COMPLETE 180 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse in a long-term care facility is assisting with an in- service for newly hired
assistive personnel about legal issueswithin the facility. WhichofIthe following should
the nurse include as an example ofIassault?
ANS: Informing a client the nurse is going to administer an injection even though
the client refuses
.
1. A nurse is collecting data from who is severe pain. Which ofIthefollowing questions
should the nurse ask first?
ANS: "Where is your pain located?"
2. A nurse is reviewing the laboratory results for a client who is at29 weeks gestation.
For which of the following results should the nurse notify the provider?
ANS: Platelet count 95,000 mm3
3. A nurse is performing a dressing change for a client who had abdominal surgery 5 day s
ago. The nurse notes organs protruding from the incision. Which of the following act
ions should the nurse take?
ANS: Cover the exposed area with sterile, saline-soakeddressings.
4. A nurse is speaking with the adult daughter ofIa client who has Alzheimer's disease. T
he daughter states, "I love my dad, but
,caring for him is wearing me out." Which of th e followingresponse should the
nurse make?
, ANS: "Let's discuss how caring for your father is afollowingecting your
health.
5. A nurse is contributing to the plan ofIcare for a care for a client who has chest tube co
nnected to a closed drainage system. Which ofIthe following actions should the nurse i
nclude in the plan of care?
ANS: Maintain the drainage system below the level ofIthe client's chest.
6. A nurse in an acute mental health facility is caring for a client who has borderline
personality disorder and reports. "I am goingto kill my girlfriend when I get out
ofIhere." Which ofIthe following actions should the nurse take?
ANS: Notify the client's care team of the threats against the partner
7. A nurse is admitting a client who is at high risk for suicide.Which ofIthe
following actions is the nurse's priority? ANS: Search the client's personal
belongings
8. A nurse is caring for a client who is 1 day postoperative and is unable to ambulate. W
hich ofIthe following actions should the nurse take to promote the client's venous
return?
ANS: Maintain the sequential compression device.
9. A nurse on an acute care unity is collecting data from a school-age Child who has
cystic fibrosis. Which ofIthe following
, findings is the priority for the nurse?
ANS: Reports lack ofIappetite
10. a nurse working in a provider's ofollowingice receives a phonecall from the parent
ofIa school-
age child who has varicella. The parent asked the nurse when thechild can return to
school. Which ofIthe following responses should the nurse make?
ANS: "When the lesions have scabbed over."