/20224 NEW GENERATION GRADED A LATEST
VERSION
,1. A Nurse is collecting data from a client who has multiple
fractures following a motor-vehicle crash. For which of the
following client statements
ANS: "I am so frustrated. I cannot even open my milk carton for
breakfast."
2. A nurse is caring for a client who is 4 hr postoperative following a total
thyroidectomy
. Which of the following manifestations should the nurse report
to the provider as indicating possible hypocalcemia?
ANS: Tingling of fingers
3. A nurse is caring for a client who has a Penrose drain. To ensure
proper placement an d functioning of the drain, which of the following
should the nurse expect to observe? ANS: The safety pin is present
at the distal end of the drain.
4. A community health nurse is helping to reinforce teaching about
hepatitis A with a group of employees at a childcare facility. Which
of the following characteristics should t he nurse identify as an
external factor that can impede learning for the participants? ANS:
Poor lighting in the learning setting
,5. A nurse is observing newly licensed nurse who is providing
tracheostomy care for a client. The nurse identifies proper
performance of the procedure when the newly licensed nurse selects
which of the following solutions to clean the inner cannula?
ANS: Hydrogen peroxide
6. A nurse is caring for a client who has right sided heart failure. The
client's partner exp resses concern the the client will die. Which
of the following responses should the nurse make?
ANS: "It is difficult to see someone so sick. Whathave you
been told about your partner's prognosis?"
7. A nurse is reinforcing discharge instructions with the parent of an
infant who has rotav irus. which of the following statements by the
parent indicates an understanding of the teaching?
ANS: "I will apply diaper cream to my baby's skin during each
diaper change."
, 8. A nurse is caring for a client who is scheduled for surgery in the
morning. The nurse l earns that the client has decided not to have
surgery even though he has already signedthe informed consent form.
Which of the following actions should the nurse take? ANS: Report
the situation to the provider who obtained the informed
consent.
9. A nurse has to administer medications to a group of clients. For
which of the following client situations should the nurse complete
and incident report?
ANS: The nurse administered insulin lispro to a client who has
diabetes mellitusand is NPO.
10. a nurse is collecting data from a client who is experiencing a
situational crisis followin g the loss of a job. The client states, I don't
think I can go through this again. Which o f the following actions is
the nurse's priority?
ANS: Determine ifIthe client is experiencing psychotic thinking.
11. A nurse is reinforcing discharge teaching with a client who is 48 hr
post op from a ma stectomy. Which of the following statements by the
client indicates an understanding o f the teaching?
ANS: "I will wear rubber gloves whenever I wash dishes or do yard
work."
12. a Nurse is reinforcing teaching about home care for conjunctivitis
with the parent of a school age child. which of the following