is assisting with a presentation at a community center
about personal disaster preparedness. Which of the following
strategies should the nurse recommend for preparing a home
disaster supply kit? - CORRECT ANSWER have a supply of
prescribed medications
A nurse is collecting data from a client who has type 2 diabetes
mellitus and is concerned about weight gain during pregnancy.
Which of the following responses should the nurse make? -
CORRECT ANSWER your weight gain should be the same as
for someone without diabetes
A nurse is reviewing a client's electronic medical record and finds
that an assistive personnel (AP) recorded the client's temperature
as 35.30 C (95.50 F) 2 hr earlier. Which of the following actions
should the nurse take first? - CORRECT ANSWER Check the
clients temperature
A charge nurse on a long-term care unit is preparing to delegate
tasks to a licensed practical nurse (LPN) and an assistive
personnel (AP). Which of the following tasks should the charge
nurse delegate to the LPN? - CORRECT ANSWER administer
an initial NG tube feeding to a client who has a stroke
A nurse is preparing to administer purified protein derivative
(PPD) to a client who has suspected tuberculosis. Which of the
following actions should the nurse plan to take? - CORRECT
ANSWER ensure the injection produces wheal on the skin
, A nurse is reinforcing teaching with a female client who requests
information about how to lose weight. Which of the following
statements should the nurse make? - CORRECT ANSWER
keep fat intake to no more than 30 percent of your daily caloric
intake
A nurse in a long-term care facility is assisting with an in-service
for newly hired assistive personnel about legal issues within the
facility. Which of the following should the nurse include as an
example of assault? - CORRECT ANSWER informing a client
the the nurse is going to administer an injection even through the
client refuses.
A nurse is assisting in the plan Of care for a female client who is
to undergo a 12-lead ECG. Which Of the following actions should
the nurse include in the plan Of care? - CORRECT ANSWER
instruct the client to remain still while the test is performed,
A nurse is collecting data from a client who has multiple sclerosis.
Which of the following findings should the nurse expect? -
CORRECT ANSWER ataxia
rationale: The nurse should expect a client who has multiple
sclerosis to manifest ataxia, which is a lack of coordination and
movement. Other manifestations include fatigue, impaired
memory, diplopia, and bowel and bladder incontinence.
A nurse is reinforcing teaching with a client who is bottle feeding
their full-term newborn with formula. Which of the following
instructions should the nurse include in the teaching? -
CORRECT ANSWER feeding newborn at least every 3 - 4 hrs
A nurse is preparing to administer a rectal suppository to a
school-age child. Which of the following actions should the nurse